Norwood Stage 4 is regarded as balding where advanced hair loss usually becomes more prominent, typically on the crown. Suitable patients for Norwood scale 4 hair transplant can also have bald spot above the temples and in the anterior frontal areas. A hair bridge classically divides the vertex from the top of the head (mid-scalp).
A person with Norwood scale 4 hair loss can get excellent results from a hair transplant surgery. A qualified surgeon can fill bald areas, where significant hair loss occurs, on the crown and temples, the results can also be supported with medication. Heva Clinic surgeons have helped thousands of men with male pattern baldness in Norwood 4 to regain full and healthy hair.
Who can get a hair transplant at Norwood 4?
Norwood hair loss scale is a classification system for hair loss stages and it’s helpful to determine the number of hair grafts needed for the operation. The criteria for a hair transplant operation in Norwood 4 hair loss depends on some key factors. Our specialists can create a personalized surgery plan to suit your needs. However, you need to have an in-person or virtual medical consultation and meet some criteria to be appropriate:
Hair transplants are simple and the most effective treatments for advanced hair loss cases. But some people may not be suitable for the treatment for medical reasons. For example, people with alopecia areata, malignant or benign tumors, blood diseases, acute or chronic infections may not be able to have a hair transplant. This is because your immune system may attack your hair follicles mistakenly. This causes the newly transplanted follicles to fall out. Also, if you are completely bald, you may not have a healthy donor area for this operation. They can consider non surgical treatment options such as Scalp Micropigmentation.
How many grafts are needed for Norwood stage 4 hair loss?
In stage 4 of the Hamilton Norwood Scale, hair loss advances at both the vertex and hairline, with a narrow band of hair remaining between these two regions especially in male pattern hair loss. If there is minimal hair loss at the top of the scalp (crown area), the hairline might develop a more defined U-shaped contour. Experts generally prefer the FUE hair transplants for this stage.
We need at least 3000 healthy grafts for full coverage at stage 4 on the hair loss scale. If you have stable or at least moderate hair loss and your donor area is strong, up to 4000 grafts can be implanted to achieve a more dense look.
PRP hair treatment and ongoing medications may be required to support and encourage the recovery of the hair transplant. If you have a serious ongoing hair loss, the procedure may not be suitable for you at the moment. You may need to find the reasons behind it first to improve your hair quality and overall health.
How does the Norwood scale 4 hair transplant work?
FUE technique is considered the most successful option for achieving a natural hairline and natural hair growth. Here are the 5 steps of the hair restoration procedure:
1. The first stage involves a preliminary interview followed by a consultation.
2. At the second stage, the surgeon uses a medical tool to extract donor grafts from your donor area.
3. During the FUE procedure, the grafts are carefully extracted, cleaned, sorted by hair count, treated with an active plasma solution to increase survival and cooled in petri dishes before implantation.
4. The extracted grafts are one by one loaded and implanted by a medical team under the control of the surgeon, thus providing precise angle control and high-density implantation between remaining hairs.
5. The final stage is the proper aftercare part. The step includes as follows:
– washing both the donor and implantation areas,
– protecting the transplanted grafts from environmental factors,
– attending a follow-up appointment to monitor recovery progress.
How much does a Norwood scale 4 hair transplant cost?
Norwood 4 hair transplant is a time-consuming procedure because it is an advanced stage with significant hair loss and receding hairline.
Since Norwood scale stage 4 requires 3000 – 4000 grafts, the cost of the procedure in Turkey would range between $2,200 to $3,500 depending on many factors such as accomodation, experience of the surgeon, complexity of the medical case etc. You can reach our medical consultants to get a free medical consultation and plan your hair transplant journey!
When can I see the results of a Norwood scale 4 hair transplant?
After a hair transplant, newly implanted follicles progress through the four phases of the hair growth cycle: anagen, catagen, telogen, and exogen. This results in varying growth rates among follicles.
Following a Norwood 4 hair transplant, the hair follicles grow in such an order:
Week 1
The patient should strictly follow the postoperative instructions. The right treatment is one that continues after surgery. The patient may experience mild swelling and redness on the forehead, back and sides. These usually disappear within 1 week. And scales and crusts disappear within 10 days.
Week 2-4
This is the shock period, during this phase all your transplanted hair will fall out. This can cause serious disappointment, but it is a natural process. It is only the hair shaft that falls out, not the follicles. New hair shafts are ready to grow.
Months 2 to 4
Over time, you will see the first signs of the treatment; new strands of hair growing out of the bald spot. The thin hair shaft starts to appear, and the hairline starts to look fuller.
Month 6–9
During this step, as the donor area heals completely, a significant amount of hair begins to grow in the pre-bald area. The texture of the thin hair strands changes and thickens over the next months.
After 1 year
At the end of one year, at least 80% of the hair growth is visible. The hairline is fuller, there are more grafts than before, the balding area has disappeared.
For the average person, it takes about a year to achieve their dream look, get efficient results from blood plasma (platelet rich plasma) and reach the stage where they think they have enough hair:
How to achieve the best results if you are at Norwood scale 4?
If you are a male pattern baldness sufferer in Norwood 4 hair stage, we welcome you to Heva Clinic. Have a look at our before & after photos! We have many patients in this hair loss scale that we have treated and who left here satisfied. Losing and thinning hair should not reduce your quality of life, because there is a solution!
You are not alone, thousands of people choose Turkey and our clinic for hair transplant every year. Let’s get started on your hair transplant journey! Leave your phone number and we’ll give you a call.
