20 yo. 2 years on Finasteride + Minoxidil, no results. Advice? (photos)

Hello Dear Patient,
We suggest you get to hormon test. After that depending on the test result you can get hair transplant for permanent solution

you need to start theradome now (see link).

You need a formal evaluation to see what type of hair loss you may have. when you have hairless its best to do a full hormonal workup for internal optimization plus scalp biopsies or scrapings to rule out any stress related, inflammatory, autoimmune or infectious causes of hair loss. In general most people with early hair loss have telogen (stress related) and/or androgenetic (normal aging) and both can be treated with in office treatments like steroid injections, PRP/acell, Exosomes and at home treatments like oral medications, oral vitamins like Viviscal, topical exfoliating sprays like Restorsea, and weekly growth factors like anteagemd. See an expert for an evaluation. If hair loss is significant it may requires hair transplant (follicular unit translation).

If you are not seeing the results you want you may be a candidate for SmartGraft. This hair loss treatment transfers individual grafts from the donor site to the areas needed. It is performed under local anesthetic with minimal down time. Most patients report little to no pain. There are no incisions, no stitches, and no linear scar. Some results can be seen immediately with full results after nine months. See a board certified plastic surgeon near you to learn more about this exciting treatment.

The only way to effectively treat ANYTHING is to first get an accurate diagnosis. The ONLY way to get an accurate diagnosis is through blood tests.
The Biochemical Report Card set of blood tests was developed to precisely track all the biomarkers which lead to hair loss.
What we have discovered is that hair loss is not itself the disease but a symptom of a deeper underlying biochemical imbalance in most cases caused by some defective enzymes inherited from our parents but made worse by environmental factors such as nutrition and stress.
Unless we understand the whole picture of what is going on we cannot create a precise solution that treats you personally. Everyone's case is different and requires a personalized program to be truly effective.