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Up and Coming Treatments in the World of Hair

Hair Loss Treatments: What's around the corner?

In this video, I review the latest in emerging treatments for 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 Whistler office at 604.283.1887
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Scalp Elasticity: The Mayer Paul Formula

The flexibility or "elasticity" of the scalp is an important consideration for hair transplant surgeons performing follicular unit strip surgery (FUSS also called FUT). In general terms, the more elastic an individual's scalp is, the greater the number of grafts that can be taken ...  and the better the final hair density that can be created for the patient undergoing surgery.

 

A number of formulas and methods have been proposed to help surgeons calculate elasticity. There are even a number of commercial available instruments and tools that can also be bought to help calculate scalp elasticity.

 

The Mayer Paul Formula

The Mayer - Paul Formula is a well established method for calculating the elasticity of the scalp. To calculate elasticity on the scalp, two lines are initially drawn 5 cm (50 mm) apart. Then the two lines are compressed together (ideally with the two thumbs). Then, one records how far apart the two lines are after being squished together.

Scalp Elasticity is calculated as

[(50 mm - new position in mm)/50] multiplied by 100 %

 

VIDEO EXAMPLE: DEMONSTRATION FO THE MAYER PAUL

In this video example, the lines have been squeezed from 5 cm apart to 2.5 cm apart (X = 2.5 for the formula in this example). The elasticity is calculated as 50 %. According to the Mayer Paul formula elasticity of 30 % or more means that a strip of at least 2.2 cm can be taken (if needed) on a first FUT surgery. In contrast, 10 % elasticity means that the strip should be kept less that 1 cm in width


Dr. Jeff Donovan is a Canadian and US board certified dermatologist specializing exclusively in hair loss. To schedule a consultation, please call the Whistler office at 604.283.1887
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The No Poo movement - Dr. Donovan interviewed on CHCH News

More Women going without shampoos

The 'no-poo' movement refers to a trend whereby shampoos are not used. Instead various non shampoo alternatives are used (water, apple cider vinegar, baking soda).

Dr. Donovan was recently interviewed on CHCH News 

See the interview here:

http://www.chch.com/the-no-poo-movement/


Dr. Jeff Donovan is a Canadian and US board certified dermatologist specializing exclusively in hair loss. To schedule a consultation, please call the Whistler office at 604.283.1887
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How do I diagnose hair loss?

Diagnosis comes from listening and looking

I'm often asked how I diagnose hair loss. Sometimes it's easy and sometimes it's challenging. What steps are taken? What is the basic approach?

This short clip provides a brief overview of the key steps of first listening to the patient's story of their hair loss and then examining the scalp up close.

Hope you enjoy

 

Jeff


Dr. Jeff Donovan is a Canadian and US board certified dermatologist specializing exclusively in hair loss. To schedule a consultation, please call the Whistler office at 604.283.1887
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Is there a Link Between Sun Exposure and Hair Loss?

Sun Exposure and Hair Loss: Is there a Link?

This new video highlights the current evidence of the relationship between sun exposure and hair loss.

I hope you enjoy it!

- Dr Jeff Donovan

 References of Interest

Gatherwright J et al. The contribution of endogenous and exogenous factors to female alopecia: a study of identical twins. Plast Reconstr Surg 2012 130; 1219-26.

Su LH and Chen.  Androgenetic alopecia in policemen: higher prevalence and different risk factors relative to the general population. Arch Dermatol Res. 2011 Dec;303: 753-61


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Dr. Jeff Donovan is a Canadian and US board certified dermatologist specializing exclusively in hair loss. To schedule a consultation, please call the Whistler office at 604.283.1887
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Dr. Donovan Interviewed by CityNews Toronto

Dr. Donovan Interviewed by CityNews Toronto

Dr. Donovan was interviewed today by Andrea Piunno of CityNews Toronto on a new research study which showed that men and women with signs of aging (such as hair loss) have an increased risk of heart disease.

 

Heart attacks more likely the older you look:

Click for a link to the CityTV video

 

 

 

 

 


Dr. Jeff Donovan is a Canadian and US board certified dermatologist specializing exclusively in hair loss. To schedule a consultation, please call the Whistler office at 604.283.1887
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Hair Loss Treatments on the Horizon

Hair Loss Treatments on the Horizon

I returned from an outstanding meeting of the 21st Annual Meeting of the European Academy of Dermatology and Venerology in Prague.  This video highlights some of the exciting hair loss treatments that may be on the horizon including the latest in hair cloning research and new topical medications produced by L'Oreal.

Hope you enjoy it!

 


Dr. Jeff Donovan is a Canadian and US board certified dermatologist specializing exclusively in hair loss. To schedule a consultation, please call the Whistler office at 604.283.1887
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TIPS FOR GREAT SUMMER HAIR

Recently, Monica Matys of Sunnybrook Medical Centre interviewed me about tips for great summer hair. A short 1 minute segment of the interview can be found in the new "Sunnybrook Says" website.

Certainly, I'm seeing lots of patients with sun damaged hair. I can spot sun damaged hair because it's lighter in color, more brittle, and lacks shine. 

When I speak of sun damaged hair, I'm really referring to the damage that occurs to the outermost part of the hair follicle called the "cuticle". Lots of things can damage the cuticle in the summer months, including chlorine, salt water, sand, hair dryers and over processing of the hair with chemicals

Here's a few tips I recommend to keep hair looking great in the summer.

1. Limit the amount of sun on the scalp by wearing a hat or scarf. This can make a big difference by the time the end of the summer rolls around.

2. Don't worry about how often you shampoo in the summer but focus on conditioning regularly. I ask some of my patients to condition every day. Conditioners protect the cuticle!

