YOUR SECOND APPOINTMENT WITH DR. DONOVAN

When is my second appointment ?

The frequency of follow up appointments after the first appointment depends on the diagnosis the patient receives as to the cause of hair loss. In general, our patients enter one of 8 treatment programs for their hair loss.

 

1) Program for Male Pattern Balding (Male Androgenetic Alopecia)

Frequency of Appointments: Usually every 9-15 months

 

A variety of FDA approved and off label non surgical treatment options are available for men with male pattern hair loss including finasteride, dutasteride, minoxidil, low level laser, platelet rich plasma, rosemary extracts, pumpkin seed oil. Patients are re-evaluated by Dr. Donovan every 9-15 months with the exception of patients undergoing PRP treatment who are seen every 3-4 months for treatment. Individuals deemed good candidates for surgical treatment (hair transplantation) are referred to hair transplant surgeons. 

 

2) Program for Female Pattern Hair Loss (Female Androgenetic Alopecia)

Frequency of Appointments: Usually every 9-12 months

 

A variety of non surgical options are available for pre-menopausal and post menopausal women with female pattern hair loss including both FDA approved and off label treatments. These include minoxidil, spironolactone, finasteride, cyproterone acetate, low level laser, platelet rich plasma, zinc, selenium and various supplements and shampoos. Women with female pattern hair loss are re-evaluated every 9-15 months with the exception of patients undergoing PRP treatment who are seen every 3-4 months for treatment. Individuals deemed good candidates for surgical treatment (hair transplantation) are referred to hair transplant surgeons.   

Our clinic also has a particular clinical interest in the management of hair loss in women who are actively planning pregnancy, both naturally and through IVF. Many hair loss medications can not be used during pregnancy and many medications used during IVF have the potential to cause or worsen hair loss for some women.  We also have a dedicated program focusing on the management of androgenetic and age-related thinning during the peri-menopausal and post menopausal period. Some women have important decisions to make with their physicians regarding hormone replacement therapy and some women have important decisions to make regarding low testosterone levels and whether supplementation is likely to cause hair loss or actually help hair loss. 

 

3) Alopecia Areata Program (Alopecia Areata, Alopecia Totalis, Alopecia Universalis)

Frequency of Appointments: Variable, depending on subtype of alopecia areata

 

- CLICK FOR DPCP CLINIC

- CLINIC FOR PAEDIATRIC HAIR LOSS CLINIC

 

Topical, intralesional and oral treatments are available for children and adults with alopecia areata. We have a large paediatric alopecia areata practice (click for the Pediatric Hair Loss Clinic). In general, treatments for alopecia include topical steroids, injections of triamcinolone acetonide, diphencyprone, anthralin, sulfasalazine, methotrexate, cyclosporine, tofacitinib.  Individuals with alopecia areata are seen by Dr. Donovan every 2-4 months.  Patients requiring corticosteroid injections are seen every 6-8 weeks whereas individuals on other treatments (oral medications, anthralin, DPCP) are seen every 3-4 months.  Individuals with patchy alopecia who develop patches of hair loss from time to time simply reach out to our nurses whenever steroid injections are needed. 

Our outpatient DPCP program has grown to be a large practice supporting the home application of DPCP. An initial appointment at the Vancouver centre is required for all patients interested in home DPCP.  This enables patients to review with our DPCP nurses the proper application of DPCP. Thereafter, follow up monitoring and supervision is available through long distance communication. 

 

4) Scarring Alopecia Programs (Lichen planopilaris, Frontal Fibrosing Alopecia, Folliculitis Decalvans, Pseudopelade, Discoid lupuus, Central Centrifugal Cicatricial Alopecia)

Frequency of Appointments: Usually every 3-6 months; Stable patients every 9-18 months. 

 

A variety of topical, injection and oral treatments are available for individuals with scarring alopecias. The include topical corticosteroids, topical calcineurin inhibitors, triamcinolone acetonide injections, oral doxycycline, oral hydroxychloroquine, oral methotrexate, oral cyclosporine, oral mycophenolate mofetil. Individuals with scarring alopecia are seen by Dr. Donovan every 2-6 months.  Patients requiring corticosteroid injections are seen every 6-8 weeks whereas individuals on other treatments (oral medications, topical medications) are seen every 3-6 months.  Generally speaking, the more stable a patient's hair loss conditions is, the less often they are seen by Dr. Donovan.

