Dr. Julian Andrew Hancock

Dr. Julian Hancock diagnoses and treats a wide range of skin, hair, and nail conditions, including:

Inflammatory & Immune-Mediated Skin Conditions

• Psoriasis (Plaque, Guttate, Inverse, Pustular, Erythrodermic): An autoimmune disease characterized by patches of abnormal skin that are typically red, itchy, and scaly due to rapid skin cell turnover. Can also affect nails and joints (psoriatic arthritis).
• Lichen Planus: An inflammatory condition that can affect the skin, hair, nails, and mucous membranes (mouth, genitals), causing purplish, itchy, flat-topped bumps on the skin or lacy white patches in the mouth.
• Dermatitis Herpetiformis: An intensely itchy, blistering rash often associated with celiac disease (gluten sensitivity), typically appearing on elbows, knees, buttocks, and scalp.

Acne, Rosacea & Follicular Disorders

• Folliculitis (Bacterial, Fungal, Non-infectious): Inflammation of hair follicles, often caused by infection (e.g., Staph aureus, Malassezia) or irritation, leading to itchy or painful bumps, sometimes with pustules.
• Acne Vulgaris (Comedonal, Papulopustular, Nodulocystic): A common skin condition characterized by pimples, blackheads, whiteheads, and sometimes deeper cysts and nodules, occurring when hair follicles become clogged with oil and dead skin cells. Severity can vary.

Skin Cancers, Precancerous Lesions & Benign Growths

• Dysplastic Nevi (Atypical Moles): Moles that look different from common moles (larger, irregular borders, varied color) and may have a higher risk of developing into melanoma. Often require monitoring or biopsy.
• Squamous Cell Carcinoma (SCC): A common form of skin cancer developing in the squamous cells. Often appears as a firm, red nodule or a flat lesion with a scaly, crusted surface on sun-exposed areas. Can grow more rapidly than BCC.
• Lipomas: Benign tumors composed of fat tissue, usually soft, movable, and painless, located just beneath the skin.

This list is not exhaustive. For personalized advice regarding your specific dermatological condition, please consult with Dr. Julian Hancock.

• Psoriasis & Psoriatic Arthritis Management (Topical, Phototherapy, Systemic, Biologics, JAK inhibitors): Comprehensive management of psoriasis (plaque, guttate, pustular, erythrodermic) and associated psoriatic arthritis, using topical treatments, narrowband UVB or PUVA phototherapy, oral systemic medications (e.g., methotrexate, cyclosporine), and advanced biologic therapies or JAK inhibitors targeting specific immune pathways.
• Hair Loss (Alopecia) Evaluation & Treatment (Androgenetic, Areata, Telogen Effluvium, Scarring Alopecias): Investigating causes of hair loss (including scalp examination, hair pull tests, biopsies) and providing medical treatments for conditions like male/female pattern baldness, alopecia areata (including intralesional steroids, topical immunotherapy), telogen effluvium, and various forms of scarring alopecia.
• Patch Testing for Allergic Contact Dermatitis (Standard & Expanded Panels): Diagnostic procedure to identify specific allergens causing contact dermatitis by applying small amounts of common (and sometimes occupational or specialized) allergens to the skin.
• Management of Autoimmune Skin Diseases (Lupus, Dermatomyositis, Pemphigus, Pemphigoid, Vasculitis): Diagnosis and treatment of autoimmune connective tissue diseases with skin manifestations and autoimmune blistering diseases, often in collaboration with rheumatologists or other specialists. May involve topical, oral, or biologic therapies.
• Platelet-Rich Plasma (PRP) Therapy (for Skin Rejuvenation & Hair Loss): Utilizing a concentration of a patient's own platelets to promote tissue repair and regeneration, used for facial rejuvenation (e.g., with microneedling) and to stimulate hair growth in certain types of alopecia.
• Hyperhidrosis (Excessive Sweating) Treatment (Topical, Oral, Botulinum Toxin): Management options for excessive sweating of the underarms, palms, or soles, including prescription antiperspirants, oral medications, and botulinum toxin injections.
• Acne Vulgaris & Acne Rosacea Treatment (Topical, Oral, Systemic, including Isotretinoin): Management of acne and rosacea, including blackheads, whiteheads, pimples, cysts, and facial redness, using a range of treatments from topical creams and gels to oral antibiotics, hormonal therapies, and isotretinoin for severe or recalcitrant acne.

Note: This list provides a general overview of medical and potentially some cosmetic services. Treatment plans are highly individualized. Discuss with Dr. Hancock for care relevant to your specific condition. Coverage for services varies; medically necessary treatments are typically covered by provincial health plans, while cosmetic procedures are usually self-pay.

