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Dr. Brett Bolton
Great Hair Transplants, Hair Restoration Clinic
2715 East Oakland Park Blvd, Suite 200
Fort LauderdaleFlorida, United States of America33306
 954.567.5868  |   drbolton@live.com

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Different Forms of Alopecia: The Causes of Hair Loss

There are many types of hair loss. The most common cause is genetic hair loss inherited from a a male or female relative on either side of the family. Other causes include disease, stress, trauma, diet or hormones. Whatever the reason, hair loss can effect a person's overall self esteem so it's important to identify the cause and treat it accordingly. If you would like to come in for a free consultation, the doctor would be more than happy to diagnose your condition.

androgenetic alopeciaAndrogenetic Alopecia (pattern baldness)

    80 million men and women suffer from genetic hair loss which is called androgenetic alopecia. Androgenetic alopecia is hereditary baldness passed down from male or female relatives with balding or thinning hair. Male pattern baldness can be prevented in the vertex and crown with a DHT blocker. DHT blocker does not work in the frontal hair line and is not for women or children. The most effective permanent solution for androgenetic alopecia is hair transplantation.

Alopecia Areata (auto immune disorders)

    Some diseases cause hair to fall out when white blood cells attack hair follicles. Some autoimmune disorders that cause alopecia areata include thyroid disease, lupus, vitiligo, ulcerative colitis and rheumatoid arthritis. With alopecia areata hair can fall out and re-grow again and again.

cicatricial alopeciaCicatricial Alopecia (scarring)

    Cicatricial alopecia is a rare form of hair loss. In hair loss caused by cicatricial alopecia, inflammation and scarring destroy the delicate hair follicles. Scars can occur from burns or injuries and it may also be caused from skin disorders such as lichen planus, fungal infections or lupus erythematosus.

Diffuse Pattern Alopecia (DPA)

difuse pattern alopecia

When the frontal hairline remains in tact but hair becomes thin in an even pattern everywhere except the safe zone which is the DHT resistant area on the sides and back of the head then diffuse pattern alopecia is present.

Diffuse Unpatterned Allopecia (DUPA)

When hair loss is evenly thin throughout the entire head, even in the safe zone, this is called diffuse unpatterned alopecia. Those with diffuse unpatterned allopecia do not have good donor hair and should not receive a hair transplant. To be sure of your situation, it is advisable to make a complimentary appointment to see Dr. Bolton for an accurate diagnosis.

Dihydrotestosterone (DHT)

    A hormone called dihydrotestosterone or DHT is the cause of pattern baldness in both men and women. DHT is an androgen, a hormone responsible for the development of sexual characteristics. This hormone is produced more rapidly as a person ages and is created when testosterone and an enzyme called Type II 5-alpha Reductase are synthesized. For those who are genetically predispositioned to be affected by DHT, hair miniaturization can occur because of mucus buildup in the hair follicles.

female pattern hair lossFemale Pattern Hair loss (androgenetic alopecia)

    In female pattern baldness the frontal hairline often stays in tact while thinning or diffusing occurs throughout the rest of the head. Female pattern baldness is genetically inherited for those susceptible to DHT.

male pattern baldnessMale Pattern Baldness (androgenetic alopecia)

    Male pattern baldness is the number one cause of hair loss in the United States. Passed down through genetics, male pattern baldness can be inherited through both the mother and the father. Typical male pattern baldness begins with a receding hairline or thinning crown that continues to thin over time until hair is very thin or completely gone everywhere except the safe zone. The safe zone is the horseshoe area on the sides and back of the head where hair follicles are resistant to DHT, a hormone that causes hair loss.

Phases of Hair Growth

anagen phase (growth phase)

A new hair grows from a hair follicle beneath the surface of the skin. The average hair will grow 1/2 inch (1cm) per month from 2 to 8 years.

catagen phase (transitional phase)

    After the anagen phase the hair stops growing for a 2-4 week transition when the hair detaches from the blood supply. Only 2-3% of your hair is in this state at the same time.

telogen phase (resting phase)

    10-15% of your hair enters a resting phase that lasts from 2 to 4 months. As many as 50 to 100 hairs per day will shed during this phase and new hairs will replace the hairs that fall out.

telogen effluvium (stress or shock)

