44 yo. Where do I begin?

[howdyncyc]

Hi Everyone
I am 44 and would like to consider a hair transplant.
I live in NYC.
I have tried minoxidil and propecia on and off for the last two decades and results have been so so. Took my self off of propecia for side effects and found that minoxidil was super irritating.
I recently ordered topical finasteride and minoxidil in glycerin, but haven't started using it.
The photos attached are me off of medications.
What are your thoughts?
Advice for next steps....
Traveling is not an issue for me.