3. If an individual has a lot of damaged hair, I may ask them to use a deep conditioner once weekly.

4. Limit the amount of heat on the scalp. If a hair blower is going to be used to style the hair, then towel dry or air dry the hair about 80 % before using the hair blower to style the hair.

5. Limit the dyeing of the hair to every 8 weeks in the summer. There is good scientific evidence that chemicals make the hair even more susceptible to being damaged by the sun.

6. Get a trim often in the summer. There is only one way to deal with split ends from sun damage and that is to cut them off. Removing split ends can immediately improve the look of the hair.

These simple tips can make a big difference in what the hair looks like by the time September or October rolls around.



Dr. Jeff Donovan is a Canadian and US board certified dermatologist specializing exclusively in hair loss. To schedule a consultation, please call the Whistler office at 604.283.1887
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Dr. Donovan on Discovery Channel's Daily Planet

Back in 2010, I was interviewed by Ziya Tong, the co-host of the Discovery Channel's Daily Planet show.   Our topic was hair (and fur!). I've posted a link to the Daily Planet segment below. Enjoy!

Watch video

ziyology.jpg



Dr. Jeff Donovan is a Canadian and US board certified dermatologist specializing exclusively in hair loss. To schedule a consultation, please call the Whistler office at 604.283.1887
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What are the Causes of Hair Shedding?

It's normal to shed between 50-100 hairs per day. When more than 100 are lost, it may be abnormal. Abnormal or excessive hair shedding is known by the medical term "telogen effluvium."

There are many reasons to have hair shedding.  These include physiological stresses on the body (like having a surgery), thyroid problems, crash diets, low iron levels and certain medications. These can all cause hair shedding.

The following video on hair shedding was prepared by Monica Matys of Sunnybrook Hospital in conjunction with the Sunnybrook Media department. I hope you will find it educational and informative.



Dr. Jeff Donovan is a Canadian and US board certified dermatologist specializing exclusively in hair loss. To schedule a consultation, please call the Whistler office at 604.283.1887
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Scarring Alopecia - Why is it Challenging to Diagnose in Early Stages?

Scarring Alopecia: Diagnosis May Be Challenging In Early Stages

It's hard to imagine that there are over 100 reasons to lose hair.

Some types of hair loss appear very distinctive - and so it's quite easy to identify the cause. Most people recognize that a man who is balding at the top of the scalp has genetic hair loss. Similarly, most people know that a woman who loses hair a few months after delivery of a baby has a temporary hair shedding problem related to hormonal changes after pregnancy.

 

Are all hair loss conditions so straightforward to diagnose?

Some types of hair loss conditions are more challenging to diagnose than others. Certainly this is the case for a group of hair conditions known as scarring hair loss conditions or "scarring alopecias."  In the very earliest stages of scarring alopecia, patients can have a pattern of hair loss that looks just like genetic hair loss or age-related hair loss.  It's for this reason that patients are often surprised to learn their diagnosis.

"I thought I was losing hair for the same reason my father lost hair," many patients say.

 

What are scarring alopecias?

Scarring alopecias are a group of hair conditions that cause the body to form scars around the hair follicles. This causes the hairs to be permanently damaged and if the process continues - it also causes the hair follicles to be permanently lost.   In the early stages of the condition, individuals may have hair shedding, as well as scalp symptoms like itching, burning or pain.  It requires a physician who is knowledgable about these conditions to 'catch' the diagnosis and this stage.  If the condition continues untreated, areas of scarring and permament hair loss may develop. It's at this stage that scarring alopecia is more easily diagnosed.

The goal of diagnosis is to try to catch these conditions at the earliest possible stages.

 

A New Video on Scarring Alopecia

Every week, Monica Matys of Toronto's Sunnybrook Hospital produces a video blog and posts it on the Sunnybrook Medical Centre website. These blogs provide incredible insights into various health conditions and what patients experience.  In January 2012, Monica produced a segment specifically on scarring alopecia.  As with previous videos that Monica has produced, we've been getting a lot of positive feedback.   I've posted Monica's video below and provided a link to her blog on scarring alopecia.



Dr. Jeff Donovan is a Canadian and US board certified dermatologist specializing exclusively in hair loss. To schedule a consultation, please call the Whistler office at 604.283.1887
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A Discussion about Alopecia Areata

Alopecia areata is an autoimmune disease which affect about 2 % of the population. It most often leads to hair loss in circles but can lead to complete loss of all hair on the scalp (called alopecia totalis) or all hair on the body (called alopecia universalis).

Below, I've provided a link to another video on alopecia areata produced by Monica Matys of Sunnybrook Hospital. Each week Monica posts an interesting health related segment on her Sunnyview blog.  Another one of Monica's videos on alopecia areata was highlighted in a previous blog.

In this particular video, Monica has incorporated a short segment on basic aspects of the treatment of alopecia areata. In the first part of the video, I helped answer questions on the cause of alopecia areata and how the condition is treated. In the second part of the video, Monica interviews four patients with alopecia areata.  The information and advice these individuals provide is very valuable to everyone and I encourage you to watch and learn from them.

 


Dr. Jeff Donovan is a Canadian and US board certified dermatologist specializing exclusively in hair loss. To schedule a consultation, please call the Whistler office at 604.283.1887
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Alopecia Areata - Insights from Patients

Every week, Monica Matys of Sunnybrook Hospital produces a video blog and posts it on the Sunnybrook website. These blogs provide incredible insights into various health conditions and what patients experience.  In September 2011, Monica produced a segment on alopecia areata.  Many of my patients have commented about how much they enjoyed this video.   I've posted Monica's video below and provided a link to her blog on alopecia areata.



Dr. Jeff Donovan is a Canadian and US board certified dermatologist specializing exclusively in hair loss. To schedule a consultation, please call the Whistler office at 604.283.1887
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