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The Norwood scale (or Hamilton-Norwood scale) is the leading
classification system used to measure the degree of male pattern baldness. Men
usually lose their hair in one of the many common patterns over the course of
decades. The Norwood scale provides easy-to-consult images that indicate
different stages of balding behavior.
There are several other classification scales used by doctors, researchers, and surgeons for Hair Transplant in Lahore. Some rating scales include both sexes or focus on female pattern baldness.
However, the Norwood scale is the measure most commonly used
by clinicians when discussing male pattern baldness. It provides a reference
point to diagnose the degree of baldness, discuss treatment options, and
measure the effectiveness of treatment.
What are the 7 stages
of hair loss?
The Norwood scale has seven phases. Each phase measures the
severity and pattern of hair loss.
No significant hair loss or hairline recession.
There is a slight recession of the hairline around the temples. This is also
known as adult or adult hairline.
The first signs of clinically significant calendaring appear. The hairline is
sunk deep into both temples, looks like an M, U or V shape. The recessed spots
are completely bare or scantily covered with hair.
Stage 3 vertexes.
The hairline remains in stage 2, but there is significant hair loss on the top
of the scalp (the vertex).
The hair loss is more serious than in phase 2, and there is thin hair or no
hair on top. The two parts of hair loss are separated by a hair band that
connects to the hair that remains on the sides of the scalp.
The two areas of hair loss are larger than in stage 4. They are still
separated, but the hair strip between them is narrower and scarcer.
The balding areas at the temples connect with the balding area at the top. The
headband on the top of the head has disappeared or is bald.
The most serious stage of hair loss, leaving only a headband around the sides
of the head. This hair is usually not dense and can be good.
Norwood class A. The class a variation of the
Norwood scale is a slightly different and less common progression of hair loss.
The main differences are that the hairline goes back uniformly, without leaving
an island in the middle, and there is no bald spot at the top. Instead, the
hairline runs from front to back.
What does hair loss
look like for each phase?
How is male pattern
Hair loss can be diagnosed with a physical examination and medical history. Most hair loss is diagnosed as male pattern baldness, but if you are young, female, or experiencing unusual hair loss, your doctor may want to rule out other possible causes.
A dermatologist or hair loss specialist can examine your
scalp to determine the pattern and extent of your hair loss. Your doctor can
also pull a few hairs and examine your hair follicles.
How is hair loss
Hair loss treatments are most successful when they are started early. It is easier to delay hair loss than to stimulate new hair growth. Hair follicles that stop producing hair become inactive after about two years and cannot be reactivated. Once significant hair loss has occurred, surgical procedures may be the best option.
Treatments that are available without a prescription
Minoxidil. Applied directly to the scalp, this
medicine (sold under the brand name Rogaine) can prevent hair thinning. It can
also stimulate hair growth on the top of the scalp. It can be combined with
Laser devices. There are various brushes, combs
and other devices that emit laser light and are marketed as treatments for hair
loss. These devices can stimulate hair growth, but this has not been clinically
Depending on the severity of your hair loss and your success
with OTC treatments, your doctor may recommend the drug finasteride (Proscar,
There are also medical procedures available for the
treatment of hair loss, including:
transplantation. Parts of your scalp with good hair growth are removed and
the hair follicles are transplanted to the balding parts.
Scalp reduction. Part of the bald scalp is
surgically removed and the parts of the scalp with good hair growth are brought
closer together. This can be combined with a hair transplant.
of the scalp. Devices are placed under the scalp for about three to four
weeks to stretch the skin. This procedure can be performed before a scalp
reduction or as a stand-alone treatment.
micro pigmentation. Small tattoos can be applied to the scalp to create the
appearance of a shaved head.
What causes hair loss
Hair loss in male patterns is caused by a combination of
genetic, hormonal and environmental factors. Your genes, inherited from both
your parents, determine your sensitivity to hormones, called androgens,
especially dihydrotestosterone (DHT).
Each lock of hair starts in a hair follicle and normally
grows two to six years before it enters a resting phase and falls out. When the
follicle starts to grow a new hair, the cycle starts again.
Increased androgens in the hair follicles can lead to
shorter cycles of hair growth that last only a few weeks or months. DHT
stimulates the process of miniaturization, making new hair shorter and thinner
than before. Eventually the hair follicles become too small to produce new
Is there a way to
prevent hair loss in men?
