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This is what he looked like before Mot got hold of him:
I feel like a bolian.
I’m large. I’m blue. I talk a lot…
Picard goes to Mot to stay bald. It’s the 24th century, you don’t think they’ve cured baldness yet? He made that choice.
It’s the 24th century. No-one cured baldness because they’re past caring about such nonsense
Eh, his son doesn’t seem to be past it
The Doctor definitely wasn’t, and he had the personality of one of Star Fleet’s top engineers
Yeah that’s just the stated reason why a current day actor (or rather 80s actor) doesn’t have perfect hair.
People care very much about their looks, and just as today there are people who prefer the bald aesthetic, but for the most part people would choose to keep their hair if they could.