Stage 5

Advanced Vertex Baldness (Monk’s Baldness) Evaluation

Initial Evaluation

1. Mineral & Vitamin Analysis
(Electro-acupuncture diagnostic device)

Detection of essential deficiencies including zinc, iron, biotin, magnesium, iodine, and vitamin B/D complex.

Outcome: Personalized supplementation protocol to support follicular metabolism and scalp balance.

2. High-Resolution Dermatoscopy

Targeted scalp evaluation focusing on:

  • Follicular density (follicles per mm²)
  • Degree of miniaturisation in the vertex area
  • Inflammation, dandruff, or seborrhea
  • Scalp vascularisation quality

Outcome: Accurate mapping of vertex loss and prediction of progression.

3. DOCTHAIR Microscopy (200×)

Microscopic analysis of hair fibres and bulbs, including porosity, cuticle integrity, keratin structure, shaft diameter, and follicular vitality.

Outcome: Identification of biological limits and optimal sequencing of regenerative and surgical treatments.

Mandatory for patients classified within Norwood stages 1–7.


Treatment Protocols by Norwood Stage

Stage 1 – 2 – 3: Natural Regeneration (Non-Invasive)

Goal: Slow progression and reactivate weakened follicles in early-stage vertex thinning.

  • Red LED Therapy
  • Medical Microneedling (Dermapen)
  • Natural serums & stimulating oils
  • Supplement protocols based on mineral analysis

Expected Results: Improved hair texture, reduced shedding, and partial natural regrowth.

Stage 3 – 4 – 5: Regeneration + Reconstruction

Goal: Restore density in the vertex and harmonize the crown with the frontal zone.

In addition to all Stage 1–3 treatments, advanced protocols may include:

  • Exosomes / PRP / PRF regenerative therapies
  • Scalp Micropigmentation (SMP)
  • DHI Hair Transplant (vertex and/or crown)

Expected Results: Natural density restoration with correct anatomical distribution.

Stage 6 – 7: Full Package – Complete Reconstruction

Goal: Achieve maximum possible coverage with a natural, balanced, and sustainable result.

This comprehensive protocol includes all treatments from Stages 1–5, plus advanced reconstruction strategies:

1. Biological Regeneration (Mandatory)

  • Red LED Therapy
  • Medical Microneedling (Dermapen)
  • Natural serums & oils
  • Targeted supplement protocols
  • Systematic Exosomes / PRP / PRF treatments

2. Surgical Reconstruction

  • DHI Hair Transplant exclusively
  • Intelligent donor area redistribution

Coverage: Hairline, mid-scalp, and crown.

3. Aesthetic Optimization

  • Scalp Micropigmentation (SMP)

Procedure Planning:

  • Stage 6: Typically 1 DHI procedure + SMP
  • Stage 7: Often 2 DHI procedures + SMP

Expected Results: The most advanced, complete, and transformative outcome achievable within biological limits.