{"id":213158,"date":"2026-09-16T15:51:18","date_gmt":"2026-09-16T14:51:18","guid":{"rendered":"https:\/\/vincihairclinic.com\/?page_id=213158"},"modified":"2026-09-17T16:57:52","modified_gmt":"2026-09-17T15:57:52","slug":"norwood-scale-explained","status":"publish","type":"page","link":"https:\/\/vincihairclinic.com\/en\/norwood-scale-explained\/","title":{"rendered":"The Norwood Scale Explained: All 7 Stages, Grafts and Costs"},"content":{"rendered":"<div class=\"vguide\">\n<style>body.page-id-213158 .page-header{display:none}body.page-id-213158 .page-content{padding:0}.vguide{--navy:#0b2545;--navy-700:#13315c;--blue:#1b75bc;--gold:#c8a24a;--ink:#1a1a1a;--muted:#5a6675;--bg:#f6f8fb;--line:#e5eaf0;--white:#fff;--radius:10px;--shadow:0 2px 10px rgba(11,37,69,.06);font-family:\"Inter\",\"Helvetica Neue\",Arial,sans-serif;color:var(--ink);background:var(--white);line-height:1.65;font-size:16px;max-width:100%;overflow-x:hidden}.vguide *{box-sizing:border-box}.vguide 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var(--gold);color:#7a5f18;padding:3px 9px;border-radius:3px;font-size:.78rem;font-weight:600}.vguide figure.shot{margin:1.8em 0;border:1px solid var(--line);border-radius:var(--radius);overflow:hidden;box-shadow:var(--shadow);background:#fff}.vguide figure.shot img{display:block;width:100%}.vguide figure.shot figcaption{padding:12px 16px;font-size:.86rem;color:var(--muted)}.vguide .faq-item{border-bottom:1px solid var(--line);padding:16px 0}.vguide .faq-item summary{cursor:pointer;font-weight:600;color:var(--navy);font-size:1.05rem;list-style:none;display:flex;justify-content:space-between;align-items:center;gap:16px}.vguide .faq-item summary::-webkit-details-marker{display:none}.vguide .faq-item summary::after{content:\"+\";color:var(--gold);font-size:1.6rem;font-weight:300;line-height:1}.vguide .faq-item[open] summary::after{content:\"\\2212\"}.vguide .faq-item p{margin:10px 0 0;color:var(--muted)}.vguide .endcta{background:var(--bg);border:1px solid var(--line);border-radius:var(--radius);padding:28px;margin:2.4em 0 0;text-align:center}.vguide .endcta h3{margin-top:0}.vguide .endcta p{margin:.4em auto 1.2em;max-width:60ch}.vguide .endcta a.btn{display:inline-block;background:var(--gold);color:var(--navy);padding:12px 24px;border-radius:4px;font-weight:700;text-transform:uppercase;letter-spacing:.5px;font-size:.85rem}.vguide .endcta a.btn:hover{background:#b38d38;text-decoration:none}@media(max-width:900px){.vguide .layout{grid-template-columns:1fr;gap:0;padding:32px 0}.vguide .toc{display:none}.vguide .grid-2{grid-template-columns:1fr}.vguide .hero{padding:44px 0}.vguide .hero h1{font-size:1.85rem}.vguide .hero p.lede{font-size:1.02rem}.vguide h2{font-size:1.45rem}.vguide .container{padding:0 16px}.vguide .callout{padding:16px 18px}}.vguide .nw-grid{display:grid;grid-template-columns:repeat(auto-fill,minmax(190px,1fr));gap:18px;margin:1.6em 0}.vguide .nw-card{background:#fff;border:1px solid var(--line);border-radius:var(--radius);padding:18px;box-shadow:var(--shadow);text-align:center}.vguide .nw-card svg{width:100%;height:auto;max-width:150px;margin:0 auto 