Grades and level of Baldness ( Norwood Scale )
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- čas přidán 4. 06. 2020
- The Norwood classification or Norwood scale is the most popular classification of grades of baldness worldwide. It was first put down on paper by Dr. O’tar Norwood in 1975.
In brief they are:
Grade 1/Type1: There is no hair loss. This is the adolescent hairline or the juvenile hairline which at times persists in adults. The hairlines sits on the uppermost brow crease. The frontotemporal expanse shows minimal hair loss which looks natural and pleasing because it is appropriate for age. I would say this is a normal hairline. Many would say genetic baldness begins at Grade 2.
Grade 2/Type 2: The hairline along the tuft is normally situated but s one fingertip breadth behind the upper brow crease of Type 1. The recession is appropriate for age and defines the masculinity of an individual. The mid coronal plane is the reference point. If you draw a line in the coronal plane 2 cms in front of the external auditory meatus (ear canal), the fronto-temporal recession should not touch it or go beyond. If it does, it enters Grade 3 territory. No hair transplant is advised if this is minimal but if the recession gets deeper (hairlines staying normal), hair transplant may be needed in selected patients.
In Grade 2 a/Type 2a: when the whole hairline recedes uniformly along forehead till mid-coronal point. (we shall discuss this in the individual video for grade 2)
Grade 3/Type 3: The recession happens beyond the coronal plane 2 cms ahead of the ear canal. This is the first clear cut grade where hair transplant is always recommended when the patient is keen.
Grade 3 (Vertex)/ Type 3 (Vertex) indicates baldness primarily of the crown area with or without features of recession along the hairline which can be of type 1-3 (but not exceeding features of type 3 ) on Norwood scale.
Type 3 a is like type 2 a but touching the MCL.
Grade 4/ Type 4: This denotes further balding and a bald crown larger than 3 inches in diameter. There is an intervening swathe of good quality hair between the fronto-temporal recession and the crown balding. If this region has thin hair or good quality hair but width less than or equal to 3 inches, it becomes grade 5 baldness.
Type 5 a denotes effacement of the frontal peninsula of hair till beyond the MCL
Grades 5 / Type 5: The hair loss has now reached an advanced stage around the temples and on the crown but there is a bridge (less than 3 inches) of hair thinning or otherwise separating the 2 zones areas of balding. It appears that this bridge is breaking up and effacing.
Grades 6 / Type 6: This is slick baldness. Horseshoe pattern of baldness. Hair remains but it is like a wreath around the back of the head. No bridge of hair separates the 2 bald areas of balding. Both zones have coalesced. The crown has expanded to the edge of the horizontal and vertical confluence of the shape of the skull.
Grade 7/ Type 7: Men with such advanced hair loss can be candidates for a hair transplant, but with such a restricted donor area the transplant may be limited to restoring the hairline while the crown remains bald.
There are 2 other patterns:
1. DPA- diffuse patterned alopecia
2. 2. DUPA- diffuse unpatterned alopecia
The lesser talked about grades of balding.
This is a challenge and especially during online consulation it can be actually missed out due to proper lighting issues. If missed in the young it can be disasterous if a hair transplant is done.
We shall talk about them later in an individual video but the essential difference is that DPA patients make good candidates for a hair transplant , whereas DUPA patients do not.
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Table of Contents:
Morphology or Parts of the hairy scalp 1:06
Grade 1 baldness- 2:00
Grade 2 baldness: 2:20
Grade 3 baldness 3:09
Grade 3 (Vertex) 3:59
Grade 4 baldness 4:21
Grade 5 baldness 4:55
Grade 6 baldness 5:28
Grade 7 baldness 6:19
Hi Dr Bhatti,
I am so happy to see that you have made new videos. You are clearly a talented hair transplant surgeon and I have thought for a long time that you needed to focus on your marketing (videos, website, etc). You have an ocean of knowledge, and you need to do everything you can to get your knowledge across to people, so that they understand why you are a superior doctor. If you continue with the videos, I think it will benefit a lot of people, and will rightfully make you the most popular hair transplant surgeon. I look forward to further content !
Thanks. Yes I wish to continue to make more videos. Good to know you watch them.
Best presentation of Norwood scale I've seen on Internet.
Thanks
Thanks for this video it was really great
You're very welcome!
Love ur work boss god bless you always....
So nice of you
love this video
Thanks
And I've had every level! Lol! Thanks for sharing Dr Bhatti!
That's one experienced patient!
@@hairtransplantinindia nice info I have only thinning hair on the front I dont have a crown, because my head is little builded. I am 35 years old.
@@hairtransplantinindia My head is not so big from the back too. I was lucky
Very well explained sir. I'm Norwood 2 (age 23). I've lost a lot of hair around my temple region and your description about 2 explains it perfectly that my hairline has receded to a certain extent and not become like 3.
I've a widow's peak which has become somewhat separated from the actual hairline do the hair grows there separately and doesn't mix with the frontal hair.
