So I had my hair transplant done on Jan 2nd. I had virtually no shedding in the past 1 months but I started using topical Minoxidil a week ago and all of a sudden got dandruff in the transplanted area. My doctor told me to scrub it off and I did and gave him some after pictures with some hair down the drain. My questions:

1. I did this after 4 weeks. I was told it takes 2 weeks for the hair to root. Did I accidentally peel off some hair or was the shedding at the same time?

2. How do confirm what I shed was legit or I accidentally messed up transplant?

I’m worried. I have had no problems so far and was going so far with maybe a hair or two in the drain. Pictures attached! If it’s just shedding it couldn’t have been timed worse. Stats: 2100 transplant count Age: 36

Scrubbing your transplanted area after 12 days will not cause loss of the implanted hair stem cells that, I expect, will eventually grow. Starting minoxidil could induce some shedding, which tells you that the drug may be working to develop new hair in the non-transplanted areas. I believe that you don’t really have a problem.

Do hairs like this stand a change with medication?  Is a HT even a viable option to increase density?

I think that 23 years of age is too early because your final balding pattern doesn’t usually show up until you are 25-26 years of age, and even at 26, it may not show up. When I do a hair transplant, I prefer men over 25. The number of grafts depends on four factors: (1) the size of the area being transplanted, (2) the location of the transplant (frontal hairline or not?), (3) your donor density, and (4) your hair mass per unit hair. With that, I can build a personalized Master Plan for any patient, which will consider what might happen to them as they continue to bald (as every man who is balding does).

The evidence I’ve compiled indicates that Donald Trump exhibits a Norwood Class 5-7 balding pattern (the Class 7 pattern is depicted below). It appears that he underwent multiple surgeries, leading to the relocation of much of his remaining hair to conceal the frontal and top areas, albeit with limited success. Since Propecia was not available when he underwent scalp reduction surgery in the early 1990s, most men undergoing such procedures or hair transplants before 1997, when Propecia first came to the US market, experienced accelerated hair loss progression. Unfortunately for Mr. Trump, this would likely result in the development of an advanced pattern, such as the Class 7 pattern illustrated in the following graphic. 
“New York City-based cosmetic surgeon Gary Linkov believes that the politician may have undergone five separate hair-transplant surgeries” (https://www.newsweek.com/donald-trump-five-hair-transplants-gary-linkov-1832991). I know that Donald Trump received Scalp Reduction Surgery sometime in the early 1990s when this barbaric surgery was a standard treatment for hair loss found in the top and crown of the head. I know its barbaric nature because I had three of these procedures over 90 days. By its very nature, Scalp Reduction Surgery attempts to surgically remove the bald area, stretching and thinning the donor area (the rim of hair around the head). Add to that the claim by Dr. Linkov that he believes that Trump had 5 hair transplant surgeries, likely in 1990 (before FUE was invented), suggests that most of his residual native hair (that should reflect a rim of thick hair going around the back and sides of the head) was moved into the balding area, thereby depleting his natural rim of hair from his balding pattern.

Photos of Trump boarding Air Force One reveal that the back of his head doesn’t seem to have much hair, suggesting minimal hair in that area where he should have had a strong rim of hair 3 inches high. Additionally, recent footage this week shows exposure of his frontal hairline, a characteristic often associated with wigs (hair systems). It’s common for such hair systems to be secured using glues, weaves, and hair clips. Considering the cumulative evidence of (1) the lack of hair at the back, (2) the exposed scalp in the front as what appears to be the lifting of his hair system from environmental factors like wind, and (3) the use of clips behind the ears used to secure a hair system in place, (4) the effect of multiple hair transplants on a Class 5-7 patterned balding man’s rim of hair, and the difference in color of the side hair (gray) from the top hair (blonde), it’s reasonable to conclude that Mr. Trump likely uses an expensive hair system. This system may involve gluing it to his scalp, weaving it with residual native hair, and using hair clips to secure it on the sides, where most of his remaining hair is likely located. Such hair systems often require regular adjustments every 2-3 weeks to accommodate the growth of native hair and then reattaching them. The hair is synthetic or human hair used to make hair systems and is often fixed on a lace platform, which is then glued to the scalp. The effects of these ‘lace’ systems are very effective if you maintain them properly. I have seen him pull back his hair in front of a camera on a late-night TV program that looked completely normal, consistent with a lace hair system. 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

The above photo reference showing his frontal scalp, see here: https://www.msn.com/en-ca/news/politics/concerns-raised-for-trump-s-hair-after-it-is-seen-flapping-in-the-wind/ar-AA1nHveb?ocid=mailsignout&pc=U591&cvid=2dc0422ef6d34569b9baf6f70de0fac9&ei=32

 

Below are some other interesting posts on this subject:

 

 

The use of both of these topical medications is effective, as shown here; however, a considerable amount of both of these drugs go systemic. It would be easier to take them orally and then you would know the systemic component of the dosage. 

 

I was told that I haven’t lost enough hair to fill in the highlighted areas where I’ve been balding (see outline of my thinning). Do I need to loose more hair to become a better candidate? I consulted two clinics about the number of grafts for my hairline. One said 2000 the other said 2500-2800. Above 2000 seems like too much to me, but I’m not sure. Any feedback is appreciated.

Why undergo a hair transplant if you don’t need it? Hair transplants accelerate balding, especially in younger men. You would likely lose much of the hair presently on your head if there is significant miniaturization present, so maybe a transplant would be switching from what you have to transplanted hair with marginal gain other than the surgeon making money at your expense. There are great medical treatments for your hair if you think you are thinning. Get a doctor that knows how to treat you medically.

I’m 35yrs old living in South East England. Started receding about 10yrs ago and never done anything to prevent it. Only recently started considering a transplant as I’m now starting to be able to afford it.