Norwood scale, stage 5

Norwood 5

Larger front and crown bald areas with only a narrow, thinning band of hair left between them.

Norwood 5 hair pattern
Balding under the scale
Yes
Typical age
40s and 50s.
Estimated grafts (first session)
2,500 to 4,000
Estimate cost for 2,500 to 4,000 grafts →
Transplant candidacy
Common, but usually planned as two sessions with the hairline first.

What Norwood 5 looks like

Norwood 5 is stage 4 with the bridge wearing through. The front recession and the crown patch are both larger, and the band of hair separating them is narrow and sparse. From above, the two areas are clearly about to merge.

Stage 5 is the last stage at which a single transplant can usually cover both the front and the crown with a natural-looking density, and even then most surgeons plan two sessions.

How common is Norwood 5?

Around half of men show stage 5 or beyond by age 50 in the original Norwood data.

What people at Norwood 5 typically do next

  • A transplant at stage 5 usually means 2 sessions and a conversation about priorities: most surgeons recommend the hairline and mid-scalp first, with the crown covered later if donor hair allows.
  • Medication still helps hold the band and the sides, but will not regrow the bald areas.
  • Donor supply becomes the limiting factor from here on. A good clinic will tell you how many grafts you have in total, not just what this session needs.

These are the options people at this stage commonly weigh, not a recommendation. A dermatologist or hair restoration surgeon can assess your donor area, hair calibre and the cause of your hair loss.

Norwood 4 hair pattern
Previous stage
Norwood 4
Next stage
Norwood 6
Norwood 6 hair pattern

All Norwood stages

Not sure which is yours? Use the stage finder.

Where Norwood 5 sits on the full chart

Norwood scale chart showing hair loss stages 1 to 7, 3 vertex and the A variants, each drawn as a side profile and a top view of the head
Compare Norwood 5 with its neighbours on the original chart: stages 1 to 7 and 3 vertex in the left and middle columns, the A variants on the right. Chart: Keministi via Wikimedia Commons, CC0 (public domain).

Norwood 5: frequently asked questions

How many grafts for Norwood 5?
Clinics typically estimate 2,500 to 4,000 grafts for Norwood 5, usually across two sessions. The crown is often left for the second session so the hairline and mid-scalp get priority.
Can a Norwood 5 get full coverage?
Often, but at lower density than a younger hairline. A typical donor area supplies 5,000 to 7,000 grafts in a lifetime, so stage 5 is usually coverable, with the crown the area most likely to be left thinner.
Is Norwood 5 a good candidate for a hair transplant?
Usually yes if the donor area at the back and sides is dense, and if expectations are set for two sessions. Surgeons assess donor density first at this stage.

Sources

Stage definitions follow Norwood's 1975 classification. Graft estimates are typical clinic planning figures for a first session and vary with hair calibre, donor density and hairline design.

How Bald is an information site, not a clinic. Nothing here is medical advice and we do not sell procedures or medication. Figures are estimates with sources listed on our methodology page. Talk to a dermatologist or hair restoration surgeon before treatment.