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Before & After

Review our Before & After photos of Scalp MicroPigmentation results.

Not all results are the same as each patient will have their unique scalp, hair, or scar characteristics.

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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 1This patient was getting married and wanted her hair to look thicker quickly for her upcoming wedding date. She was very concerned about not looking her best and wore her hair up (in a sort of bun) every time she went out to cover her thinning scalp. She could not imagine wearing her hair up in a bun for her wedding, and her husband-to-be preferred her to let her hair down. After the SMP was done, she was then able to take her hair out of the bun and walk around with the hairstyle of her choosing. This shows that SMP is an excellent treatment for thinning hair. The best part of this process is the speed of seeing results, most times on the very first visit.Woman with thinning hair. Her sister, mother and her grandmother has this same problem. We addressed her problem with scalp micropigmentation, but expect her sister to come in one of these days.Females with significant thinning hair in the crown and also found (not shown) all over her scalp with reduced hair density even in what we call the ‘permanent zone’. Scalp micropigmentation solved her problem easily but to do this without shaving her head, something that a women would not tolerate, it took over 30 hours of working time to work around her existing hair.39 year old woman with significantly thinning hair. She was treated with scalp micropigmentation and was very, very happy with the results. Most of the women you see here are very similar and we expect more and more of these women to recognize that this treatment is available, affordable, non-surgical and very successful. This is one of our typical young female patients with thinning hair. Scalp micropigmentation solved her problem nicely. She was very happy with the procedure results.Very early balding in a 31 year old male. Rather than get a hair transplant, he chose to have SMP and was very satisfied with his decision.37 year old female with thinning hair, successfully treated with Scalp Micropigmentation.29 year old female patient with thinning hair successfully treated with scalp micropigmentation. Women like this, often have family histories of thinning with female members of her family.Female with thinning hair successfully treated with Scalp Micropigmentation26 year old female with thinning over the entire frontal and top area of the head. She combs her hair to the side to hide some of the balding and that styling technique partly works. With Scalp Micropigmentation, any styling will work. A women with thinning hair wanted who Scalp micropigmentation to cover not only the central part of the scalp, but also most of the scalp which shows the thinning as she changes her hair style. Now she can style her hair anyway she wanted. Female with thinning treated with scalp micropigmentation. This is one of our typical thinning female patients. Unfortunately, we did not clean her hair up at the time this after picture was taken, but if you look at the scalp between the before and after, the results are obvious.Scalp MicroPigmentation - New Hair Institute - Thinning Hair - Patient 170This patient used a comb-over to cover his frontal balding. He did not quite have enough hair to pull it off. With scalp micropigmentation under the comb-over, he could keep his hair long and achieve his styling goals. He wanted it to be very subtle and we usually start off light, then progress to a darker, fuller look. This is mitigated by the need to have enough hair to lay on top of the SMP. He was satisfied with the first shade we did. I would have preferred a darker shade, but that can always be done later if he wishes. First and foremost, what we do must fit with what the patient wants, as the patient is always ‘king’ in our practice. Scalp MicroPigmentation - New Hair Institute - Thinning Hair - Patient 159Scalp MicroPigmentation - New Hair Institute - Thinning Hair - Patient 152Scalp MicroPigmentation - New Hair Institute - Thinning Hair - Patient 149Scalp MicroPigmentation - New Hair Institute - Thinning Hair - Patient 153This patient only had crown hair loss. His frontal hairline was in its normal position. The crown received scalp micropigmentation which seemed to satisfy him.The SMP worked because there was still some hair in the crown, albeit very thin. If he had no hair in the crown and it was smooth and shiny, the SMP would not have worked very well as it needs some hair in front of the shaded area. Korean 23 year old male with thinning hair. He is losing his hairline which still maintains the female shape. At 23, I can not predict what will happen to him and the best option for the frontal area would be a hair transplant, but he chose scalp micropigmentation which was done instead of a hair transplant and it seemed to work well for now. If, in the future, he loses more hair, he can always have a hair transplant. This was explained to him in detail so he understood what to expect. 