Most hair restoration practices offer one or two modalities, a PRP provider, a topical prescription, a device clinic. Arbour Longevity integrates the complete spectrum of clinically validated hair restoration tools into a single, coordinated protocol.
Plexr Plus plasma technology combined with exosomes represents the most advanced non-surgical hair restoration approach currently available. CAT Resurfacing creates controlled scalp micro-injury that maximizes the follicular healing response. Shower treatment opens nano-channels for deep exosome delivery without downtime. Both are combined with 1,000+ growth factor exosome therapy for outcomes that individual modalities alone cannot replicate.
Arbour Longevity also addresses the root cause: the hormonal imbalances, nutrient deficiencies, thyroid dysfunction, and inflammatory burden that drive hair loss for years before it becomes visible. No regenerative treatment produces its full potential on top of an unaddressed root cause.
How Microneedling Works
Precision micro-channels · controlled injury response · fibroblast activation · collagen + elastin synthesis · skin remodeling continues 3–6 months
No Downtime Protocol
Plexr Plus Shower + Exosome: non-ablative nano-plasma + exosome delivery · highly effective · return same day
Regenerative Protocols
PRP hair injections · Standalone exosome therapy · Scalp microneedling add-on
Rx + Root Cause
Minoxidil · Finasteride/Dutasteride · Spironolactone · Nutritional deficiency labs · Hormone + thyroid assessment
Plasma · Exosome · Semi-Ablative
Maximum follicular stimulation. The most effective non-surgical hair restoration protocol available.
Plexr Plus CAT Resurfacing uses controlled plasma energy to create precise micro-injuries on the scalp that resemble fine cat-scratch marks, triggering an intense follicular healing and regenerative response. Combined immediately with 1,000+ growth factor exosome delivery into the prepared scalp, the result is a dual regenerative signal of unmatched intensity. Semi-ablative protocol with 3–5 day recovery. Results develop over 2–6 months with continued improvement.
Mechanism: Plasma energy creates controlled scalp micro-injury · triggers follicular healing response · exosomes delivered into maximally receptive tissue · 1,000+ growth factors activate dormant follicles and support new hair cycle initiation
Starting From
Plasma · Exosome · Non-Ablative
No downtime. Highly effective plasma and exosome delivery for active patients.
The Plexr Shower uses a triangle tip to deliver nano-plasma across the scalp, creating micro-channels in the scalp surface without ablation, without crusting, and without downtime. Exosomes are delivered immediately into these channels, penetrating deeper than surface application allows. Highly effective for patients who cannot accommodate recovery and those maintaining results between CAT Resurfacing sessions. Results develop over 6–8 weeks.
Mechanism: Nano-plasma bolts open scalp micro-channels · no ablation, no downtime · exosomes delivered into channels for superior penetration · growth factors activate follicular regeneration pathway
Starting From
PRP · Your Own Growth Factors
Your own platelet-rich plasma. Well-studied. established clinical outcomes.
Platelet-rich plasma hair restoration draws on decades of clinical literature, concentrated growth factors from your own blood, injected directly into the scalp to stimulate follicular activity, improve blood supply, and promote hair cycle transition from dormant to active. Autologous, well-tolerated, and an established first-line regenerative hair restoration protocol. Available standalone or as part of a combination program.
Mechanism: Blood draw · centrifugation · platelet-rich layer extracted · injected into scalp at follicular level · growth factors (PDGF, TGF-β, VEGF, EGF) stimulate follicular activity and angiogenesis
Starting From
Exosome · Stem Cell-Derived
More growth factors than PRP. No blood draw. Consistent and powerful.
Exosome therapy delivers over 1,000 growth factors, cytokines, and signaling proteins derived from stem cells, significantly more than platelet-rich plasma. No blood draw required, consistent concentration between patients, and a regenerative signal that activates dormant follicles, reduces scalp inflammation, and supports hair density and thickness improvement. Available via injection or combined with scalp microneedling for enhanced penetration.
Mechanism: Stem cell-derived exosomes contain 1,000+ growth factors and genetic material · injected into scalp or delivered via microneedling · signal dormant follicles to restart growth cycle · reduce inflammation and support follicular environment
Starting From
Scalp Stimulation · Enhancement
Mechanical follicular stimulation and enhanced delivery of regenerative compounds.
