Comprehensive Guide | Updated December 2024 | 9 min read
Scalp Micropigmentation (SMP) is medical tattooing that creates the illusion of hair density by replicating hair follicles with tiny pigment dots.
It's not a regrowth treatment—it's a cosmetic solution that can dramatically improve appearance for the right candidates.
How SMP Works
A trained technician uses micro-needles to deposit pigment into the scalp at the epidermis layer (shallower than regular tattoos). The dots mimic shaved hair follicles.
3 session process:
- Session 1: Initial density layer
- Session 2 (7-14 days later): Fill gaps, add density
- Session 3 (7-14 days later): Final refinement, blending
Best Candidates for SMP
✅ Excellent For:
- Shaved head look (buzzed #0-1)
- Adding hairline definition
- Covering transplant scars
- Creating density illusion with existing thin hair
- Men who don't want ongoing medication
❌ Not Ideal For:
- Long hairstyles (dots visible if hair parts)
- Very light skin/blonde hair (contrast issues)
- Keloid scarring tendency
- Expecting actual hair growth
Results & Longevity
Lifespan: 4-6 years before touch-ups needed (pigment fades gradually)
Appearance: Natural when done well, obvious when done poorly—choose provider carefully
Maintenance: Touch-ups every 4-6 years ($500-1000)
Cost
- Full scalp: $2,000-$4,000 (all sessions included)
- Hairline only: $1,000-$2,000
- Scar camouflage: $500-$1,500
Compare to: Hair transplant ($5,000-$15,000) or lifetime minoxidil ($3,600 for 10 years)
Combining SMP with Treatments
SMP works well alongside:
- Finasteride/minoxidil (SMP adds visual density while treatments regrow actual hair)
- Hair transplant (SMP fills areas between grafts, adds density illusion)
- Toppik/fibers (SMP provides base, fibers add volume for events)
Bottom Line: SMP is a legitimate cosmetic solution for men who want the shaved-head aesthetic with defined hairline and density illusion. It won't regrow hair, but it can restore confidence immediately.
Next Steps
- Hair Transplant Guide: Permanent hair restoration
- Styling Tips: Non-permanent solutions