The two areas of hair loss are larger than in Stage 4. They are still separated, but the band of hair between them is narrower and sparser. The balding areas continue to expand, and the remaining hair bridge is increasingly fragile. This stage requires comprehensive treatment planning.
Still important to protect remaining hair and any transplanted grafts. Continue indefinitely.
2,500-3,500 grafts. May require 2 sessions. FUT strip may be preferred for maximum graft yield at this stage.
Creates illusion of a full shaved head. Excellent standalone option or complement to transplant.
Non-surgical concealment for immediate cosmetic improvement while considering long-term solutions.
Norwood Stage 5 typically requires 2,500-3,500 grafts. Due to the large area of loss, many surgeons recommend two sessions. Donor supply must be carefully evaluated — not all patients have enough donor hair for full coverage at this stage.
Full restoration to youthful density is usually not achievable at Stage 5 due to limited donor supply. However, strategic placement of 2,500-3,500 grafts can create a natural-looking hairline and significant visual improvement. Managing expectations with your surgeon is important.
Scalp Micropigmentation (SMP) is an excellent option at Stage 5, either as a standalone treatment or combined with a transplant. SMP creates the appearance of a shaved/buzzed hairstyle or adds the illusion of density to transplanted or existing hair. It requires no surgery and is immediately effective.
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