Scalp Micropigmentation (SMP) Dallas

Scalp micropigmentation (SMP) refers to medical tattooing of the scalp used for camouflaging purposes. SMP can be used to camouflage baldness either as a standalone procedure for someone who does not want to undergo a hair transplant or combined with a hair transplant (afterward as needed or desired) to enhance a surgical result. At other times, SMP can be used to camouflage a scar, for instance, a linear donor scar in the back of the head, with or without hair transplant into the scar. (Please see scar repair for more information on this combined approach.)

SMP is undertaken using a special machine outfitted with sterile, disposable instrumentation to deposit pigment at the surface of the scalp to decrease the color contrast between hair and bald scalp. SMP is as much an art as it is a science, and our team has extensive experience performing a variety of SMP methods. Most oftentimes, the technique involves the placement of very fine dots that are color matched to the hair or a shade darker than the native hair to simulate natural hairs. In short hairstyles, it can mimic natural hair and work very well with this type of hairstyle. In completely shaved heads, it can be used either to camouflage previous donor scars or to simulate hairs that would appear in a non-balding scalp. There are many different scenarios in which SMP can be applied and there are a variety of methods used to accomplish those objectives. After a consultation with Dr. Lam and his team, you can be guided on what method or combination of methods would suit you perfectly.

In our office, SMP is oftentimes used in two different situations, one to help camouflage scars and two, create visual density in both men and women. (Please see scar repair for a detailed explanation of both surgical and non-surgical scar camouflage methods.) SMP is a simple, fast, non-surgical, and potentially permanent method to camouflage scars that appear in hair-bearing areas. In many cases a combination of SMP and hair transplant into the scar may produce the most favored outcomes but oftentimes SMP alone can suffice. Again, a careful evaluation and consultation will help you decide which method is better for you. SMP can be placed into all types of scars including linear donor scars in the back of the head, browlifting scars, facelift scars, traumatic scalp scars, post-skin cancer scalp scars, cleft-lip scars, etc.

SMP can be a wonderful adjunct to surgical hair transplant to further enhance visual density or as a standalone method. At times, SMP may be the first option and hair transplant used afterward if SMP failed to deliver sufficient results. More commonly, however, SMP can be used to enhance a hairtransplant result to further add density and thereby possibly to avoid the need for a second surgical procedure. Obviously, the patient should probably wait a year to see the full expression of the transplanted result to best determine whether SMP is even needed at that point. As a standalone procedure, SMP may offer a less expensive, faster, and non-surgical method for some patients who do not desire a surgical hair procedure.


This patient underwent scalp micropigmentation (also known as medical tattooing) to create the illusion of greater visual density, an option available with surgery or without surgery.


This patient had a traumatic scar from childhood in his scalp that was camouflaged effectively with our scalp micropigmentation, otherwise known as medical tattooing.