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SMP – ScalpMicroPigmentation by Jae Pak, M.D.
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Bold, Shaved Look

Posted on April 15, 2016 (January 30, 2020) by Jae Pak M.D.
Scalp MicroPigmentation - New Hair Institute - Bold, Shaved Look - Patient 171
Scalp MicroPigmentation - New Hair Institute - Bold, Shaved Look - Patient 169
Scalp MicroPigmentation - New Hair Institute - Bold, Shaved Look - Patient 168
Scalp MicroPigmentation - New Hair Institute - Bold, Shaved Look - Patient 150
Scalp MicroPigmentation - New Hair Institute - Bold, Shaved Look - Patient 148
Scalp MicroPigmentation - New Hair Institute - Bold, Shaved Look - Patient 147b
One of my favorite patients. He has a disease called alopecia totalis. He has no body hair and no head hair. His eyebrows are artificial. He was wearing a hat for the past 10+ years, never taking it of when outside or with people. He had the scalp micropigmentation and walked our of the office with no hat on. We all had that warm and fuzzy feeling watching his joy. He often visits us and comes to our open house events monthly. A few years ago, he went to a International Society For Hair Restoration Surgeons meeting with me and came up on the stage as I presented him before over 400 doctors at the meeting. After the presentation, there was a reception line especially for him, and the doctors lined up to see him and touch his ‘hair’ that was not hair just a tattoo. This patient rarely ever met any doctors, so this was an intimidating experience for him. Once he started to see the doctors and speak with them, he related that they told that they did not believe that he had no hair, and that made him feel real good.
Scalp MicroPigmentation - New Hair Institute - Bold, Shaved Look - Patient 144b
This young man had multiple hair transplants. The scalp micropigmentation process covered most of the scar including his scalp reduction scar (that is a scar that appears after the ‘bald scalp of the crown area’ is removed, a barbaric surgery). All of these scars were camouflaged. There is a gully in the mid-line of his scalp from the scalp reduction surgery which we could address when and if he wanted to do that. We could put fillers into the scar to make it flush with the rest of his scalp.
Scalp MicroPigmentation - New Hair Institute - Bold, Shaved Look - Patient 143
A 32 year old male with frontal hair loss and a persistent forelock. Many balding men have a forelock that persists into older age despite the balding around it. Also, these tend to be in family lines, and as expected, his balding father and his balding grandfather kept their forelocks into the senior years. Scalp micropigmentation works even better when there is a forelock as the patient who shaves his head can let the hair grow out just enough to feel the hair ends. This was the case in this patients.
Scalp MicroPigmentation - New Hair Institute - Bold, Shaved Look - Patient 141b
This is a 40 year old African American male who just did not like his balding look. He had scalp micropigmentation and he liked what he got, agreeing to keep his head shaved.
Scalp MicroPigmentation - New Hair Institute - Bold, Shaved Look - Patient 137b
This patient had many hair transplants with the deformities that come with the older, outdated techniques. Scalp micropigmentation helped hide the visible deformities that bothered him. We could address some of the scalp deformities with other treatments, but he was happy with the results and postponed any further work.
Scalp MicroPigmentation - New Hair Institute - Bold, Shaved Look - Patient 135c
This man hated his look. The old plug holes (from a hair transplant surgery in the 1980s) along with the pluggy look from the transplant recipient areas, made his self conscious. Even though the SMP was not able to completely hide either the holes on the back of his head or the cobblestonning of the transplant recipient area, he was thrilled with the results. We discussed other options to improve the deformities that were left, including the use of dermal fillers. At this time, he was just happy and deferred any further work. I suspect that he will eventually return to fix the rest of what you see here.
Scalp MicroPigmentation - New Hair Institute - Bold, Shaved Look - Patient 131b
Young man in his 20s, with a Class 6 balding pattern that he does not like. Rather than have a hair transplant which would be more expensive and probably at least 2 surgical procedures, he went with scalp micropigmentation. He was very happy with the results.
This patient wore a hair system for many years. The white color of his scalp reflect the absence of sun effects (no tan). Even with this, the SMP worked well and he walked out of the office the way this picture shows. Note that there are deformities of his scalp that were created by the hair systems he used over the previous 25 years. Hair systems often create skin deformities when used for many years and will destroy whatever hair is still present.
