I increasingly see ads offering hair transplants, sometimes in Turkey, sometimes in Ukraine. 
This targeting stems from my research into this topic, hoping to find an alternative to this procedure. In my view, such therapeutic approaches are not only a way to help myself and others, but also a profitable business. In modern medicine, it's possible to profit greatly from people's insecurities. And men often feel insecure about their hair, which they say has fallen out prematurely in old age.
So, there's this idea that a hair transplant will save anyone from baldness, but that's absolutely not true. I've already written posts about how medicine misunderstands this problem and, consequently, treats it incorrectly.
The problem with hair loss isn't entirely about hormones, but rather several other factors. If we were to single out one of these factors, it would be fibrosis . As a reminder, fibrosis is a deterioration of connective tissue (scarring). In the context of hair, it's the death of the follicle and the formation of a "plug"—a scar—in its place (roughly speaking).
Let me give you an analogy to make it clear: imagine your head is a vegetable garden. As long as it's plowed and watered, the soil there is such that everything will grow. But when, for various reasons, this soil is either dry or unplowed, even the weeds will have a hard time there.
The same goes for scalp skin, which changes with age. This is most often due to the masculinization of the skull under the influence of dihydrotestosterone (i.e., the hormones have an indirect, not direct, effect). As the head grows, the scalp becomes taut. If there are genetic polymorphisms predisposing to fibrosis, or diseases that lead to it, we men go bald. If anyone wants to argue with me, just look at your elbows—they're a miniature model of your head. While men always have hair on their front arms, their elbows have little or no hair because the skin there is taut (and if you don't have it, you'll have hair).
This often doesn't happen to girls ( to the same extent as men ) because their head phenotype doesn't allow for such skull growth, so their scalp is more mobile and less subject to tension. This can be easily verified manually.
So, by analogy above, by transplanting hair into places where it has fallen out, it’s as if you’re trying to plant something in bad soil.
Yes, with a transplant you "plow" the soil of damage, which the surgeon will do, and new vessels will grow there, stem cells will "float"... But, if the scalp skin continues to tighten and the degree of fibrosis from this continues to increase, then after years the vessels will "dry out", the follicles will "die", and the commercial surgeons will say, "That's all bullshit, Misha, let's start over."
What can you do about this? The first and most important thing is to understand your health in terms of fibrosis— high homocysteine, for example, can lead to this. Especially if you're prone to scarring! And you need this not only for hair loss.
Then, understand your cranial anatomy—try moving your scalp with your fingers. Compare how easy it is for women to do this versus how difficult it is for you. To reduce tension, you need to relax your jaw and the neck muscles at the back of your head. This should be done with a special myo-cap, massage by a kinesiologist, and possibly Botox.
Next, you can use different means, from dietary supplements and mesotherapy to minoxidil andcapixil (Capixyl, few people know about it, photo below) . When choosing mesotherapy products, only choose those that contain hyaluronic acid. Yes, they'll tell you they're for hairless skin, etc., etc. But look for a cosmetologist who has a medical degree and understands that new follicles require "niches" of hyaluronic acid in the tissue. That is, in those places where hair has already fallen out, injections are unavoidable! An example of how to inject a head is shown in the video below.
Only after all this has been done should you consider a hair transplant if all other methods fail. Also, with these recommendations, your transplanted hair will last longer! Without understanding these things, you'll be repeating the transplant in just a couple of years! Also, without understanding these things, you could face bruxism, neck problems, and more. Baldness is only one side of the coin.
