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 Loss Treatment · Fleming Island, FL
Microneedling & topical exosome, for real hair loss
A non-surgical, non-injectable protocol that pairs microneedling with a topical growth-factor solution (Pro-XO) to support hair growth. No PRP, no regrowth guarantees, just an honest plan for your scalp.
Written by the Well Labs+ editorial team · Last updated July 2026
Treatment Overview
What this treatment does
Our hair restoration protocol combines two steps: microneedling, which creates controlled micro-channels across the scalp to prompt your own healing response, and Pro-XO, a topical growth-factor solution applied immediately after. This is a topical protocol, not an injectable, and it is a different category of treatment than PRP (platelet-rich plasma), which we do not offer.
We will not promise a full regrowth, because hair growth follows its own biological timeline and responds differently for every patient. What we offer is an honest assessment of your pattern of thinning, part of our complete hair restoration program, and a realistic plan built around what your scalp can actually do.
Common Concerns
Where this protocol helps most
Response varies by the cause and pattern of your hair loss. Each concern is assessed honestly before we recommend a plan.
Thinning at the crown & part line
The gradual widening part and thinning crown many patients notice first. Microneedling and topical Pro-XO work with your scalp’s own healing response rather than a single injection or pill.
Early to moderate diffuse thinning
Overall thinning across the scalp, whether tied to genetics, stress, or hormone shifts. We are candid that response varies by cause, and we assess that cause before recommending a plan.
A non-surgical, non-injectable option
For patients who want to try a topical, in-office protocol before considering anything more invasive. No PRP, no injections, and minimal downtime.
This protocol is sometimes paired with laser hair rejuvenation or a hormone evaluation, which your provider walks through honestly at your consultation.
Fleming Island · Northeast Florida
An honest plan for thinning hair, close to home
Fleming Island’s research-first, appearance-conscious patients want a real explanation for thinning hair, not a miracle claim. We look at the whole picture, scalp and hormones together, and are direct about what a topical, non-injectable protocol can and cannot do, for patients 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, voted the area’s best medspa six years running. We serve you from our Medical Spa on Island Lane.
Serving
- Fleming Island
- Orange Park
- Middleburg
- Green Cove Springs
- Jacksonville
- Clay County
The Pura Vida Approach
An honest read on your scalp, before any treatment
Every hair restoration plan at Pura Vida starts with an accurate assessment of why hair is thinning, not a default protocol applied to everyone. We are candid about what microneedling and topical Pro-XO can realistically do, and we never promise a regrowth we cannot guarantee.
That is the difference between chasing a trend and getting care from a team that treats this as one part of a plan, part of our full hair restoration program built around your scalp.
Is This For You?
Am I a Candidate?
A Good Fit If…
- you have early to moderate thinning and want a non-surgical, non-injectable option
- you understand this is a topical growth-factor protocol, not PRP and not an injectable
- 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 specifically looking for PRP, which we do not offer for hair loss
- 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?
Ready to give your hair an honest plan?
Request an appointment and we’ll assess your scalp before recommending microneedling and topical Pro-XO in Fleming Island.
Our Process
What to expect at your visit
First, an honest scalp consultation
We look at your pattern of thinning, ask about family history and hormones, and explain candidly whether this protocol is likely to help or whether a different path, including a medical workup, makes more sense.
Microneedling opens the door
A device creates controlled micro-channels across the treatment area, prompting your scalp’s own healing response and preparing the tissue to absorb the topical solution that follows.
Topical Pro-XO exosome solution applied
Immediately after microneedling, we apply Pro-XO, our topical growth-factor solution. This step is not an injection, and it is not PRP; it is applied to the scalp surface, in-office, by your provider.
A gradual, honestly tracked timeline
Hair growth follows its own biological cycle, so change builds over months, not days. We photograph your progress at follow-up visits and talk through your results honestly, without promising a guaranteed regrowth.
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?
Have questions about microneedling and exosomes before you book?
Call our Fleming Island team and talk through your pattern of thinning with a real clinician first.
Proven Excellence
The most-reviewed medspa in Clay County
This treatment 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 get 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
Is this the same as PRP for hair loss?
This protocol is not PRP. It pairs microneedling with Pro-XO, a topical, growth-factor-based exosome solution applied to the scalp surface right after microneedling, never drawn from your blood or injected, and Pura Vida does not offer PRP for hair loss.
Is the Pro-XO exosome solution injected into my scalp?
No, Pro-XO is applied topically, directly to the scalp, immediately after microneedling opens the skin to better absorption, so it is not an injectable treatment.
Does microneedling with exosomes really regrow hair?
Results vary by the cause and pattern of your thinning, so we won’t promise a full regrowth we can’t guarantee, and we’d rather tell you that honestly than oversell it. Some patients respond better than others, and your provider gives you a realistic picture at your consultation rather than a marketing claim.
How soon might I notice thicker hair after starting this treatment?
Plan on months, not weeks: because hair grows on its own biological cycle, any change from microneedling with exosomes builds gradually across a short series of sessions and the maintenance visits that follow. How quickly you respond depends on the cause and pattern of your thinning, so some patients see a difference sooner than others. Your provider tracks your progress and sets a realistic timeline at your consultation rather than promising a fixed date.
Could my hair thinning be hormone-related?
It is worth ruling out: thyroid function, menopause, andropause, and other hormone shifts can drive thinning that a scalp treatment alone won’t fully address, and this is common among Fleming Island patients moving through perimenopause or andropause. If that sounds like your situation, we can bring in our hormone optimization team alongside this protocol.
Where can I get microneedling and exosome hair restoration near Fleming Island?
Pura Vida offers this hair restoration protocol at both Fleming Island locations, Island Lane and Eagle Harbor, serving Orange Park, Middleburg, Green Cove Springs, and greater Jacksonville throughout Clay County. Pura Vida has been voted the area’s best medspa six years running, with 4.9-star reviews across both locations, so you get an honest scalp assessment rather than a one-size-fits-all sales pitch.
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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.