23 year old men, know what they want and do not necessarily see a balding future for himself. He may be in for a surprise. A 45 year old male with isolated crown balding. He has no frontal hair loss and the crown still has hair present which makes scalp micropigmentation ideal. He should try using minoxidil to keep the hair in the crown he still has, although at 45, he is unlikely to significantly bald further. Scalp MicroPigmentation - New Hair Institute - Thinning Hair - Patient 42A 28 year old Asian male with early, isolated, scalp crown balding. At 28, he should expect further balding and should go on medications such as finasteride and/or minoxidil. If he continues to bald, then some touch-up for the scalp micropigmentation would probably be warranted. Scalp MicroPigmentation - New Hair Institute - Thinning Hair - Patient 39A nineteen year old male with very early crown balding. At his age, if he is really balding, he can certainly expect that this bald spot will get worse in the next few year. He should consider finasteride to stop the balding before the balding area enlarges, which is inevitable considering his age. If he continues to bald, he will certainly need more work. He is old enough to make his mind up about doing this, but he was warned that he will most probably continue to bald and needs to stay in touch with us as that happens. Scalp MicroPigmentation - New Hair Institute - Thinning Hair - Patient 37ksScalp MicroPigmentation - New Hair Institute - Thinning Hair - Patient 35Early balding on a 27 year old male who will probably continue to bald more in the crown. His choice to use scalp micropigmentation addressed his problem, at least for the short term. We can follow the expanding the bald spot with more pigment treatment.Young man with very early balding in the crown. He was treated with scalp micropigmentation very successfully. Because he still has considerable hair in the crown, the SMP worked wonderfully, however, as he should continue to bald, he will have to maintain a relationship with us to help managing his balding process if it should happen. He agreed to go on the drug finasteride (Propecia) which works really well for young men in the crown. Hopefully he will postpone another procedure with us for years to come. Scalp MicroPigmentation - New Hair Institute - Thinning Hair - Patient 27aThis man had many hair transplant procedures and essentially ran out of donor hair. He like his results but he wanted a fuller look and more hair transplants were not practical to solve the fullness issue. Scalp micropigmentation solved the problem and his hair looked much fuller, even in bright light. Scalp micropigmentation is an excellent solution for people with thinning hair, even post hair transplant surgery, but this is not hair, just the illusion of it.This patient complained about his thinning hair; however, he really did not have thinning hair but rather he had what we doctors call “Body Dysmorphic Syndrome”. We could have sent him to a psychiatrist, but he would probably not have gone and the procedure was done to support his BDS, which would be in the long run less expensive and more curative, at least for his hair. I remember a patient who was fairly bald, went to a psychiatrist for analysis for 18 years trying to deal with his balding problem. Finally, he had two hair transplant sessions with me and told me that he regretted the 18 years of therapy because the hair transplant solved the problem that his therapy did not adequately address. He had a spectacular result from his hair transplant just as this young man had with his scalp micropigmentation. Scalp MicroPigmentation - New Hair Institute - Thinning Hair - Patient 26ksScalp MicroPigmentation - New Hair Institute - Thinning Hair - Patient 23ksTypical long haired male with a see through crown that may not be the result of balding. He has a double swirl, something that is unusual and tended to accentuate what he thought was balding. We do scalp micropigmentation for these men because it addresses their problem and we treat problems, real or imaginary. I don’t take that attitude with hair transplantation which I will often be unwilling to do in such a situation. If he should become bald in the crown, then more work will be needed as his balding spot increased in diameter. and we explained this to him. This patient had hair transplant but the results were not thick enough for him. He could have done one more surgery but he preferred a non-surgical approach. He had scalp micropigmentation which successfully address the see-through frontal hairline.This is a young man that did not like his see through crown. His father was bald so like many young men they live in fear of following the balding pattern of a father or grandfather. I