A few comments to the original poster.
Firstly, I am in a similar position as you as I am relatively young (27) and experienced some hair loss. I didn’t have anything extreme as no one in my family has aggressive make pattern baldness, but I had some thinning on top and significant recession in the front. I got on Propecia which helped me regrow hair on top, stopped the hair loss, but unfortunately it didn’t regrow the receded hairline and I, too, am considering a transplant.
1)From my research, they have had some amazing breakthroughs in the part 10-15 years with transplants. I’ve seen many that look completely undetectable, although all the good ones I’ve seen used hair from the head, not the body hair. There will be scarring in the donor area which is covered up nicely by the surrounding hair when taken from the head, but probably wouldn’t be concealed as well using body hair. Additionally, body hair has very different consistency compared to the hair on your head so I just don’t see how this could look natural and none of the top surgeons seem to be using it.
2)I wouldn’t consider a hair transplant if you can’t commit to a lifetime of taking Propecia. For me, Propecia was much more effective at stopping additional hair loss than it was at regrowing the balding spots. If you don’t get on it now, your hair loss will continue and it will make it harder and harder to have a long term solution that will look good from a transplant as there is the element of supply and demand.
3)Look into a product called Nizoral for the scalp issues. It comes in a 1% OTC version and a 2% prescription version to treat dandruff and seboric dermatitus. Additionally, it has anti-androgenic properties as well and there have been multiple studies that it benefits both hair count and hair diameter in men who are thinning/balding. It’s anti-androgenic properties also cut down on the oil as well.
I hope some of this helps, I haven’t had any direct consultations with Drs yet as I’m not that far into my research and saving up the money, I’ve been looking at all the various forums online and there does seem to be a wealth of information there. One dr. I see and hear a lot of good things about is Dr. Alan Feller in New York. I’ve seen a lot of his patients post their results online and they look great and all seem to have had a great experience with the dr. and the clinic. There are other good ones too though, I’d look all over for before and afters. If I have a procedure I’ll be sure to let you know how it goes.
"If you can conceive it, and you can believe it...then you can achieve it."
Formerly known as Gandolf