    Telogen effluvium is temporary hair loss due to stress or "shock" caused by physical or emotional conditions. Hair goes into a resting phase, growth is temporarily stopped, and hair falls out in clumps or patches. A wide range of causes can be attributed to telgen effluvium such as unusual weight loss, diet, disease, medicine side effects, emotional trauma, or nutritional deficiencies. If the causes are eliminated, hair usually starts to grow again within 6 to 9 months.

traction alopecia

traction alopecia (scars from pulling hair too tightly)

    When hair is pulled too tightly and the scalp becomes scarred, traction alopecia can occur. If the pulling is stopped soon enough the situation can be corrected otherwise scarring and hair loss may become permanent. Hair styles to be cautious about are pony and pig tails, braids and dreadlocks.

trichotillomania (hair pulling disorder)

    Hair pulling disorder is a mental illness where people compulsively pull out their own hair and often hide the behavior with hats or wigs.


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  •  Review
    Jan 16, 2020
    Tranceninja Reviews
    Tranceninja
    Florida
     google Review
    I would highly recommend Dr Bolton if you are suffering from hair loss. Everything from initial discussions with Josh Engoren through to after care and support it is an impeccable service. Both Dr Bolton and Josh were very polite and supportive and made me feel relaxed throughout the whole process. The staff helping with the procedure were all very...
  •  Review
    Jan 9, 2020
    Jim Thomas Reviews
    Jim Thomas
    Florida
     google Review
    Everyone is always looking to have Great Hair. Great Hair Transplants, definitely is the place to put to the top of your list. Hands Down!! I did an extensive amount of research and came to the conclusion Dr. Bolton's office was the place for me. If you want to talk about being nervous, and scared, my wheels were turning. After Speaking with Mike...
  •  Review
    Dec 25, 2019
    Archie Rush Reviews
    Archie Rush
    Florida
     google Review
    I found Dr. Bolton's crew incredibly professional! Mike confidently answered all my questions weeks before the procedure, and Dr. Bolton's expertise was clear from the start. All the staff were supportive from beginning to end and confirmed in my mind my choice of surgeons. My results were fantastic. I highly recommend this team to others.
  •  Review
    Dec 25, 2019
    Brian R Reviews
    Brian R
    Florida
     google Review
    I had been watching Dr Bolton's videos on Youtube and also on the Great Hair Transplants website for a few years. The procedure videos, before and after photos as well as the many testimonials of his other patients were so incredible to watch, I knew immediately that this was the doctor for me. I contacted Dr. Bolton's office and spoke to his...
  •  Review
    Dec 16, 2019
    Noah aguilar Reviews
    Noah aguilar
    Florida
     google Review
    Dr Bolton did an excellent job. The staff especially Josh was extremely professional and curtious. I highly recommend going in for a consultation.
  •  Review
    Dec 16, 2019
    Hector Guerrero Reviews
    Hector Guerrero
    Florida
     google Review
    Dr. Bolton and his team are top notch. Highly recommend to anyone.
  •  Review
    Dec 10, 2019
    Jesse Lockard Reviews
    Jesse Lockard
    Florida
     google Review
    I had an FUE hair transplant from one of those overpriced hair transplant places, I was very unsatisfied with the results that I was left with. Then I met Doctor Bolton! And after 1 transplant I had hair again! The scar was so minimal that it could barley be seen even with short hair. I only wish that I had gone to him first, I could have saved...
  •  Review
    Dec 10, 2019
    Brian R Reviews
    Brian R
    Florida
     google Review
    I had been watching Dr Bolton's videos on Youtube and also on the Great Hair Transplants website for a few years. The procedure videos, before and after photos as well as the many testimonials of his other patients were so incredible to watch, I knew immediately that this was the doctor for me. I contacted Dr. Bolton's office and spoke to his...
  •  Review
    Dec 10, 2019
    Jeff Cram Reviews
    Jeff Cram
    Florida
     google Review
    Dr. Bolton and his staff including Josh Engoren are amazing. In my mind there is simply no other alternative out there for hair transplantation. Dr. Bolton uses his own specialized technique that he pioneered himself in moving hair. His specialized grafts are called Bolton bundles. These are larger slit grafts that you can’t find anywhere else. In...
  •  Review
    Dec 9, 2019
    Leon Downing Reviews
    Leon Downing
    Florida
     google Review
    I had a great experience with Dr. Bolton. I’ve been a hairdresser for many years, and I have worked with the best people in the industry. After years of research I found Dr. Bolton. Who gave me a hair transplant, and I cannot tell you how much he’s changed my life. He has made me look ten years younger. He is the best Dr. in the industry, if...
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