did not think that he was balding, but we were treating his perception and fear, so it was ok in my book to do a Scalp Micropigmentation Scalp MicroPigmentation - New Hair Institute - Scalp Scars - Patient 153Scalp MicroPigmentation - New Hair Institute - Scalp Scars - Patient 151This patient had a hair transplant and developed a scar below the incision. This is most often caused when the donor wound is closed too tight and the surgeon took out too much skin, but I have seen them appear spontaneously, even without a tight donor wound. Scalp micropigmentation is the best way to manage this problem. Traditionally, These deformities were treated with balloon expanders placed into the head and expanded over a few months, blowing up the head enough to allow the scar to be removed. Clearly, the blown up head make the patient look like a Martian, but it can be covered wit a good soft hat. This is an expensive procedure and very painful at times but clearly the Scalp Pigmentation was done in over a few days. . This young man had multiple hair transplants. The scalp micropigmentation process covered most of the scar and the scalp reduction scar (when the bald scalp is removed in the center of his scalp, a terrible surgery) was also camouflaged. You can just wee the bottom of the scalp reduction surgery on the ‘after’ picture. 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 with dermal fillers. We make it a point to offer solutions to all of the deformities of the scalp caused by previous hair transplants. This patient had many hair transplant procedures and the donor area is now depleted of donor hair and heavily scarred. Further transplants were not an option, but Scalp Micropigmentation alone gave him the ability to let his hair grow out or shaved his head, whatever he wanted to do. As you can see, he elected to keep his hair long and the heavily scarred donor area can barely be seen. This patient had both Follicular Unit Extraction (FUE) and strip harvesting for two different hair transplant procedures. The FUE is clearly not scar-less as many doctors proclaim. His ScalpAlthough this scar looks terrible, it is because the hair was combed to show off the scar. When the patient let his long hair cover the scar, the only time he noticed it was when the hair was wet, so he would not go swimming the say the scar impacted that activity. Scalp Micropigmentation treated the scar so it could not be seen with his hair long. A happy camper!Scalp MicroPigmentation - New Hair Institute - Scalp Scars - Patient 135This patient has a genetic balding problem in the temple peak area called ‘Triangular Alopecia’. Notice the missing hair at the temple peak. ‘Triangular alopecia’ can be found behind the temple peak. Ha also had scars from fights when he was young and that area was also pigmented along with some advancement of the temple peak to meet his aesthetic needs. He must always keep the hair short along the temple peaks to get ged blending of the pigment with his natural hair. This patient had both Strip and FUE hair transplant surgeries. Many people call FUE a surgery without scarring, but you can see here, in the before picture, that there was scarring following FUE possibly because the surgeon may have used a large punch (we use a 0.9mm punch). This is not uncommon. Also, he had some other scars from scuffles when he was growing up. Compare the two scar types 9FUE and Strip surgeries). The after results from Scalp Micropigmentation is what we normally get in such patients.Typical scar treated with SMP following a single strip hair transplant surgery. This patient had two hair transplant procedures. The first one produced a scar at the bottom of his donor area. The second was was an Follicular Unit Extraction (FUE) that the doctor told him was a scar-less surgery. His extreme Class 7 pattern should make him a non-candidate for any surgery and certainly not with proper expectations set by the doctors performing the surgeries. As you can see, the scar-less surgery from FUE must have been done by a surgeon who used large punches to leave such a ‘scar-less’ set of scars. By performing Scalp Micropigmentation, we gave the full appearing shaved head of hair he could only dream about. That cost him a lot of unnecessary money spent on unnecessary surgery and emotional pain. Doctors don’t always do what is the right thing to do my their patients. Scalp MicroPigmentation - New Hair Institute - Scalp Scars - Patient 54Scalp MicroPigmentation - New Hair Institute - Scalp Scars - Patient 47bThis 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 performed showed his hair in the process of growing out. He was experimenting with allowing his hair to grow out. The bald patches were well camouflaged when he shaved his head. Many of our patients test letting their hair grow out to see what they can do. This man was lead astray by doctors who did not keep his welfare in mind. He had multiple scalp reductions (when the balding scalp is removed