Hair mesotherapy: what is in the cocktail and what it can do

What is actually injected

Mesotherapy is a series of micro-injections into the scalp, one to four millimetres deep, delivering a mixed solution rather than a single drug. Typical cocktails contain B-group vitamins, biotin, amino acids, trace minerals and hyaluronic acid, and some add dutasteride. A course usually runs to four or eight sessions, weekly at first and then monthly, each lasting twenty to thirty minutes under topical anaesthetic.

The evidence, stated honestly

There is no standard formula. Two clinics selling mesotherapy are often injecting quite different solutions, which is precisely why comparative evidence is thin. You cannot study a treatment that changes from provider to provider. Minoxidil and finasteride have decades of controlled data behind them, PRP has a moderate and growing body of evidence, and vitamin cocktails have neither. Anyone telling you otherwise is selling something.

Where it has a defensible role

As an adjunct it is reasonable: supporting scalp condition alongside PRP, in the months after a transplant, or for a patient who cannot or will not take oral medication and wants something with a low risk profile. Injected dutasteride has more support behind it than the vitamin mixes, but it is off-label and carries the same considerations as the oral drug. It is a support act, not a treatment for baldness.

What we do not sell

We do not sell a mesotherapy course to a patient at Norwood 5 who needs surgery, and we never present it as an alternative to a transplant. If you have six hundred euros to spend on non-surgical treatment, PRP at €600 has better evidence behind it and that is what we recommend first. Mesotherapy sits inside our aftercare rather than on the price list as a headline product.

The Ones People Actually Ask.