Photographs showing President Donald Trump’s hair blowing in  wind have led plastic surgeons to speculate on whether he has had scalp reduction treatment or a hair transplant.A video released last week shows commander in chief hopping up the steps to Air Force One at Joint Air Base Andrews before flying to Mar a Lago on February 2.But as he bounded up the carpeted stairs, his wispy orange locks were whipped by the stern breeze.One flap of hair flipped over on the side of his head to expose an apparent bald spot   and what could be a scar.In 1990, Trump’s ex-wife Ivana claimed in a divorce deposition that the property mogul had been given scalp reduction surgery in 1989.She said he had been worked on by plastic surgeon Steven Hoefflin, who former clients included Michael Jackson and Elizabeth Taylor.But Trump denied the claim in 1993 and has repeatedly insisted his hair is entirely his own.Michael Wolff, in his book Fire and Fury: Inside the Trump White House, also claimed the president has had scalp reduction surgery.Now the Daily Beast has spoken to two plastic surgeons about whether the president has undergone scalp reduction treatment.The procedure involves cutting away pieces of bald scalp from the crown to push hairier parts of the scalp close together.

What is scalp reduction surgery, the treatment reportedly undergone by Donald Trump in 1989?

Scalp reduction surgery is a procedure used to treat hair loss in both sexes, particularly top-hair baldness.The operation involves moving skin that has hair on the scalp to cover bald patches.For example, skin from the sides of the head might be pulled up and stitched together to cover top of head baldness.Scalp reduction surgery is usually only recommended for people who have not had success with medication.

Eligible people must have:

Healthy scalp skin that has enough elasticity to be pulled over the head
Significant ‘donor hairs’ on each side and on the back of the head
Hair loss related to age or genetics
Scale reduction does not work for:

People with multiple bald patches around their scalp
Temporary hair loss caused by stress or illness
After the procedure, hair on the top of the head may look slightly different to the rest.

New hair may also take up to 12 weeks to grow.

Risks of the surgery include:

Tingling sensations
Temporary hair loss
Bleeding around the skin that was stretched
There is a risk hair follicles may not take to their new position and fail to grow.

Johns Hopkins University professor of otolaryngology Dr Lisa Ishii told the Daily Beast the operation is difficult and dangerous.She told ‘Scalp skin is very stiff skin. It’s very hard to pull together the skin edges and get them to close to each other if you cut out anything beyond a half dollar size piece of skin.‘If you had a large bald area, you’d have to have several procedures in a row before you actually achieved your goal to cut out the bald spot,’ she told. ‘You can’t do it in one fell swoop.’Dr Ishii added that scalp reduction surgery was replaced by the safer and more effective hair transplant procedure in 1990s.Ishii said she doubts Trump had scalp reduction surgery ‘an outdated procedure’ but said he may have had a hair transplant.Dr Samuel Lam, owner of the Lam Institute for Hair Restoration, does not agree.He told ‘If you see a vertical incision on the back of the scalp on the crown, that’s very typical of a scalp reduction.’

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