The Norwood Scale – To Identify How Bald Are You?

Male pattern baldness is a common problem nowadays and it can happen to almost anyone. People often ignore this hair receding pattern only to express concern when there is very little or no scope left for redemption. Therefore, the need is to be alert and know your stage of hair loss at an early stage. It will be easier to take the necessary steps accordingly, like visiting a hair loss expert, opting for requisite treatment, etc. But how to be aware of your baldness stage? Is there any scale to measure its intensity? Yes! Norwood Scale is the befitting answer to your anxieties.

What is Norwood Scale?

It is a visual representation to help you know about your hair loss stage, followed by the types of your receding hairlines. Also termed as Norwood Hamilton Scale after the name of its creator, it is a widely accepted scale for categorizing hair loss and pattern baldness among males. It works effectively as a reference point for the hair experts to diagnose the baldness stage. Evidently, they can suggest the best and most effective treatment for hair restoration.

The stages in detail

The Norwood Scale starts with Type 1, which points toward a minimal damage and advances to type 7, which is the most threatening hair loss stage. Let’s find out more about these patterns.
Type 1: This initial pattern shows least or no bilateral recessions in the frontoparietal locations along the hairline’s anterior border. Men should start keeping a check at the hair thinning signs from here on.

Type 2: The front region has triangular recession areas along the anterior border. It can extend up to 3 cm anterior to the section created on the oronal plane. This stage also starts showing signs of hair loss along midfrontal border of the men’s scalp. But it is still less as compared to the depth of affected locations in the frontoparietal zones.

Type 3: This includes borderline cases and is perhaps the foremost type that necessitates treatment. It also comprises type 3 vertex, which refers to the thinning hair and receding hairline on the top of the patient’s scalp, or vertex. Scalps with inaccurate classification also accommodate this type and may occur due to unusual sparseness, asymmetric denudation, hair thinning, etc.

Type 4:You can observe bigger and more prominent bald spot on your vertex and hairline; good enough to declare baldness. Additionally, you may observe symmetrical recessions in frontotemporal region, which can be bare or have thin hair covering. Type 4 is very much same as Type 3 with the difference that the former has more recession in anterior hairline. If the hairline’s anterior border has very sparse hair or lags behind in broad band, it represents Type 4 A classification of the Norwood scale.

Type 5:Frontal and frontoparietal recessions increase extensively as compared to Type 4 stage. The bridge separating the back and front portion of the head becomes narrower, hence exposing more bare skin on the head.

Type 6: The band that demarcates the rear and front section of the hairline regions (the tonsural region of alopecia) almost diminishes, leaving only few hair in between. Type 6A scale indicates even lesser hair in the mid-frontal hair island or peninsula.

Type 7: The horseshoe shaped area of denudation goes bigger, hence representing most severe hair loss stage. Those developing this pattern start going bald right in their early 20’s or in the late teens. The major reason behind this pattern is the confluence and spreading of the anteriorly located and tonsural regions of alopecia.

The entire Hamilton classification acts as a benchmark for future categorization of the hair loss patterns in mail. But it missed several patterns, which later on found inclusion in the Norwood classification. Hence, as of now, it is popular as Hamilton-Norwood classification.

Treating the hair loss problems

If you are observing continuous loss of hair, then it is wise to visit a hair loss specialist for proper diagnose. After thorough examination of your scalp, he can be in a better position to decide the intensity and type of hair loss. Follicles that do not produce hair any more become inactive in around two years. Hence, prompt attention for hair restoration is inevitable, if you want to regain your hairy appearance. Here are some prescribed and non-prescribed treatments.
Non-prescribed treatment: Some over the counter non-prescribed treatments may include using Minoxidil, seek the help of laser devices (not advised), etc.

Prescribed treatment: The hair specialist may often recommend you the intake of Finasteride (Proscar, Propecia). As per American Academy of Dermatology (AAD), this drug combats hair loss problems in around 88% males and ensures regrowth in 66% males.


