No single treatment stimulates every hair follicle, and the research consistently favors combining therapies over relying on one. Alma TED is the treatment we build most plans around. It delivers a standardized blend of hair-growth actives directly to the follicle using ultrasound waves and air pressure, with no needles, no pain, and no downtime.
Reviewed by Dr. David Oliak, board-certified surgeon
Updated August 2026
Hair follicles can be stimulated in many ways, and the combination that works differs from one person to the next. There is no single input that reliably regrows hair for everybody.
This is why the evidence favors combining treatments. Studies consistently find that multimodal approaches, several complementary therapies used together, outperform any single therapy for hair growth.
Our approach follows that evidence. We build a personalized plan from several treatments matched to the cause and the pattern, rather than relying on one product.
An active works only if it reaches the follicle at a meaningful concentration. The scalp is a barrier, so actives applied to the surface arrive at the follicle in very low amounts, if at all.
The treatments that work deliver locally, through the scalp, directly to the follicle, to achieve a high concentration of actives right where they are needed. Three methods do this: injection (as with PRP), microneedling, and Alma TED, which uses ultrasound waves and air pressure.
We offer Alma TED. Among the local-delivery methods, it is the one that reaches the follicle without needles, pain, or downtime.
Alma TED uses ultrasound waves and air pressure to move its serum through the surface of the scalp to the follicle. The ultrasound opens temporary microscopic pathways in the skin, and the air pressure carries the actives through them.
There are no needles, no blood draw, and no numbing, and there is no recovery period. Most patients find it comfortable and return to their day immediately.
This is what makes Alma TED distinctive. It delivers actives locally, at high concentration at the follicle, the property that makes a treatment effective, without the discomfort that local delivery has usually required.
"Actives" is a broad category. Many different substances can stimulate a follicle: nutrients, growth factors, peptides, and other compounds under study. No single one works for everyone. This is part of why combined, personalized plans do better than any single input.
Alma TED delivers a standardized blend of more than thirty of these actives, growth factors, peptides, and nutrients, selected to support the follicle and encourage it toward active growth.
Because the formula is standardized, every treatment delivers the same actives at the same concentration. A course of treatment is therefore consistent and repeatable from one session to the next.
No single treatment regrows hair for everyone, and the research is consistent that combined therapy outperforms any one treatment alone. That is why we do not prescribe a single product; we build a personalized plan.
Alma TED is the treatment we most often build that plan around, because it delivers a broad set of actives directly to the follicle without needles, pain, or downtime. That also means patients complete the full course. The delivery treatment is the centerpiece; the supporting therapies complete it.
— Dr. David Oliak, board-certified physician and surgeon
A typical plan begins with a package of three to four treatments spaced about a month apart. Each visit is short, with no recovery period afterward.
Results are then maintained with treatments approximately every 6 to 12 months, depending on the patient's hair and goals.
Hair grows slowly, so the timeline matters. Reduced shedding is often noticeable within the first few sessions; fuller, more visible results generally appear around months four to six. Treatment is most effective when started before thinning is advanced.
Alma TED is the centerpiece of a plan, not the whole of it. The strongest results come from layering complementary treatments around it, consistent with the evidence that combined therapy outperforms any single treatment.
Depending on the cause, the plan can include prescription therapy to reduce DHT's effect where a genetic pattern is present.
The plan can also include medical-grade scalp care and correction of anything found on labs — low ferritin, a thyroid change, metabolic strain. Alma TED works better on a scalp that is not contending with an untreated cause.
One at-home component we offer is **a red and near-infrared light (photobiomodulation) device**. A few short sessions a week support scalp and follicle health between visits.
The plan is personalized. Which treatments and in what combination depends on the pattern, the cause, and the goals.
All three premier treatments share the same purpose: delivering actives to the follicle. They differ in how, and in the experience.
PRP delivers actives concentrated from a sample of your own blood, injected into the scalp. It is an established treatment that works by the same principle. Because it is prepared from your blood rather than a standardized formula, its contents vary from person to person and session to session — and inconsistent results are the common criticism of it.
Microneedling with actives creates channels into the dermis with fine needles, giving direct access to the follicle and allowing a combination of actives to be delivered — the active can even be PRP. Its advantage is that more direct access; its downside is discomfort. We are evaluating it and expect to add it as a second premier delivery treatment alongside Alma TED; it is not yet available.
Alma TED reaches the same goal — many actives delivered locally to the follicle, at high concentration — without needles, pain, or downtime. That is why it is the delivery treatment we offer and build most plans around.
Alma TED improves density for an appropriate candidate, and starting earlier provides more to work with. It does not restore follicles that have been absent for years; no treatment does.
Its value is in delivering a broad set of actives to still-active follicles, comfortably enough that patients complete a full course, and in doing so as part of a plan directed at the underlying cause. Treating the whole picture is what makes the results durable.
— Dr. David Oliak, board-certified physician and surgeon
Alma TED suits men and women with early-to-moderate thinning, across causes: an earlier-stage genetic pattern, hormonal or stress-related thinning, or the shedding that can follow rapid weight loss or a GLP-1 medication.
It is most effective while follicles remain active, which is the reason to begin before thinning is advanced. Very advanced loss, where follicles have been dormant for years, responds less. The consultation confirms whether Alma TED fits a given pattern, and where it belongs in the plan.
Let's begin
The hair consultation is complimentary. It is where we confirm whether Alma TED suits your pattern and design the personalized, multimodal plan around it. Hair restoration is a personalized package, with financing available, set at the visit. To speak with us first, call 714-671-2005.
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Hair Restoration at MD Total Wellness
No needles, no blood draw, and no pain. Alma TED uses ultrasound waves and air pressure to deliver the serum through the surface of the scalp, so there is nothing to numb and nothing to recover from. Most patients describe it as comfortable and return to their day immediately.
Because no single treatment stimulates every follicle, and the combination that works differs from person to person. Studies consistently show that multimodal approaches outperform any single therapy for hair growth. We build a personalized plan around a delivery treatment — usually Alma TED — and layer in the supporting therapies that fit the cause.
A typical starting course is three to four treatments about a month apart, followed by maintenance approximately every 6 to 12 months. Reduced shedding is often noticeable within the first few sessions, with fuller results generally by months four to six, since hair grows slowly.
Both deliver active growth factors to the follicle. Alma TED delivers a standardized serum the same way every time, with no needles, blood draw, or downtime. PRP delivers the concentrated actives from your own blood, which requires a draw and injections and varies from session to session. Alma TED is the delivery treatment we offer.
Not yet, though we expect to. Microneedling with actives creates channels into the dermis to deliver a combination of actives directly to the follicle; its advantage is that direct access, and its downside is discomfort.
We are evaluating it and anticipate adding it as a second premier delivery treatment alongside Alma TED. Until then, Alma TED is the delivery treatment we offer.
No, and we do not present it that way. It is the centerpiece of a personalized, multimodal plan — most effective when paired with treatment directed at the underlying cause and supported between visits, including at-home red-light (photobiomodulation) support.
Hair restoration is a personalized, multi-session package rather than a single fixed price, and financing is available. The plan and the cost are set together at the complimentary consultation, once the hair's needs are clear.
