Hair Restoration & Xtressé™ Integrative Carein San Antonio, TX

Reclaiming fuller, healthier hair begins with a holistic restoration strategy. At Micallef Plastic Surgery, we combine advanced surgical and non-surgical hair restoration techniques with next-gen nutraceutical support from Xtressé™ to optimize scalp and follicle health from the inside out.

Expertise Rooted in Precision and Wellness

Micallef Plastic Surgery combines surgical expertise with wellness-centered care. When we treat hair loss, we address not only visible follicles but also underlying scalp health, metabolic stress, and hormonal factors, so you receive personalized, evidence-driven solutions.

What Is Hair Restoration?

Hair restoration includes a range of treatments and therapies designed to slow hair thinning and stimulate new growth by improving follicle health and density. Many forms of hair loss, particularly androgenetic alopecia, occur when hair follicles gradually shrink due to the effects of dihydrotestosterone (DHT) and age-related cellular stress.

Over time, follicle stem cells lose their regenerative capacity as oxidative stress, inflammation, and cellular aging increase, making targeted hair restoration treatments essential for reactivating growth and supporting long-term scalp vitality. With such an integrative approach—surgical, non-surgical, and nutritional—hair restoration aims to deliver thicker, stronger, healthier hair over time.

Restoration approaches target these mechanisms by:

Stimulating dormant follicles
Improving scalp circulation and health
Reducing DHT impact
Supporting cellular regeneration at the follicle level

For example, the nutraceutical system Xtressé™ uses a proprietary “X3-BioActive Blend™” containing compounds such as:

NAD⁺ (which supports mitochondrial and cellular metabolism)
Pumpkin seed extract (antioxidant/anti‐inflammatory)
Taurine (mitochondrial and follicle health)
Saw palmetto (a plant-based DHT modulator) (Xtressé)

Benefits of Hair Restoration (including Xtressé™ support)

Improved hair density and coverage, reducing visible thinning or bald patches
Reduced inflammation, improved circulation, and a healthier follicle environment
Enhanced hair strength and quality for less breakage and more robust growth
Scalp health optimization
Addressing root causes (cellular aging, oxidative stress, hormonal imbalance) rather than just symptoms

Are You a Good Candidate for Hair Restoration?

You may be a good candidate if you:

Are experiencing visible hair thinning or hair loss (male or female pattern, telogen effluvium, post-partum shedding, etc.)
Have relatively good health and realistic expectations about outcomes, including timelines and maintenance
Have not achieved satisfactory density with over-the-counter treatments alone
Are willing to commit to a comprehensive plan (maybe including supplements like
Xtressé™, non-surgical therapies, and possible surgical intervention)
Understand that hair restoration often requires ongoing care and maintenance rather than a one-time quick fix

Why Choose Micallef Plastic Surgery?

At Micallef Plastic Surgery, our hair restoration program is led by Dr. Christopher J. Micallef, a double-board-certified specialist in plastic and reconstructive surgery. With over 15 years of experience as a military Special Operations physician, he brings precision and commitment to each patient, ensuring outstanding aesthetic outcomes.

We provide a concierge-level experience, offering personalized care through a multidisciplinary team of experts. Our holistic approach addresses various factors contributing to hair loss, including nutrition, hormones, stress, and inflammation.

Patients benefit from a combination of non-surgical and surgical solutions, utilizing a blend of proven techniques and innovative methods to achieve natural-looking results. We also use evidence-based adjunct therapies, such as Xtressé™ nutraceuticals, to enhance follicular health and promote stronger hair growth.

What to Expect Before, During, and After

Your Consultation

At your consultation, we evaluate your hair loss pattern, medical history, scalp and follicle status, and lifestyle/nutritional factors
We’ll discuss non-surgical vs surgical options, and whether adjunctive support with Xtressé™ is appropriate
Costs vary based on the treatment package (supplement plan, non-surgical sessions, surgery if needed)

The Procedure

Non-surgical: May involve scalp therapies (laser, PRP, microneedling), nutraceutical support (such as Xtressé™ two gummies daily), and maintenance sessions.
Surgical: Depending on your need, options such as follicular unit transplantation (FUT/FUE) or scalp‐reduction approaches may be discussed. Post-operative care includes our holistic wellness recovery protocols (e.g., lymphatic support, metabolic optimization).
Nutritional support: Supplemental plan with Xtressé™, taken daily alongside your hair restoration regimen to support follicle-level health and combat cellular aging/inflammation.

Recovery & Results

For non-surgical approaches and supplements, many patients may begin to notice reduced shedding in 2-3 months, with thicker growth emerging by 4-6 months
For surgical restoration, follicle grafts typically shed first, then regrow over 6-12 months, with full results often at 12–18 months
Hair restoration is often a long-term commitment—maintenance sessions and continued nutritional support (like Xtressé™) help preserve results

Schedule a Consultation

Book Now

Hair Restoration FAQs

Can hair restoration be effective for both men and women?

Does Xtressé™ replace the need for medical or surgical treatments?

Are the results of hair restoration permanent?

What are the possible risks or side effects of hair restoration?

Will I need ongoing treatments after my initial restoration?

Can hair restoration be effective for both men and women?

Yes. While hormonal patterns differ, both men and women experience follicle miniaturization and inflammatory scalp changes that can respond well to combined therapy. Women often benefit from nutritional and metabolic optimization (including Xtressé™) in addition to non-surgical treatments such as PRP or microneedling.

Does Xtressé™ replace the need for medical or surgical treatments?

No, Xtressé™ is an adjunct, not a replacement. It works best when integrated into a broader treatment plan. Its cellular and metabolic benefits complement the structural results achieved by clinical and surgical procedures, helping maintain healthier, longer-lasting outcomes.

Are the results of hair restoration permanent?

Restored follicles that successfully integrate into the scalp can produce hair indefinitely, but ongoing maintenance is vital. Because natural aging and hormonal shifts continue, combining good scalp care, wellness therapies, and Xtressé™ supplementation can help sustain results over time.

What are the possible risks or side effects of hair restoration?

As with any procedure, there are potential risks associated with it. Surgical restoration may involve temporary swelling, minor bleeding, scabbing, or infection—rare under sterile technique. Non-surgical methods, such as PRP or microneedling, can cause brief redness or tenderness. Xtressé™ nutraceuticals are generally well-tolerated but should be discussed with your physician if you have medical conditions or take other supplements.

Will I need ongoing treatments after my initial restoration?

Most patients benefit from periodic maintenance, such as annual PRP sessions, topical support, or continued use of Xtressé. These help stabilize the scalp environment and prolong the vibrancy of transplanted or revitalized follicles.

Ready To Restore Your Hair And Renew Your Confidence?

Schedule a consultation with Micallef Plastic Surgery today to create your personalized plan and discuss if the Xtressé™ system aligns with your goals.