Kara Wilfong
Doctorate Prepared Advanced Registered Nurse Practitioner
Fleming IslandA doctorally-prepared nurse practitioner who spent a decade as an emergency room nurse before moving into aesthetics and wellness.
Hair Restoration · Fleming Island, FL
Hair loss treatment, answered honestly
A non-surgical, non-injectable approach to thinning hair: microneedling paired with topical Pro-XO exosome growth factors and laser hair rejuvenation, matched to your pattern of loss by a clinician who will tell you honestly what to expect.
Written by the Well Labs+ editorial team · Last updated July 2026
Category Overview
Why hair thins, and what actually helps
Hair loss has more than one cause: genetics, aging, stress, and hormone shifts all play a role, often at the same time. Rather than one machine sold as a cure-all, we pair microneedling with a topical, growth-factor-based exosome solution (Pro-XO) and consider laser hair rejuvenation as a complement, matched to your pattern of thinning at a real consultation.
We do not offer PRP for hair, and we will not promise a full regrowth we cannot guarantee. What we offer is an honest plan, part of our complete wellness and body program, built around what your scalp and your hormones actually need.
What We Offer
One protocol, and one root cause worth ruling out
Here is the treatment we carry, and the one connected concern worth considering before you start.
The treatment we offer · Pro-XO
Microneedling & Topical Exosome
Our combined, non-injectable protocol for hair loss, delivered privately at our Medical Spa. Mechanism, timeline, and honest expectations, explained before you commit to anything.
Learn moreCross-link · hormone optimization
Hormone-Related Thinning
Thinning hair is often tied to declining or imbalanced hormones, not the scalp alone. If hormones are part of your picture, our hormone optimization team can address the root cause alongside hair restoration.
Learn moreHow The Protocol Works
The modalities we combine
Each plays a distinct role. Your provider explains which combination fits your scalp before any session begins.
Microneedling
Controlled micro-channels created across the scalp to prompt your own healing and growth response. It is the mechanical half of our combined protocol, and the reason topical solutions absorb more effectively afterward.
Topical Exosome (Pro-XO)
A topical, growth-factor-based solution applied after microneedling. This is not an injectable, and it is not PRP (platelet-rich plasma). It is a topical protocol we apply in-office, and we are precise about that distinction because the terms get confused online.
Laser Hair Rejuvenation
Low-level laser energy used to support scalp health as part of a broader plan. Your provider discusses whether it fits alongside microneedling and Pro-XO for your specific pattern of thinning.
In Expert Hands
A plan matched to your scalp, not a machine
A hair restoration result depends on an accurate read of why hair is thinning in the first place. Every plan at Pura Vida starts with that honest assessment, including whether hormones deserve a look alongside the scalp.
When a full medical workup is the more honest next step, we say so, part of the full wellness and body program built around your goals, not a single device.
Fleming Island · Northeast Florida
Thinning hair, considered honestly, close to home
Fleming Island’s research-first, appearance-conscious patients want a real explanation, not a miracle claim. Thinning often shows up alongside hormone shifts common in this active-aging, professional community, so we look at the whole picture, scalp and hormones together, before recommending anything, across Clay County and greater Jacksonville.
Northeast Florida’s UV index climbs to extreme from spring through late summer, and sun exposure drives much of the collagen loss and visible aging we treat, so care here is as much about prevention as it is about correction.
The practice Fleming Island trusts for medical wellness has been voted the area’s best medspa six years running. We deliver care from our Medical Spa on Island Lane.
Serving
- Fleming Island
- Orange Park
- Middleburg
- Green Cove Springs
- Jacksonville
- Clay County
Is This For You?
Am I a Candidate?
A Good Fit If…
- you are noticing early to moderate thinning and want a non-surgical, non-injectable option
- you want a plan that considers hormones and history, not just the scalp
- you are comfortable with a gradual timeline and understand results are not guaranteed
- you have not found relief from over-the-counter products alone
Let’s Talk First If…
- you have advanced or complete baldness in an area, where a surgical option or physician workup may serve you better, and we will say so
- you are expecting PRP, which we do not offer, or a guaranteed full regrowth, which is not realistic
- you have an active scalp infection or are pregnant, so let us talk first
- your thinning appeared suddenly, which deserves a medical evaluation before any cosmetic treatment
If this protocol is not the right fit for your pattern of hair loss, we will tell you honestly and point you toward what will help, whether that is a hormone evaluation or a referral. We will never promise a regrowth we cannot guarantee.
Ready to Start?
Sounds like a fit? Let’s start your hair restoration plan.
Request an appointment and we’ll assess your scalp and history, here at our Fleming Island Medical Spa.
What Our Patients Are Saying
What Fleming Island patients say
4.9★ From 1,400+ verified Google reviews across both Fleming Island locations.
"Kara is incredibly patient, understanding, and knowledgeable. I never felt pressured or rushed to do or buy anything extra. Super professional and clean atmosphere. Will be back again and again."
