Seasonal Flank Alopecia in Bulldogs and French Bulldogs

By: Dr. Roy Kraemer |
DVM, Bulldog Specialist Veterinarian
Last updated by Roy Kraemer, DVM
Seasonal flank alopecia in Bulldogs and French Bulldogs, clinical guide by Dr. Kraemer
Bald patches on both flanks, often darker than the skin around them, and a dog who is not scratching, not sore and apparently unbothered by any of it. That last part is the clue, and it is the reason this looks far more alarming than it usually is. Itchy baldness and quiet baldness are two different conversations, and owners arrive here having read about the itchy one. Seasonal flank alopecia tends to follow the light rather than an infection, it often comes back on a schedule, and in most dogs the hair returns on its own. This page covers what causes it, how it is told apart from the things it imitates, and what is worth doing versus what is worth leaving alone.

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 Subject: 🐾 Non-Itching Flank Baldness in My Frenchie, Mocha 🐾 Dear Dr. Kraemer, Mocha, has recently been experiencing some unusual dark baldness on her flanks. The strange part is that she doesn’t seem itchy or bothered by it at all. 🤔 Is this a common issue with bulldogs?  I googled it and found “flank alopecia.”  Is that the same? Is there something we should be doing to help Mocha💉💊? Thank you so much in advance! 🙏 #BulldogHealth #NonItchingBaldness #flankAlopecia

From Dr. Kraemer’s inbox

“My three year old English Bulldog has gone bald on both sides, almost a mirror image, and the skin under it has gone dark. It started in the fall, the same as last year, and last year it filled back in by spring. He is not scratching at all, he eats like a horse and he is bouncing around as usual. Our groomer is convinced it is his thyroid. Should I be asking for a blood test?”

A typical message from a Bulldog owner, shortened, with the name changed.

Dr. Roy Kraemer, DVM

Dr. Kraemer’s reply

You have already given me most of the answer without realizing it, and it is in the parts you probably thought were small talk.

Mirror image on both sides. Started in the fall. Did the same thing last year and filled back in by spring. Not scratching. Eating well. Bouncing around. That combination is the picture of seasonal flank alopecia, and it is one of the few things in this breed where the story tells you more than the skin does.

Your groomer is not being silly, and the instinct behind it is sound. Hair loss does send people to the thyroid, and a thyroid problem can take hair off a Bulldog. But it almost never travels alone. It brings weight gain on the same food, a dog who has gone flat, one who hunts out the warm spot, and often a skin or ear infection that keeps coming back. Your dog has none of that. He is three years old, which is young for a thyroid problem, and he is thriving.

So is a blood test unreasonable? No. If it settles your mind, run it, and bring the dates with you. I would simply want you to expect a normal result rather than be surprised by one, because a low number in a well, young, bouncing dog is far more likely to be a laboratory quirk than a diagnosis, and I have seen that number turn into a daily tablet a dog never needed.

What would change my mind: if the bald areas start itching, if they spread beyond the flanks, if the hair stops coming back in spring, or if he starts gaining weight and slowing down. Any of those, and we are having a different conversation. Until then, take photographs with the date on them. That record is worth more than any single blood result.

Dr. Roy Kraemer, DVM

Seasonal Baldness Flank Alopecia In Bulldogs INTRODUCTION:

Flank alopecia is a breed-associated condition seen in Bulldogs and French Bulldogs.

It is a recurring pattern of hair loss associated with seasonal changes in daylight; the exact cause is not fully understood.

It typically appears as

  1. symmetric
  2. patchy bald spots on both sides of the back and flanks
  3. often with darkened skin in the affected areas.

In some cases the hair naturally regrows once daylight increases, highlighting the seasonal pattern.

In some cases, however, the hair loss may become permanent.

While usually harmless, it’s important to monitor your bulldog for additional signs to help rule out other possible causes of hair loss.

Brindle and white Bulldog lying on an examination table with a dark hairless flank patch and a bandaged foreleg.
These clinic photos show the pattern. Similar bald patches can have other causes, so confirm the diagnosis with your veterinarian.
From Dr. Kraemer’s exam room
A bulldog specialist, 20 years breed specific clinical experience

The itch is the question, not the bald patch

When an owner shows me a bald flank, the first thing I want to know is not how big it is or how dark it is. It is whether she is bothered by it. A dog who ignores the patch entirely is telling me something quite different from a dog who cannot leave it alone, and that single observation sorts most of these cases before I have touched her.

The second thing I ask is when it started, and whether anything like it happened last year. This one keeps a calendar. Owners often remember the pattern once they are asked, and the moment that pattern appears the picture usually settles.

