Scalp Micropigmentation (SMP)

Scalp Micropigmentation (SMP)

By Daniel A. Danyo, M.D.

An Exciting New Option

I recently underwent a comprehensive course on Scalp Micropigmentation sponsored by The International Society of Hair Restoration Surgeons in Chicago. The course was proctored by Dr. Rassman from California who is an industry leader and was one of the first physicians to embrace SMP. I was truly impressed with the results of live patients who had just undergone the procedure.

Scalp Micropigmentation (SMP) involves placing dots of bio-dissolvable dye just underneath the epidermis (outer portion of the skin) to mimic a hair follicle, using a specialized Micropigmentation machine. The process has been refined, giving the appearance of a “five o’clock shadow” for men who shave their heads and instant density for those with hair thinning, since it camouflages an otherwise pale background (your skin). It is often used to conceal scars or scalp defects and is safe with minimal downtime and pain.

Here are some SMP pictures from the web – they are not patients of mine.




SMP looks natural and does not have a fake or unappealing look. The placed dots resemble hair follicles, both up-close and from afar. It can be combined with previous hair transplant surgery to enhance density and fullness or used alone.

Some would say – “well that sounds like a tattoo.” SMP could be called that in a general sense, but it differs greatly from a traditional tattoo. First, a traditional tattoo places dye in the lower dermis, making it essentially permanent, with a tendency to expand. Second, the type of dye used for SMP is bio-absorbable, while tattoo dye has a low absorption rate. SMP is not permanent and lasts between 12 and 24 months and must be repeated for more permanency.

We are currently in the process of purchasing an SMP machine and dye products. We look forward to offering this service after the first of the year.