surgically, a barbaric procedure now largely extinct) and donor harvesting with a large punch. He was clearly mutilated and the bump you see on the back of his head is the result from these multiple scalp reductions (we called it a dog ear). Although we performed scalp micropigmentation for all of his head, the ‘dog ear’ remained and he did not want us to remove it (possible with a plastic type of surgery). The elevations on the each scar still remained and he also did not want that treated; nevertheless, he was a happy camper. This patient had two surgeries. His balding pattern was advanced (Norwood Class 7 pattern) so in my opinion, he should never had received any surgery as the balding area had more demand for hair than the donor had supply. Instead of making one scar, his surgeon made two of them leaving him with a problem he should not have. The upper scar showed through his when he let his hair grow out. Scalp micropigmentation seemed to address the scarring and when his entire head received scalp micropigmentation, he could shave his head and look normal once again or let his hair grow out and not worry about the detectability of his upper scar. Again, I am embarrassed that any hair transplants would have been done on this patient.Scalp MicroPigmentation - New Hair Institute - Scalp Scars - Patient 32cScalp MicroPigmentation - New Hair Institute - Scalp Scars - Patient 24This patient had an autoimmune disease which we called scarring alopecia (which means hair loss from severe scarring). This left him a terribly deformed scalp. Scalp Micropigmentation seemed address the cosmetic problem without addressing his primary disease. These types of scarring alopecias are very difficult to treat and most of the time they leave behind terrible scars without any solution. Scalp MicroPigmentation - New Hair Institute - Scalp Scars - Patient 18Like patient 28, this man had surgeries over multiple decades without a Master Plan for his progressive hair loss. You can count the number of procedures just by looking at the set of scalp scars. He had multiple reductions to remove his balding spots in the center and crown of his head and too many hair transplants which produced the scars in the back of his head shown here. He made the decision with our help, to shave his head and undergo scalp micropigmentation. The scars were partly covered with the scalp micropigmentation and the rest of his head was covered nicely. He decided to keep his head shaved and did not mind that the scars in the back of the head which could be seen under direct lighting. Remember were he came from and where he was after we completed the scalp micropigmentation.Scalp MicroPigmentation - New Hair Institute - Scalp Scars - Patient 11bThis patient had many hair transplants spanning more than 2 decades. The holes on his donor area reflect an old technique called open donor hair harvesting and the scars were done at multiple levels at many different surgeries and under the control of many surgeons. There was too many surgical procedures and he ‘paid’ dearly for the lack of good planning. We always try to work a Master Plan with each patient balancing the progressive hair loss of genetic balding with a plan that always keeps the patient looking normal. This man, having seem many doctors and having surgery by many doctors never had a consistent Master Plan to follow. At the time he first saw us, he looked like the ‘before’ picture shows and he had no usable donor hair with terrible looking transplants in the recipient area. We explained to him that there was little to do and offered him Scalp micropigmentation for his entire head. The frontal, top and crown work came out well, and the work we did on the back scars produced a significant improvement. Although the scars could still be seen under directly lighting, he let his hair grow out and the entire head was 200% better than before he met us. Many patients who see this patient’s scars can’t imagine how that happened or how he put up with all of those deforming surgeries. He paid thousands of dollars and never got someone focusing him him, just the money they would make by doing another procedure. I am embarrassed for those who I refuse to call colleagues for the actions made on this patient.Scalp MicroPigmentation - New Hair Institute - Scalp Scars - Patient 9bPatient has two hair transplant producing the scars as shown which were successfully camouflaged with scalp micro pigmentation. He was fortunate that there were not elevations or depressions on the scar which would still show if they were present.Scalp MicroPigmentation - New Hair Institute - Scalp Scars - Patient 7aScalp MicroPigmentation - New Hair Institute - Scalp Scars - Patient 5bScalp MicroPigmentation - New Hair Institute - Scalp Scars - Patient 4bThis SMP patient had old FUE scars as well as Strip linear scar. He keeps his hair short for his career in the military so covering the scar was extremely important for his professional career.