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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
    Mar 16, 2020
    A A Reviews
    A A
    Florida
     google Review
    I almost considered going to a locally renowned HT Dr since Florida is many states away and I didn’t want to fly and sit in a hotel for a few days post op, but after speaking with Josh and FaceTiming with Dr Bolton I felt more comfortable and informed vs my in person visits with the local option. I now have had two procedures with Dr Bolton and...
  •  Review
    Mar 4, 2020
    Stephen Horgan Reviews
    Stephen Horgan
    Florida
     google Review
    To Dr. Brett Bolton, his technicians, and Mike Anticoli.. Thankyou for all you do. firstly, many years ago i had a prior temple area procedure done in chicago. circa 2000. it was dissapointing to say the least, poor aesthetic result... well, after intensive research i found GHT. Mike Anticoli was my rock through the decision process. he even made...
  •  Review
    Feb 22, 2020
    Jon K Reviews
    Jon K
    Florida
     google Review
    Dr. Bolton did an amazing job! I did my research and found Dr. Bolton and am so glad I did. I have had 2 procedures done by him. The first restored my hairline and the second I wanted for more density. Thank you Dr. Bolton! Also thank you to Mike Anticoli for his help throughout the entire process. He stayed in touch with me before and after my...
  •  Review
    Feb 21, 2020
    Randy Rauch Reviews
    Randy Rauch
    Florida
     google Review
    Dr Bolton and staff do amazing work. Highly recommend.
  •  Review
    Feb 14, 2020
    Michael severino Reviews
    Michael severino
    Florida
     google Review
    I can’t believe how much Dr Bolton has changed my life. Josh brought me in and explained everything and how this can improve my life Him and his team are the best in the there field. If you’re looking for a change don’t go anywhere else - give Josh a call and go see Dr Bolton.
  •  Review
    Feb 14, 2020
    Aleksandr Arutyunyan Reviews
    Aleksandr Arutyunyan
    Florida
     google Review
    Dr. Brett Bolton is a total Genius Five years ago I went in for my first hair transplant with Dr. Bolton, and had great success. I planned on returning the following year to continue but do to new employment I was unable to continue. Now, 5 years later, I returned to Dr. Bolton with even better success. Aside from experiencing only a very small...
  •  Review
    Feb 12, 2020
    Andy Rose Reviews
    Andy Rose
    Florida
     google Review
    I heard about Dr Bolton from a friend. My first visit I met Josh who manages the office and then Dr Bolton. I was impressed and felt he was my guy. The procedure was painless. I was bald at the crown area on June 2019. Today I have a full head of hair. Dr Bolton and his staff planted 10,000 babies If you have any questions feel free to contact me....
  •  Review
    Jan 21, 2020
    K S Reviews
    K S
    Florida
     google Review
    I had my procedure about four months ago and the results have already begun to show. The procedure was very comfortable, though I was nervous at first, and I actually fell asleep at one point watching TV. Dr. Bolton, Michael, and the rest of team were very attentive, informative, and straightforward and were happy to answer any questions I had...
  •  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...
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