10px;display:block}.vguide .nw-card h3{margin:.2em 0 .3em;font-size:1.05rem;text-align:center}.vguide .nw-card p.vol{font-size:.8rem;color:var(--muted);margin:0;max-width:none}.vguide .ba{display:grid;grid-template-columns:repeat(auto-fill,minmax(240px,1fr));gap:20px;margin:1.5em 0}.vguide .ba figure{margin:0;background:#fff;border:1px solid var(--line);border-radius:var(--radius);overflow:hidden;box-shadow:var(--shadow)}.vguide .ba .pair{display:grid;grid-template-columns:1fr 1fr;gap:2px;background:var(--line)}.vguide .ba .pair div{position:relative;background:#eef2f7}.vguide .ba .pair img{width:100%;height:auto;display:block}.vguide .ba .pair span{position:absolute;top:8px;left:8px;background:rgba(11,37,69,.85);color:#fff;font-size:.66rem;text-transform:uppercase;letter-spacing:.5px;padding:3px 8px;border-radius:3px}.vguide .ba figcaption{padding:12px 14px;font-size:.85rem;color:var(--muted)}.vguide .ba figcaption strong{color:var(--navy);display:block;font-size:.95rem;margin-bottom:2px}@media(max-width:480px){.vguide .nw-grid{grid-template-columns:repeat(auto-fill,minmax(150px,1fr));gap:12px}.vguide .ba{grid-template-columns:1fr}}<\/style>\n<section class=\"hero\">\n<div class=\"container\">\n<div class=\"breadcrumb\"><a href=\"https:\/\/vincihairclinic.com\/en\/\">Home<\/a> &rsaquo; The Norwood Scale<\/div>\n<p><span class=\"pill\">Clinical Guide<\/span><\/p>\n<h1>The Norwood Scale: All Seven Stages, and What Each One Actually Takes to Treat<\/h1>\n<p class=\"lede\">The Norwood scale is how surgeons describe male pattern hair loss, and how they decide whether a transplant is the right answer yet. Here is what each stage looks like, what it costs in grafts, and where we would tell you to wait.<\/p>\n<\/div>\n<\/section>\n<div class=\"container layout\">\n<aside class=\"toc\">\n<h4>On This Page<\/h4>\n<ul>\n<li><a href=\"#what\">What the scale is<\/a><\/li>\n<li><a href=\"#stages\">The stages at a glance<\/a><\/li>\n<li><a href=\"#table\">Stage by stage<\/a><\/li>\n<li><a href=\"#women\">Women and the Ludwig scale<\/a><\/li>\n<li><a href=\"#cases\">Real Vinci results<\/a><\/li>\n<li><a href=\"#next\">Work out your stage<\/a><\/li>\n<li><a href=\"#faq\">FAQ<\/a><\/li>\n<\/ul>\n<\/aside>\n<article class=\"content\">\n<h2 id=\"what\">What the Norwood scale is<\/h2>\n<p>The Norwood scale, properly the Hamilton&ndash;Norwood scale, is the standard clinical classification for <a href=\"https:\/\/vincihairclinic.com\/en\/androgenetic-alopecia\/\">male pattern hair loss<\/a>. It runs from stage 1 (no visible loss) to stage 7 (hair remaining only at the sides and back), and it is the language every surgeon uses to plan a procedure.<\/p>\n<p>It matters to you for one practical reason: your stage determines roughly how many grafts you need, whether a transplant is the right answer yet, and whether your donor area can supply the coverage you have in mind.<\/p>\n<div class=\"callout\">\n<p><strong>Read this before you self-diagnose.<\/strong> Norwood staging from a mirror is unreliable. Miniaturisation, follicles thinning before they are lost, is visible under trichoscopy long before it shows in the mirror, and it is what actually determines your trajectory.