 

5) Other forms of hair loss (acute and chronic telogen effluvium, traction alopecia)

Frequency of Appointments: Variable, usually every 9-12 months

 

Individuals with other forms of hair loss are seen at varying frequencies depending on the information uncovered during their appointment. For examples indivduals with acute telogen effluvium may only be seen once, where as indidivduals with chronic shedding may be seen every 9-12 months. Individuals with traction alopecia may be seen every 3-4 months for steroid injections and re-evaluation or referred for hair transplant surgery. 

 

6) Program for Evaluation and Management of Complications following Hair Transplantation  (Post op Complications Clinic or 'POCC')

Frequency of Appointments: Variable, depending on diagnosis; Usually every 9-12 months; 

 

Hair transplantation remains a very successful and safe procedure for improving hair density. Despite this, complications can occur in a very small minority.  

Established in 2010, this unique program at the Donovan Hair Clinic provides help to patients and their physicians on the diagnosis and management of an array of scalp complications that occur following hair transplant surgery. The POCC has grown into one of the largest of it's kind anywhere in the world. Dr. Donovan sees patients from all over the world who come to the clinic with the exact same question - Why did this particular phenomenon happen to me after my hair transplant? The exact reason for seeking help in the clinic will differ from patient-to-patient but all patients in the POCC have experienced some type of 'unexpected' post-operative course. Some patients come to the clinic wanting to know why they have didn't achieve good hair growth after their transplant, others come wanting to understand why their scalp remains red or itchy. Others come wanting to know why they have lost their transplanted hair despite initially having a fuller result. Others come wanting to know the reasons for 'bumps' in the scalp. Others come wanting to know why they have scalp pain, tingling and parenthesis. These types of issues are routinely addressed in the POCC.

 

7) Scalp Dysesthesia Clinic 

Frequency of Appointments: Variable, depending on cause; Often every 6-12 months

 

The Scalp 'Dyesthesias' are a group of conditions whereby the scalp looks more or less normal, biopsies return normal, and yet the patient has symptoms of itching, burning or pain. These conditions are challenging - both in their diagnosis and management.  We see many patients with complex scalp pain syndromes, burning scalp syndrome, and sensitive scalp syndrome. 

 

8) Scalp Dermatology Clinic

Frequency of Appointments: Variable, depending on cause of scalp issue; usually every 6-12 months.

In addition to hair loss, we treat a variety of scalp conditions, some of which may or may not be related to hair loss. These include seborrheic dermatitis, eczemas,  pityriasis amiantacea, scalp psoriasis, folliculitis, and scalp rosacea. 

 

 

 

FREQUENTLY ASKED QUESTIONS - Vancouver Office

1. What type of consultations are offered at the Vancouver office ?

We offer comprehensive consultations consultations at the Vancouver office.  We provide an array of non surgical treatments. We no longer provide hair transplantation at our office and individuals deemed appropriate candidates for hair transplantation are referred to hair transplant surgeons. 

 

2. How do I set up an appointment ?

Simply fill out the online form so our booking team can get a better sense of your appointment needs. We will contact you within 1-2 business days.  Please let us know if you prefer us to contact you by email or phone. 

 

3. Where is the Vancouver office located?

We are located at 750 West Broadway Avenue, Suite 905 in the Fairmont Medical Building.

 

4. How long are initial appointments?

Initial appointments are typically 35-45 minutes for comprehensive consultations. 

 

4. What is the cost for initial and follow up appointments?

The fee for the first consultation with Dr. Donovan is $ 750. The fee for follow up appointments is $ 650. The cost for steroid injections for scarring alopecias and alopecia areata is $ 200 per visit. The cost of DPCP (for alopecia areata) and PRP can be found in the links. 

 

5. Is there anything I need to do to prepare for my appointment?

We will send out a questionnaire either by e-mail. We ask that you kindly complete a number of key pieces of information about your hair loss prior to your appointment. 

 

6. Do you offer hair transplantation in Vancouver?

As of June 2016, we no longer provide surgical consultations. 

 

7. What types of treatments are offered in Vancouver?

We offer treatments for a wide variety of hair loss conditions. Please fill out our online form as a starting point or feel free to email the office at vancouveroffice@donovanmedical.com for more information.

 

Donovan Medical - Vancouver

 

750 Broadway Avenue - Suite 905.

Vancouver, BC V5Z 1K1

Phone: (604) - 283-9299

FAX: (604) - 648-9003

Vancouveroffice@donovanmedical.com

 

 




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