Define a new matrix variable $$M=xx^T-V$$Then find the differential of the function in terms of this new variable
$$\eqalign{
f &= \operatorname{tr}\sqrt{M^TM} \cr
\cr
df &= \frac{1}{2}(M^TM)^{-1/2}:d(M^TM) \cr
&= \frac{1}{2}(M^TM)^{-1/2}:(dM^TM+M^TdM) \cr
&= (M^TM)^{-1/2}:M^TdM \cr
&= M(M^TM)^{-1/2}:dM \cr
&= M(M^TM)^{-1/2}:d(xx^T) \cr
&= M(M^TM)^{-1/2}:(dx\,x^T+x\,dx^T) \cr
&= \big(M(M^TM)^{-1/2} + (M^TM)^{-1/2}M^T\big)\,x:dx \cr
\cr
\frac{\partial f}{\partial x} &= \big(M(M^TM)^{-1/2} + (M^TM)^{-1/2}M^T\big)\,x \cr\cr
}$$
This is the gradient. To find the hessian you must differentiate again wrt $x$. But it's going to be very messy since each term $M$ contains two $x$'s inside of it.
And we can't use the "trace trick" again
$$\operatorname{tr}(f(X))= f^\prime(X^T):dX$$
since there are no traces left in the gradient.
If there is other information that would simplify the problem (e.g. $V$ is symmetric), then you might be able to find an explicit formula for the hessian.
If you want the hessian in order to use something like Newton's method, I would suggest that you try a gradient-based method instead.
Update
Since $V\!=\!V^T\,$ the Matrix Sign function can be used to write the gradient
$$
\frac{\partial f}{\partial x}
= 2\,\operatorname{sign}\left(xx^T-V\right)\,x
$$