I'm 22 same has happened to me
The widow's peak at times is very obstinate to effects of DHT, but eventually it gets effaced with time.
@@hairtransplantinindia Sir, I understood about the obstinate part of widow's peak but can you explain effaced in a simpler way?
When I was 15-16, my widow's peak part was the most curly part in my hair region. I think so due to that, since last 3-4 years, my frontal hair has also become curly as the widow's peak started getting mixed with the hairline.
@@hairtransplantinindia And sir, I've one more question. This April, I'd shaved off my head thinking there might be an improvement in my hair once it grows back, but I've noticed that the right side of my hair, the side hair, it looks it has less volume and I guess it's becoming thinner as it's showing my scalp there while the left side seems somewhat okay not yet affected by anything. But overall, I've noticed that my hair doesn't seem thick anymore and scalp is visible most of the times (except back side).
Dr. could u kindly do a presentation on exosomes which seem to have a lot of promise in non-surgical hair loss restoration, and whether or not they can be available for all who might consider such treatment in the near future.
Yes I will. Thanks for the suggestion.
Well done
Thank you Sir for watching.
Very useful video.👌
Glad you liked it
Wonderful explaination sir
Thanks for the compliment.
good job
Thanks for appreciating
Amazing so nice video
Thank you so much
I am confuse with upper brow crease. someone enlighten me. please
Nice Video
Thanks
Nice 👌
Thank you! Cheers!
Sir i have thinning over my top evenly and the temples have receded at somewhat grade 2 type..approx 1 1.5 cm face side of ear canal vertical ..i am confused as to what my stage is..because though theories suggest that due to recession it is grade 2 but the thinning has been severe as when i cut short it is apparent
Please share pictures on whatsapp number provided.
Just sent an email to you doc. I would appreciate if you could help me out with identifying where I am at on the Norwood scale. Thank you.
So from his description I feel that I am in between 5 and 6 And I do have a pretty large donor area on the back of my head So I'm wondering how many graphs that would be approximately. And truthfully if I could just get the back of my hair replaced with a conservative widow's peak in the front I would be okay with that. I'm not looking to have a fully restored hairline just maybe something like Bruce Willis which is what I used to have a few years back.
Please share pictures on whatsapp +91 8872238888
@@hairtransplantinindia I sent pics and video...Thanks for your response ..
Please make a video on female pattern baldness in men
Can you send me a reference of this entity
Is hair transplant required in case of grade2 baldness or minoxidil is sufficient??
Please share pictures at 9814531111 and i will let you know
does your clinic provide treatment for common dandruff..it is hurting me 6 years and beacuse of scrtching also loosing hair..can you cure this
Yes we do.
Are you guys now doing the transplant? Or is it stopped until the covid thing goes?
Will start in July.
Will start month end or early July.
@@hairtransplantinindia Will there be any discounted rate offers running this year? if yes, then when?
what age is too late to get a hair transplant? Is 53 too late ?? thanks.
I have done a procedure on a 88 year old male! Age is not a barrier. If you are in good health and donor hair are available any age is good for a procedure.
Will finasteride and oral Minoxidil work for grade 6 and 7??
Only works when there are hair present
At grade 1 or 2 is it ok to use finastride ?
Grade 1 or 2 may not be androgenetic alopecia
i believe this video does not cover the hair loss topic completely , because in my early 20s my hair started to grow v shape on my forehead and started growing on my sides , i believe thats just the natural hairline change
It only covers grades of baldness.
Hello sir , I am nw2 at 22 , kind of like a more nw2 on right side and more like a nw1 on left side . You said mw3 is ideal stage for HT , can u predict when I will become nw3 assuming that I started balding ( had slight temporal recession ) at 19
No prediction can be made but this will be faster than elder males in your family.
@@hairtransplantinindia yes but a number acct to ur prediction ? Assuming that rate of baldness stays the same, also are there chances that I will retain this hairline for some good years ? Have u seen cases where people retain nw2 hairline for long ? I am saying this bcoz my brother who is 23 has not receded at all , he is like a nw1 . My father also enjoyed good head of hair till his late 30s so I just don’t know how I got this baldness gene
@@Kush-yk8nc Let us do a video on this if you are willing.
@@hairtransplantinindia video consultation ?
What should be the gap btween hairline and eyebrows
the length of the nose. But there are a lot of variables involved (grafts available, facial contour, age and caliber of hairs) involved. You will need to consult. Usually said 4 finger breadths but its not that simple either.
@@hairtransplantinindia Do you use Finasteride or Minoxidil?
What is the grade of your baldness??
Grade 6. Watch- czcams.com/video/ncfcDL6BUyk/video.html
I have Norwood 2 and I'm on my early 30's. Is it possible to stay on Norwood 2 up until 40 - 50 yrs old?
Norwood 2 is not androgenic alopecia in the vast majority.
@@hairtransplantinindia Thanks doc so Norwood 2 doesn't always mean you will progress to Norwood 3 I see.
