Reference · Free tool

The Norwood scale, plainly explained.

The Norwood-Hamilton scale is the seven-stage map dermatologists use to describe male pattern baldness (androgenetic alopecia). Find your stage below. Then use Folicle to lock the angle, take five photos a week, and watch what actually happens over the next 90 days.

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Stage 1

No recession

An adolescent or juvenile hairline. The hairline is straight or only slightly receded, with full density across the crown and temples. Most men in their teens and early twenties sit here.

  • Hairline still anchored at the original adolescent line
  • No vertex thinning
  • No widened part

Stage 2

Slight temple recession

The first signs of a mature hairline. Symmetric thinning at the temples creates a soft M-shape. This is not yet pattern baldness for most men and can stay stable for decades.

  • Symmetric corner recession at both temples
  • Forehead height increased by ~1 cm versus juvenile line
  • Density behind the hairline unchanged

Stage 3

First clinical stage of MPB

The earliest stage Norwood classified as clinical male pattern baldness. The temples have moved back to a deeper M, and miniaturized hair fills the gap. Stage 3 Vertex adds visible thinning at the crown.

  • Deep temple recession with miniaturized hairs in the gap
  • Possible thinning spot at the crown (Stage 3 Vertex)
  • Hair part may widen at the forelock

Stage 4

Defined crown thinning

Recession at the temples is more severe and the crown has a clear bald spot. A strip of denser hair separates the two zones across the top of the scalp. Treatment response is still strong at this stage if started promptly.

  • Distinct bald spot at the crown, visible from above
  • Dense band of hair still separates temples from crown
  • Sides and back remain unaffected

Stage 5

Bridge narrowing

The band between the front and the crown is narrowing and thinning. The two bald regions have not yet merged but the bridge can no longer hide them. This is often when men first describe themselves as visibly balding.

  • Narrow, low-density bridge between front and crown
  • Crown bald area larger and more defined
  • Forelock may still be present but thinner

Stage 6

Bridge gone

The hair bridge between front and crown has collapsed. The two regions merge into a single bald area on the top of the head. The Hippocratic horseshoe is becoming visible.

  • Front and crown bald areas now connected
  • Visible horseshoe of remaining hair around the sides and back
  • Surviving hair on top is fine and miniaturized

Stage 7

Final pattern

The most severe Norwood stage. Hair is gone from the entire top and front of the scalp. A thin band remains around the sides and back. Surgical restoration is limited by donor area availability at this point.

  • Top and front of scalp completely bald
  • Remaining horseshoe band is narrow and fine
  • Donor density for transplant likely limited

How to use the Norwood scale honestly.

  1. Take three reference photos
    Front, top, and one side of the crown. Even lighting, hair dry, no product. This is your Norwood baseline.
  2. Match against the closest stage
    The Norwood scale is descriptive, not diagnostic. Pick the stage closest to your pattern. If you are between two, write down both.
  3. Lock the angle and repeat weekly
    The reason most self-assessments fail is that the photo is never the same twice. Folicle locks the angle and aligns each new shot to your first.
  4. Re-check in 90 days
    Stages do not change week to week. Re-check at the 90 and 180 day marks with the same angles to see whether the trend is stable, improving, or progressing.

Norwood today. Receipts in 90 days.

Folicle locks the angle, normalizes lighting, and shows your Hair Score over time. Free to start.

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