Here's an overview of the common concerns and questions about scalp micropigmentation (SMP), based on information I’ve gathered from various clinics and hair loss forums. It’s not a complete list and I encourage you to check out the forums listed at the bottom of this article. They are a wealth of information and a great way to get first-person experiences not just about micropigmentation, but all things related to hair loss.

How does SMP work?

SMP works by tattooing a pattern of dots onto the scalp to create the appearance of hair. The tattoo patterns resemble closely cut hair follicles. The stippled effect of the tattoo can give the appearance of a full head of shaved or closely cut hair in a person with no hair. Or, it can provide depth behind thinning hair to create the appearance of a more dense head of hair.

SMP is different from a regular tattoo. SMP uses a fine needle, which injects pigment into the dermis layer of the skin. It does not inject as deep as a traditional tattoo. The pigments are also cosmetic-grade, permanent inks that are specially designed for SMP.

To see what this looks like, do a search on “examples of scalp micropigmentation” and then click to see the images. There will be lots of “Before and After” examples posted by clinics and they are going to show their best work so be sure to find some from individuals posting on the hair loss forums below.

What are the risks or side effects of SMP?

SMP is a safe and minimally invasive procedure, but like any cosmetic treatment, it may have some risks or side effects. Some of the possible risks or side effects of SMP are:

Infection: There is a risk of infection if the scalp is not properly cleaned or cared for after the procedure. To prevent infection, SMP practitioners advise following the aftercare instructions, which may include washing the scalp with a mild shampoo, applying an antibiotic ointment, and avoiding scratching or picking at the scalp.

Allergic reaction: Some people may have an allergic reaction to the pigments used for SMP. This may cause itching, swelling, redness, or blisters on the scalp. To avoid this, SMP practitioners perform a test patch before the procedure to check for any sensitivity to the pigments.

Scarring: There is a possibility of scarring or keloid formation on the scalp due to the needle punctures. This may affect the appearance and texture of the SMP. To minimize scarring, SMP practitioners use sterile and disposable needles, and avoid going too deep into the skin. .

How important is technician experience and technique?

Choosing an experienced technician is critical. As with any cosmetic procedure, inexperienced technicians can lead to unsatisfactory results, such as unnatural-looking pigmentation or even increased risk of infection. It's essential to ensure that your SMP provider has the right training, certification, and a portfolio of past work. The technique used by the technician, like the depth of pigment deposition and the angle of needle insertion, greatly impacts the outcome.

• Certifications/Requirements
  In the United States, micropigmentation is considered a body art. Body arts are regulated at the local level by the cities, towns, or states. There are no nationwide regulations. Some localities have very strict regulations. Others are completely unregulated.
  
  Most localities require formal training in micropigmentation. Some also require experiential learning such as an apprenticeship where a practitioner acquires experience working under a licensed practitioner or instructor before obtaining a permit to practice on their own.

• Hairline Design: A natural-looking hairline is a significant aspect of SMP. Poor hairline design can lead to dissatisfaction with the procedure. Therefore, reviewing photos of past clients and discussing desired outcomes with the technician is advisable to ensure a natural and satisfactory hairline appearance

• Equipment and Pigment Choice: Using the correct equipment and pigment is vital. SMP requires very fine needles and specific pigments to create a natural look. The wrong choice of pigment can result in an unnatural appearance.

What are the Long-Term Considerations:

Long-term aspects, like the durability of the ink and changes in skin over time, are important. As with any tattoo, SMP can fade or change over the years, and touch-ups might be necessary. Considering how SMP will evolve as you age is also an important part of the decision-making process

SMP is a permanent procedure, meaning that the pigments will not wash off or fade away. However, some factors may affect the longevity and appearance of SMP, such as sun exposure, skin type, and lifestyle. To maintain the best results, SMP practitioners recommend using sunscreen, moisturizing the scalp, and avoiding harsh chemicals or products on the scalp. Some people may also need touch-ups or adjustments over time to keep the SMP looking natural and consistent.

Aging and Color Mismatch: A notable concern among men is how SMP will look as they age, particularly when their natural hair begins to gray. Men on forums like HairLossTalk have discussed this, pointing out that the tattoo on top won't gray like the natural hair on the sides and back. However, some have considered using gray ink for the SMP to match their graying hair, suggesting a potential solution to this issue.

Color change: Over time, the pigments used for SMP may change color due to oxidation or sun exposure. This may result in a bluish or greenish hue on the scalp. To prevent color change, SMP practitioners use high-quality pigments that are resistant to fading, and advise using sunscreen and hats to protect the scalp from the sun. If color change occurs, SMP practitioners may correct it by applying a new layer of pigment or removing the old pigment with a laser.

How much does SMP cost?

The cost of SMP may vary depending on the location of the clinic, the area of the scalp that requires treatment, and the experience level of the practitioner. According to SMP practitioners, the procedure can range from around $2,000 to $4,000. Some clinics may offer financing options or payment plans for SMP.

Does SMP hurt?

Most people who have SMP report little to no pain during the procedure. The needles used for SMP are thinner and smaller than tattoo needles, so SMP is usually less painful than getting a tattoo. However, pain tolerance may vary from person to person, and some areas of the scalp may be more sensitive than others. To reduce pain and discomfort, SMP practitioners apply a local anesthetic or topical numbing cream to the scalp before starting the procedure.

Conclusion

SMP offers a non-surgical option for addressing male pattern baldness, but like any cosmetic procedure, it comes with its own set of considerations. It's crucial that you research thoroughly, consult with experienced professionals, and have realistic expectations about the outcomes. By addressing these concerns, you can make an informed decision about whether SMP is the right solution for your hair loss situation.

Realistic Expectations: Having realistic expectations is crucial. SMP can create the look of a full head of closely shaved hair, but it's not a replacement for actual hair. Understanding what SMP can and cannot achieve will help set realistic expectations and reduce potential dissatisfaction

Resources:
Reddit/SMPchat
Reddit/bald
Reddit/tressless
BaldTruthTalk.com
HairLossExperiences.com