African American 25 year old woman with CCCA and traction alopecia, am I eligible for scalp micropigmentation? (Photos)

Question

Hi I wanted to know if I am eligible for scalp micro pigmentation to help hide my many bald spots. I naturally have thin fine hair but my hair loss has made my situation worse. I was diagnosed with traction Alopecia in 2013 and the dermatologist gave my medicines and cremes but nothing worked. In 2016 I was diagnosed with CCCA and I was losing hair in the middle of my head so I started treatment. My hair loss was increasing and causing extreme pains so I stopped treatment after a yr. Please help

Jae Pak, MD · Answer

Scalp MicroPigmentation is not a substitute for hair as it is in essence a tattoo. SMP can give your scalp the look of even fullness but as you grow out your hair you may notice a mismatch.

Daniel Danyo, MD · Answer

The diagnosis of CCCA (Central Centrifugal Cicatricial Alopecia) and Traction Alopecia are both types of scaring alopecia causing permanent hair loss.  Given your sparse donor site and the large area of hair loss, hair transplantation will likely not be beneficial.  Scalp Micropigmentation (SMP) is an effective tool in this situation, especially when combined with Platelet Rich Plasma injection therapy (PRP) to thicken the residual thin hairs.  I have performed SMP on multiple women with similar situations with excellent results.  My recommendation would be to find someone very experienced to perform it, so that the color and distribution of the scalp tattoos appears natural.  This is especially important for you given the amount of exposed scalp.

Sara Wasserbauer, MD - Account Suspended · Answer

SMP eligibility is typically dependent on how stable your hair loss is and also if you have enough hair to camouflage the pigmented dots applied, when having it done to give a look of added density.  In my opinion the minimal hair at the hairline and frontal/temporal regions of your scalp would not make you an ideal candidate.  SMP is best when not noticed by the naked eye - in your case the dots may be visible due to little hair covering them.  Good luck!!

William Rassman, MD (retired) · Answer

Yes, you can have Scalp Micropigmentation but you will have to keep your hair very, very short. A female hairline should be created so that even with your head hair cut close, you can look very femenine.  See an example below of a male with your type of problem that had Scalp Micropigmentation done.

African American 25 year old woman with CCCA and traction alopecia, am I eligible for scalp micropigmentation? (Photos)

Answers (4)

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