A Norwood 4 hair transplant costs $10,000 to $21,000 in the USA, based on the 2,500 to 3,500 grafts this stage typically requires at $4-6 per graft. In Turkey, the same procedure costs $2,500 to $7,000.
What Is Norwood 4 Hair Loss?
Norwood 4 represents moderate-to-advanced hair loss. The frontal hairline has receded significantly, and thinning across the crown has become pronounced. A bridge of hair may still connect the front and crown areas, but overall coverage is noticeably reduced.
At this stage, most patients are strong candidates for hair transplant surgery, with enough donor hair remaining to achieve meaningful density improvement.
Graft Requirements for Norwood 4
The typical graft count for Norwood 4 graft requirements falls between 2,500 and 3,500 grafts. Several factors influence where you land in that range:
- Hair caliber: Thicker individual hairs provide more coverage per graft
- Hair-to-scalp color contrast: Low contrast (dark hair on dark skin) creates the appearance of greater density
- Curl pattern: Curly or wavy hair covers more scalp area than straight hair
- Desired density: Some patients prefer maximum density, others want a natural, age-appropriate look
For a personalized estimate, try the free AI assessment at myhairline.ai.
Cost Breakdown by Country
| Country | Cost Per Graft | Total Cost (2,500-3,500 grafts) |
|---|---|---|
| USA | $4-$6 | $10,000-$21,000 |
| UK | $3-$5 | $7,500-$17,500 |
| Europe | $2.50-$4.50 | $6,250-$15,750 |
| Turkey | $1-$2 | $2,500-$7,000 |
| India | $0.50-$1.50 | $1,250-$5,250 |
USA Pricing Details
At $4-6 per graft, the US price range is wide because of regional differences and surgeon reputation. A board-certified ISHRS member in Manhattan will charge more than a newer practice in a smaller city. Premium surgeons may charge $8+ per graft, pushing the upper limit beyond $28,000.
Turkey Pricing Details
Turkey offers all-inclusive packages at $1-2 per graft, often bundling accommodation, airport transfers, and medications. For a detailed breakdown, see our Turkey vs USA cost comparison.
FUE vs FUT for Norwood 4
Both FUE and FUT can address Norwood 4, with slight cost differences:
- FUE (Follicular Unit Extraction): $4-6 per graft in the US. No linear scar, longer procedure time
- FUT (Follicular Unit Transplantation): Typically 20-30% less than FUE. Linear donor scar, but higher graft yield per session
For 2,500-3,500 grafts, either technique can complete the work in a single session. FUE handles up to 5,000 grafts per session, while FUT accommodates up to 4,000.
What to Budget Beyond the Procedure
Plan for these additional expenses:
- Medications (finasteride, minoxidil): $30-$80/month ongoing
- PRP sessions (if recommended): $500-$1,500 per session
- Follow-up visits: Usually included for 12 months
- Time off work: 7-14 days depending on your job
Is a Second Procedure Likely?
At Norwood 4, a single session of 2,500-3,500 grafts typically provides good coverage. However, if hair loss progresses to Norwood 5 or beyond, a second procedure may eventually be necessary. Maintaining results with finasteride can reduce this likelihood.
Frequently Asked Questions
How much does a Norwood 4 hair transplant cost?
A Norwood 4 hair transplant costs $10,000-$21,000 in the USA at $4-6 per graft for the 2,500-3,500 grafts typically required. In Turkey, the same procedure costs $2,500-$7,000 at $1-2 per graft.
How many grafts does Norwood 4 need?
Norwood 4 hair loss typically requires 2,500-3,500 grafts. The exact count depends on your desired density, hair characteristics (thickness, curl, color contrast with scalp), and the specific areas being treated.
Is Turkey cheaper for a Norwood 4 hair transplant?
Yes, Turkey is significantly cheaper for Norwood 4. At $1-2 per graft, a 2,500-3,500 graft procedure costs $2,500-$7,000 in Turkey compared to $10,000-$21,000 in the USA. Even with flights and accommodation, total savings typically exceed 50%.