Hair Loss Treatment in Ponte Vedra Beach, FL

Common areas Hairline, part and scalp

Appearance Thinning, recession, shedding

Primary causes Genetics, hormones, stress

Treated with TED, Xtressé, PRP and PRF

What is the best treatment for hair loss?

Short answer

The best hair loss treatment is the one matched to the cause, so it starts with a dermatologist's diagnosis. At Dermagnify, Dr. Cappel combines in-office treatments (needle-free TED, Xtressé with Xvie, or PRP/PRF injections) with daily support such as Nutrafol or Viviscal. Most patients see less shedding first and thicker hair over 3 to 6 months.

The most common cause is androgenetic alopecia, male or female pattern hair loss. It is genetic: follicles become sensitive to the hormone dihydrotestosterone (DHT) and shrink over time, producing shorter, finer hairs until they stop producing hair altogether.

Another common cause is telogen effluvium, temporary shedding after a major physical or emotional stressor such as surgery, illness, childbirth or extreme stress. It pushes many follicles into the resting phase at once, so diffuse shedding appears a few months after the event.

A treatment that works for one type of hair loss can do nothing for another, and stimulating growth is futile if a hormonal imbalance or nutritional deficiency is left unaddressed. That is why we diagnose first and often treat from several angles at once: follicles, scalp health, hormones and nutrition.

What we treat

Hair concerns we see most often

Our hair restoration treatments are for both men and women, from early thinning to established pattern hair loss.

Androgenetic alopecia

Male and female pattern hair loss: a receding hairline in men, diffuse thinning and a widening part in women.
Telogen effluvium

Excessive shedding triggered by stress, illness, hormonal changes or nutritional deficiencies.
Excessive shedding

More hair than usual on your brush, in the shower or on your pillow.
Thinning hair and reduced density

A gradual loss of volume, density and scalp coverage over time.
Weak or brittle hair

Hair that breaks easily, often after over-processing or styling. Treatment improves the strength and quality of existing hair.
Poor scalp health

An inflamed or poorly nourished scalp holds back growth. Each of our treatments works to improve the scalp environment.

Contributing factors

What makes hair loss worse

Most hair loss has more than one driver. Identifying them is part of your evaluation.

Genetics

Inherited sensitivity to DHT is the root of pattern hair loss in both men and women.
Hormonal changes

DHT drives androgenetic alopecia. For women, pregnancy, childbirth and menopause cause hormonal shifts that can thin hair temporarily or permanently.
Nutritional deficiencies

Follicles need iron, zinc, vitamin D and B vitamins (especially biotin). Shortfalls weaken hair and increase shedding.
Stress

Chronic emotional stress and acute physical stress raise cortisol, which can disrupt the growth cycle and trigger telogen effluvium a few months later.
Harsh treatments and styling

Bleach, dyes and relaxers damage the hair shaft. Tight ponytails, braids or extensions can cause traction alopecia.
Medications and medical conditions

Some blood thinners, blood pressure medications, antidepressants and chemotherapy drugs list hair loss as a side effect. Autoimmune conditions such as alopecia areata and lupus can attack follicles.

A young man with dark hair and a beard smiling outdoors

TED, needle-free hair restoration

TED (TransEpidermal Delivery) is a completely non-invasive, pain-free treatment. The handpiece uses low-frequency acoustic sound waves and air pressure to open temporary, microscopic channels in the skin's top layer (a process called acoustic cavitation), so a hair growth serum can reach the follicles without a single needle.

The serum, TED+ Hair Care Formula, is a blend of growth factors, peptides and nutrients that supports scalp health, reduces inflammation, improves blood flow and stimulates follicles to produce thicker, stronger hair. You feel warmth and a gentle vibration and hear a quiet ringing. A session takes 20 to 30 minutes, with no downtime and no known side effects.

Most patients complete a series of three treatments, one month apart. Reduced shedding is often noticed within a month, visible growth and thickness over the next 2 to 3 months, and optimal results 3 to 6 months after the series. Maintenance is recommended every 6 to 12 months. TED suits men and women in the early to moderate stages of hair loss.

Before: arrive with clean, dry hair, free of styling products
After: return to normal activities right away; avoid washing your hair for 24 hours so the serum fully absorbs
Treats: pattern hair loss, telogen effluvium, excessive shedding and poor scalp health
Full detail: TED hair restoration

Xtressé, in-office and at-home hair therapy

Xtressé is a complete hair program developed by dermatologists and hair restoration experts. It pairs an in-office regenerative treatment with daily at-home care, so follicle support continues between visits. It is designed for both men and women.

