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THE NORWOOD-HAMILTON SCALE

Hamilton and later Norwood have classified the patterns of Male Pattern Baldness. Although the density of hair in a given pattern of hair loss tends to diminish with age, there is no way to predict what pattern of hair loss a young man with early Male Pattern Baldness will eventually take.  In general, those who begin losing hair in the second decade are those in whom the hair loss will be most severe, in some men, initial male-pattern hair loss may be delayed until the late third to fourth decade.  It is generally recognised that men in their 20’s have a 20 percent incidence of Male Pattern Baldness, in their 30’s a 30 percent incidence of Male Pattern Baldness, in their 40’s a 40 percent incidence and etc. Using these numbers one can see that a male in his 90’s has a 90 percent chance of having some degree of Male Pattern Baldness.  Men with male-pattern hair loss may have an expectation of hair loss if they have male relatives who lost hair in a recognisably male pattern.

 
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