Thank you for your question. Scalp Micropigmentation (SMP) is generally considered a safe procedure when performed by a skilled and experienced practitioner. As you correctly mentioned, the micro-pigments are deposited into the upper layers of the dermis, which is superficial to the hair follicles, thus not affecting them directly. Regarding your concern about repeated touch-ups, there is currently no substantial evidence to suggest that periodic SMP touch-ups cause significant damage to the scalp skin over time. The process involves inserting pigments into the superficial dermal layer, and the body typically tolerates this well. However, it is important to consider a few factors: Practitioner Skill: Ensure that the procedure is carried out by a qualified professional who uses sterile equipment and high-quality pigments. This reduces the risk of infection or adverse reactions. Skin Sensitivity: Some individuals may have sensitive skin that could react differently to repeated procedures. It is always beneficial to discuss any skin concerns with your practitioner beforehand. Aftercare: Proper aftercare following each session is crucial to maintain scalp health and to prevent complications such as infection or scarring. Pigment Quality: High-quality pigments are less likely to cause adverse reactions and are more stable, reducing the need for frequent touch-ups. While SMP is designed to be a long-term solution, individual results and the need for touch-ups can vary. Regular follow-ups with your practitioner can help monitor the condition of your scalp and ensure that any necessary touch-ups are performed safely. If you have any specific concerns or skin conditions, it might be helpful to consult with a dermatologist who can provide personalized advice based on your medical history and skin type.