The in-office Xvie session takes 20 to 30 minutes. Your provider applies the concentrate to the scalp with micro-needling, so its growth factors and peptides reach the follicles. Most patients feel mild discomfort, with little to no downtime. Visible improvement usually begins 30 to 60 days after the first session and builds over the program. Maintenance Xvie treatments are typically repeated 2 to 3 times a year. Individual results vary.

Our 90-Day Hair Restoration Challenge bundles one in-office Xvie application with three bags of Hair Growth Gummies (two a day for three months) and one bottle of FR Concentrate Serum (one to two pumps a day on thinning areas, massaged in, no rinsing).

Xvie XO Concentrate (in office): a topical exosome and growth factor serum with more than 700 growth factors and peptides and hundreds of billions of exosomes, designed to support cellular communication and reactivate the follicle
Hair Growth Gummies (daily): a biotin-free blend with the X3-BioActive Blend and NAD+, designed to extend the hair's natural growth cycle
FR Concentrate Serum (daily): a lightweight, fragrance-free oligopeptide serum for follicle repair, with the X3-Peptide Complex, GHK-Cu and Zinc Thymulin
Full detail: Xtressé hair therapy

The top of a head with fine, thinning gray and dark hair

PRP and PRF injections for hair

Platelet-rich plasma (PRP) and platelet-rich fibrin (PRF) use growth factors from your own blood to awaken dormant follicles, increase thickness and density, reduce shedding and improve scalp blood flow. Because the treatment is 100% autologous, there is no risk of allergic reaction.

We use ezPRF and ezGEL. ezPRF is spun more slowly, at lower force, which preserves more platelets and white blood cells within a fibrin matrix. That matrix releases growth factors slowly over 7 to 10 days. ezGEL turns ezPRF into a natural gel through controlled heating and cooling, adding structural support and an even longer release.

A small amount of blood is drawn and processed, your scalp is numbed with local anesthetic, and Dr. Cappel injects the ezPRF or ezGEL into the thinning areas. The visit takes 45 to 60 minutes. Most patients have a series of 3 to 4 treatments, 4 to 6 weeks apart. Results begin at 2 to 3 months and are optimal 6 to 12 months after the series, with maintenance every 6 to 12 months.

Before: stay well hydrated for 24 to 48 hours and avoid blood-thinning medications and supplements for one week
After: mild swelling, redness and tenderness for 1 to 2 days; no hair washing for 24 hours; no strenuous exercise or heat for 24 to 48 hours
Best for: early to moderate hair loss in men and women who want the highest concentration of growth factors
Full detail: PRP and PRF for hair loss. Curious how the two compare? Read PRP vs PRF.

Supplements that support growth from within

Daily supplements address the internal drivers of thinning, such as stress, hormones and nutrition, and pair well with any in-office treatment. Both options below are drug-free, and consistency matters: results build over months and continued use maintains them.

Nutrafol: a physician-formulated supplement that targets several root causes of thinning, including stress, hormones and nutrition. Four capsules once a day with a meal. Most people notice less shedding and better texture within 3 months, and thicker, stronger hair by 6 months.
Viviscal: vitamins, minerals and a marine complex that nourish thinning hair, trusted for more than 25 years and suitable for men and women. Two tablets a day, morning and evening, after food, for at least 3 to 6 months. Shedding usually drops within 2 to 3 months.
Read more in Worried about thinning hair? from our journal.

Treatment overview

From diagnosis to fuller hair

01
Evaluation

Dr. Cappel reviews your hair loss history and examines your scalp to identify the type and cause of your hair loss.
02
Your plan

A personalized plan that often combines an in-office treatment with daily supplements or at-home care.
03
Preparation

For TED, arrive with clean, dry hair. For PRP/PRF, hydrate well and avoid blood thinners for one week.
04
In-office treatment

TED and Xvie sessions take 20 to 30 minutes. PRP/PRF takes 45 to 60 minutes with the scalp numbed.
05
Daily support

Supplements and, with Xtressé, daily gummies and serum keep supporting your follicles between visits.
06
Results and maintenance

Less shedding usually comes first, with thicker hair over 3 to 6 months. Maintenance sessions keep the gains.

Suitability

Is hair restoration right for you?

