Hair Blogs


Lichen Planopilaris (LPP)

 

Lichen planopilaris (LPP) is a scarring hair loss condition. It is characterized by hair shedding and hair loss accompanied by itching, burning and pain. It is typical to see scales surrounding the hair follicle, known as perifollicular scale or follicular hyperkeratoses, in patients with active disease.


Dr. Jeff Donovan is a Canadian and US board certified dermatologist specializing exclusively in hair loss. To schedule a consultation, please call the Vancouver office at 604.283.9299
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Sunscreens & frontal Fibrosing Alopecia

Is there a connection for males with FFA?

FFA is more common in women than in men. The reasons why remain unknown. As we discussed yesterday, a great deal of controversy was generated when Dr. Messenger and colleagues suggested that sunscreen use could contribute to the development of FFA. There are a whole lot of people who disagree with the conclusions and the way the study was conducted. Nevertheless, the findings are interesting and raise the possibility of a link. 

In a new study, Dr. Messenger examined the role of sunscreen use and moisturizers in FFA in male patients. 17 men with FFA were surveyed and data compared to survey data in 73 men who did not have FFA. It was found that a greater proportion of men with FFA reported using sunscreens twice per week compared to men without FFA (35 vs 4 %). As well, 100 % of men with FFA reported use of facial moisturizers compared to 40 % of men without FFA.

This is a fascinating study. Like every interesting study, there are always many more questions that arise at the end of the study. This is the second study to suggest that ingredients in sunscreens and facial moisturizers may contribute to FFA. 

Reference
Debroy-Kidambi et al. Frontal fibrosing alopecia in men: an association with facial moisturizers and sunscreens. British Journal of Dermatology 2017.


Dr. Jeff Donovan is a Canadian and US board certified dermatologist specializing exclusively in hair loss. To schedule a consultation, please call the Vancouver office at 604.283.9299
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Sunscreens and Frontal Fibrosing Alopecias

Is there a connection for Females with FFA

One of the most interesting studies of the past year was a study by Dr. Messenger’s UK group looking at the role of sunscreens in the development of a scarring hair loss condition known as frontal fibrosing alopecia (FFA). A questionnaire was given to 105 women with FFA and the same survey was given to 100 women without FFA. A significantly higher proportion of women with FFA reported using sunscreens compared to women without FFA. To be more specific, 48 % of women with FFA were regular users of sunscreens compared to 24 % of women who did not have FFA.

This is the first reasonably sized study to propose an environmental factor that could be implicated in FFA. This hair loss condition was first noticed in the medical community in 1994 and since then the number of patients with FFA diagnosed with FFA has increased .... exponentially.

This study raised a great deal of controversy among the medical community. In my mind, it doesn’t definitely prove that sunscreens are a cause of FFA but certainly does provide a sound starting point for further research. It’s tremendously exciting and these authors are to be congratulated for this study.

Reference
Aldoori et al. Frontal fibrosing alopecia: possible association with leave on facial skin care products and sunscreens: A questionnaire study. Br J Dermatol 2017. 


Dr. Jeff Donovan is a Canadian and US board certified dermatologist specializing exclusively in hair loss. To schedule a consultation, please call the Vancouver office at 604.283.9299
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CTE in young man

I posted an answer to a new question on Realself.com

CTE in young man


Dr. Jeff Donovan is a Canadian and US board certified dermatologist specializing exclusively in hair loss. To schedule a consultation, please call the Vancouver office at 604.283.9299
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Redness post op

I posted an answer to a new question on Realself.com

Redness post op


Dr. Jeff Donovan is a Canadian and US board certified dermatologist specializing exclusively in hair loss. To schedule a consultation, please call the Vancouver office at 604.283.9299
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Am I balding?

Here is an answer that I posted to a new question on Realself.com

Am I balding


Dr. Jeff Donovan is a Canadian and US board certified dermatologist specializing exclusively in hair loss. To schedule a consultation, please call the Vancouver office at 604.283.9299
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CTE or AGA

Here is an answer that I posted to a new question on Realself.com

What is my diagnosis?


Dr. Jeff Donovan is a Canadian and US board certified dermatologist specializing exclusively in hair loss. To schedule a consultation, please call the Vancouver office at 604.283.9299
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What's new in Scarring alopecia?

Research and Treatment

Over the next two weeks, we’ll take a closer look at a group of hair loss conditions known as "scarring alopecias". We will take a look at the latest research on the cause of some of these scarring alopecias and the latest in treatments.

Scarring alopecias are all characterized by permanent hair loss. Some of the many scarring alopecias that exsit are conditions such as lichen planopilaris (LPP), frontal fibrosing alopecia (FFA), folliculitis decalvans, and central centrifugal cicatricial alopecia (CCCA).


Dr. Jeff Donovan is a Canadian and US board certified dermatologist specializing exclusively in hair loss. To schedule a consultation, please call the Vancouver office at 604.283.9299
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University of Toronto Lecture

 

Looking forward to working with the University of Toronto dermatology residents. We'll have a lecture today from 11 am - 12 pm on the recognition of hair loss patterns. This afternoon, I'll work with the senior graduating residents helping them consolidate and review a lot of information about hair and hair loss.


Dr. Jeff Donovan is a Canadian and US board certified dermatologist specializing exclusively in hair loss. To schedule a consultation, please call the Vancouver office at 604.283.9299
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Rosemary Oil

I posted an answer to a new question on Realself.com

Rosemary Oil


Dr. Jeff Donovan is a Canadian and US board certified dermatologist specializing exclusively in hair loss. To schedule a consultation, please call the Vancouver office at 604.283.9299
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