Most of the times, surgery is the last and perhaps the mostreliable resort to get away with the hair loss miseries. Some of the prominent procedures in this regard may include:
• FUE hair transplant
• FUT hair transplant
• Scalp Micropigmentation (SMP)

The above three treatments may or may not undergo a combination with hair transplantation as per the suggestions of the surgeon. As you might already know, hair transplantation refers to removal of hair from the donor or fertile area of your scalp and transplanting them to the recipient or balding areas.

Wrapping up

With all the necessary information right here, it is now for you to decide about the type on the Norwood scale with which your hair loss problem identifies the most. If you are really finding something severe, visit an experienced hair loss expert today before it gets too late.

Surgical Hair Restoration: What to Look for in A Surgeon

Hair restoration technique a lot of effort and expertise on the part of the surgeon. Only a qualified, experienced and talented surgeon can give you the expected results.

It is important to spend time while searching for the surgeon; it is not enough to just choose a surgeon based on advertisements in newspapers, TV or on social media. It is essential to dig behind all those glossy ads of the surgeons and find out how their medical practice is. You can also ask for recommendations from other general practitioners who can guide you to the right surgeon suitable for you.

There are some important points to consider when choosing a surgeon.

Deciding The Right Surgeon

This is an all-inclusive step that could probably decide the fate of your hair until the rest of your life. You just have to keep one thing in mind – choosing a surgeon and team specialized in hair restoration surgeries.

So how can you check if the surgeon is as qualified as the online bio says?

Verification: You can verify if the surgeon is a member of the International Alliance of Hair Restoration Surgeons (IAHRS). The IAHRS is not an organization that includes any and all surgeons in it like the ISHRS (International Society of Hair Restoration Surgeons). Only the verified surgeons who can be trusted by the patients and are highly experienced in their skills are a part of this international society.

Some surgeons may be awarded some of the most prestigious awards in the field of hair transplantation. However they will not find mention in the IAHRS list since they have not provided enough proof of their results that they can be talked of by the patient-centric forum. When in doubt do further research and also check out Hair Restoration Social Network, the world’s #1 patient forum in the field.

Research: As you go online to check the credentials of the surgeon, you can also go a step ahead and search for the reviews of the surgeons on Google and on any other platform other than their own websites. You can find real testimonials of patients and their experiences with the surgeon as well as the associated facility. This can be a crucial deciding factor for you. For example you can check Dr Bhatti’s credentials at-

Social Network Testimonials& Patient Stories

IAHRS Testimonials& Patient Stories

Our YouTube Channel– 100s of actual case results posted

Visitors’ Book– 100s of happy testimonials

Checking The Credentials of The Team

If you think that the team is not as important as the surgeon, then it is the time you know the complete procedure of how the hair restoration surgery is actually done.

During the surgery, the surgeon will make the incisions on the respective places on the scalp and close the area with sutures. The team with the surgeon will place the grafts in place with the guidance of the surgeon. The team helps the surgeon through the entire surgery and therefore, it is important to realize that the team is also a crucial part in deciding the success of the hair restoration surgery.

Again, to check for the team with the surgeon, it is time to go online. You will find the reviews of the team, the facility and the staff along with the reviews of the surgeon and the clinic. Additionally, when you go for a consultation, you can enquire the surgeon or the team about their previous surgeries and how long they have been working together. This will give you an idea of the expertise of the team along with the surgeon.

Deciding Factors During Consultation

Once you have chosen the surgeon based on the research, there is nothing more you can do but to visit the surgeon. This is the last step where you will decide if you want to go through with this particular surgeon. There are many factors which will help you come to a decision.
• Ensuring The Complete Involvement of Surgeon
There are times when the surgeon will hand over the responsibility to the next qualified person in the clinic when the need arises. Make sure that it doesn’t happen with you.
Though some clinics may have consultants as an initial screening process, it is best to directly get examined by the surgeon rather than a consultant.
• Comfort Level
It is very essential that you feel totally comfortable with the surgeon to talk with during the examination. Some surgeons try their best to make you feel as comfortable as you can. This is the kind of surgeon you need to be looking for. If you aren’t feeling that well talking with the surgeon or feel that the surgeon may be distracted or isn’t paying complete attention to your examination, then those are the warning signs you were looking for.
A good surgeon needs to spend quality time with the patient answering their queries honestly and making them feel secure about going through with the surgery.

