Does Scalp Micropigmentation Work with Long Hair?

Scalp Micropigmentation (SMP) was initially created with the shaved head in mind, as long hair can look unnatural as the cosmetic micro dot tattoo creates the look of ‘stubble’. 

However, there have been recent developments in the scalp micropigmentation process that make it possible for the treatment to look natural with a longer hairstyle.

Scalp micropigmentation works best with long hair when combined with certain ‘types’ of hair loss. If your hairline is intact, and you’re experiencing general hair thinning across your scalp, micropigmentation can help create the illusion of ‘depth’ to your hair – resulting in a thicker looking head of hair.

Female Pattern Hair Loss (FPHL) is a distinctive form of diffuse hair loss that occurs in women with androgenetic alopecia (a form of hair loss that is related to a genetic disposition and hormones – however, lifestyle, some medicines and emotional health can also ‘trigger’ this condition). Many women are affected by FPHL. By age 50 approx: 40% of women show signs of hair loss – and by the age of 80 this increases to approx: 55%

How much hair loss is considered to be FPHL?

FPHL becomes evident when a ‘diffuse thinning’ of the hair (due to increased hair shedding), a reduction in hair volume (miniaturisation) or both increases .Another condition called chronic telogen effluvium (CTE) may also present with increased hair shedding (this is often confused with FPHL). It is important to differentiate between these conditions as management for both conditions differ.


What you will notice first; FPHL presents quite differently from the more easily recognisable male pattern hairloss (MPHL), which usually begins with a receding frontal hairline that progresses to a bald patch on top of the head. It is very uncommon for women to lose hair in this manner –  unless there is excessive production of androgens in the body.


Your hair style and FPHL; Wearing your hair in a long style with scalp micropigmentation may also be possible for those with receding hairlines. However, since this process will camouflage a bald spot (such as with Alopecia Areata), within long hair, it is necessary to limit the treatment to where your hairline has receded to. This process may lessen the severity of the thinning significantly and so make your hair appear thicker.

The future of your hair; Of course, in any event – you need to be wary of future hair loss: such as the possibility that your hairline may recede further, or your hair may thin more extensively. Your consultation with your scalp micropigmentation expert will help determine the best course of action for you. If you are looking to maintain a long hairstyle after scalp micropigmentation, it’s even more essential to seek out a skilled technician who has plenty of experience with this procedure. Scalp micropigmentation is a complex and labour-intensive process, and it’s something that should only be left up to an experienced specialist.

Is FPHL permanent? Once the follicle is empty and hair is lost – it cannot grow back. However, there are some very successful treatments that can stop hair loss and potentially help regrow some of the hair that appears lost through the ‘miniaturisation’ process – effectively giving you back more hair. SMP is a long term cosmetic solution that may be really helpful. 

Investigating FPHL and why this has happened to you; The èlan clinic will investigate your health and wellbeing along with blood tests (if supplied) and microscopic/trichoscopic testing to find the  causative factors.  Our methods are different to that of your GP, as are our treatments options. We will find the best treatment for you, that restores your confidence, helping you to feel and look better.

What to do first and where to start; The certified Trichologists at the èlan clinic have years of experience with thinning hair and have helped individuals with various treatments options.

If you are considering scalp micropigmentation or interested in other possible treatments for your thinning hair – speak to us at the èlan – Elan Clinic. 

Tel: 01926 299001 email:

We are here to help you at any stage of hair loss.

Gill Harrison      ART



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