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The Ludwig scale, grades I to III

Female pattern hair loss seen from above. The centre part widens into a zone that broadens toward the front — the "Christmas tree" pattern — while the band of hair at the frontal hairline stays. Grades I, II and III are the same pattern at increasing severity: hair thins and scalp shows through it, rather than an area going bald.

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The Ludwig scale, grades I to III. Female pattern hair loss seen from above.
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Every number printed on this figure, and where it came from

Each quantity the diagram prints, the sentence it was taken from, and the guide that sentence is in. The build refuses to publish if one of these sentences is no longer in the guide it names.

ValueWhat it is, and the sentence behind itSource guide
three gradesThe Ludwig scale grades female pattern hair loss into three grades
“The Ludwig scale classifies severity into three grades”
Women's Hair Loss: The Complete Guide
30%Share of women with pattern hair loss who do not fit the Ludwig scale
“Approximately 30% of women with pattern hair loss don't fit the Ludwig scale”
Male vs Female Pattern Hair Loss: Key Differences Explained
40 / 45 / 15%Ludwig I / II / III split among the women in the transplant series
“40% were Ludwig I, 45% Ludwig II, 15% Ludwig III”
Female Pattern Hair Loss: Treatment Options That Work
751 womenSize of the series the split comes from, and what kind of series it is
“A 31-year study of 751 women with FPHL who underwent follicular unit transplantation (FUT) found”
Female Pattern Hair Loss: Treatment Options That Work
31 yearsHow long the transplant series ran, printed alongside its size
“A 31-year study of 751 women with FPHL who underwent follicular unit transplantation (FUT) found”
Female Pattern Hair Loss: Treatment Options That Work
What is behind the drawing (18 entries)

Shapes carry claims as much as printed numbers do, and some quantities shape the drawing without appearing in it. Each entry below names the sentence that justifies it.

Drawn asThe decision, and the sentence behind itSource guide
1970sWhen the Ludwig scale was developed, printed under the grades heading
“The Ludwig scale (developed 1970s) classifies female pattern hair loss into 3 grades”
Male vs Female Pattern Hair Loss: Key Differences Explained
IGrade I drawn with the part barely widened and the scalp only occasionally showing
“Mild thinning, perceptible but concealable”
Female Pattern Hair Loss: Treatment Options That Work
concealableWhy grade I is drawn as concealable rather than as visible loss
“Mild thinning, may be covered by styling”
Women's Hair Loss: The Complete Guide
IIGrade II drawn with clearly more scalp visible either side of the part
“Moderate thinning, noticeable decrease in density”
Female Pattern Hair Loss: Treatment Options That Work
IIIGrade III drawn with the gaps running together so the scalp shows through
“Severe thinning, see-through appearance at crown”
Female Pattern Hair Loss: Treatment Options That Work
see-throughGrade III described without a crown qualifier in the overview guide
“Severe thinning, see-through appearance”
Women's Hair Loss: The Complete Guide
preservedWhy a solid band of hair is drawn at the front of every grade
“Usually preserves the frontal hairline”
Female Pattern Hair Loss: Treatment Options That Work
most casesThe overview guide states the same preserved hairline
“Preserved frontal hairline in most cases”
Women's Hair Loss: The Complete Guide
first signWhy the drawing is centred on the part line rather than the hairline
“Widening of the part line (often the first sign)”
Female Pattern Hair Loss: Treatment Options That Work
first signThe overview guide names part widening as the first sign too
“Widening of the part line (often first sign)”
Women's Hair Loss: The Complete Guide
Christmas treeWhy the thinning zone is drawn as a triangle widening toward the front
“"Christmas tree" pattern when viewed from above”
Female Pattern Hair Loss: Treatment Options That Work
Olsen patternThe other name the overview guide gives the Christmas tree shape
“Christmas tree pattern when viewed from above (Olsen pattern)”
Women's Hair Loss: The Complete Guide
crownWhy the thinning zone covers the crown and central scalp rather than an edge
“Diffuse thinning over the crown”
Women's Hair Loss: The Complete Guide
crown and partThe treatment guide places the same thinning over crown and part
“Diffuse thinning primarily over crown/part area”
Female Pattern Hair Loss: Treatment Options That Work
progressively thinnerWhy the remaining hairs are drawn finer at each successive grade
“In FPHL, hair progressively miniaturizes (becomes thinner)”
Women's Hair Loss: The Complete Guide
rareComplete baldness is rare in this pattern, printed as a closing note
“Complete baldness is rare”
Women's Hair Loss: The Complete Guide
rarelyThe treatment guide states the same about complete baldness
“Rarely leads to complete baldness”
Female Pattern Hair Loss: Treatment Options That Work
male-pattern recessionWhat those women show instead, printed alongside the 30%
“they show male-pattern recession at the temples or more localized thinning”
Male vs Female Pattern Hair Loss: Key Differences Explained

Where this figure appears

Women's Hair Loss: The Complete Guide · Female Pattern Hair Loss: Treatment Options That Work

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