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Scalp MicroPigmentation - New Hair Institute - Bold, Shaved Look - Patient 171Scalp MicroPigmentation - New Hair Institute - Bold, Shaved Look - Patient 169Scalp MicroPigmentation - New Hair Institute - Bold, Shaved Look - Patient 168Scalp MicroPigmentation - New Hair Institute - Bold, Shaved Look - Patient 150Scalp MicroPigmentation - New Hair Institute - Bold, Shaved Look - Patient 148Scalp MicroPigmentation - New Hair Institute - Bold, Shaved Look - Patient 147bOne of my favorite patients. He has a disease called alopecia totalis. He has no body hair and no head hair. His eyebrows are artificial. He was wearing a hat for the past 10+ years, never taking it of when outside or with people. He had the scalp micropigmentation and walked our of the office with no hat on. We all had that warm and fuzzy feeling watching his joy. He often visits us and comes to our open house events monthly. A few years ago, he went to a International Society For Hair Restoration Surgeons meeting with me and came up on the stage as I presented him before over 400 doctors at the meeting. After the presentation, there was a reception line especially for him, and the doctors lined up to see him and touch his ‘hair’ that was not hair just a tattoo. This patient rarely ever met any doctors, so this was an intimidating experience for him. Once he started to see the doctors and speak with them, he related that they told that they did not believe that he had no hair, and that made him feel real good.Scalp MicroPigmentation - New Hair Institute - Bold, Shaved Look - Patient 144bThis young man had multiple hair transplants. The scalp micropigmentation process covered most of the scar including his scalp reduction scar (that is a scar that appears after the ‘bald scalp of the crown area’ is removed, a barbaric surgery). All of these scars were camouflaged. There is a gully in the mid-line of his scalp from the scalp reduction surgery which we could address when and if he wanted to do that. We could put fillers into the scar to make it flush with the rest of his scalp.Scalp MicroPigmentation - New Hair Institute - Bold, Shaved Look - Patient 143A 32 year old male with frontal hair loss and a persistent forelock. Many balding men have a forelock that persists into older age despite the balding around it. Also, these tend to be in family lines, and as expected, his balding father and his balding grandfather kept their forelocks into the senior years. Scalp micropigmentation works even better when there is a forelock as the patient who shaves his head can let the hair grow out just enough to feel the hair ends. This was the case in this patients. Scalp MicroPigmentation - New Hair Institute - Bold, Shaved Look - Patient 141bThis is a 40 year old African American male who just did not like his balding look. He had scalp micropigmentation and he liked what he got, agreeing to keep his head shaved. Scalp MicroPigmentation - New Hair Institute - Bold, Shaved Look - Patient 137bThis patient had many hair transplants with the deformities that come with the older, outdated techniques. Scalp micropigmentation helped hide the visible deformities that bothered him. We could address some of the scalp deformities with other treatments, but he was happy with the results and postponed any further work. Scalp MicroPigmentation - New Hair Institute - Bold, Shaved Look - Patient 135cThis man hated his look. The old plug holes (from a hair transplant surgery in the 1980s) along with the pluggy look from the transplant recipient areas, made his self conscious. Even though the SMP was not able to completely hide either the holes on the back of his head or the cobblestonning of the transplant recipient area, he was thrilled with the results. We discussed other options to improve the deformities that were left, including the use of dermal fillers. At this time, he was just happy and deferred any further work. I suspect that he will eventually return to fix the rest of what you see here. Scalp MicroPigmentation - New Hair Institute - Bold, Shaved Look - Patient 131bYoung man in his 20s, with a Class 6 balding pattern that he does not like. Rather than have a hair transplant which would be more expensive and probably at least 2 surgical procedures, he went with scalp micropigmentation. He was very happy with the results.This patient wore a hair system for many years. The white color of his scalp reflect the absence of sun effects (no tan). Even with this, the SMP worked well and he walked out of the office the way this picture shows. Note that there are deformities of his scalp that were created by the hair systems he used over the previous 25 years. Hair systems often create skin deformities when used for many years and will destroy whatever hair is still present.This patient presented with frontal thinning and had a forelock from earlier years, a genetic pattern that runs in family lines. The SMP was done between the