Scalp microneedling creates micro-channels that stimulate follicular activity through controlled mechanical injury, simultaneously improving the penetration of PRP, exosomes, or topical medications. Available as a standalone treatment or as an add-on to any regenerative protocol. Most effective when combined with exosome delivery for synergistic penetration enhancement.
Starting From
Functional Medicine · Assessment
What’s driving your hair loss: identified, not assumed.
No regenerative treatment produces its full potential on top of an unaddressed root cause. Our comprehensive hair loss assessment evaluates thyroid function, hormone levels, iron and ferritin, vitamin D, zinc, DHEA, cortisol, inflammatory markers, and nutritional deficiencies, identifying the specific biological drivers of your hair loss so that every treatment decision is guided by data, not guesswork.
Starting From
How Arbour Longevity Hair Restoration Works
Explore Hair Restoration Programs
Frequently Asked Questions
Arbour Longevity offers the most advanced non-surgical hair restoration menu in Southeast Michigan: Plexr Plus CAT Resurfacing with Exosomes (most advanced, highest results), Plexr Plus Shower with Exosomes (no downtime), PRP hair injections, standalone exosome therapy, scalp microneedling, clinician-prescribed Rx medications (Minoxidil, Finasteride/Dutasteride, Spironolactone), and comprehensive root cause hair loss assessment. All treatments can be combined into a personalized protocol.
Plexr Plus uses plasma energy, ionized atmospheric gas, applied to the scalp to create controlled micro-injury that triggers the follicular healing and regenerative response. Arbour Longevity offers two Plexr Plus hair protocols: CAT Resurfacing creates semi-ablative micro-injury for maximum follicular stimulation (3–5 day recovery), and Plexr Shower delivers non-ablative nano-plasma that opens micro-channels for exosome delivery with no downtime. Both protocols are immediately combined with exosome therapy for the most powerful regenerative outcome.
PRP uses your own blood, concentrated platelets delivering growth factors directly to hair follicles. It is autologous, well-studied, and effective. Exosome therapy delivers over 1,000 growth factors from stem cells, significantly more than PRP, with no blood draw required and consistent concentration between patients. Both are effective. Exosomes represent the more advanced option, particularly when combined with Plexr Plus for optimal scalp preparation and delivery.
Yes. We prescribe topical Minoxidil for men and women, Finasteride and Dutasteride for men (DHT reduction), and Spironolactone for women (anti-androgen for hormonal hair loss). All Rx medications are prescribed following comprehensive evaluation and are integrated with regenerative treatments for a complete program.
Protocol varies by treatment and condition severity. Plexr Plus CAT Resurfacing: typically 1–3 sessions for initial results, annual maintenance. PRP and exosome therapy: typically 3–4 initial sessions spaced 4–6 weeks apart, then quarterly maintenance. Most patients notice reduced shedding within 4–6 weeks and visible new growth at 3–6 months. Rx medications are ongoing. Individual response varies based on hair loss type, severity, and biology.
"The CAT Resurfacing with exosomes was a turning point. Three months after my second session I could see dense regrowth in areas that had been thinning for years. The downtime was worth every day."
"What I appreciated most was the labs-first approach. My ferritin was critically low and my thyroid was off, things no one had connected to my hair loss. Correcting those alongside the exosome treatment changed everything."
"I specifically wanted the Shower protocol because I couldn't take time off. The combination of the nano-plasma and exosomes, without any downtime, still produced the density improvement I'd been told required surgery. Remarkable."
Hair Restoration · Ann Arbor, Dexter
Schedule a hair restoration consultation at Arbour Longevity. We assess your hair loss pattern, identify the root causes through labs, and design the most effective protocol for your specific biology, from advanced Plexr Plus plasma treatment to Rx support and nutritional correction.
Clinician-led longevity practice · Ann Arbor, Dexter, Michigan · Telehealth follow-up available (Michigan residents)
Both Plexr Plus hair restoration protocols are performed with exosome combination at Arbour Longevity, because plasma preparation without the regenerative signal is an incomplete protocol. The choice is between the intensity of scalp preparation and your downtime tolerance.
Most Effective · Highest Result · Semi-Ablative
The maximum follicular stimulation protocol. For patients who want the best possible outcome.
