Scalp Micropigmentation before and after

Scalp MicroPigmentation @ Cotswold Trichology

Scalp Micropigmentation before and after

Cotswold Trichology
Scalp MicroPigmentation Treatment

What is Scalp MicroPigmentation?

Scalp MicroPigmentation, also known as SMP is a camouflage treatment that offers a real alternative to hair transplants, hair systems, concealers, lotions and pills.

Carbon black medical grade pigment is diluted according to hair and skin colour then applied in dots close together using a special type of superfine tattoo needle. It is a different skill to tattooing, the pigment resides slightly shallower in the dermal layers than a standard tattoo.  

The non-surgical procedure is suitable for both men and women and replicates hair follicles to give the illusion of thicker hair. Consequently, this removes the focus from the visible scalp or any thin areas you have. The treatment creates an illusion of closely shaven hair and can effectively disguise scars or give the appearance of denser hair.



3D Scalp tattooing


Is it the same as a Tattoo?

Scalp Micropigmentation is not the same as regular tattooing, the only similarity is the application of pigment to your skin. The needles, pigments and equipment used are different to create this realistic 3D hair growth appearance.

The pigment is made with natural ingredients including beta-carotene and iron oxide. If required or requested we can carryout a patch test on an area of your scalp but allergic reactions are very rare.


Scalp Micropigmentation Treatment is Perfect for:


  • Male pattern hair loss
  • Female pattern hair loss
  • Receding hairlines
  • Crown hair loss
  • Thinning hair
  • Total hair loss
  • Patchy hair loss
  • Head injury
  • Disguise scars
  • Alopecia
  • Traction Alopecia
  • Thicken the appearance of a hair transplant

Norwood scale for male hair loss
In male hair loss, SMP is suitable at all stages, particularly 4,5,6,7. Whereas hair loss treatments are more suited to stages 2, 3 & 4


Scalp Micropigmentation Treatment for Women – Improved Hair Density Appearance

The process is slightly different for women with hair than men with a shaved head.  Many women choose this treatment to to mask the appearance of pink scalp through their hair.

This is rather like using topical hair fibres like Topic and Nanogen however, the effect doesn’t wash off. Sometimes if hair thinning is extensive hair fibres are not effective as they need hair to stick to.

Female Hair Loss Pattern, Savin Scale,

As the pigments used are dark, this effect works best on those with dark blonde to very dark brown hair. Ladies with highlight blonde hair but a slight regrowth will also find this treatment gives an improved hair density appearance.  

Less sessions are necessary for this type of Scalp MicroPigment treatment than the shaved head look. The technique is the same but pigment is applied between existing hairs creating a shadow.  

SMP Treatment for Hair Transplant Patients

People who have had hair transplant surgery can use Scalp MicroPigmentation to further improve their hair density. The pigment application process is the same as described for women above to give a further appearance of improved density. We would recommend waiting approximately 12 months before undertaking SMP. 

Scalp Micropigmentation can blend the appearance of hair transplant scars into surrounding hair so it looks practically invisible.  The pockmark scar effect from FUE transplants can blend immaculately into surrounding hair at the back of the head. Old style plug graft scars can also be blended to some degree but it depends on the level of atrophy to how effective this will be. After Scalp Micropigmentation you can shave your hair to the length of a 5pm shadow if you wish (open clippers – no grader) and it should blend well.


Your SMP Technician – Sally-Ann Tarver MIT.FTTS

Sally-Ann is an a fully licensed SMP Technician and a well respected and trusted hair loss expert. After years of recommending SMP to patients and referring to other practitioners she decided to train in Scalp Micropigmentation herself with World Class trainers Iccon international. 

She found that men were often given unnatural hairlines by practitioners with little experience of normal male hair. Hairlines are not solid or straight, it is important to give someone a hair line that is believable and age appropriate.

A 50 year old man a 16 year old boys hair line is neither appropriate or believable. Even worse, that 50 year old man will later become a 70 year old man, the SMP will still be there, although faded, so it is really important to think ahead.

Sally-Ann is also a Trichologist of 24 years. If you would like a full Trichology consultation to explore ALL hair loss treatments and avenues, please book a 1 hour first consultation.  

A Trichologist is able to give a full unbiased hair loss consultation. There are very few Trichologists who can offer both experienced, qualified advice on hair loss treatments and scalp micropigmentation.

We are currently able to offer FREE SMP consultations, click here to book.

Scalp Micropigmentation During The COVID 19 Period.</h4> <p>
We book SMP sessions well ahead and are currently booking clients first appointments 4-6 weeks in advance. This is because we run a busy Trichology clinic as well as offering SMP treatments and SMP treatments require booking most of a working day out for the first 2-3 treatments. Therefore if you are interested in having SMP in the coming months, we would recommend taking steps soon to secure one of the next available sessions. 

SMP is carried out under stringent hygiene practices with the technition wearing mask, gloves and disposable apron. Your technician has already been double vaccinated against COVID 19. 

Due to the extensive period of close contact, if you have not yet received your COVID vaccination, we would ask that you get take a lateral flow test the day of your appointment. 

