Norwood Scale 4: Advanced Frontal & Crown Hair Loss
Norwood Scale 4 represents advanced male pattern baldness with significant frontal recession and crown thinning. At this stage, there are two distinct areas of hair loss separated by a bridge of hair across the top of the head. The frontal hairline has receded significantly, and the crown area shows noticeable thinning or balding.
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Norwood Scale 4 visual representation (detailed medical illustration coming soon)
What is Norwood Scale 4?
Norwood Scale 4 is characterized by extensive frontal recession and the addition of crown thinning or balding. At this stage, hair loss forms two distinct zones: the receded frontal area and the thinning crown, with a band of hair connecting them across the top. The hairline recession is more severe than Stage 3, typically extending 3-4 centimeters back, and the crown shows sparse hair coverage or complete baldness.
Key Visual Features of Norwood Scale 4:
- •Frontal Recession: Severe temple recession extending 3-4 cm back
- •Crown Thinning: Noticeable baldness or sparse coverage on crown
- •Hair Bridge: Band of hair separates frontal and crown baldness areas
- •Temple Areas: Large triangular bald patches clearly visible
- •Overall Pattern: Two distinct baldness zones separated by thin bridge
Norwood Scale 4 marks a significant progression in androgenetic alopecia. At this stage, hair loss is unmistakable and affects quality of life for many individuals. The good news is that both medical treatments and hair transplantation can achieve meaningful improvements. Understanding your specific pattern helps determine the most effective treatment strategy.
Treatment Options for Norwood Scale 4
Norwood Scale 4 requires comprehensive treatment approaches. Medical therapy helps stabilize hair loss, while hair transplantation can restore coverage to thinning areas. Combining treatments often yields the best results at this stage. Detailed protocols will be added in future updates.
Common Treatment Approaches:
- • Medical therapy (Finasteride + Minoxidil) to stabilize progression
- • Hair transplantation (FUE/FUT) - 2000-3000+ grafts typically needed
- • Combination approach: Medical + Surgical restoration
- • PRP therapy to enhance treatment results
- • Low-level laser therapy (LLLT) for adjunctive support
- • Scalp micropigmentation as alternative or complement
Comprehensive treatment guide with case studies, expected outcomes, and specialist recommendations coming soon.
Frequently Asked Questions About Norwood Scale 4
Norwood Scale 4 vs Other Stages
Understanding how Norwood Scale 4 differs from adjacent stages helps track progression and adjust treatment strategies. Detailed visual comparisons will be added in future updates.
Stage 3 vs Stage 4:
Norwood Scale 3 shows frontal recession only, while Stage 4 adds significant crown thinning, creating two distinct balding areas.
Learn about Norwood Scale 3 →Stage 4 vs Stage 5:
Norwood Scale 5 shows a narrower hair bridge between frontal and crown areas, with more extensive baldness in both zones.
Learn about Norwood Scale 5 →Comprehensive comparison charts and visual demonstrations will be available in the next update.
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