What I would not do is reach for a medicated shampoo on a dog who is not itchy, which is the most common thing owners try before they get to me. It does nothing for this and it costs weeks. Take a photograph instead, note the date, and let your veterinarian confirm it rather than treating a guess. If the hair has not come back after a good few weeks, or she starts being bothered by it, that is a different conversation and worth having.

Dr. Roy Kraemer, DVM

What Causes Flank Alopecia Seasonal Baldness in Bulldogs?

The cause is not fully understood. Seasonal changes in daylight and hormones such as melatonin may affect the hair-growth cycle.

Original English Bulldog photograph showing a large dark flank patch.

Bulldog Seasonal Flank Alopecia 5 X MUST KNOW

  1. Seasonal flank alopecia occurs in several breeds, including Bulldogs; affected skin is usually not itchy or painful.
  2. The seasonal effect is likely due to sunlight and its impact on melatonin.
  3. Melatonin may help some dogs; discuss the diagnosis, product, and treatment plan with your veterinarian.
  4. Hair may regrow naturally, recur seasonally, or remain thin. No treatment guarantees regrowth.
  5. Skin Health Prevention & Care includes Dr. Kraemer’s Affordable Skin & Coat Bundles 

Welcome to Our “Prevention Over RX” Bulldog Community

Bully Flank Alopecia Ultimate Bundle with current Vet4Bulldog product labels

Flank Alopecia Seasonal Baldness in Bulldogs AGE FACTOR:

Bulldog flank non-itchy hair loss is not common to the young; the condition is usually seen as your bulldog matures, during adulthood and mid-age. It is uncommon for bulldog puppies to have flank alopecia.

What are The Symptoms of Flank Alopecia Seasonal Baldness?

Seasonal flank alopecia often leaves irregular bald patches with darkened skin. The pigmentation is in the exposed skin, not simply a change in coat color.

The pattern often appears on both flanks, with similar areas of hair loss.

Is Bulldog Non-Itchy Flank Baldness Seasonal or Yearly?

Most cases of nonpruritic flank alopecia in bulldogs are seasonal. However, some bulldogs may remain bald indefinitely, regardless of the season, light exposure, or melatonin supplementation. While some bulldogs might experience complete hair regrowth, others may only see partial regrowth. It’s also important to note that not all instances of bulldog flank baldness follow a seasonal or cyclical pattern.

🚨Not every bulldog flank baldness is seasonal or cyclical.

Original Bulldog patient photograph showing seasonal flank hair loss.

Flank Alopecia Seasonal Baldness in Bulldogs / DIAGNOSIS

In most cases, bulldog flank alopecia is diagnosed based on:

  • BREED PREDISPOSITION
  • APPEARANCE
  • HISTORY (indoors, winter non-sunny season)

Other diagnostics:

  • BLOOD TEST
  • SKIN SCRAPE
  • DTM (fungal culture)
  • SKIN CYTOLOGY

🚨In contrast to bulldog allergies and bulldog pyoderma, bulldog flank alopecia is usually NOT ITCHY.

How Is Seasonal Flank Alopecia Managed?

Once your veterinarian confirms seasonal flank alopecia and excludes other causes, treatment may be optional because the condition is usually cosmetic.

1. DAYLIGHT AND SAFE OUTDOOR TIME:

Daylight patterns may influence seasonal hair growth, but extra sun exposure is not a guaranteed treatment. Keep outdoor time comfortable and avoid overheating or sunburn on exposed skin.

2. MELATONIN TREATMENT FOR BULLDOG FLANK HAIR LOSS

Melatonin has been used for recurrent flank alopecia and may help some dogs. Natural regrowth can make response difficult to judge. Ask your veterinarian whether a trial is appropriate and how to assess progress.

3. TOPICAL SKIN CARE: WHEN IS IT RELEVANT?

Topicals may be appropriate for a separately diagnosed skin problem, such as an infection or allergy. They are not a proven way to regrow hair from seasonal flank alopecia. Ask your veterinarian which, if any, of these options fits your dog:

  1.  Therapeutic Bully waterless gels & lotions
  2. Soothing and antiseptic therapeutic shampoo baths
  3. Therapeutic Bully Skin Spray
  4. Therapeutic Bully 2-in-1 Shampoo and Conditioner.

Dr. Kraemer with current-label Bully Skin and Allergy daily nutritional support.

🐾 An honest word about products
In a lot of these dogs, the right answer is to do nothing

I will say that plainly even though it is a strange thing to put above a product. Where the dog is comfortable and the hair is coming back on its own, patience costs nothing and works.