Plexr Plus CAT Resurfacing applies controlled plasma energy in a pattern resembling fine cat-scratch marks across the treatment area of the scalp. This semi-ablative process creates the most intense controlled micro-injury, maximizing the follicular healing response, stimulating collagen and elastin production in the scalp dermis, and creating the most receptive possible environment for exosome delivery. Exosomes with 1,000+ growth factors are then applied immediately, delivering regenerative signals directly into maximally prepared tissue. Results develop progressively over 2–6 months. Most patients see significant improvement after 1–2 sessions.
Starting From
Highly Effective · No Downtime · Non-Ablative
No downtime. Highly effective plasma and exosome delivery for active patients
The Plexr Shower delivers nano-plasma across the scalp using a triangle tip that distributes energy into multiple nano-bolts rather than concentrating ablative energy. This creates micro-channels in the scalp surface without removing tissue, no crusting, no ablation, no significant downtime. The channels created are an ideal delivery mechanism for exosomes, which penetrate significantly deeper than surface application. Results develop over 6–8 weeks as the follicular regeneration pathway responds. Ideal for patients who cannot accommodate recovery, for maintenance between CAT Resurfacing sessions, and for early-stage hair loss where maximum ablation is not required.
Starting From
Plasma is the fourth state of matter, created when gases are ionized by a difference in voltage. Plexr Plus creates a precise electrical arc between its 0.5mm probe and the skin, generating controlled plasma energy that acts on the scalp tissue with precision that no other handheld device achieves.
On the scalp, this plasma energy creates a carefully controlled injury response, stimulating fibroblasts, triggering collagen and elastin production in the scalp dermis, and activating the follicular healing pathway that promotes hair cycle transition from dormant to active phases. Unlike laser or radiofrequency devices, Plexr Plus does not rely on thermal damage, it works through controlled plasma sublimation, producing a more precise and less aggressive response.
Plasma Technology
Ionized atmospheric gas · 0.5mm precision probe · Controlled sublimation without laser thermal damage
Hair Restoration Mechanism
Follicular healing response · Collagen & elastin stimulation in scalp dermis · Optimal exosome delivery preparation
Why Combined with Exosomes
Plasma prepares the scalp tissue optimally · Exosomes deliver 1,000+ growth factors into maximally receptive follicular environment
Plexr Plus · Ann Arbor, Dexter
Schedule a hair restoration consultation at Arbour Longevity. We assess your hair loss pattern, identify the root causes through labs, and design the most effective protocol for your specific biology, from advanced Plexr Plus plasma treatment to Rx support and nutritional correction.
PRP · Your Own Platelets
Decades of clinical evidence. Your own biology. Reliable, effective, proven.
PRP hair restoration draws blood, concentrates the platelet-rich plasma through centrifugation, and injects the growth factor-dense plasma directly into the scalp at follicular level. PDGF, TGF-β, VEGF, EGF and other growth factors stimulate follicular activity, improve scalp vascularization, and promote the transition of resting follicles into active growth. An excellent entry-level regenerative protocol and a reliable component of any combination program. Most patients complete 3–4 sessions initially, with quarterly maintenance thereafter.
Process: Blood draw (30–60ml) · centrifuge · PRP layer extracted · scalp injected at follicular depth · growth factors activate dormant follicles and support scalp vascularity
Starting From
Plasma · Exosome · Non-Ablative
More growth factors than PRP. No blood draw. Consistent and advanced.
Exosome therapy delivers extracellular vesicles containing 1,000+ growth factors, cytokines, and genetic signaling material derived from mesenchymal stem cells, significantly more concentrated than PRP. No blood draw is required. Concentration is consistent between patients, unlike PRP, which varies with each individual's platelet count. Exosomes signal dormant follicles to restart the growth cycle, reduce scalp inflammation that impairs follicular function, and support the dermal matrix quality that determines hair density and thickness. Available by injection or delivered via scalp microneedling for enhanced penetration.
Application: Scalp injection directly into follicular layer OR via microneedling channels · 1,000+ growth factors signal dormant follicles · reduce inflammation · support follicular environment and hair cycle
Starting From
Scalp Microneedling · Mechanical Stimulation
Amplify the penetration of every regenerative compound you deliver.
Scalp microneedling creates precisely controlled micro-channels across the treatment area, serving two functions simultaneously. First, it stimulates the follicular environment through mechanical injury, triggering a healing response that promotes follicular activity independently. Second, and critically, it creates direct delivery channels for exosomes, PRP, or topical medications to penetrate to the follicular level rather than remaining on the scalp surface. As a standalone treatment, microneedling produces meaningful results. As an add-on to exosome or PRP protocols, it significantly amplifies the outcome by ensuring the active compounds reach the tissue level where they actually work.
