On Sept 27, 2023 Dr Donovan hosted a live public webinar on scarring alopecia. This video addresses all questions submitted by participants on a variety of topics in scarring alopecia. Time stamps are shown below. If you have questions and didn't have time to submit them for this webinar, you can always consider joining us for a future webinar https://donovanmedical.com/webinars, or submitting them to our "Question of the Week Program" https://donovanmedical.com/question-o...


Q1 (starts at 1:54): Does Dutasteride 2x/wk help FFA?

Q2 (starts at 9:06): Would 2 biopsies miss FFA? 

Q3 (starts at 13:56): Does "perifollicular fibrosis" indicate early stage LPP??

Q4 (starts at 20:09): Are there studies on Finasteride in breast cancer?

Q5 (starts at 28:16): Could low ferritin impact my FFA? 

Q6 (starts at 31:54): Are there different types of LPP ?

Q7 (starts at 35:18): Are LPP and Hepatitis C linked?

Q8 (starts at 37:24): How does weight influence LPP?

Q9 (starts at 42:10): Can weight loss put LPP into remission?

Q10 (starts at 42:20): I am a 33 year old Caucasian female. My biopsy showed CCCA. Is this correct ?

Q11 (starts at 46:42): How should I apply minoxidil?

Q12 (starts at 48:50): Is there a danger using too much minoxidil?

Q13 (starts at 52:51): How should I apply minoxidil?

Q14 (starts at 56:25): Is it possible to reverse Pili Torti ?

Q15 (starts at 58:23): Do you think stem cell hair transplant could help burnt out FFA? 

Q16 (starts at 59:29): Could you also comment on hair cloning? 

Q17 (starts at 1:00:41). Can you address the safety of Dutasteride?

Q18 (starts at 1:02:19): Are there benefits to avoiding fragrance?

Q19 (starts at 1:05:20): My blood work shows high ferritin & ALT levels. Can you explain? 

Q20 (starts at 1:09:16): In the setting of a potential scarring alopecia, are there other lines of defence in addition to the usual treatments?

Q21 (starts at 1:10:54): In FFA, what is the methotrexate going to achieve?

Q22 (starts at 1:15:44): In scarring alopecia, is there any point in getting a biopsy to confirm if the disease is still active?

Q23 (starts at 1:18:35): Do you recommend HRT?

Q24 (starts at 1:21:38): Regarding "inverse vaccines", would this also be promising for scaring alopecia?

Q25 (starts at 1:23:35): Is it possible that I have "scalp dysesthesia" ?

Q26 (starts at 1:28:50): Is it okay to switch oral minoxidil manufacturers, should we be concerned about new side effects and/or additional shed etc?

Q27 (starts at 1:31:32): What would be next for my own FFA treatment?

Q28 (starts at 1:33:46): Does my story mean my Baricitnib treatment is not working?

Q29 (starts at 1:37:17): Is there a correlation between LPP & itchy body skin & dry lips?

Q30 (starts at 1:39:22): Would a functional /integrated doctor be a help to my condition?

Q31 (starts at 1:43:41): What should I do while waiting for an appointment?

Q32 (starts at 1:47:54): Do 0.625 mg and 1.25 mg oral minoxidil have the same effect?

Q33 (starts at 1:49:08): Does oral minoxidil have an aging effect on facial skin??

Q34 (starts at 1:50:10): Do tretinoin creams/serums irritate the inflammatory response of FFA if applied to face not hairline? 

Q35 (starts at 1:50:44): I’m wondering if all scarring alopecias are affected by sunlight or only in the case of discoid lupus.

Q36 (starts at 1:51:38): Do you normally have LPP patients use 100 mg of Doxycycline once a day or twice a day (200 mg total)? 

Q37 (starts at 1:54:47): How do you monitor for and minimize the chances of developing autoimmune related gut issues with long term use of doxycycline?

Q38 (starts at 1:57:22): What protocol do you recommend regarding clobetasol use in LPP?  

Q39 (starts at 1:59:57): How often do you have patients take steroid holidays?

Q40 (starts at 2:02:06): How long should one bottle of clobetasol last?

Q41 (starts at 2:04:32): Do you recommend other topical steroids, such as Betamethasone?

Q42 (starts at 2:07:08): What protocol for tacrolimus or pimecrolimus do you recommend in LPP?

Q43 (starts at 2:12:15): Do you recommend using tacroliumus during steroid holidays? 

Q44 (starts at 2:12:37): How often should you use tacrolimus?

Q45 (starts at 2:13:46): Does tacrolimus cause joint pain?

Q46 (starts at 2:15:15): Can Dr. Donovan comment on the use of sublingual Minoxidil drops?

Q47 (starts at 2:18:58): At what point does one have an idea if tofacitinib (Xeljanz) is working?

Q48 (starts at 2:20:48): What are your thoughts on oral gabapentin if cetirizine (Zyrtec) is not working for burning?

Q49 (starts at 2:25:34): If burning is really active would you recommend recommencing a short period of cyclosporine?

Q50 (starts at 2:27:04): Does depigmentation on the scalp mean scarring is present?

Q51 (starts at 2:27:31): Why is my scalp irritated?

Q52 (starts at 2:29:06): Does red light therapy help LPP?

Q53 (starts at 2:30:01): Do topical JAK Inhibitors work for FFA?