Where supplements may earn a place is in the coat itself, supporting skin and hair quality in a dog whose coat struggles anyway, which many bulldogs do. Topicals are a different matter: they are part of the multimodal approach used alongside what your veterinarian prescribes, and they belong in the picture when there is something going on in the skin rather than simply absent hair. If your dog is itchy, sore or the skin looks angry, that is not this, and it is worth a proper look.

See the flank alopecia bundle

To be clear: supplements or topicals are not substitutes for prescribed treatment. If your dog is unwell, is being treated for a condition, or is already on medication, review any supplement or topical with your veterinarian so it fits the plan you are already following. This page is educational and is not a diagnosis or a treatment plan for your own dog.

4. THERAPEUTIC SUPPLEMENTS FOR BULLDOG FLANK BALDING:

Discuss skin and coat supplements with your veterinarian if your dog has additional nutritional or skin-care needs. These products do not guarantee regrowth and should not replace a diagnosis.

  1.  Bully Fish oil Omega EFA Skin-Immune-Joint Chews.
  2.  Bully Immune Boosting & Support
  3. Bully Skin & Coat Derma Care
  4. Bully ItchLess & Allergies Formula
From Dr. Kraemer’s exam room
A bulldog specialist, 20 years breed specific clinical experience

A cosmetic problem on a healthy dog

I want to say something that is not in most articles on this, because it is the thing that decides how much money an owner spends.

Seasonal flank alopecia is a cosmetic condition. The dog is not sore, not itchy, not unwell, and not shortened by it in any way. The hair usually comes back. The only thing that has actually gone wrong is that your Bulldog looks odd for part of the year, and he does not know that.

That matters because a visible problem on a healthy dog is the easiest thing in the world to sell treatment for. There is always another supplement, another oil, another light therapy, another something. Melatonin has a reasonable rationale behind it and I have no objection to a trial, with your veterinarian, with an agreed point at which you decide whether it did anything. What I would not do is keep adding products to a dog who is perfectly well, chasing a cosmetic result that was very likely going to arrive on its own in spring.

Where the money is better spent, if the skin needs anything at all, is keeping the bald areas comfortable and protected. That is a small job, not a campaign.

The one thing worth being firm about: get the diagnosis right first. Everything above assumes this really is seasonal flank alopecia, and that assumption is only safe when the dog is otherwise well and the pattern repeats with the seasons.

Dr. Roy Kraemer, DVM

Bulldog Flank Alopecia Seasonal Baldness TIPS 

Below are selective flank alopecia tips and warnings courtesy of Dr. Kraemer

#1 BULLDOG FLANK ALOPECIA MELATONIN TIP:

Use melatonin only with a veterinarian-selected product, dose, and follow-up plan. Suitability depends on your dog’s health and other medications; do not use a one-size-fits-all dose.

#2 BULLDOG BALDING SEASONAL TIP: 

Hair regrowth can take months, with or without treatment. Agree on a reassessment date with your veterinarian.

#3 BULLDOG SEASONAL BALDING AND SUNLIGHT TIP:

Regrowth varies. Some dogs regrow hair over several months, some skip a season, and others retain bald patches. Take dated photos in similar lighting to track the pattern.

Is All Flank Hair Loss Seasonal Alopecia?

Some other non- or minimal itching, bilateral, or symmetrical alopecia can mimic bulldog flank alopecia seasonal baldness. There are other common causes of seasonal and non-seasonal hair baldness and darkening of the skin in bulldogs that might include the flanks. Examples of other medical conditions associated with baldness and skin darkening are:

The two hormonal ones are worth separating out, because the bald pattern can look almost identical. What points back to seasonal flank alopecia is everything around the bald patch. The average age is younger, the hair loss is often seasonal and runs in a cycle, and the dog is otherwise well.

A thyroid or adrenal problem usually brings company: weight gain, low energy, seeking out warm places, and very often a secondary bacterial or yeast infection sitting on top of it, because both conditions weaken the immune system and that is an open door. A Bulldog who is bald but bright, bald at the same time each year, and with nothing else going on, is pointing at this page. One who is bald, heavier than he was, flat, and keeps picking up skin or ear infections is pointing somewhere else.

To help with a definitive diagnosis, basic diagnostic testing might be required; examples are

  1. Skin scraping: to help rule out skin mites
  2. Skin cytology: help rule out bacteria, yeast, and abnormal cells
  3. Skin cultures: to help rule out bacteria type
  4. Skin fungal culture: to help rule out ringworm

Flank Alopecia in Bulldogs Dr. Kraemer’s FINAL ADVICE:

Start with the diagnosis, not a shelf full of products. Arrange an exam for new or changing bald patches, especially with itching, redness, odor, scaling, or changes in thirst, appetite, or energy. Bring dated photos and a list of current products. Request an appointment, then choose skin-care products that fit the findings.