existing hair around the forelock to make it look fuller. Scalp MicroPigmentation - New Hair Institute - Bold, Shaved Look - Patient 105This is a patient with a Norwood Class 4a pattern of balding (frontal part of the head, but still leaving some hair in place). He never had a hair transplant and liked his new look. Scalp MicroPigmentation - New Hair Institute - Bold, Shaved Look - Patient 97Scalp MicroPigmentation - New Hair Institute - Bold, Shaved Look - Patient 89bPrevious hair transplant patient (note the fine rows of hair transplant grafts in the before picture). You can imagine how he felt when he shaved his head and the problem looked worse than with his hair longer. The coverage with more transplants did not work to his liking. The SMP covered the visible grafts and gave him the freedom from worrying about more hair transplants which he would have been required for his Class 6 balding pattern if he went the hair transplant route. .A typical young man with a Class 6 balding pattern. Note that there is significant sun damage to the balding scalp area. The SMP does not treat the sun damaged areas, but it hides it nicely as shown in these pictures. He will have to stay out of the sun and/or use strong skin blockers or a hat when going into the sun. Otherwise, the SMP gave him the freedom he was looking for.Typical Class 6 balding pattern with some residual hair which appears very thin. He will eventually lose all of this hair. Hair transplants were out of the question for him on cost alone and when combined with the large balding area, would have been prohibitive for his pocketbook, so the SMP gave him the results he wanted quickly and met his budget. He saw the results the very first sitting. He had 3 sessions to refine what he had. He will never have to worry about balding again providing he keeps his scalp shaved.Scalp MicroPigmentation - New Hair Institute - Bold, Shaved Look - Patient 77bScalp MicroPigmentation - New Hair Institute - Bold, Shaved Look - Patient 75Scalp MicroPigmentation - New Hair Institute - Bold, Shaved Look - Patient 72bThis 44 year old male had hair transplants in the front which never really filled in the bald area enough to cover his frontal balding. He was very disappointed with his hair transplant surgeon who promised him a full head of hair. He had a typical Class 4A balding pattern and the pugs showed up too much for his comfort, so his doctor recommend still another transplant. Instead, he heard about scalp micropigmentation and had SMP with us. You can see which met his and out expectations. He can, at his choosing, darken the frontal area if he wished; however, he was happy with this style and this look. Scalp MicroPigmentation - New Hair Institute - Bold, Shaved Look - Patient 71aScalp MicroPigmentation - New Hair Institute - Bold, Shaved Look - Patient 71bThis middle aged man had hair transplants that never met his expectations, so he had a Hair System (wig) which he wore for many years. Note the white scalp which never received sun as the wig covered that area. The old fashion plugs are also evident in his before picture. SMP worked well for camouflaging his plugs and scars as shown in the picture. On close examination you can still see the plugs particularly in bright light. SMP helps a great deal but the results can never undo what was done in the past. He was thrilled when he saw a comparison photograph from before the SMP was done.Scalp MicroPigmentation - New Hair Institute - Bold, Shaved Look - Patient 66bScalp MicroPigmentation - New Hair Institute - Bold, Shaved Look - Patient 65bAfrican American male with a Class 6 balding pattern, age 42. He wanted a younger look to match his athletic build. He was single. The scalp micropigmentation worked to give him the illusion of a full head of hair. This picture reflects a typical 29 year old young man with male patterned balding and some residual hair that was so sparse, that it bothered him every day when he looked in the mirror remembering what he looked like years ago. He had scalp micropigmentation because he did not want a surgery and was willing to shave his head in the future. He loved his results and shaving his hair turned out to be no sacrifice for him.Scalp MicroPigmentation - New Hair Institute - Bold, Shaved Look - Patient 71bThis man in his mid-thirties has balding made more detectable by his black hair. He underwent scalp micropigmentation and he now addressed the balding he hated. He must keep his hair very short, or the pigment will show against long hair and the balding areas that can be readily seen. We did not agree with the sharp cut-off and flat nature of his hairline, but he insisted. As he thinks about it, I suspect he will return to reshape it and make the hairline softer. This patient had a disease called Alopecia Areata, which left him with bald patches throughout the scalp. Men are lucky in this regard as shaving his head is an option. For women with this disease, shaving the head is not a