Driving at 70mph down the road in a Jeep with no top and no doors, e.g.
so i guess it'll fix a few ailments on the way. but then why not just teleport someone who's dying into his fully healthy state.
[Minor nit: genes are insufficient to record someone's physical state.]
[Minor nit: I'd argue age 25-30 is probably a better physical peak to snapshot than age 20.]
So, canonically, the "beam yourself into a younger you" problem is all but solved. Yes, with various minor environmental pokes and prods, but meh, they've demonstrated the ability to replicate those when necessary, so hardly a stopper.
That last one is one of the most egregious examples of how weird it is that nobody ever follows up on anything that happens in Star Trek. Whoops! Figured out how to turn an old man into a ~14 year old with all his memories! Ha ha, life sure is weird, but otherwise uninteresting, right? Unimportant! Move on!
Meanwhile, in the present day, the top of your head is the part of your body most exposed to the Sun, and hair is useful in preventing sunburns. So being bald isn't equal to having hair.