RECENT Q & A
Follow up appointments are 20-30 minute appointments that occur at any time after the first appointment. For some patients, follow up appointments occur every 3 months and for others they occur every 12-18 months. The frequency of the follow up depends on the type of diagnosis.
In general, appropriate follow up intervals area as follows:
Androgenetic alopecia - every 9-15 months
Alopecia areata, receiving steroid injections - every 2 months for injections, every 6-8 months for full evaluation
Alopecia areata, not requiring injections (i.e on oral medications or DPCP) - every 4-6 months
Chronic Telogen Effluvium - every 1-2 years
Acute Telogen effluvium - every 6 months
Scarring alopecia, receiving injections - every 3 months for injections, every 6 months for full evaluation
Scarring alopecia, not requiring injections - every 4-6 months.
Tinea capitis - three months after first appointment
Trichotillomania - variable, typically every 6 months.
Children with genetic syndromes - typically seen every 2-5 years.
A follow up appointment is a 20-30 minute appointment which allows Dr. Donovan to assess the effectiveness, safety of the current treatment and to plan additional treatments or modifications to existing treatments.
A typical follow up will involve assessment of one or more of the following:
Full review of medications, side effects, progress to date, dermatoscopic scalp and review of any blood tests. In some situations, the follow up appointment may be conducted by phone, Skype or FaceTime for patients living far from the centre. This method of follow up is generally ONLY possible for patients with androgenetic alopecia, hair shedding abnormalities and patients with scarring alopecia and alopecia areata who are under the primary care of another physician.
Modification of treatment plan as appropriate, including more aggressive treatments in those not responding and removal/reduction of treatments (where appropriate) for patients showing improvement.
As reviewed above, follow up appointments range in intervals from 3 months to 3 years, depending on the primary diagnosis of the patient's hair loss. Patients with androgenetic alopecia are typically seen every 12-15 months. Patients with scarring alopecia and alopecia areata are typically seen for full review every 4-6 months (injections may be performed in between appointments every 2-3 months for some patients). Patients with hair shedding issues are typically seen every 6-9 months. Children with genetic syndromes may be seen every 2-5 years.
$ 650 + tax
1. What is the difference between a follow up appointment and a steroid injection appointment?
A follow up appointment is a 20-30 minute in depth appointment with Dr. Donovan to review progress and any changes in the treatment plan. A steroid injection appointment is a 5-10 minute appointment just for steroid injections and performed by Dr. Donovan or his nurses.
2. Do I need to come in for a follow up or can it be done by phone?
For some types of hair loss, a phone call follow up is acceptable. Please check with our office if this is possible for you specifically and your type of hair loss. Dr. Donovan will likely ask for an update on your photos.
3. What is the fee for a follow up appointment?
The fee for all follow up appointments is $ 650 + tax. This applies to follow up appointment by phone, skype, FaceTime or in person. The only exception in our practice is the 9 month follow up appointment for patients who have started platelet rich plasma therapy (PRP). There is no fee for this critically important appointment. All other follow up appointments are $ 650.
4. I was started on a treatment by Dr. Donovan and I did not see results. Do I still pay a follow up fee if I wish to see Dr. Donovan?
Yes, there is a fee for all follow up appointments with Dr. Donovan. The fees charged by the clinic are for Dr. Donovan's professional medical advice, not for outcomes. Please note that fees apply regardless of results. We practice hair medicine using the most up to date methods with the best evidence for treating hair loss. However, we don't promise results and never have. At the time of your appointment, Dr. Donovan will inform you of the chances (likelihood) of success. For example, if a medication has a 40 % chance of increasing hair density, 40 % of our patients will be pleased with their hair growth and 60 % will not. The same follow up fees apply to each patient. Follow up fees are for Dr. Donovan's professional medical advice, not for outcomes.