Why does no one acknowledge or explain the A variant much? I had that type, which I heard is a rare type and starts young, I was 16 when I got type A and by 19 I was a completed 5A when I got 1st hair ttransplant
It is because it is not so common. In videos on youtube it is best not to overload the patient with information. You can always ask questions in the comment section. I respond to each and every question myself.
@@hairtransplantinindia thank you.
I want a set of those dolls.
They were made to order.You can ask a sculptor locally to make for you.
Sir.. Very good and informative video.. Hair education team is doing good job.
So nice of you
Sir, i am loosing hair in my crown, i have less density in that area specially at the vertex, but my hairline is still of grade 1
How old are you?
22 years old
@@ramendramishra3940 Please share pictures
My hairline is like norwood 2, but it's thinning all over the scalp. Is this the 2A?
These are baldness grades. Unless you get bald further, you remain at Grade 2. But surely thinning does predict your eventual point of final destination without medical treatment.
@@hairtransplantinindia been on fin, minoxidil and micro needling for 7 months now. Hasn't got worse, but not better neither. I guess it's not very likely to improve, only to remain same?
@@janneus It may improve. Give it a year.
@@hairtransplantinindia thx
Sir kiya Patle baalo Ka bhi hairtransplan kiya ja sakta hai
पतले बालों का हेयर ट्रांसप्लांट हो सकता है लेकिन आकर दिखाना होगा
how much graft need in 2nd grade
Usually this looks normal. But 1000-1200 could be needed.
Sir u said at age 25 it goes to norwood 2 but i my age is 20 and i am Norwood 2 so will go Norwood 3bye age 25?
Cannot say. It could just be a genetic trait in your family- a high forehead.
@@hairtransplantinindia so it will only be high forehead or i will go bald
@@parthbhusan1918 Cannoy say at this age
Best of luck
Thanks to you
What is your grade or type
Please see my grade of balding here- czcams.com/video/ncfcDL6BUyk/video.html
Have you ever seen someone who held a Norwood 2 hairline or Norwood 3 hairline since 20 yrs old and kept that there whole life?
I'm Norwood 2 and I'm 27 now, still full hair with zero thinning, it went back when I was 20 and hasn't changed. Narrow v shape hairline like the director Christopher nolan
Yes, I have seen many since this could just be a trait, and not androgenetic baldness.
@@hairtransplantinindia Sir, same case, I can be classified Norwood 2 and has remained that way.. I'm 31 now and no further progression.. Kindly, do look at my profile pic and any suggestions regarding my hairline doctor??
Hi doc,
Why can't we able to produce a medicine which has no sexual sides.yes DHT is the culprit but is there any other backdoor pathway where we can approach it from. Finasteride is scary to me. It feels like a zero sum game.
This baldness shit is taking too long to get fixed for generations. This has to come to an end. So that we can move on to solve something else.
Yes this is nerve-wracking.
Wow amazing 😂😂😂
Thanks
हेयर ट्रांसप्लांट को कुल कितना खर्चा आता है
Pictures bhejiye 9814531111
👍🏻👍🏻👍🏻👍🏻
Thanks
I am 24 years old and is in 1st grade my profession repuires good looks is hair transplant advisable for me
Yes can be done.
dr you are giving a new life to baldness people but when will you yourself will undergo hair transplant .
Already have twice. One FUT and one FUT. All what you see is planted! No more grafts in my thin donor area. Thx for the concern.
@@hairtransplantinindia Next time do bio fibers dont thrown your hair away or grafts. bio would be fit on you too. Hah you did FUT and FUE I look for many doctor it self if the head the their own hairstransplant too yes one did it too doctor williams yates did do fibers check this one? and he had fut you will laughing about that video too and with to get the look back he got done the FUE and the doctor is smart like you he had a FUT first and than FUE czcams.com/video/fpG8JxETpmk/video.html I was thinking you had FUT and FUE but see your reply fut and fut
@@hairtransplantinindia You will like the story
the same story with USA the patient had done a hairtransplant and the doctor didnt do the operation. and got the check with money.
Tfw your nw3 at 26 😅 thanks mom and dad
They say it is 80% from your Mom's side.
Man, take our strength, give us wrinkles, give us more aches….But why take our damn hair too 😂😭
Cruel! :(
Sir address ki a
Sector 104 mohali
Search: 5 Rivers Hospital
Google maps
Sir can grade 3 baldness be cured 😭
Very easy to cover the bald area.
There is no 'cure' for baldness.
No 'cure' for baldness!
Only coverage through hair transplant
Sir I can't understand 1st point can u please elobarate ❤️
I consulted a hair doctor a month ago and I was informed that hair growth is possible....is that false sir
@@sdcharith7727 can you send me qualifications of the doctor?
Maine to apne hair regrow krwa liye 5 months me
Good
Kaaise?
Sir I messaged you on whatsapp
Did you get a reply?
Sir aapke baal nhi h
Haanji nahin hain. Pleaes watch: czcams.com/video/ncfcDL6BUyk/video.html
@@hairtransplantinindia ohhh.. I understand ais bhi hota hai. 👍