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I have heard from reliable sources that Donald Trump has had more than one scalp surgery to treat balding over 20 years ago. Many people who have had the older types of hair transplant procedures from the 1980s and 1990s often received deforming procedures that caused significant scarring on the scalp. Visible deformities can be covered up with good styling camouflage. In the 1980s and early 1990s, the hair transplants were created by pencil sized plugs and were often accompanied by hideous looking scalp reduction scars which, when the surgeon tried to cut out a bald scalp, left terrible deformities on the scalp. Today, hair transplants are created by moving hair in their natural growing groups of between 1-4 hairs each from the back and the sides of the head to where the balding problem exists.

I have heard that Donald Trump was a victim of these outdated techniques. Putting things together and relating it to my vast experience with patients who came to me to treat such deformities with ‘comb-overs’ or ‘comb-forward’ hair styles to hide these hideous deformities, I would guess that Donald Trump is a victim of these old surgical procedures and uses his now distinct hair style to cover it up. As long as he maintains this hair style and does not lose more hair, he will hold his iconic look.

The good news is that most people who were so victimized, have since come to be repaired with the more modern techniques developed over the past 20 years or so. Vice President Joe Biden is a good example of a politician who used to have a pluggy frontal hairline. Now, he proudly shows off a nice, frontal hairline with no evidence of any preexisting problems. I suspect, that Donald Trump is hiding something similar, using his dyed blonde hair and his ‘comb-forward’ hair style to hide his secret.

Basically from what I’ve seen discussed, when people get hair transplants, they move hair from the sides/back of head to the top. This sometimes leads to scarring, so what people do is the keep the sides/back a bit longer to conceal it. If i were to get a hair transplant would I still be able to get skinfade haircuts like this or would I be required to keep the sides/back long due to scarring or any other reason

The answer to that question is: (1) depends upon your donor density, the higher it is, the less the problem, (2) it depends upon hair thickness, the higher it is, the less the problem, (3) it depends upon how many FUE grafts were taken and transplanted and (4) it depends upon your hair length, the longer it is, the less will be the problem.

I wrote about this here: https://baldingblog.com/selecting-hair-transplant-doctor/

This is a global approach to selecting any doctor for cosmetic work anywhere. We have monthly open house events for prospective patients to (1) meet many patients one-on-one and judge the quality of the work for themselves, (2) see a surgery live actually on the day of the Open House and (3) get a free consultation to get a Master Plan built for your hair covering short and long term hair loss possibilities. Few doctors will do this because dissatisfied patients come and can ruin such an event as happened a number of years ago where former patients actually picketed the doctor’s office. Your doctor should be proud of his/her patients and willing to bring patients for meetings to educate you. I also started doing this in 1993 at medical meeting where I brought my patients to teach doctors what a good hair transplant should look like. After many years, the ISHRS (International society) had established patient ‘live viewing’ sessions at every annual meeting. What is good for the doctor, should be good for you, the patient.

The costs for a hair transplant are usually priced per graft and the costs range from $4-10/graft depending upon the doctor, the location, and the reputation of the doctor for consistency and predictability. I always ask patients: Would you try to find the least expensive brain or heart surgeon? The hair you have on your head that the surgeon transplants can be seen by everyone. You MUST meet some of the doctor’s patients to see the quality of the work your surgeon does routinely. My patients have been coming to monthly Open House events months for 27 years just to help prospective patients learn about the process.

I’m 21 and I’ve used minoxidil in the past (foam and liquid), but it was just too much of a hassle to apply consistently so I never saw any gains. Has anyone here used oral minoxidil with good results?

Oral minoxidil can be effective for male patterned hair loss. For many years, poorer countries have been using it successfully for male patterned hair loss before finasteride was released in their country. In India, for example, many people couldn’t afford Propecia and genetic finasteride wasn’t available so oral minoxidil was the only drug for hair loss.

At what point do you know that it has receded beyond a mature hairline? And by asymmetrical, do you mean that the forelock can remain in the juvenile spot while the temples mature faster?

I’ve been told by a professional I am not balding but I still remain super anxious about it. Though I do have anxiety disorders which probably relate

You have to manage your anxiety. Yes, you clearly understand what is happening. If you think it is going beyond a mature hairline, you can see a doctor or even send me photos, but wait at least a year. Connect with me at info@newhair.com

I was wondering how long can you have a hair follicle outside the body before it dies? I had surgery that lasted 10 hours and I am worried because I saw my grafts sitting in a clear solution for over three hours. Is this normal?

A freshly extracted hair follicle or hair graft can survive outside the body for as long as 6 plus hours. It is very fragile and if mishandled it may desiccate and “die” in as little as a minute. A harvested graft must be hydrated, kept moist, and cooled as soon as it leaves the body. Cooling slows down the metabolism process. If your grafts were not cooled, it may be an issue!

It all comes down to the experience and expertise of the surgeon and staff. With poor coordination, and standardization the surgery may be failure even before it has a chance to be implanted.

Some doctors use special solutions and precise temperatures to keep the grafts alive longer. However, this DOES NOT guarantee that the grafts will go on to survive the implantation process! More importantly there have been recent concerns that these new “solutions” to maximize the graft survivability may actually do harm than good. Often times doctors may advocate PRP but these solutions also have not been proven by randomized controlled scientific studies.

The implantation process can also dry up the grafts and harm the grafts if mismanaged by an inexperienced staff. In other words, cooling or preserving the harvested grafts would all be for nothing, if the team cannot transfer it from the petri dish back to the recipient site with care and expertise.

This is one of the many reasons that hair transplant surgery is not a standard or a guaranteed process. In other words, shopping for “cheap” surgeries may sacrifice these critical quality control issues.

Should Finasteride and Dutasteride be taken on the same day? For example: should I take Dutasteride in the morning, then Finasteride at night?

It makes no sense to use both dutasteride and finasteride. Pick one or the other. Get a doctor to advise you.

Ok, how is the long term efficacy of minoxidil when mixed with finasteride?

When you grow hair from minoxidil, it usually stays around until you stop it; however, continuing to take it, may not grow a wave of new hair.