More and more often I see ads where I am offered a hair transplant, sometimes in Turkey, sometimes in Ukraine. 
Such targeting is connected with the fact that I studied this topic, with the aim of finding an alternative to this procedure. In my eyes, such therapeutic approaches are not only a way to help yourself and others, but also a profitable business. In modern medicine, you can make a lot of money on people's complexes. And men often have a complex without their hair, that it fell out before old age.
So, there is an opinion that a transplant will save anyone from baldness, but this is absolutely not true. I have already made posts about how medicine misunderstands this problem and, accordingly, treats it incorrectly.
The problem of baldness is not exactly in hormones, but in some other aspects. If we single out one of these aspects, we can say that the matter is in fibrosis . Let me remind you that fibrosis is a bad change in connective tissue (scarring). In the context of hair, this is the death of the follicle and the creation of a "plug" - a scar, in its place (very roughly speaking).
Let me give you an analogy to make it clear, imagine that your head is a vegetable garden. As long as it is plowed and watered, the soil on it is such that everything will grow. But when for various reasons this soil is either dry or not plowed, then even the weeds will have a hard time there.
So here too, the scalp changes with age. Most often this happens due to the masculinization of the skull under the influence of dihydrotestosterone (i.e. hormones have an indirect effect here, not a direct one). That is, the head grows, the skin of the crown stretches, if there are polymorphisms in the genes of a tendency to fibrosis, or diseases that lead to this - we, men, go bald. Who wants to argue with me - just look at your elbows, this is a miniature model of your head. If there is always hair on the front part of a man's hand, then there is none or less on the elbows, because the skin there is stretched (whoever does not have stretched hair will).
In girls, this often does not happen ( to the same extent as in men ), because the phenotype of a girl's head does not imply such growth of the skull, therefore their scalp is more mobile and not subject to tension. This can be easily checked manually.
So, by analogy above, by transplanting hair to places where it fell out, it’s as if you’re trying to plant something in bad soil.
Yes, when transplanting you “plow” the soil of damage, what the surgeon will do, yes 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 f**k Misha, let’s do it again”
What to do about it? The first and most important thing is to understand your health in terms of fibrosis - high homocysteine, for example, leads to this. Especially if there is a tendency to scars! And you need this not only for baldness.
Then understanding your skull anatomy, - try to move your scalp with your fingers, compare how easy it is for girls and how difficult it is for you. To reduce tension, you need to relax your jaws and neck muscles at the back of your head. This should be done with a special myo cap, massage from a kinesiologist, possibly Botox.
Next, you can use different means, from dietary supplements and mesotherapy to minoxidil andcapixila (capixyl, few people know about it, photo below) . When choosing meso preparations, take only those that contain hyaluronic acid in the composition. Yes, they will rub it into you that they are for skin without hair, etc., etc. But look for a cosmetologist who has studied better in medicine and understands that new follicles need "niches" with hyaluronic acid in the tissues. That is, in those places where hair has already fallen out, you can’t do without injections! An example of how to inject your head is shown in the video below.
And only after all this, you can decide on a transplant, if all these methods do not provide recovery. Also, with these recommendations, your transplanted hair will live longer! Without understanding these things, you will repeat the transplant in a couple of years! Also, without understanding these things, you may face bruxism, neck problems, etc. Baldness is only one side of the coin.