Asked by Bulldog owners
Seasonal flank alopecia: quick answers

He has gone bald on both flanks. Is something wrong with him?

Seasonal flank alopecia is one of the more reassuring things on this site, because the skin underneath is usually healthy and the dog is usually well in himself. The pattern that points to it is symmetrical loss over the flanks, no itching, and a tendency to arrive at the same time of year. That said, several other conditions can produce flank hair loss and some of them do matter, which is why the examination comes before the conclusion.

Should it be itchy?

No, and this is the single most useful question to ask yourself. Seasonal flank alopecia is a hair cycle problem, not an inflammatory one, so the skin is typically comfortable. Itching, redness, odor or scaling point somewhere else, usually to allergy or infection, and change what should happen next. If your dog is scratching the bald areas, treat that as a different conversation.

Will the hair grow back?

In most dogs it does, over a good few weeks to months, often as the season turns. The regrown coat can come back a slightly different color or texture than the rest, which surprises owners but is not a problem. Some dogs regrow incompletely, and a few are left with a permanently thinner patch. None of that is painful or dangerous to the dog.

Does melatonin actually work?

It is the most commonly discussed option and some dogs appear to respond, though the evidence is not as firm as owners are often told and results vary considerably. It is also not something to start on your own, because dose, form and whether it suits your particular dog are veterinary decisions, and it interacts with other conditions. Raise it at the appointment rather than buying it first. The melatonin section above covers this in more detail.

Does more daylight help?

The link between the hair cycle and day length is the leading explanation for why this condition is seasonal at all, so sensible outdoor time is reasonable and good for a bulldog generally. Please be careful about how, though. A flat faced dog overheats easily, and unpigmented skin on a bald flank burns, so shade, timing and short outings matter more than total hours in the sun.

How do I know it is this and not something else?

You find out by having it looked at, and that is not me being evasive. Hormonal conditions such as hypothyroidism and Cushing’s, along with mange, ringworm and allergic skin disease, can all take hair off a flank, and several of them need treating. The short version of what separates them: seasonal flank alopecia shows up in younger dogs, comes and goes with the time of year, and leaves the dog otherwise well, whereas the hormonal ones usually arrive with weight gain, low energy and repeated skin or ear infections alongside the hair loss. The things that help your veterinarian most are dated photographs showing when it started, a note of whether it has happened before, and a list of everything you have already put on the skin.

Will it come back next year?

Often, yes, and in roughly the same season, which is where the name comes from. Some dogs have one episode and never another. Keeping a simple record of the dates each year is genuinely useful: a pattern that repeats on schedule supports the diagnosis, and a pattern that changes is worth another look.

Should I be putting anything on the bald skin?

Only if there is a reason to. Where the skin is comfortable and intact, less is more, and the main job is protecting it from sun. Where the examination has found dryness, scaling or infection, topical care is used alongside what your veterinarian prescribes rather than instead of it, with the treatment decision left to the vet. Skin and coat supplements may help general coat condition, and are worth reviewing with your veterinarian so they fit the plan you are already following.

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References

  • Merck Veterinary Manual. Alopecia in Dogs
  • Miller WH, Griffin CE, Campbell KL. Muller and Kirk’s Small Animal Dermatology, chapter on cyclical flank alopecia
  • Paradis M. Melatonin therapy in canine alopecia. Veterinary Dermatology
  • Daminet S, Ferguson DC. Influence of drugs on thyroid function in dogs. Journal of Veterinary Internal Medicine

By Dr. Roy Kraemer

Roy Kraemer, DVM is the founder of Vet4Bulldog and the V4B line of preventive care products for Bulldogs and French Bulldogs. A Tufts University veterinary school graduate, he built and ran a Southern California veterinary hospital dedicated exclusively to these two breeds, and spent over 20 years working almost entirely with them, including years of rescue work alongside So Cal Bulldog Rescue. In practice he combined conventional medicine and surgery with regenerative therapies including stem cell treatment, PRP and therapeutic laser, alongside nutrition, topical therapy and supplements. His emphasis throughout has been preventive care and longevity rather than treating problems once they take hold. He has been asked to comment on Bulldog and French Bulldog health by Business Insider, HuffPost, The US Sun, NBC Los Angeles and the OC Register.

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