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Hair guideWhat is the difference between Ludwig and Sinclair scales?

What is the difference between Ludwig and Sinclair scales?

✓ Medically reviewed✍️ HairBase editorial team📅 Last updated: June 14, 2026⏱ 1 min read
💡 Quick answer

A centre-part photo is not a diagnosis. Photograph the same lighting; do not shop JAK ads from a Sinclair number.

Ludwig I–III is a classic female-pattern sketch. Sinclair adds more steps some researchers use. They are maps, not millilitres. Male Norwood is another file. This page will not invent a PMID. Related: female-pattern-versus-te — different URL.

Do not start oral finasteride from a Ludwig screenshot. Female and pregnancy rules differ. Do not double minoxidil because a scale jumped on a humid day.

Sudden patches or a child with loss skip scale shopping. This is not medical advice.

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📚 Sources

Sources: AAD ↗

FAQ

Which scale is “official”?

Clinics vary. This page does not crown one.

Same as Norwood?

Different sex-typical maps. Other URL.

Does Sinclair 2 need surgery?

Staging is not a HairBase operative plan.

More foam at Sinclair 3?

No. Follow the carton if labelled use is agreed.

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Not medical advice. General education only; it does not replace diagnosis or treatment by a licensed professional. Figures such as 1 mg or 5% are labelled strengths you may see in your country — not a dosing instruction. Consult a board-certified dermatologist before starting, stopping or changing any treatment.

⚠️ When to see a doctor — don’t self-treat

  • Sudden patchy or circular bald spots
  • Redness, scaling, pus, pain or itch (possible scarring alopecia — treat urgently)
  • Broken hairs or rapid loss
  • Loss with body-wide signs (weight loss, fatigue, cycle changes, acne, extra hair)
  • Loss right after a new medication
  • Any hair loss in a child
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