Norwood 4 hair loss is a stage on the hair loss scale and shows significant loss in the hairline and crown areas. It is commonly seen in patients with a receding hairline that may start to look like a ‘U’ from above and an evolving bald spot in the crown. Patients may still have some hair between the crown and hairline. A combination of age, genetics or underlying health conditions can cause this type of hair loss.
There are a number of possible solutions for Norwood 4 hair loss, including hair transplants and hair loss medications. In this blog post, we look at the eligibility criteria for a hair transplant, how much it can cost and what recovery from a hair transplant for Norwood 4 hair loss can look like.

Eligibility criteria for hair transplant surgery in Norwood 4 hair loss
Our clinic advises patients on their long term hair loss considerations which is particularly important if you have lost a significant amount such as in Norwood 4 hair loss patients. For Norwood 4 patients to be eligible for a hair transplant, they and their Surgeon will need to consider:
- How much hair they have lost
- What their hairline and crown looks like currently
- How old they are and the chances of future loss due to age
- Whether further hairline recession is preventable with medications like Finasteride and Minoxidil
- How much donor hair they have to use for their first and potential future surgical requirements
With Norwood 4 hair loss, your recession or balding may be extensive and uncontrolled. Our Surgeons may therefore recommend you explore controlling your hair loss before undergoing surgery.
Hair transplant surgery for Norwood 4 hair loss patients can be carried out but for some patients the outcome may not be what they are looking to achieve especially if they extensive hair loss and limited donor capacity.
Some patients may have hair loss caused by alopecia areata (bald patches), are will not be able to have a hair transplant. The reason is that your immune system mistakenly attacks your hair follicles, including any newly implanted ones, so any transplanted follicles will fail to grow.

Different techniques for Norwood 4 hair transplant surgery
Various hair transplants are available, with different techniques used to create the best results for Norwood 4 hair loss.
Follicular unit transplantation (FUT) removes a thin strip of your scalp near the back of your head. This strip is divided into sections of follicles and placed into areas of balding through small incisions. You will have a linear scar on the back of your head, which you can cover with your remaining hair.
Follicular unit excision (FUE) is a hair transplant technique where a surgeon removes individual hair follicles and implants them into your scalp by making tiny incisions. With this method, you will have much less visible scarring at shorter hair lengths.
Which technique is right if I have Norwood 4 hair loss?
The right hair transplant for you will depend on different factors, including how much hair loss you are experiencing and your preferences for hair styling after surgery. If you plan to cut your hair shorter at the back and sides of your scalp after surgery then you may benefit from opting for an FUE hair transplant if you have norwood 4 hair loss.
Conversely, if you have limited donor area then you may wish to opt for an FUT hair transplant to maximise the yield of hair from your donor area across your lifetime. This is a complex topic that requires an understanding of how much scarring is involved in both techniques and how best to disguise it. You will go through both options with your hair transplant surgeon in your consultation.
If you have Norwood 4 hair loss, you may benefit from an approach to address your current level of hair loss and prevent it from getting worse. This can often require medications like Finasteride and Minoxidil to halt the progression of hair loss. You can also consider a hair transplant to restore hair where you have lost it.
How much would a hair transplant surgery for Norwood 4 hair loss cost?
At The Treatment Rooms London, we offer both FUT and FUE hair transplants. The cost of this can vary depending on how many grafts and surgical sessions you need. Norwood 4 hair loss is fairly advanced, so you may need more hair grafts to cover the larger balding areas.
Other factors that can change the cost of a hair transplant for Norwood 4 hair loss include:
The average price for a hair transplant in a patient who has Norwood 4 hair loss ranges from £6,000 to £10,000 or more.
We understand the cost of a hair transplant for Norwood 4 hair loss can be daunting, so we offer customisable 0% finance plans. You can choose how much you wish to borrow, the loan term’s length and the duration of the repayment schedule (up to 11 months).

Norwood 4 hair transplant before and after
Here are some before and after cases of norwood 4 hair loss patients our Surgeons have treated. You can view more in our before and after gallery which you can filter according to the severity of hair loss.


Recovery process and timeline for Norwood 4 patients
After your hair transplant, you can expect to recover fully after 10 to 14 days. However, it can take several months to see the results of the procedure, this can be seen in our hair transplant timeline. During the first few days, you will experience some tenderness and swelling of your scalp and scabs will develop. You can alleviate any minor pain or swelling with over-the-counter pain relief medication.
You must take good care of your scalp during your recovery and follow any instructions provided by your Surgeon. We will suggest wearing a cap for the first few days to protect your scalp from strong sunlight. You must also avoid washing your hair until at least day five of your recovery, as you do not want to dislodge the implanted follicles.
It is normal to experience shedding during recovery. After two weeks, your hair will shed in the area that received the transplanted follicles. However, after 2-3 months, they should begin to grow back through.
Proper aftercare allows you to get the best results from your procedure and maintain them for longer. Patience is key when you have a hair transplant with Norwood 4 hair loss; it can take up to 18 months to realise the full results. A Norwood 4 is classed as advanced hair loss, so it is important to note that using other hair loss treatments together with the transplant to help prevent further loss.
Book a consultation with The Treatment Rooms London
Although Norwood 4 hair loss can appear as extensive hair loss, you can restore your hair with the help of a hair transplant. Results can vary depending on many factors, but you’ll be able to see significant regrowth over time.
If you are experiencing Norwood 4 hair loss and considering a hair transplant, book a consultation with our expert team at The Treatment Rooms London. We will be happy to review your hair, provide realistic expectations and answer any questions you may have.
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