Alopecia

Alopecia, or hair loss, is a common condition that can happen for many reasons. It is very common and can occur for a short period of time or last for many years. There are many treatments available today for alopecia, and at Coastal Pacific Dermatology, we specialize in all types of alopecia and offer cutting edge therapy.

Closeup of Alopecia - Dermatology

What is alopecia?

Alopecia is a term used to describe various forms of hair loss, which can occur for a multitude of reasons. It can have a significant impact on an individual's self-esteem and quality of life. Understanding the different types of alopecia, their causes, and when to consult a dermatologist is crucial for effective management and treatment.

Types of alopecia

There are four common types of acne

  1. Androgenetic Alopecia (Male and Female Pattern Baldness): Androgenetic alopecia is the most common form of hair loss, affecting both men and women. It is hereditary and usually characterized by a gradual thinning of hair, primarily on the crown and temples for men, and diffuse thinning for women.

  2. Alopecia Areata: Alopecia areata is an autoimmune condition where the immune system mistakenly attacks hair follicles. This results in sudden, patchy hair loss on the scalp, eyebrows, eyelashes, or other parts of the body.

  3. Telogen Effluvium: Telogen effluvium is characterized by a sudden and widespread shedding of hair due to a disturbance in the hair growth cycle. It can be triggered by factors like stress, illness, surgery, or hormonal changes.

  4. Trichotillomania: Trichotillomania is a psychological disorder characterized by the compulsion to pull out one's own hair. This can lead to noticeable hair loss and may require psychological intervention.

What causes alopecia?

  • Genetics: androgenetic alopecia is primarily influenced by genetics. If there is a family history of this condition, individuals are more likely to experience it themselves.

  • Autoimmune reactions: Alopecia areata, totalis, and universalis are believed to be caused by autoimmune reactions where the immune system mistakenly targets hair follicles.

  • Hormonal changes: Hormonal imbalances, such as those occurring during pregnancy, childbirth, or menopause, can lead to temporary or prolonged hair loss.

  • Stress and trauma: Severe physical or emotional stress can disrupt the hair growth cycle, leading to telogen effluvium.

  • Nutritional deficiencies: Inadequate intake of essential nutrients like iron, zinc, and biotin can contribute to hair loss.

  • Medical conditions and treatments: Conditions like thyroid disorders, polycystic ovary syndrome (PCOS), and certain medications like chemotherapy drugs can lead to hair loss.


Dr. Krishna is wonderful! Always very informative, takes the time to listen, and extremely pleasant and knowledgeable. She continues to help me greatly with my acne various skincare questions and concerns.
— Patient, July 2020

When to see a dermatologist for alopecia?

  • Sudden or severe hair loss: If you experience a rapid or significant loss of hair, it's essential to consult a healthcare professional. This could be a sign of an underlying medical condition that requires attention.

  • Patchy hair loss: If you notice well-defined bald patches on your scalp or other areas of your body, it's advisable to seek medical advice promptly.

  • Signs of infection or inflammation: If there are signs of redness, swelling, pain, or itching in the affected areas, a doctor's consultation is necessary.

There are excellent supplements and treatments available for hair loss including topical and oral minoxidil, spironolactone, finasteride, and platelet rich plasma therapy. If you are experiencing hair loss, make an appointment with Coastal Pacific Dermatology to have a detailed evaluation and personalized treatment plan. Please contact us or make an appointment using our online scheduling tool.