Will scalp micropigmentation cause a flare-up for lichen planopilaris?

Many of our patients with lichen planopilaris go on to have successful SMP without issues.  Flare-ups may be a risk nevertheless.  Please discuss the risks with your doctor.

My experience is that pigments seem to fade faster in patients with LPP and even faster if patients are using alot of topicals (like topical steroids). I don’t generally find that the primary disease itself flares very often after a person has had SMP. Test sessions on small areas are always advised in patients with LPP.

We have done Scalp Microp[igmentation on people with various dermatologic diseases. The depth of the scalp micropigmentation is only about 0.5 mm so most of the time it does not impact the primary disease. You can do a test to confirm this with a very small pigment deposit and if there is no reaction, go forward with the full procedure. That way you will be playing it safe