<\/p>\n<\/div>\n<h2 id=\"stages\">The stages at a glance<\/h2>\n<div class=\"nw-grid\">\n<div class=\"nw-card\"><svg viewBox=\"8 14 134 112\" role=\"img\" aria-label=\"Norwood stage 2 diagram\"><ellipse cx=\"75\" cy=\"70\" rx=\"42\" ry=\"52\" fill=\"#eef2f7\" stroke=\"#0b2545\" stroke-width=\"2\"\/><path d=\"M33,62 Q75,20 117,62\" fill=\"none\" stroke=\"#0b2545\" stroke-width=\"2\"\/><path d=\"M40,40 Q50,45.0 62,34 L40,34 Z\" fill=\"#c8a24a\" opacity=\".55\"\/><path d=\"M110,40 Q100,45.0 88,34 L110,34 Z\" fill=\"#c8a24a\" opacity=\".55\"\/><\/svg><\/p>\n<h3>Stage 2<\/h3>\n<p class=\"vol\">800&ndash;1,200 grafts<\/p>\n<\/div>\n<div class=\"nw-card\"><svg viewBox=\"8 14 134 112\" role=\"img\" aria-label=\"Norwood stage 3 diagram\"><ellipse cx=\"75\" cy=\"70\" rx=\"42\" ry=\"52\" fill=\"#eef2f7\" stroke=\"#0b2545\" stroke-width=\"2\"\/><path d=\"M33,62 Q75,20 117,62\" fill=\"none\" stroke=\"#0b2545\" stroke-width=\"2\"\/><path d=\"M40,40 Q62,51.0 62,34 L40,34 Z\" fill=\"#c8a24a\" opacity=\".55\"\/><path d=\"M110,40 Q88,51.0 88,34 L110,34 Z\" fill=\"#c8a24a\" opacity=\".55\"\/><\/svg><\/p>\n<h3>Stage 3<\/h3>\n<p class=\"vol\">1,500&ndash;2,000 grafts<\/p>\n<\/div>\n<div class=\"nw-card\"><svg viewBox=\"8 14 134 112\" role=\"img\" aria-label=\"Norwood stage 4 diagram\"><ellipse cx=\"75\" cy=\"70\" rx=\"42\" ry=\"52\" fill=\"#eef2f7\" stroke=\"#0b2545\" stroke-width=\"2\"\/><path d=\"M33,62 Q75,20 117,62\" fill=\"none\" stroke=\"#0b2545\" stroke-width=\"2\"\/><path d=\"M40,40 Q70,55.0 62,34 L40,34 Z\" fill=\"#c8a24a\" opacity=\".55\"\/><path d=\"M110,40 Q80,55.0 88,34 L110,34 Z\" fill=\"#c8a24a\" opacity=\".55\"\/><circle cx=\"75\" cy=\"52\" r=\"14\" fill=\"#c8a24a\" opacity=\".55\"\/><\/svg><\/p>\n<h3>Stage 4<\/h3>\n<p class=\"vol\">2,000&ndash;2,800 grafts<\/p>\n<\/div>\n<div class=\"nw-card\"><svg viewBox=\"8 14 134 112\" role=\"img\" aria-label=\"Norwood stage 5 diagram\"><ellipse cx=\"75\" cy=\"70\" rx=\"42\" ry=\"52\" fill=\"#eef2f7\" stroke=\"#0b2545\" stroke-width=\"2\"\/><path d=\"M33,62 Q75,20 117,62\" fill=\"none\" stroke=\"#0b2545\" stroke-width=\"2\"\/><path d=\"M40,40 Q78,59.0 62,34 L40,34 Z\" fill=\"#c8a24a\" opacity=\".55\"\/><path d=\"M110,40 Q72,59.0 88,34 L110,34 Z\" fill=\"#c8a24a\" opacity=\".55\"\/><circle cx=\"75\" cy=\"52\" r=\"20\" fill=\"#c8a24a\" opacity=\".55\"\/><\/svg><\/p>\n<h3>Stage 5<\/h3>\n<p class=\"vol\">2,800&ndash;3,500 grafts<\/p>\n<\/div>\n<div class=\"nw-card\"><svg viewBox=\"8 14 134 112\" role=\"img\" aria-label=\"Norwood stage 6 diagram\"><ellipse cx=\"75\" cy=\"70\" rx=\"42\" ry=\"52\" fill=\"#eef2f7\" stroke=\"#0b2545\" stroke-width=\"2\"\/><path d=\"M33,62 Q75,20 117,62\" fill=\"none\" stroke=\"#0b2545\" stroke-width=\"2\"\/><path d=\"M40,40 Q88,64.0 62,34 L40,34 Z\" fill=\"#c8a24a\" opacity=\".55\"\/><path d=\"M110,40 Q62,64.0 88,34 L110,34 Z\" fill=\"#c8a24a\" opacity=\".55\"\/><circle cx=\"75\" cy=\"52\" r=\"28\" fill=\"#c8a24a\" opacity=\".55\"\/><\/svg><\/p>\n<h3>Stage 6 &amp; 7<\/h3>\n<p class=\"vol\">3,500&ndash;4,500 grafts<\/p>\n<\/div>\n<\/div>\n<h2 id=\"table\">Stage by stage: what it means and what it takes<\/h2>\n<div class=\"tblwrap\">\n<table>\n<thead>\n<tr>\n<th>Stage<\/th>\n<th>What you see<\/th>\n<th>Typical grafts<\/th>\n<th>Our view<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr>\n<td><strong>Stage 2<\/strong><\/td>\n<td>A mature hairline.