Scalp Micro Pigmentation (SMP) for the Treatment of Alopecia

Posted in: Expert SMP Advice

There are a myriad of types of Alopecia.  Alopecia, by strictest definition, simply means “hair loss”. This includes common male pattern baldness, or androgenetic alopecia.


Some forms of alopecia are not due to genetics at all, but are “mechanically-induced”: Traction Alopecia, for example, is a common side effect of wearing weaves or heavy braids; similarly, Track Alopecia is the result of years of hair system adhesion and removal. In both of these cases, the repetitive pulling of hair irreparably damages the follicles. Both are behavior-induced conditions, not medical conditions. In nearly every case of mechanical alopecia, SMP is a great treatment option.


For the remainder of this blog, however, I will exclude the behavior-induced types of alopecia mentioned above and focus on the more rare types of alopecia, all of which ARE medical conditions.


Many of these forms of alopecia are idiopathic in nature, meaning that their cause is not known.   Different types of alopecia have different ramifications when it comes to SMP. It is extremely important that, for those who suffer with alopecia, the decision to treat the scalp with SMP be made with the help of two experts—the client’s dermatologist and a highly-experienced SMP practitioner who is prepared to choose ethics over profit.


SMP is an excellent option—the best available option by far, for many cases of alopecia. A natural-looking SMP procedure can establish the illusion of full follicular density—worn shaven down as a style choice. A master SMP technician can treat the top of the scalp (as in the typical SMP procedure), in addition to recreating the sideburns, temples, and neckline as needed. In the case of SMP clients with Alopecia Universalis, or Alopecia Totalis, this type of treatment can make these conditions undetectable.

However, some forms of alopecia—for example, those resulting from an inflammatory condition—are NOT well suited to SMP. In these cases, it is ineffective (and unethical) to treat with SMP. When an inflammatory condition has already caused scarring, scaling, and the loss of hair, a semi-invasive treatment such as SMP which involves the introduction of a foreign substance into an already affected dermis will have a detrimental result.

Despite certain claims by SMP providers about “natural” or “organic” pigment—even the most benign of pigments, embedded in the dermis with a needle, will cause an inflammatory response.   An ethical SMP provider will determine, with the help of a treating physician, whether the alopecia condition has the potential to become re-aggravated, and they will not perform a procedure if this potential exists.

I have worked with numerous dermatologists on the subject of candidacy of alopecia patients for SMP. If you have any questions regarding your candidacy for SMP, please contact BRAVI.

BRAVI: Scalp MicroPigmentation for Hair System transition and for treating Alopecia

This is “BRAVI: Scalp MicroPigmentation for Hair System transition and for treating Alopecia” by BRAVI Scalp MicroPigmentation on Vimeo, the home for high…

Technically speaking, the scalp of an alopecia SMP client presents a unique set of variables requiring advanced implementation techniques. In certain types of alopecia, for example, the isolated areas of hair loss react to pigmentation in a fashion similar to scar tissue, including the propensity for rejection. In these cases, even experienced SMP practitioners can actually make the alopecia more noticeable if they have not been properly trained for these situations.

Depending on the type and configuration of the alopecia, an SMP procedure can be significantly longer in duration, and the client may require additional enhancements over time. This possibility should be clearly understood by prospective SMP clients prior to treatment. As discussed in a prior blog article, I recommend a cost structure where a client pays once for a guaranteed procedure, and has low-cost access to enhancement thereafter. This structure will keep your SMP provider accountable for achieving positive results.

SMP treatment for alopecia definitely requires advanced skill on the part of the practitioner; however, for the alopecia sufferer, having their condition made undetectable can be positively life changing!

BRAVI SMP Expert Devon Sconci is the leader in Amanda Mazzocchi\s revolutionary scalp micropigmentation method.

Devon Sconci

Devon is the President of BRAVI and Master Technician in Amanda Mazzocchi's revolutionary Scalp MicroPigmentation method, which is available exclusively at her BRAVI clinic in Austin, Texas.

She is also passionate about how SMP can change lives.
Chat with her today to find out how SMP could change yours.