"Can’t say enough great things about this place! Everyone is so nice!… All are so knowledgeable and really tailor treatments to the person. I’ve been seeing them for 2 years and I’ve been happy with every visit."
"The Pura Vida facility is always very pleasant and professional… She always explains every procedure in detail and gives great recommendations. Always very satisfied with all the services I receive there!"
Prefer to Talk First?
Questions about hair restoration? Call us.
Talk through your pattern of thinning with our Fleming Island team before you schedule.
Our Process
How your plan comes together
Start with a scalp and history assessment
Your first visit is an honest consultation. We look at your pattern of thinning, ask about family history and hormones, and talk through whether a non-surgical, non-injectable approach is a reasonable fit.
Rule out what a medspa cannot treat
Some hair loss has a medical cause that deserves a physician’s workup first, including thyroid or hormone imbalance. We say so plainly rather than treating a scalp that needs a different answer.
Microneedling, then topical exosome
Each session pairs microneedling with the topical Pro-XO solution, usually as a short series spaced weeks apart. We explain the honest downtime, which is minimal, before you begin.
Give the scalp time, then reassess
Hair growth works on its own biological clock, so change builds gradually over months, not days. We photograph progress and follow up rather than promising regrowth we cannot guarantee.
Proven Excellence
Trusted across Clay County
Hair restoration is available at our Island Lane Medical Spa, serving Orange Park, Middleburg, Green Cove Springs, and greater Jacksonville.
1,400+
Five-Star Reviews
More Google reviews than any other medspa in the region.
4.9★
Average Rating
Verified on Google across both Fleming Island locations.
2
Fleming Island Locations
Serving Clay County, Orange Park & greater Jacksonville.
Meet Your Care Team
Clinician-led hair restoration
Led by Kara Wilfong, DNP, APRN, FNP-C, and backed by our nurse practitioner and physician assistant team, you receive the same clinician-led care, visit after visit.
Brittany Smith
MSN, APRN, FNP-C
Fleming IslandA certified Family Nurse Practitioner specializing in advanced aesthetic medicine, with six years in trauma and progressive care before aesthetics.
Emily Arnold
Physician Assistant-Certified
Fleming IslandA board-certified physician assistant specializing in aesthetic medicine, with a Master of Physician Assistant Studies from Augusta University.
Portrait coming soon
Brooke Taylor
Medical Assistant
Fleming IslandSupports the clinical team through every appointment so your provider can deliver attentive, unhurried care.
Patient Care Team
Scroll to meet the full team
Frequently Asked Questions
Hair Loss Treatment Questions, Answered
Do you offer PRP for hair loss?
No. Our hair restoration protocol is microneedling paired with a topical, growth-factor-based exosome solution called Pro-XO, not PRP (platelet-rich plasma) and not an injectable. We are precise about that distinction because the two are often confused online, and we want you to know exactly what you are getting before you book.
Will microneedling and exosome therapy fully regrow my hair?
Not for everyone, and we would rather tell you that honestly than oversell a result we cannot guarantee. Response varies by the cause and pattern of your thinning: early to moderate thinning tends to respond better than advanced or complete baldness. Your provider gives you a realistic picture at your consultation, based on your scalp and history, not a blanket promise.
What is Pro-XO exosome therapy, and how is it different from PRP or minoxidil?
Pro-XO is a topical, growth-factor-based exosome solution we apply in-office after microneedling opens the scalp to better absorption. It is a different category from PRP (platelet-rich plasma), which is injectable and derived from your own blood, and different from over-the-counter minoxidil, which patients apply at home without a clinical protocol behind it. We do not offer PRP for hair at our practice.
Could my hair loss be hormone-related?
Very possibly. Thinning hair is often connected to thyroid function, perimenopause, andropause, or other hormone shifts rather than the scalp in isolation. We see that pattern often, given how many of our Fleming Island patients are in their 40s and 50s. If that sounds like your situation, we can loop in our hormone optimization team alongside your hair restoration plan.
Is there downtime after microneedling and exosome hair treatment?
Very little. The scalp can feel mildly pink or sensitive for a day or two, similar to a mild sunburn feeling, and most patients return to their normal routine the same day. We walk you through exactly what to expect before your first session.
Where can I get hair restoration treatment near Fleming Island?
At our Medical Spa on Island Lane in Fleming Island, FL, serving Orange Park, Middleburg, Green Cove Springs, and greater Jacksonville throughout Clay County. Pura Vida has been voted best medspa in the area six years running, with a 4.9-star rating from more than 1,400 verified Google reviews, so you are getting a locally trusted, clinician-led team for a treatment that deserves real expertise.
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Ready When You Are
Let’s build an honest plan for your hair
Request an appointment and we’ll assess your pattern of thinning, explain honestly what microneedling and topical Pro-XO can do, and build a plan around the result you can realistically expect.
Not ready to book? Send us a question instead.