First Clinically Significant Balding — M-Shaped Temple Recession
The first signs of clinically significant balding appear. The hairline becomes deeply recessed at both temples, resembling an M, U, or V shape. The recessed spots are completely bare or sparsely covered in hair. This stage marks the point where treatment intervention is typically recommended.
Blocks DHT to stop further hair loss. 85-90% effective at halting progression.
Stimulates regrowth and increases hair density. Best for crown and mid-scalp.
1,000-1,500 grafts to restore temple areas. Best combined with finasteride for long-term results.
Can boost results of other treatments. 3-6 sessions recommended initially.
Yes. Norwood Stage 3 is the first stage that is clinically classified as significant balding. The deep temple recession forming an M or V shape goes beyond normal hairline maturation. This is typically when dermatologists recommend starting treatment.
A combined approach is most effective: finasteride (1mg daily) to stop further loss, minoxidil (5%) to stimulate regrowth, and optionally a hair transplant (1,000-1,500 grafts) to restore the temple areas. Starting treatment early at Stage 3 gives the best results.
Norwood 3 typically requires 1,000-1,500 grafts for temple restoration. If there is also some crown thinning (Stage 3 Vertex), an additional 500-1,000 grafts may be needed. Your surgeon will provide an exact estimate during consultation.
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