good option. The picture shown here after the scalp pigmentation was done showed his hair growing out. He was experimenting with styling, allowing his hair to grow out. The bald patches were well camouflaged when he shaved his head and let his hair grow out further. Many of our patients test out letting their hair grow out to see what they can do. They often go back to the shaved look.Young Asian man with a Norwood class 5A pattern. He had definite ideas about his hairline. We did not agree with the sharp cut-off and flat nature of the ways he had us do his hairline (too flat and too sharp), but he insisted. As he thinks about it, I suspect he will return to reshape it and make the hairline softer. A 39 year old Asian male with significantly advanced balding. He elected to shave his head and have scalp micropigmentation done. If he does not bald further, this is a look he can accept for life. If more hair is lost, he can get touchups for the SMP. 40 year old man with an early class 6 balding received scalp micropigmentation for his balding look. He agreed to keep his hair short to maximize the treatment. He was done in the first few months of our practice, and some of the ink we used at that time tended to give a bluish tint, which you can see in this patient. If he did not like it, we could remove the entire pigment with a q-switch laser and start again from scratch. This was offered to him at no charge, but it did not bother him as it did us. Today’s ink rarely does this. Scalp MicroPigmentation - New Hair Institute - Bold, Shaved Look - Patient 44Scalp MicroPigmentation - New Hair Institute - Bold, Shaved Look - Patient 43Scalp MicroPigmentation - New Hair Institute - Bold, Shaved Look - Patient 37bScalp MicroPigmentation - New Hair Institute - Bold, Shaved Look - Patient 37aScalp MicroPigmentation - New Hair Institute - Bold, Shaved Look - Patient 36bScalp MicroPigmentation - New Hair Institute - Bold, Shaved Look - Patient 36aScalp MicroPigmentation - New Hair Institute - Bold, Shaved Look - Patient 33bScalp MicroPigmentation - New Hair Institute - Bold, Shaved Look - Patient 32bScalp MicroPigmentation - New Hair Institute - Bold, Shaved Look - Patient 32bThis patient, age 43, had a hair transplant many years earlier. Like so many of the patients we see, they get disgusted with the hair transplant process as was the case in this man, left with an ugly scar and a poor hair transplant result. We often have more counseling with these patients and there is a basic loss of trust, not for us, bot for the entire process resuling from misrepresentation of their expected results. So was the case here. Clearly, the change from Scalp Micropigmentation not only changed the trust issue, but it also was dramatic in the results he got. Scalp MicroPigmentation - New Hair Institute - Bold, Shaved Look - Patient 31This man had an old type of ‘plug’ transplants that looked like a corn field with irregular growth of the the hair plugs. If he kept his hair short, the scar behind his head was an eyesore even with his hair long, and if he let his hair grow out to cover the scar, then the plugs and the bald area behind the frontal plugs showed. Other than a wig, he had not other choice and did not want to face another hair transplant which may not have solved his problem as he had too little hair left to cover the balding area and the plug areas. Scalp micropigmentation allowed him shave his head and it completely covered the scar as well. He did not expect this type of result and was thrilled once the work was done.Scalp MicroPigmentation - New Hair Institute - Bold, Shaved Look - Patient 29aScalp MicroPigmentation - New Hair Institute - Bold, Shaved Look - Patient 29Scalp MicroPigmentation - New Hair Institute - Bold, Shaved Look - Patient 28aScalp MicroPigmentation - New Hair Institute - Bold, Shaved Look - Patient 26aScalp MicroPigmentation - New Hair Institute - Bold, Shaved Look - Patient 26bA patient with alopecia totalis (no hair anyplace on his body) wanted scalp micropigmentation to his entire scalp. Note the grading we did on the placement of the pigment to the neck. That is a real artistic process. Scalp MicroPigmentation - New Hair Institute - Bold, Shaved Look - Patient 23bAfrican American male with advanced balding and sun damage to his skin. The hair does protect the scalp from sun damage. He was not a good candidate for hair transplantation and selected scalp micropigmentation to address his advanced balding to address the balding problem and the cosmetics of the sun damage, but he will have to be careful to keep out of the sun as scalp micropigmentation does nothing to help him on the sun damage part and even worse, the ‘dots’ might turn blueish if he get a lot of direct sun exposure. He was very happy with the result and understood the issue of protecting his scalp from the sun.Scalp MicroPigmentation - New Hair Institute - Bold, Shaved Look - Patient 22bScalp MicroPigmentation - New Hair Institute - Bold, Shaved