This underscores the importance of a correct diagnosis in hair loss. If Lichen Plano Pilaris is suspected you will need appropriate investigation by a dermatologist.
Some men in their early 20's go on to have hair transplant surgery. There is no rule. It is best to consult with a doctor regarding your specific goals and your Master Plan.
Donor hair (permanent hair) is not affected by Propecia (finasteride). If you have hair loss issues on your donor area it probably means there is something else going on.