Norwood Stage 4

Norwood Classification 4

Norwood 4 is characterised by further frontal hair loss and an enlargement of the crown - but with a solid bridge of hair separating the two balding areas.

Depending on your anticipated future hair-loss, we could transplant either the crown or the frontal forelock. You would need to decide what your priority is as there is not enough donor hair at this stage to give you density in both areas. A significant factor in design would be your potential future hair-loss pattern. But if this is as far as your hair-loss goes, we could make a significant difference in both areas.

Medication will help to hold on to the hair you have whilst a transplant will fill in the bald areas.

Age and family hair-loss history are the determining factors in the design of this transplant. In a man below the age of 45 a conservative approach would be to assume that he will lose more hair and go on to develop a Norwood 5, 6 or 7 depending on his age and his family history. He will have inherited his hair-loss pattern from someone in his family.

A forelock would establish a permanent hairline with some density. This could blend in to the bridge or stop short of the bridge.

As long as you have hair, medication will help to thicken that hair and prolong its life so it’s always worth considering using Rogaine and/or Propecia (Finasteride).

Norwood Stage 4