As Standalone
Mechanical follicular stimulation · Collagen synthesis in scalp dermis · Improved scalp blood flow
As Add-On to Exosome
Micro-channels created · exosomes delivered at follicular depth · maximum penetration and absorption
Recommended With
Exosome therapy (most effective combination) · PRP · Topical Minoxidil for enhanced scalp absorption
Starting From
PRP & Exosome · Ann Arbor, Dexter
Schedule your regenerative hair restoration consultation at Arbour Longevity. Our clinician will recommend the right combination of PRP, exosome, and microneedling for your specific hair loss pattern and goals.
Topical vasodilator · FDA-approved for hair loss
Topical Minoxidil is the most widely studied FDA-approved medication for both male and female pattern hair loss. It works by widening blood vessels to improve blood flow and nutrient delivery to hair follicles, prolonging the anagen (growth) phase and promoting follicular miniaturization reversal. Most effective when combined with regenerative treatments that address the follicular environment directly. Arbour Longevity prescribes clinician-appropriate formulations and concentrations based on your individual assessment.
Appropriate for: Men and women with androgenetic alopecia · Post-partum hair loss · Diffuse thinning
5-alpha reductase inhibitors · DHT reduction
Finasteride and Dutasteride inhibit the conversion of testosterone to dihydrotestosterone (DHT), the androgen primarily responsible for follicular miniaturization in androgenetic alopecia. Finasteride inhibits the Type II 5-alpha reductase isoenzyme; Dutasteride inhibits both Type I and Type II, producing a more complete DHT reduction. Both are clinician-prescribed at Arbour Longevity following evaluation, including hormone baseline assessment. Significant potential side effects are discussed at consultation, patient education and informed consent are foundational to appropriate prescribing.
Appropriate for: Men with androgenetic alopecia · Male pattern baldness · Hamilton-Norwood classification I–VI
Aldosterone antagonist · Anti-androgen for women
Spironolactone is prescribed off-label for women with androgenetic alopecia and hormonal hair loss, acting as an anti-androgen to reduce the effect of androgens on hair follicles without the systemic testosterone reduction that makes 5-ARI medications inappropriate for women. Particularly effective for women with PCOS, elevated androgens, or postmenopausal hormonal hair loss. Potassium and blood pressure monitoring required. Spironolactone is prescribed and monitored as part of a comprehensive hormonal and hair restoration protocol.
Appropriate for: Women with androgenetic alopecia · PCOS-related hair loss · Hormonal/post-menopausal hair loss · Elevated androgen levels
Hair loss is rarely a single-cause condition. Androgenetic alopecia, the genetic component, may be the diagnosis, but what is accelerating it is frequently nutritional depletion, thyroid dysfunction, cortisol burden, or hormone imbalance that a scalp examination and a genetic history will never reveal.
Ferritin is the most commonly missed driver of female hair loss. Levels that fall within the conventional "normal" range produce significant hair shedding when below the functional optimal threshold. The same is true for thyroid function, subclinical hypothyroidism, missed by TSH alone, drives both shedding and follicular miniaturization without a diagnosable disease state.
Arbour Longevity's hair loss assessment identifies every identifiable contributing factor and addresses it directly, because a regenerative treatment program that doesn't correct a ferritin deficiency or a thyroid imbalance is working at a fraction of its potential.
Iron & Ferritin
Most commonly missed female hair loss driver · Functional range differs significantly from conventional normal
Thyroid: Full Panel
TSH · Free T3 · Free T4 · Reverse T3 · TPO antibodies · Subclinical hypothyroidism consistently drives hair loss
Hormones
Testosterone · DHT · DHEA · Estrogen · Cortisol · SHBG: the complete hormonal picture behind follicular miniaturization.
Nutritional Deficiencies
Vitamin D · Zinc · Biotin · B12 · Folate, all directly affect hair follicle cycle and structural integrity.
Rx & Root Cause · Ann Arbor, Dexter
Every Arbour Longevity hair restoration patient begins with a comprehensive assessment. Rx medications and nutritional corrections are integrated with regenerative treatments for outcomes that address every biological factor driving your hair loss.
