
Virtual · Physician-Led · For Men & Women
Medical Hair Restoration.
Preserve. Strengthen. Restore.
A personalized, root-cause medical program built around your hormones, genetics, scalp health, and nutrition — designed to protect existing hair, reduce shedding, and support long-term density.
A Different Kind of Hair Program
Hair loss is rarely cosmetic. It's medical.
Thinning, shedding, and changes in hair density usually reflect something happening upstream — in hormones, thyroid function, iron and nutritional status, inflammation, stress, sleep, medications, or scalp health. Treating only the surface misses what actually drives the problem.
Perpetua Medical Hair Restoration is a personalized, root-cause program for both men and women — hormonal hair loss, genetic hair loss, stress-related shedding, post-weight-loss shedding, perimenopause and menopause changes, and age-related thinning. We evaluate the full picture, then build a layered medical plan.
Comprehensive Evaluation
What we evaluate first.
Before recommending any therapy, we work through the medical drivers that most often shape your hair. Laboratory testing is ordered through and performed by qualified third-party labs and reviewed with you in detail.
01
Genetics & Family History
Patterns of androgenetic and familial hair loss reviewed in depth, including age of onset and trajectory.
02
Hormone Balance
Androgens, estrogens, progesterone, DHEA, and prolactin — frequently upstream of shedding and thinning in both sexes.
03
Thyroid Function
TSH, free T3/T4, and antibodies — subtle thyroid dysfunction is a common, often-missed driver.
04
Iron & Ferritin
Low ferritin is one of the most common reversible causes of diffuse shedding, especially in women.
05
Vitamin & Nutritional Status
Vitamin D, B12, folate, zinc, biotin, and protein status reviewed and corrected when deficient.
06
Inflammation & Metabolism
Insulin resistance, hs-CRP, and metabolic markers — systemic inflammation accelerates follicular miniaturization.
07
Stress, Sleep & Lifestyle
Cortisol, sleep architecture, training load, and life stress all influence the hair-growth cycle.
08
Medication Review
Many medications — including some for blood pressure, mood, acne, and contraception — contribute to hair loss.
09
Scalp Health
Seborrheic dermatitis, folliculitis, and chronic inflammation evaluated and treated as part of the plan.
DNA & Pharmacogenomic Testing
Personalized to your biology — not a one-size-fits-all protocol.
DNA and pharmacogenomic-style testing may help identify which therapies are more likely to be effective — and which are less likely to be tolerated — based on your individual genetics. We use this information, when appropriate, to refine choices around 5-alpha reductase inhibitors, minoxidil response, hormone sensitivity, and nutrient metabolism.
The goal is simple: fewer guesses, more precision, and a plan that fits the person in front of us.
Treatment Options We Discuss
A layered, evidence-based toolkit.
Every plan is built around what fits your goals, biology, and tolerance. Procedures such as PRP, microneedling, red-light laser therapy, and surgical restoration are coordinated with qualified third-party providers.
01
Topical Minoxidil
First-line FDA-approved therapy for men and women — improves follicle perfusion and prolongs the growth phase.
02
Oral Minoxidil
Low-dose oral minoxidil, when appropriate, offers convenience and strong evidence for diffuse thinning.
03
Finasteride & Dutasteride
5-alpha reductase inhibitors — central to androgenetic alopecia in men and select women, prescribed with informed consent.
04
Topical DHT Blockers
Topical finasteride and other anti-androgen formulations for patients seeking minimized systemic exposure.
05
Anti-Inflammatory Scalp Therapy
Ketoconazole shampoo and targeted anti-inflammatory regimens to calm scalp inflammation that miniaturizes follicles.
06
PRP & Regenerative Injections
Platelet-rich plasma and regenerative procedures coordinated with qualified third-party providers.
07
Microneedling
Evidence-based adjunct to topical therapy — referred to qualified clinicians as part of a layered plan.
08
Red-Light Laser Therapy
Low-level light therapy devices recommended where data and lifestyle make them a reasonable add-on.
09
Peptides & Growth Factors
Emerging peptide and growth-factor protocols discussed where evidence and individual goals align.
10
Nutritional Optimization
Targeted correction of deficiencies plus protein, micronutrient, and lifestyle changes that meaningfully support hair quality.
11
Hormone Optimization
Where clinically appropriate — thyroid, estrogen, progesterone, testosterone — to restore the hormonal environment hair depends on.
12
Stress & Sleep Optimization
Cortisol regulation, sleep architecture, and nervous-system recovery — quiet but powerful inputs to the hair cycle.
13
Women's Hair Loss Evaluation
Perimenopause, menopause, thyroid, iron, PCOS, and hormonal contributors addressed specifically and respectfully.
14
Men's Hair Loss Evaluation
Androgen sensitivity, DHT-related thinning, and lifestyle drivers evaluated with a long-term preservation plan.
15
Hair Transplant Referral
When restoration requires surgical density, we refer to vetted, qualified hair-transplant specialists.
Concierge Medical Hair Restoration
Not a quick cosmetic fix. A long-term medical partnership.
This is a personalized, root-cause hair restoration program designed to preserve existing hair, improve scalp health, reduce shedding, and support long-term hair density — through ongoing physician oversight, careful prescribing, and continuous refinement of your plan.
Next Step
Ready to take hair restoration seriously?
Apply for membership and meet with our physician team to build your personalized, medical hair restoration plan.
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