As with all close contact services we will send you a pre appointment COVID form to fill out and ask that if you are feeling unwell you postpone your appointment. 

What Happens During The Scalp Micropigmentation Process. 

Good thinks take time, everyone heals at a different rate. It is essential to see how an individual’s skin reacts to pigment by leaving some time between treatments. It is not possible to efficiently complete the effect in one or two sessions. A full treatment area can typically takes between 6 -15 hours. This is normally spread over 3-4 of sessions.

  • Consultation 

    The first stage is to book a consultation to see if you are suitable and what your expectations are. Face to face is preferred as it is really important to look at the size of your head, the area to be covered and if you have any large scars. If you have a large head, little hair or complicated scarring you will need more sessions than a person with a small head, some hair and no scarring. During the consultation Sally-Ann will take a medical history, asses your scalp, existing hair density and colour. You can discuss the type of look you would like to achieve and she will tell you if what you would like is possible and if it will look good or not.   

  • Book Your First Session 

    When you are ready, book your first treatment session. This can be booked at the time of the consultation. As SMP sessions are long, we charge a £250 deposit to secure the session. This is non refundable if you cancel within 48 hours of your appointment. The deposit is used against your final treatment so rolls over to cover each treatments session.

  • Treatment one 
    Laying the foundation. This includes designing the shape of your hairline and a light scatter of impressions. We allow approximately 3-4 hours for this session with a break of 20 minutes midway.  Pigment will look dark at fist and will fade around 50% in the first couple of weeks, the size of the impression will reduce by around 50% as it heals.
    The treatment is minimally invasive and healing is normally quick.  You may experience some mild discomfort but most clients tolerate sessions well, some clients even fall asleep during treatment!

  • Treatment two –
    Session 2 adds the bulk of density, for every dot placed in session one, 3-5 more are placed in session 2. It will look more like a head of hair after this session

  • Treatment three – 
    The third session is filling in gaps and going over any impressions that have faded with healing. Excessive fading can occur if you sweat, wear a hat, rub your head excessively during the first week or two after treatment. It is really important to follow the aftercare instructions.

  • Treatment Four – 
    Sometimes this is necessary if you have a really large head, the area is extensive or ink hasn’t been retained well in any previous session.
  • Final Session – 
    We will invite you back for a final time to check your fully healed result. Sometimes you may require a tiny bit more work, a few dots replaced or some additional blending. We normally offer this appointment complementary.


Scalp Micropigmentation Post Treatment Advice
  • You will be able to carry out your day to day activities immediately afterwards.
  • Each session can take around 5- 7 days to reasonably heal but up to a month to fully heal.
  • Do not get your scalp wet for a minimum of 4 days, do not use shampoo for 5 days.
  • No hats for a week
  • Refrain from exercise for a week.
  • Scalp inflammation, redness and tenderness may occur after your session.
  • Very small scabs may form at the treated area and pigment dots will appear darker than the final result.
  • You may experience itchiness for a few weeks due to the skins natural healing process 
  • Recovery times vary from person to person.
  • You will need to moisturise your scalp 2-3 times a day between treatments.
  • Touch-up treatments will be required between 2 to 8 years depending on the person and lifestyle.


Are There Any Contraindications to Scalp Micropigmentation Treatment 

The following are contraindications to scalp micropigmentation 

  • Blood clots
  • Infectious diseases
  • Epilepsy
  • Diabetes

  • Liver disease
  • High blood pressure
  • Albinism
  • Heart disease

  • Antibiotic therapy 
  • Anticoagulants 
  • Chemotherapy
  • Under the influence of drugs or alcohol
  • We may need to refer you to your GP in order to undergo treatment 

     Treatment lifespan is significantly longer if you avoid UV.
    Therefore we advise you to use sunscreen or a hat throughout the summer months when outside.


    How Much Does Scalp Micropigmentation Cost?

    Scalp MicroPigmentation cannot be completed in one session. Consequently a number of sessions will be necessary to achieve the final look, normally 3+. Sessions last 1-4 hours and longer session will require rest breaks of 5-10 minutes for both client comfort and technician accuracy. Our average per session cost is £250 -£500 depending on the size of the area. You will need a minimum of 3 sessions or possibly 4 so budget for £750 – £2000, an accurate quote will be given at your consultation

    • 5 star review  Sally-Ann has assisted me to identify an underlying health issue that I was not taking into consideration. The consultation was thorough and relaxed, and very helpful.

      thumb Carla Webb

      5 star review  Cannot speak more highly of my experience with Sally. Really happy with my MSP. Staff really friendly, clinic super clean and comfortable - truly professional establishment.

      thumb Peter Bradley

      5 star review  Very helpful, straightforward approach. My condition has improved already

      thumb Jennie Maclean

      5 star review  Just started treatment for SMP here . I found them very professional, welcoming, Informative and understanding. I would definitely recommend them for anyone wanting to start treatment with them.

      thumb Andrew Sanderson

      5 star review  Sally-Ann was incredibly warm and supportive. Have great advice and I feel prepared for the journey ahead. I would highly recommend.

