Lumière Hair Clinic · Hair loss

Male pattern hair loss

Recession and crown thinning, treated as the medical issue it is.

Dr Kristy Truong

The Procedural Physician

Dr Kristy Truong

US fellowship-trained

AHPRA MED0002351485

Hair assessment with Dr Kristy Truong — 45 minutes, $250, redeemable against treatment within 30 days.

  • Doctor-run · A physician assesses you first
  • Diagnosis first
  • Inside a medical centre · Discreet by design

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Who to see

What can realistically be done

Doctor-run diagnosis

Confirm it is pattern loss and not something else — thyroid, iron, autoimmune — before treating.

Prescription therapy

Where appropriate, prescribed and monitored properly — priced in consultation.

Regenerative scalp treatment

Supports follicle health, delivered as a course by a doctor.

Transplant planning

Where transplantation is genuinely worth considering, planned and performed by Dr Truong — the last step in the sequence, never the first.

What can't

Treatment maintains and thickens; it does not regrow a bare scalp. Products alone rarely change the trajectory. And stopping treatment means losing ground — we tell you that before you start.

What's going on

Male pattern loss is hormonal and genetic: follicles miniaturise under the influence of DHT, gradually and then noticeably. It is the most common thing men ask us about, and the most poorly served by the product industry.

The key fact is timing: treatments preserve and thicken best where follicles still live. Earlier is genuinely better — which is why the assessment matters more than any product.

Why it happens

  • Genetic sensitivity to DHT
  • Age — progressive without treatment
  • Family pattern is a strong guide
  • Sometimes compounded by health or medication factors

The Norwood scale

The Norwood stages, in plain language

Doctors grade male pattern loss on the Norwood scale, from I to VII. The stage matters less as a label than for what it changes: which treatments still work, how much donor hair a plan can spend, and whether the pattern has finished declaring itself.

  1. Norwood stage I — no visible loss: schematic line drawing of the scalp from above and in three-quarter viewI

    No visible loss

    A juvenile or mature hairline with no recession. Nothing to treat.

  2. Norwood stage II — mature hairline: schematic line drawing of the scalp from above and in three-quarter viewII

    Mature hairline

    Slight recession at the temples. Many men stay here for life; it is not, on its own, a reason to act.

  3. Norwood stage III — first real recession: schematic line drawing of the scalp from above and in three-quarter viewIII

    First real recession

    Deeper temple recession, sometimes with early crown thinning (III vertex). The earliest stage at which treatment is usually worth discussing — and the stage where medicine does the most.

  4. Norwood stage IV — recession and crown: schematic line drawing of the scalp from above and in three-quarter viewIV

    Recession and crown

    Recession deepens and the crown thins, with a band of hair still separating the two areas. Medical treatment still matters; transplant planning becomes a genuine conversation when loss is stable.

  5. Norwood stage V — the band narrows: schematic line drawing of the scalp from above and in three-quarter viewV

    The band narrows

    The bridge between front and crown thins. Coverage, rather than density, is the honest planning goal.

  6. Norwood stage VI — front and crown join: schematic line drawing of the scalp from above and in three-quarter viewVI

    Front and crown join

    The bridge is gone. Donor supply, not ambition, sets what a transplant can achieve.

  7. Norwood stage VII — advanced loss: schematic line drawing of the scalp from above and in three-quarter viewVII

    Advanced loss

    A narrow horseshoe of hair remains at the back and sides. Transplantation is rarely the right answer; we say so.

Illustrations are schematic and show the typical pattern at each stage. Your own pattern, and how quickly it is changing, are assessed in person.

Why the stage changes the answer

At stage II or III, most follicles are miniaturising rather than gone — which is exactly the situation prescription treatment is good at. Started then, medicine preserves the hair you have for years, and a transplant may never be needed.

By stage V or VI, the question is different: how much permanent donor hair exists at the back and sides, and how to spend it for the most impression. The answer is coverage and framing, planned honestly, not a return to a stage-I head of hair.

In sequence

Three pathways, in sequence

1

Medical treatment

Prescription therapy to slow or stabilise active loss, prescribed and monitored by a doctor. Priced in consultation, as regulation requires.

2

PRP and PRF

Your own platelets returned to the scalp to support follicles that are thinning but alive. A course, then maintenance.

3

Transplantation

For stable loss with adequate donor supply — hairline designed by hand, performed by Dr Truong, reviewed by her in person.

When to treat, and when to wait

Treat early where loss is active — preserving hair is far easier than replacing it. Wait on anything permanent while the pattern is still declaring itself, which for many men means the twenties. Waiting is not doing nothing: medical treatment through those years protects the hair you have, and the transplant conversation, if it comes, is a better one.

Read: Understanding the Norwood scale →

What a first visit involves

  • Your history and what's bothering you, in your words
  • An examination and an honest plan, with costs in writing
  • No treatment at a first visit

Hair assessment with Dr Kristy Truong — 45 minutes, $250, redeemable against treatment within 30 days.

What to expect

Questions

Where to go next

Considering treatment? Start with a hair assessment — diagnosis first, then the right treatment, which is not always a transplant. Book an assessment

Book an assessment

Diagnosis first. Then the right treatment — which is not always a transplant.

Book an assessment