Dear balding,
Actually, these are the same questions that I asked 3 years ago and as MB told me back then, "you don't even know that it is up there". It is not like wearing a hat or even a bandanna. There is no sense of pressure or anything. My biggest problem at first was forgetting that something was up there and scratching my head like I always did, but you know what, that doesn't matter either. I treat it with a little more kindness than natural growing hair, but not much and they last about six months without much wear and tear. I go for about three weeks and then think, "Oh yea, I should take this off and clean some glue off of my noggin".
I hope this helps,
Zap