Most Common · Male
Male pattern baldness is driven by genetic sensitivity to DHT, the androgen that causes follicular miniaturization over time. Arbour Longevity's protocol combines Finasteride or Dutasteride to reduce DHT at the hormonal level with Plexr Plus and/or exosome/PRP regenerative treatment to stimulate the affected follicles and slow or halt miniaturization. The combination of DHT reduction and follicular stimulation produces significantly better outcomes than either approach alone.
Key protocols: Finasteride/Dutasteride (Rx) + Plexr Plus CAT + Exosome · PRP + Minoxidil (Rx)
Most Common · Female
Female pattern hair loss presents differently from male, typically as diffuse thinning at the crown and widening part rather than receding hairline. Androgen sensitivity, hormonal fluctuations, and frequently underlying thyroid or nutritional deficiencies all contribute. Arbour Longevity's female androgenetic protocol includes root cause assessment, Spironolactone when indicated, Minoxidil, and regenerative treatments including Plexr Plus Shower for patients who cannot accommodate downtime.
Key protocols: Root cause labs first · Spironolactone if indicated (Rx) · Minoxidil (Rx) · Plexr Plus Shower + Exosome · PRP
Stress · Postpartum · Illness
Telogen effluvium is a diffuse shedding triggered by a significant physiological stressor, postpartum, illness, surgery, dramatic weight loss, or severe emotional stress, that pushes a large proportion of follicles simultaneously into the resting (telogen) phase. It is largely self-limiting but can persist for months if the underlying trigger is not identified and resolved. Nutritional and hormonal support accelerates recovery significantly.
Key protocols: Root cause labs · Nutritional repletion (iron, ferritin, vitamin D, zinc) · PRP to accelerate recovery · Exosome for shedding reduction
Autoimmune · Patchy
Alopecia areata is an autoimmune condition in which the immune system attacks hair follicles, producing characteristic patchy hair loss that can affect the scalp, beard, or body hair. Arbour Longevity's functional approach addresses the inflammatory and immune dysregulation that drives alopecia areata alongside targeted regenerative treatment to the affected areas. Functional medicine assessment identifies gut, hormonal, and inflammatory contributors to autoimmune activity.
Key protocols: Functional medicine evaluation · Anti-inflammatory protocol · PRP to affected areas · Exosome therapy · Functional medicine integration
Generalized · Gradual
Diffuse hair thinning without a clear pattern is frequently the presentation of nutritional deficiency, thyroid dysfunction, hormonal imbalance, or chronic low-grade inflammation, conditions that standard evaluation often misses because they fall within the wide conventional "normal" ranges. Arbour Longevity's functional assessment evaluates each contributing factor against optimal ranges, producing a targeted protocol for the underlying biology rather than generic symptomatic treatment.
Key protocols: Comprehensive functional labs · Nutritional and hormonal correction · Plexr Plus Shower + Exosome · PRP + Minoxidil
Medication-Induced
Numerous medications cause hair loss as a documented side effect, including chemotherapy, certain antidepressants, blood thinners, retinoids, and others. Post-medication hair loss can range from temporary telogen effluvium to more persistent follicular damage depending on the compound and duration of exposure. Arbour Longevity's protocol focuses on supporting follicular recovery through regenerative treatment, nutritional repletion, and addressing any hormone or metabolic disruption caused by the medication.
Key protocols: Root cause and medication review · Nutritional repletion · PRP + Exosome for follicular recovery · Minoxidil if appropriate
Thyroid · PCOS · Menopause
Hormonal hair loss encompasses thyroid-driven shedding, PCOS-associated androgen excess causing follicular miniaturization, postpartum estrogen withdrawal, and menopausal hormonal decline, all of which require a different biological approach from genetic androgenetic alopecia. Arbour Longevity's PMHNP-BC and FM-BC certifications give our clinician exceptional depth in the hormonal drivers of hair loss, and our hormone optimization program provides the therapeutic tools to address them comprehensively.
Key protocols: DUTCH test · Full thyroid panel · PCOS evaluation · Spironolactone if indicated · Hormone optimization integration · Plexr Plus or PRP/Exosome regenerative series
Candidacy for Hair Restoration at Arbour Longevity
Rx & Root Cause · Ann Arbor, Dexter
Every Arbour Longevity hair restoration patient begins with a comprehensive assessment. Rx medications and nutritional corrections are integrated with regenerative treatments for outcomes that address every biological factor driving your hair loss.
Regenerative medicine and aesthetic arts: where science meets the artistry of transformation.
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