All medical and surgical services (if applicable) are provided in accordance with the standards of practice set by the College of Physicians and Surgeons of British Columbia (CPSBC) and relevant dermatological care guidelines. Contact the clinic or your referring physician regarding new patient intake and referral processes.

Hancock Julian A Dr Skin Rejuvenation Clinic is situated in Victoria's Fairfield West neighborhood, within the vibrant Rockland area. The clinic is conveniently located near the Downtown Core and Bay Centre Shopping Mall, making it easily accessible for patients. Public transit options are plentiful, with the Victoria Regional Transit System (BC Transit) serving the area. The facility is wheelchair accessible to ensure comfort and inclusivity for all patients. Metered street parking and nearby parking lots are available, providing flexible options for visitors seeking in-person dermatological care.

Are consultations and dermatological treatments with Dr. Hancock, a Dermatologist, covered by Medical Services Plan (MSP) in BC?

Medically necessary consultations with a licensed Dermatologist like Dr. Hancock, diagnostic procedures (e.g., skin biopsies), and treatments for provincially insured skin conditions (e.g., psoriasis, severe eczema, skin cancer, infections) are generally covered by Medical Services Plan (MSP) in BC when a referral from a family doctor is in place. Purely cosmetic procedures (e.g., Botox for wrinkles, most laser hair removal, fillers for aesthetic enhancement) are typically not covered and are self-pay. It's crucial to discuss coverage specifics for any proposed treatment with Dr. Hancock's office or Medical Services Plan (MSP) beforehand, especially if there's a potential cosmetic component.

Do I need a referral to see Dr. Hancock, a Dermatologist?

Yes, for medically necessary dermatological care covered by the provincial health plan, a referral from your family physician or another specialist (e.g., an ER doctor for an acute issue) is almost always required to see a Dermatologist such as Dr. Hancock. This ensures coordinated care and that your visit is appropriate for specialist assessment. Some dermatologists may offer consultations for uninsured cosmetic services without a referral, but these would be a direct cost to you. Always check with the clinic regarding their specific referral policy.

What is the difference between a Dermatologist and an Esthetician?

A Dermatologist, like Dr. Hancock, is a medical doctor (MD) who has completed medical school followed by several years of specialized residency training in dermatology. They are qualified to diagnose and treat over 3,000 diseases of the skin, hair, and nails, prescribe medications, perform surgical procedures (like skin cancer removal), and manage complex skin conditions. An Esthetician (or Aesthetician) is a skincare professional trained in cosmetic skin treatments and services that improve the appearance of the skin, such as facials, superficial chemical peels, microdermabrasion, waxing, and makeup application. They are not medical doctors and cannot diagnose skin diseases, prescribe medications, or perform medical or surgical procedures.

How should I prepare for my first dermatology appointment with Dr. Hancock?

To make the most of your first visit with Dr. Hancock, it's helpful to: 1. Make a list of your skin concerns, symptoms (e.g., itch, pain, duration), and any treatments you've already tried (both prescription and over-the-counter). 2. Bring a list of all your current medications, including vitamins and supplements. 3. Be prepared to discuss your personal and family medical history, including any history of skin cancer or significant skin conditions. 4. For a full skin exam, it's best to wear loose, comfortable clothing that is easy to remove and avoid wearing makeup or nail polish. 5. If your concern involves a rash that comes and goes, taking clear photos when it's visible can be very helpful. 6. Write down any questions you have for Dr. Hancock.

What kind of sunscreen does Dr. Hancock recommend?

While specific brand recommendations can vary, Dr. Hancock would likely advise choosing a broad-spectrum sunscreen that protects against both UVA and UVB rays, with an SPF (Sun Protection Factor) of 30 or higher. For daily use, a lighter formulation might be preferred, while for prolonged outdoor activities, water-resistant sunscreen is important. Consider your skin type: individuals with sensitive skin might prefer mineral-based sunscreens containing zinc oxide or titanium dioxide. The most important thing is to apply sunscreen generously and reapply it every two hours, or more often if swimming or sweating. Dr. Hancock can provide personalized recommendations based on your skin type and lifestyle during your consultation.

Hancock Julian A Dr Skin Rejuvenation Clinic
1512 Fort St
Victoria, BC V8S 5J2

Phone: (778) 432-3330 | Fax: (778) 432-3331 | Website: http://www.doctorskinlaser.com/

The facility is wheelchair accessible.

Dr. Hancock is a licensed Dermatologist regulated by the College of Physicians and Surgeons of British Columbia (CPSBC) under the Health Professions Act in BC. A referral from a family physician is typically required for consultations with Dr. Hancock for medically necessary services covered by the provincial health plan. Cosmetic consultations may have different requirements.

Verify registration with the College of Physicians and Surgeons of British Columbia (CPSBC): https://www.cpsbc.ca/public/registrant-directory/search-result/307629/Hancock%2CJulian