Norwood Stage 4
Norwood Stage 4 combines more advanced frontal recession with a larger, better-defined bald spot at the crown — critically, the strip of hair separating the two areas is still intact, unlike Stage 5 where that bridge narrows significantly. This is usually the point where hair loss becomes clearly noticeable to other people, not just the person experiencing it.
Why the range is 2,200-3,500 grafts
The 2,200-3,500 range reflects genuinely larger surface area than Stage 3 Vertex — both the frontal zone and crown have grown, and the bridge between them, while intact, often benefits from some density work too so the whole top of the scalp reads as continuous rather than three separate treated patches. This is usually the first stage where donor area capacity (not just cosmetic preference) starts to genuinely constrain how much density is achievable in a single session.
What to expect
Frequently a single, longer session (the upper end of what most clinics comfortably do in one day), though patients wanting maximum density across both zones sometimes opt to split frontal and crown work across two sessions months apart, both to manage donor supply carefully and to let the first session's results inform how the second is planned.
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