Background: Cosmetic deformities, resulting from some dermatologic diseases or deformities caused by hair restoration surgeries, have had few, if any, good, permanent solutions. Most of these patients have learned to live with their problems.

Objective: A cosmetic tattoo technique has been developed to address unsightly scalp and hair conditions.

Materials and Methods: The technique called scalp micropigmentation uses specialized techniques and conventional cosmetic tattoo instruments and pigments in a stippling pattern on the scalp.

Results: A variety of alopecias, refractory to treatment and hair transplant deformities, impact millions of men and women. Many of these deformities can be concealed with scalp micropigmentation, making the deformities minimally detectable. Included are the results of treatment. Patient satisfaction is very high.

Conclusion: Scalp micropigmentation offers a good nonsurgical alternative treatment for hair and scalp deformities. This paper demonstrates scalp micropigmentation results and discusses the histology, physiology, and pathology of tattoo pigments in the skin. The regulation of the tattoo process by the United States Food and Drug Administration and state governments is summarized. Unlike medical devices, scalp micropigmentation offers a tattoo-based, non-medical “cover-up” that effectively hides unsightly conditions on the scalp and creates the illusion of thicker hair. The authors believe that scalp micropigmentation is destined to become a standardized offering for physicians specializing in cosmetic office procedures. 

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