Scalp micropigmentation is usually regarded as a treatment to remedy a hair loss condition. It does however have another useful application. This can also be utilised to mask scarring that resulted from hair transplant surgery. There are a good number of patients who have already benefited from this procedure though it may sometimes require the aid of laser therapy. The approach will always have to be based on a case-to-case basis.


Follicular Unit Transplantation (FUT) will be the topic of this discussion. Other types of scarring will be taken up in other articles. It will be FUT scars in particular that will be tackled due to their more pronounced appearance. This is most likely found either at the lower sides or back of the scalp. Note that there are some patients that will have more than one linear scar due to having successive surgeries.

Men who have had an FUT might not be aware of what a scalp micropigmentation procedure is. This would be especially beneficial for those who are in or approaching the latter stages on the Norwood Hamilton scale. Getting hair transplant surgery at that point might not sufficiently cover the balding area. An FUT requires a good amount of healthy hair follicles to be successful. It does not create new ones. A hair transplant surgery merely rearranges its placement upon the scalp. This would require a larger donor area as opposed to the transplanted area because the former still needs to retain coverage after the hair follicles have been harvested from it. Having a scalp micropigmentation treatment performed at this stage might be more feasible. It would be as simple as shaving off the remaining hair and layering the pre-determined hair pattern.

Granted that there are some FUT operations that should not have been carried out due to the lack of coverage by the surrounding existing hairs, a scalp micropigmentation treatment can still be used to remedy the situation. Though effective, it might require more than one session depending on the skill level of the technician and the additional area to be addressed. It may also be limited in its application if the scarring did not heal properly. A keloidal scar for example is very challenging to camouflage when fully exposed. Scalp micropigmentation can still be utilised however when there are existing hair strands that can help it blend into the background.

Specific treatment of an FUT scar is practiced though there have been patients that opted to treat their entire scalp instead. This might be going beyond what is required but it would normally extend two centimeters around the scarring in order to better assimilate it into the scalp. It might be a good idea to have the entire head done as insurance for any additional hair loss that may occur. This would save time since the patient is already having his scar covered anyway.

An FUT scar that is flat and colourless can easily be concealed through scalp micropigmentation. It may be better to wait however, if it is still reddish or even pinkish. This might indicate that the scar is still healing though laser therapy can help hasten its neutral appearance if more than two years has already elapsed. Fraxel laser therapy can also be utilized if the scarring is raised, slightly indented or the skin around it is not the same. It would depend on how each patient’s skin reacts to the treatment. Scar tissue behaves differently than normal skin. The former has a greater absorption rate when it comes to the pigments, causing a higher degree of fading. Additional sessions to repeat the process however are all that is necessary to complete the task.

Hair transplant scars concealed using SMP