A good fit if

You have pattern hair loss and want to slow thinning and stimulate new growth
You have stress-related shedding and want a faster return to a normal growth cycle
Your hair is thinning with age, hormonal change or a nutritional deficiency
You want a non-surgical alternative to a hair transplant
You want to protect the density you have and prevent future thinning
You prefer natural, drug-free options

Not the right treatment if

You expect instant results; the hair growth cycle means any effective treatment takes several months
You cannot commit to the recommended series and ongoing maintenance
An underlying cause, such as a hormonal imbalance or nutritional deficiency, needs treating first
You are not in good overall health

Not sure which option fits? Read our guide to thinning hair, or book an evaluation and Dr. Cappel will tell you what is driving your hair loss.

Compared

Hair loss treatments compared

Comparison of the hair loss treatments offered at Dermagnify
Treatment	How it works	Downtime	Best for
TED	Ultrasound and air pressure deliver a growth serum, no needles	None	Pain-free, needle-free stimulation of growth
Xtressé	In-office micro-needled concentrate plus daily gummies and serum	Little to none	A complete in-office and at-home approach to follicle health
PRP and PRF (ezPRF, ezGEL)	Growth factors from your own blood, injected into the scalp	1 to 2 days	The highest concentration of growth factors; pattern hair loss
Nutrafol	Daily drug-free supplement with botanical ingredients	None	Targeting stress, hormones and nutrition from within
Viviscal	Daily supplement with a marine complex and vitamins	None	Nourishing thinning hair and reducing shedding

Cost

What hair loss treatment costs

Pricing

Cost depends on the treatment and the number of sessions. For Xtressé, the at-home part of the 90-Day Hair Restoration Challenge is three bags of Hair Growth Gummies at $87 each and one FR Concentrate Serum at $325; the in-office Xvie application is priced separately and quoted at your consultation. TED (usually a series of three) and PRP/PRF (priced by area and number of sessions) are quoted after your evaluation.

Treatment	Typical range	Sessions
Xtressé Hair Growth Gummies	$87 per bag	Three bags in the 90-day program
Xtressé FR Concentrate Serum	$325 per bottle	One bottle in the 90-day program
Xvie in-office application	Quoted at consultation	2 to 3 times a year
TED hair restoration	Quoted at consultation	Series of 3, one month apart
PRP/PRF (ezPRF, ezGEL)	Quoted at consultation	3 to 4 sessions, 4 to 6 weeks apart

Costs vary with the number of sessions and the areas treated. We give you transparent pricing at your consultation, before any treatment. Cost and payment options

Who performs this

Dr. Mark A. Cappel, MD

Double board-certified dermatologist and dermatopathologist

Dr. Cappel examines your scalp and diagnoses the type of hair loss before recommending anything, then personally injects every PRP and PRF scalp treatment. His dual training in dermatology and dermatopathology is what makes that diagnosis precise.

Read full profile

Questions

Questions about Hair Loss Treatment

It depends on the cause of your hair loss, so a dermatologist's evaluation comes first. Dr. Cappel diagnoses the type of hair loss, then recommends a plan that may include TED, Xtressé or PRP/PRF, supplements such as Nutrafol or Viviscal, and potentially prescription medication.

Yes. Every treatment we offer is designed for both women and men. In women, pattern hair loss usually shows as diffuse thinning and a widening part, and pregnancy, childbirth and menopause can all trigger thinning.

The hair growth cycle is slow, so expect at least 3 to 6 months for noticeable gains in thickness. Reduced shedding often shows earlier: within about a month with TED and within 30 to 60 days with Xtressé.

They can be long-lasting, but pattern hair loss is progressive and returns without treatment. Most patients need maintenance, such as PRP/PRF or TED every 6 to 12 months or Xvie 2 to 3 times a year, plus consistent supplements.

TED is completely non-invasive and delivers a growth serum with ultrasound and air pressure. PRP involves drawing your blood, processing it and injecting the concentrate into your scalp.

PRF is spun more gently, so it holds a higher concentration of growth factors in a fibrin matrix that releases them slowly over 7 to 10 days. That makes it a more powerful stimulus than traditional PRP. See our PRP vs PRF guide.

Yes, and combining them is often the most effective strategy. An in-office treatment such as PRP/PRF or TED, paired with a daily supplement such as Nutrafol, stimulates follicles directly while supporting growth from within.

Side effects are minimal. TED has no known side effects. PRP/PRF can cause temporary soreness, swelling or bruising at injection sites, and Xvie can cause mild discomfort during the session. The supplements are drug-free and generally well tolerated.

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