      thumb Amy Feeney

      5 star review  I have been seeing Sally Ann at Cotswold Trichology for a number of years now. She has helped me keep on top of my scalp issues and I know I... read more

      thumb Rachel Carman
    • 5 star review  After many years of trying expensive treatments and a bad experience at a local trichologist, Cotswold Trichology was excellent. I learnt so much and just wish I would have descovered... read more

      thumb Alyson Peach

      5 star review  Always very kind, thorough and attentive treatment, with careful observation of current health and safety issues. Very professional and considerate in every way.

      thumb Roger Ebbatson

      5 star review  I have had two visits to Cotswold Trichology, an initial appointment that lasted an hour, and a review which was about 30 minutes. The care and attention given was... read more

      thumb Caroline Powell

      5 star review  I have had three appointments with Sally-Ann at Cotswold Trichology. She has demonstrated the perfect blend of friendliness and professionalism. I have found her advice very helpful and would absolutely... read more

      thumb Steph P

      4 star review  I have been going to Sally-Ann for many years and can honestly say that she has been a life-saver. I do not know what I would have done without her. I... read more

      thumb Diana Benson

      5 star review  First class service and excellent knowledge and experience, put us at ease immediately and felt very comfortable and welcomed- Thank you !

      thumb Rebecca Davies
    • 5 star review  I visited the clinic last year to use the wig service following hair loss due to chemotherapy treatment. Each time I have visited, Sally-Ann has been professional and given... read more

      thumb Anne Gibbs

      5 star review  Found Sally to be very helpful,understanding and professional. She answered all my questions and was very confident about the treatment plan to obtain a good result. I now feel... read more

      thumb Malkit Panesar

      5 star review  I found Sally Ann very easy to talk to and discuss my feelings and fears with her.I had over an hours consultation with her.She very professionally explained to me in... read more

      thumb Claire Frankish

      5 star review  I came to see Sally-Ann after I was having an issue with unexplained hair loss. You can be confident that Sally-Ann is an experienced trichologist and will be able to... read more

      thumb sakeena davis

      5 star review  My visit on the morning of Tuesday 17th September was very relaxing and discreet. Sally provided a truly 1st class service for a wig fitting. Blessed to be only a... read more

      thumb Amanda Smith

      5 star review  I left after my first consultation feeling very positive that all was not lost with my thinning hair. After a comprehensive assessment of my history, Sally_Anne pin pointed the most... read more

      thumb Jacqui Tingle

    Frequently asked Scalp Micropigmentation questions

    Frequently Asked Questions on Scalp Micropigmentation.

    What Are the Different names for scalp micropigmentation treatment?

    Scalp MicroPigmentation(SMP), Micro Scalp Pigmentation (MSP), Hair Micro Pigmentation (HPT),  Scalp Tattoo, TricoPigmentation and 3D Scalp Micro Pigmentation.They are all the same!

    How long will treatment take?

    Consultation and patch test (if required or requested) 15 – 30 minutes


    • Treatment One – 2-4 hours 

    • Treatment Two – 1-2 weeks after first treatment.  2-5 hours

    • Treatment Three –  1 month after treatment two.  2-3 hours

    • Treatment Four – 1 month after treatment three but not always needed. 1-2 hours 

    Do I have to do anything before treatment?

    Pre treatment advice, aftercare and consent forms emailed to you before the first treatment session.

    How will I look straight after my sessions?

    You will be able to do your day to day activities immediately afterwards. Inflammation of the scalp, redness and tenderness may happen after your session and can last 4 -7 days.

    Can I wear a hat after my sessions?

    No, please don’t wear a hat for 5-7 days.    

    How often will I need to shave my head?

    This is personal choice and the rate at which your hair grows.  For men most choose a shaven look so we say the shorter the better to complement your new look. We advise you experiment with length to see which you prefer. generally the best length is that achieved with open clippers (no grader).

    How long does results last?

    It is a permanent cosmetic treatment. However, touch up treatments are necessary every 2 to 5 years depending on the person and lifestyle.

    Will it fade?

    This is a permanent solution to hair loss. However, over the longterm there will be some fading. When this happens, we can provide touch-ups at an agreed hourly rate.

    Can I continue to use hair loss treatments after?

    Yes we advise you continue with any treatment you were using before. It is  important to maintain as much 'real hair' density as possible, particularly with Female and Hair Transplant patients. However, Minoxidil will need to stop using for a week before and after treatment.

    What happens if I go grey?

    No problem! Any greyness will not affect the overall look. Your existing hair will blend into the treated area.

    Is it painful?

    You may experience some mild discomfort but most clients tolerate sessions without any pain. Some actually fall asleep during the treatment process!

    Is there any age limits to treatment?

    Yes a minimum age of 18 years old but is suitable for any upper age.

    What pigment is used?

    The pigments used are carbon black, made with natural ingredients such as beta-carotene and iron oxide.

    Is the treatment reversible?

    Pigment placement during Scalp Micro Pigmentation is different to a traditional tattoos so it is easier to remove using laser. You would need to see a laser removal specialist.

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