<\/td>\n<td>800&ndash;1,200<\/td>\n<td>Usually too early for surgery.<\/td>\n<\/tr>\n<tr>\n<td><strong>Stage 3<\/strong><\/td>\n<td>The first stage classed as clinically significant hair loss.<\/td>\n<td>1,500&ndash;2,000<\/td>\n<td>The most common stage at which a first transplant makes sense.<\/td>\n<\/tr>\n<tr>\n<td><strong>Stage 4<\/strong><\/td>\n<td>Frontal recession is more severe and the crown is now visibly thinning.<\/td>\n<td>2,000&ndash;2,800<\/td>\n<td>Strong transplant candidate, usually one session.<\/td>\n<\/tr>\n<tr>\n<td><strong>Stage 5<\/strong><\/td>\n<td>The bridge between the front and the crown is narrowing and breaking down.<\/td>\n<td>2,800&ndash;3,500<\/td>\n<td>Transplantable, but donor planning becomes the deciding factor.<\/td>\n<\/tr>\n<tr>\n<td><strong>Stage 6&ndash;7<\/strong><\/td>\n<td>The bridge has gone.<\/td>\n<td>3,500&ndash;4,500<\/td>\n<td>Often better served by a combined approach than by grafts alone.<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<\/div>\n<h2 id=\"women\">The Norwood scale does not apply to women<\/h2>\n<p>Female pattern hair loss follows a different distribution, diffuse thinning through the mid-scalp with the frontal hairline usually preserved, and is classified on the <strong>Ludwig scale<\/strong> instead. Using Norwood staging for a woman will produce the wrong plan.<\/p>\n<h2 id=\"cases\">Real Vinci results across the scale<\/h2>\n<p>A cross-section of Vinci patients from the lightest to the most advanced cases in our published gallery.<\/p>\n<div class=\"ba\">\n<figure>\n<div class=\"pair\">\n<div><span>Before<\/span><img decoding=\"async\" src=\"https:\/\/vincihairclinic.com\/wp-content\/uploads\/elementor\/thumbs\/HT-Adam-900FUE-UK-Before-pt0ua615xevr2eg4gr1zl7ca6s5r3vtse9t50f965k.png\" alt=\"Adam before a 900 graft FUE hair transplant at Vinci Hair Clinic\" loading=\"lazy\" \/><\/div>\n<div><span>After<\/span><img decoding=\"async\" src=\"https:\/\/vincihairclinic.com\/wp-content\/uploads\/elementor\/thumbs\/HT-Adam-900FUE-UK-After-pt0ua45hjqt6f6iurq8qg7td00f0ohmbq0i61vbyi0.png\" alt=\"Adam after a 900 graft FUE hair transplant at Vinci Hair Clinic\" loading=\"lazy\" \/><\/div>\n<\/div><figcaption><strong>Adam<\/strong>900 grafts &middot; FUE &middot; UK clinic<\/figcaption><\/figure>\n<figure>\n<div class=\"pair\">\n<div><span>Before<\/span><img decoding=\"async\" src=\"https:\/\/vincihairclinic.com\/wp-content\/uploads\/elementor\/thumbs\/HT-Wiliian-35yo-1800FUE-Brazil-Before-psz9jjx4d8p3fzgiwbj3p5f249y16jsgk9quapuxk8.png\" alt=\"Wiliian before an 1,800 graft FUE hair transplant at Vinci Hair Clinic\" loading=\"lazy\" \/><\/div>\n<div><span>After<\/span><img decoding=\"async\" src=\"https:\/\/vincihairclinic.com\/wp-content\/uploads\/elementor\/thumbs\/HT-Wiliian-35yo-1800FUE-Brazil-After-psz9jh3lsql8h5kmcsb7zo4oc4bxjgh9jvsduvz42w.png\" alt=\"Wiliian