Hair loss prevention and treatment go hand in hand. People
start balding in a wide range of different ages and losing hair at very
different speeds, so it’s up to you to decide when to take preventive action.
Hair loss treatments such as minoxidil and finasteride work to prevent hair
loss in most men.
The Norwood scale is a tool that you and your doctors can use to measure the degree of male pattern baldness. Hair loss can be treated with medication in the early stages. In the later stages there are various surgical options.
transplants have been around for about 60 years now. They started using
“punch transplants,” which in most cases resulted in what is commonly
referred to as “hair plugs” or “the doll’s head look”.
Follicular unit transplantation (FUT) has been around for about 20 years and is
considered the gold standard in the industry. The plugs have disappeared.
However, there is a new technology called follicular unit extraction (FUE).
This new procedure is a smaller but mirror image of the old “plug”
technique. And people pay more for it.
Type of FUE:
Best FUE Hair Transplantis a type of Best Hair Transplant that is sold to people who suffer from hair loss as the operation that leaves no scar. That is not true. When a surgeon with a scalpel cuts into the human body, there will be a scar. This is a fact. The only problem that comes up for discussion here is what the scar will look like. The truth is that the patient will be left with a large number of off-white and / or red polka-dotted scars. These scars will be spread over the entire donor area.
The donor area is
where the surgeon removes the hair follicles that are genetically programmed to
never fall out. An FUT operation will create a fine linear scar from the back
of one ear to the other in the same donor area. The scar will be extremely thin
and fine if done properly by an experienced hair transplant surgeon. However,
there are a small number of hair doctors who use scare tactics. They show
patients very badly failed examples of the linear scar.
This creates an
opportunity for the frightened patient to agree to another style hair
transplant, (FUE). And the costs are extremely higher. At this point, the
patient, who has already been traumatized by hair loss, is open to anything
that works and leaves no scars. The patient does not know that there are other
problems that make the FUE procedure more difficult. The only thing that
occupies the patient is a broad ugly scar that they don’t want.
The FUE procedure is
even more labor-intensive than the FUT. The procedure sometimes takes days, not
hours, to complete. The claim is that there is less pain. The truth is that
there is not much pain in either procedure because local anesthesia is used.
Unlike the very first injection, the patient does not feel any discomfort. This
is another scare tactic that doctors will use.
Patients always ask if
it is painful. They will insist that there is less pain in the FUE procedure.
Again, this is simply not true. An important issue to be addressed with the FUE
procedure is follicular murder. This is a term used when hair follicles are
destroyed. They can be destroyed just like an inexperienced member of the
technical team cuts them in half. Or, in this case, the doctor traverses the
follicle before it is even removed from the donor area.
Instrument of Scalp
You see the instrument
that cuts into the scalp and removes the follicle, cannot determine the angle
or bend in the follicle in the head. You should be superman with x ray vision
for that. That is why this type of hair surgery is very dangerous for the
patient. There will be many cases of follicular murder. The sad part is that
there are so many donors in the back of someone’s head. However, this is not
very important during the pre-consultation. Again the focus is entirely on
terrible photos of poorly executed FUT operations.
There are a few reasons why one would opt for an extremely expensive FUE technique. If a patient has had multiple previous hair operations and suffers from bad scars, it may work to fill the hair in the scar areas. The idea here is that there is not enough elasticity left in the donor area to extract another linear scar. So the FUE method would be used to correct these scars. However, this would be a very small procedure. Probably a maximum of 300 hair grafts.
Another reason why a person can opt
for a FUE is their desire to shave their heads and not have a linear scar. I
actually don’t get this. Why pay to let the hair move around your head and then
shave it? I thought the whole idea was to be able to style and wear your hair
in fashion. If you are going to wear the bald look, why a hair transplant?
And if your FUT operation is
performed correctly, the scar line will be so thin that not much hair is needed
to cover it. You should be able to use a number 2 blade and cut the hair
The actual costs for the FUE can be quite high. A few procedures and you look at 35 – 50,000. I have heard stories that the number is closer to 100,000. All because people are willing to pay for something that they think is new and better. It is a fact that they are paying again for the very old “hair plug” operation. However, they pay much more for it! Make sure you do your research Best Hair Transplant in Lahore. If you take the time to properly examine, choose the right doctor and get the right result. You maximize your donor and experience minimal scars and minimal discomfort.