Norwood Stage 5

Norwood classification 5

At Norwood 5 you’re experiencing a significant amount of hair-loss.

There is a small tuft remaining in the forelock, the bridge is beginning to split in half and separate and your bald crown is getting bigger. The temples are receding now so the shape of your face is changing as more bald skin is visible. The frame of your face is breaking down, changing your appearance more comprehensively.

We would transplant this pattern. The main design consideration would be where to position your hairline. A low hairline would require more grafts and reconstruction of the temples. A higher hairline would leave more hair to use in the crown.

You may want to use medication to slow down hair-loss on the bridge and crown.

Once again, you will have to decide whether the crown or the forelock is your priority as there is never enough hair to turn you back in to a Norwood 2.

By broadening the forelock and filling in the bridge you can revert to a Norwood 4. This would establish a permanent hairline. You can have a thin covering on the crown to take the bald look away - but even at this stage you need to be cautions as the crown can widen. The universal rule of thumb is to leave the crown in a man below the age of 45 as more hair-loss here will widen the bald area significantly.

If the crown is your priority - and your hair-loss pattern in that area has been established - you could fill in the crown with density as long as you keep the hairline position high. You can have a broad hairline with some density.

Naturalness is the key to any hair transplant.

Norwood 5 Stage of Hair-loss