after an 1,800 graft FUE hair transplant at Vinci Hair Clinic\" loading=\"lazy\" \/><\/div>\n<\/div><figcaption><strong>Wiliian, 35<\/strong>1,800 grafts &middot; FUE &middot; Brazil clinic<\/figcaption><\/figure>\n<figure>\n<div class=\"pair\">\n<div><span>Before<\/span><img decoding=\"async\" src=\"https:\/\/vincihairclinic.com\/wp-content\/uploads\/elementor\/thumbs\/Rafael-37yo-2500FUE-Brazil-Before-psz9ivhbfjrn24g0v0yswbl2o9ahmf3fsws7tiv620.png\" alt=\"Rafael before a 2,500 graft FUE hair transplant at Vinci Hair Clinic\" loading=\"lazy\" \/><\/div>\n<div><span>After<\/span><img decoding=\"async\" src=\"https:\/\/vincihairclinic.com\/wp-content\/uploads\/elementor\/thumbs\/Rafael-37yo-2500FUE-Brazil-After-psz9itln1vp2ewir605jrc25hhjr70vz4nh8uyxyeg.png\" alt=\"Rafael after a 2,500 graft FUE hair transplant at Vinci Hair Clinic\" loading=\"lazy\" \/><\/div>\n<\/div><figcaption><strong>Rafael, 37<\/strong>2,500 grafts &middot; FUE &middot; Brazil clinic<\/figcaption><\/figure>\n<figure>\n<div class=\"pair\">\n<div><span>Before<\/span><img decoding=\"async\" src=\"https:\/\/vincihairclinic.com\/wp-content\/uploads\/2026\/09\/janio-before.png\" alt=\"Janio before a 3,300 graft FUE hair transplant at Vinci Hair Clinic\" loading=\"lazy\" \/><\/div>\n<div><span>After<\/span><img decoding=\"async\" src=\"https:\/\/vincihairclinic.com\/wp-content\/uploads\/2026\/09\/janio-after.png\" alt=\"Janio after a 3,300 graft FUE hair transplant at Vinci Hair Clinic\" loading=\"lazy\" \/><\/div>\n<\/div><figcaption><strong>Janio, 56<\/strong>3,300 grafts &middot; FUE &middot; Brazil clinic<\/figcaption><\/figure>\n<figure>\n<div class=\"pair\">\n<div><span>Before<\/span><img decoding=\"async\" src=\"https:\/\/vincihairclinic.com\/wp-content\/uploads\/elementor\/thumbs\/HT-Alexandre-37yo-3900FUE-Before-psz9jdc91eg36pq2yqoppp2tykugoo2c7d6fxs4ors.png\" alt=\"Alexandre before a 3,900 graft FUE hair transplant at Vinci Hair Clinic\" loading=\"lazy\" \/><\/div>\n<div><span>After<\/span><img decoding=\"async\" src=\"https:\/\/vincihairclinic.com\/wp-content\/uploads\/elementor\/thumbs\/HT-Alexandre-37yo-3900FUE-After-psz9j9kwa2axw9vjkp27fq0zl1cztvneuuki0oa9go.png\" alt=\"Alexandre after a 3,900 graft FUE hair transplant at Vinci Hair Clinic\" loading=\"lazy\" \/><\/div>\n<\/div><figcaption><strong>Alexandre, 37<\/strong>3,900 grafts &middot; FUE<\/figcaption><\/figure>\n<\/div>\n<h2 id=\"next\">Work out your own stage<\/h2>\n<p>A consultation is the only way to settle your stage properly. Trichoscopy shows miniaturisation the mirror cannot, and the donor audit done at the same appointment is what turns a stage into a realistic graft number and cost band.<\/p>\n<p>If you are not yet sure that pattern loss is what you have, start with <a href=\"https:\/\/vincihairclinic.com\/en\/understanding-alopecia\/\">the seven types of alopecia<\/a>. If you have had surgery elsewhere that did not work out, read <a href=\"https:\/\/vincihairclinic.com\/en\/hair-transplant-gone-wrong-repair\/\">hair transplant gone wrong and how repair works<\/a>.