• Sample Pictures
You can request for viewing some of the before and after photographs of the previous surgeries performed by the surgeon. A picture speaks a 100 words! A Video- 10,000!! This will give you a clear idea about the kind of results the surgeon can provide and decide if that’s what you really want.
The surgeon should be able to provide at least six to eight photographs of their previous patients depicting clearly the effects of the surgery. If you still want to make sure about the surgeon, you can directly ask for the contact details of a few patients whom you can call and confirm.
• The Hair Restoration Technique
There are two main hair restoration techniques – Follicular Unit Extraction (FUE) and Follicular Unit Transplantation (FUT). With FUE, the donor grafts are removed from the back of your scalp and used for the surgery. This will leave you with minimum scarring while FUT leaves a scar that is more noticeable. On the other hand, FUE is not suitable for those who like to keep their hair short or shave the back of the head.
It is important to know these basic details of hair restoration when you go for the initial consultation as it will give you a better idea into the technical details the surgeon talks about.


This is certainly a far cry from the days men accepted baldness. They now have ample options for restoring a receding hair line and hair loss. There is definitely a market out there for hair restoration. A recent survey showed that men fret more about their baldness than their bankruptcy or their bedroom performance. Hair loss is generally associated with ageing and the subtext of ageing is loss of strength and power. A big part of the hair loss problem is genetic and mind you it’s pretty hard to fight genetics.

Perhaps nowhere else in the world is one’s appearance tied to their profession quite like ‘Hollywood and Bollywood’. And for a celebrity the right hairstyle can shape careers and set the latest trends. All of us want to know why don’t celebrities have hair loss? All actresses have thick long beautiful hair, they never have bad hair days. Well the picture is more apparent now as you realize that celebrities also have hair loss and this in a way is a good sign as there is hope for all of us to have the most glamorous hair at affordable prices. The bottom line is that celebrities have the same options for hair restoration as the rest of us . The term “celebrity hair transplant” is used as the latest FUE technique is very convenient for them as it is less time consuming and the recovery is comparatively quicker.

Darling Buds Hair Transplant center run by Dr Tejinder Bhatti is one of the better known clinics for celebrity hair transplants. Dr Bhatti does exclusive hair transplant work to give his patients an amazing look.

There is s no going back now, though, with hair restoration no longer a taboo, the sky is the limit. The male desire to be more desirable has turned out to be utterly irrepressible. Men today are falling over themselves to spend a fortune, suffer pain and endure occasional ridicule in the pursuit of “looking fabulous.”

You can see celebrity videos at-

Strip Scars can be bad

These patients were scheduled for a procedure at my clinic when a clinic elsewhere convinced them that FUT gives more grafts.

My take on that is at-

for FUE works best in my hands
The resultant coverage in above patients was so sparse and the scars so bad that both are presently shaken by their experience.
Scars can be bad both in FUT and FUE surgery. What patients do not realise is the need to do good research and select a good doctor, whether an FUE surgeon or an FUE surgeon.
The examples above hardly grew much hair.
I get so many such enquiries almost every week and it is so sad.

Master Plastic Surgeon

Dr Tejinder Bhatti has been invited as Master Plastic Surgeon to the prestigious Association of Plastic Surgeons of India Conference to conduct a Master Class on Recent Advances in Surgical Hair Restoration 21-25 Nov, 2018. The Annual APSICON has a gathering of over 700 delegates and the Master Classes are well attended by junior plastic surgeons. Training in ethical and effective hair transplant that is safe and satisfying to the patient is important due to the present context where the speciality is in abject danger of falling into the unscrupulous hands of fly by night operators and unqualified technicians and other staff.

For more information, please visit