Here we explore scalp micropigmentation options for men who have very little hair, or no hair at all.

When I refer to men who are completely bald, I actually mean any man who is at the highest end of the Norwood Hamilton Scale for baldness. In other words, any man who is classed as a Norwood 7 (NW7) with no hair on top and the typical ‘horseshoe’ ring around the back and sides. I also include men with alopecia totalis or universalis, for whom their condition has resulted in the total loss of their head hair.

Starting from a virtually blank canvas presents a different set of challenges altogether, although the process is ultimately the same. Of principle importance are blending, correct pigment selection and adequate sun protection.

What about maintenance?

Due to the fact that there is no real hair remaining on the top of the scalp area, your new scalp micropigmentation treatment must be maintained as a two dimensional solution. In other words, keeping the remaining hair longer is a definite no go, and regular (perhaps daily) shaving is required. It is also important to keep the scalp in a good condition by way of regular cleansing and moisturising with a decent quality lotion.

Are the results as good as for those with some remaining hair?

Yes, definitely. It is important to remember that scalp micropigmentation was originally developed for HIS Hair Clinic co-Founder Ian Watson, who was at the time (and remains) a completely bald man classed as a Norwood 7 on the Norwood Hamilton Scale. You can read the full story here. If you have no hair, SMP was originally developed with people in your situation firmly in mind.

How do I return to my friends/family/workplace?

It’s an understandable question, after all, men who have lost just a little hair can fit seamlessly back into their everyday lives with no fear of any ‘work done’ being noticed. However, having no hair at all and returning to your everyday life with a full head of hair can raise some questions, so it is important to consider how you will explain your new look, if the need ever arises.

You have three broad options:

  • You say nothing. In the real world, you are unlikely to be directly questioned
  • You think of a great explanation, and you stick to it
  • You tell people about your treatment

Which of these choices is most suitable for you, will depend greatly on your personal circumstances, how confident you are, the attitudes of your social circle and your work environment.

If you choose to say nothing, you would be surprised how rarely you are likely to be questioned. Your hair may be a big deal to you, but it really isn’t important to anyone else. People tend to care more about what is happening in their own world. Don’t believe me? Read the stories in our forum and you’ll see how many of our clients successfully use this approach.

If you want to come up with a great excuse, this forum thread offers some great ideas. Find one you’re comfortable with and stick with it.

The final option of course, is to just come clean. Opinions about this approach vary enormously, and it really depends on you. This option is just logical for some, but utterly unthinkable for others.

For more information please see the following resources:

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By Damien

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