<\/p>\n<h2 id=\"faq\">Frequently asked questions<\/h2>\n<details class=\"faq-item\">\n<summary>What Norwood stage am I?<\/summary>\n<p>The honest answer is that you cannot reliably tell from a mirror, and neither can we from a photograph alone. Temple recession is the easiest marker to read; crown involvement is much harder. A trichoscopy at consultation settles it in a few minutes.<\/p>\n<\/details>\n<details class=\"faq-item\">\n<summary>At what Norwood stage should I get a transplant?<\/summary>\n<p>Most first procedures happen at stage 3 or 4. Earlier than that the pattern is usually still moving, and operating on a hairline that has not settled means chasing the loss for years. Later than stage 5 the limiting factor becomes donor supply rather than willingness.<\/p>\n<\/details>\n<details class=\"faq-item\">\n<summary>Can medication stop me progressing?<\/summary>\n<p>It can slow or stall progression for many men, and it works best started early. It will not restore a hairline that has already gone. Finasteride and minoxidil are the two with the strongest evidence base.<\/p>\n<\/details>\n<details class=\"faq-item\">\n<summary>Is there a Norwood stage where a transplant is not worth it?<\/summary>\n<p>At stages 6 and 7 the coverage many patients picture is often not achievable from their donor supply alone. That does not mean nothing can be done: a smaller graft session combined with Micro Scalp Pigmentation frequently gives a better result than spreading grafts too thinly.<\/p>\n<\/details>\n<div class=\"endcta\">\n<h3>Find out which stage you are at<\/h3>\n<p>Book a consultation. You will get a trichoscopy, a donor audit and an honest view on whether surgery is the right answer yet, before anyone talks about a price.<\/p>\n<p><a class=\"btn\" href=\"https:\/\/vincihairclinic.com\/en\/hair-thinning-treatments-contact-us\/\">Book a consultation<\/a><\/div>\n<\/article>\n<\/div>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>A clinical guide to the Hamilton-Norwood scale. What each of the 7 stages looks like, how many grafts each typically needs, when a transplant is and isn&#x27;t the right answer, and real Vinci patient results.<\/p>\n","protected":false},"author":9,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-213158","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/vincihairclinic.com\/en\/wp-json\/wp\/v2\/pages\/213158","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/vincihairclinic.com\/en\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/vincihairclinic.com\/en\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/vincihairclinic.com\/en\/wp-json\/wp\/v2\/users\/9"}],"replies":[{"embeddable":true,"href":"https:\/\/vincihairclinic.com\/en\/wp-json\/wp\/v2\/comments?post=213158"}],"version-history":[{"count":2,"href":"https:\/\/vincihairclinic.com\/en\/wp-json\/wp\/v2\/pages\/213158\/revisions"}],"predecessor-version":[{"id":213234,"href":"https:\/\/vincihairclinic.com\/en\/wp-json\/wp\/v2\/pages\/213158\/revisions\/213234"}],"wp:attachment":[{"href":"https:\/\/vincihairclinic.com\/en\/wp-json\/wp\/v2\/media?parent=213158"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}