Look - Patient 22bScalp MicroPigmentation - New Hair Institute - Bold, Shaved Look - Patient 21baScalp MicroPigmentation - New Hair Institute - Bold, Shaved Look - Patient 21b Scalp MicroPigmentation - New Hair Institute - Bold, Shaved Look - Patient 20bThis young man had a hair transplant with poor results. He was left with a significant scar on the back of his head and visible scars in the front where the transplants failed. He still wanted to address his balding problem. When he shaved his head, the scar in both the front and the back of the head showed more dramatically, and when he let his hair grow out, the balding and the failed hair transplant bothered him. Scalp micropigmentation solved the problem for him. The scar was camouflaged and he like his shaved look. His self confidence improved significantly.This young man had generalized thinning in the front of his head. He hated his look and felt his Class 5A balding made him look older. Scalp micropigmentation with a shaved head seemed to solve his problem. He now looked his age.Scalp MicroPigmentation - New Hair Institute - Bold, Shaved Look - Patient 19bThis 31 year old male has a Norwood Class 4A balding pattern. The pattern does not extend into the crown and as he gets older, it might extend further back as his balding becomes more advanced. He liked shaving his head and the scalp micropigmentation solved his visual balding pattern. Lie other similar patients, we did not agree with the sharp cut-off and flat nature of his hairline design, but he insisted. As he thinks about it, I suspect he will return to reshape it and make the hairline softer. Scalp MicroPigmentation - New Hair Institute - Bold, Shaved Look - Patient 17Scalp MicroPigmentation - New Hair Institute - Bold, Shaved Look - Patient 15Scalp MicroPigmentation - New Hair Institute - Bold, Shaved Look - Patient 11aScalp MicroPigmentation - New Hair Institute - Bold, Shaved Look - Patient 10aScalp MicroPigmentation - New Hair Institute - Bold, Shaved Look - Patient 9aThis is a 32 year old male with a Norwood Class 5 balding pattern and just did not like it. He shaved his head very closely so as not to call attention to the balding. This is common in young men. Once he had scalp micropigmentation, he put his balding behind him and went on with his life. Scalp micropigmentation addresses a person’s self confidence in many cases we see. In this man, he lost the strength of his temple peaks and wanted temple peaks that stood out, and he got what he wanted. Scalp MicroPigmentation - New Hair Institute - Bold, Shaved Look - Patient 8This young man showed very thin hair which he was not happy with even as he shaved his head close. He came to scalp micropigmentation and now let his hair grow to a short look. The scalp micropigmentation process, when the person will let his hair grow, must never put the pigment lower than where the hair grows. With log hair, pigments work well, but they must be put a minimum of 1 1/2 cm above the hairline. An African American with a Class 4A pattern or hair loss who lost his entire frontal hairline. He looked like his dad. He wanted a sharp hairline and that is what he got with scalp micropigmentation. He always kept his hair shaved anyway, so this procedure fit nicely into his life style. Shaving the head with a straight hairline is something that is a patient choice, but if it is done with SMP it is permanent unless he wants to touch it up later.Scalp MicroPigmentation - New Hair Institute - Bold, Shaved Look - Patient 6Scalp MicroPigmentation - New Hair Institute - Bold, Shaved Look - Patient 6cThis young man had frontal balding extending to the top of his head. He had no interest in hair transplants after he has a small procedure that did very little for him, He liked the idea that he could get the job done quickly without further surgery. He like his shaved look. He had one major session and two touch-up sessions of scalp micropigmentation all within a month.Scalp MicroPigmentation - New Hair Institute - Bold, Shaved Look - Patient 4aScalp MicroPigmentation - New Hair Institute - Bold, Shaved Look - Patient 3bScalp MicroPigmentation - New Hair Institute - Bold, Shaved Look - Patient 3This young man had a Norwood Class 5A balding pattern. His hair was ‘fine’ in character and had he chosen hair transplants to cover the entire balding area, it would probably have taken two procedures, 8 months apart. Instead, he underwent scalp micropigmentation and achieved this result at the first sitting with us. He required two more sessions for touch-ups. Keeping his head shaved turned out to be a better, less expensive route than hair transplantation for him and the cost was less and the timeline to completion was faster.Scalp MicroPigmentation - New Hair Institute - Bold, Shaved Look - Patient 1

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© Jae Pak, M.D. 2019. All photos on this site depict actual patients of Jae Pak, M.D. and are the property of Jae Pak MD Medical.