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Trichophytic Closure

Trichophytic closure is a surgical incision closing technique that is designed to allow hair to grow through the incision. This is a great technique for scars from surgery on the scalp where you would want to minimize the appearance of a scar. 

Trichophytic closure is something you may want to ask your hair transplant doctor about. Some doctors do not feel comfortable performing this closure or feel it does not yield the best results. 

I had to request my doctor to perform this closure which he attempted to talk me out of; I insisted. I will tell you the results were 90% better than closing the scar without. That being said, I did make sure of my doctor’s resume in which he was a plastic surgeon before moving into hair transplants. If a doctor does not have the experience or feels uncomfortable with this closure, you should find another doctor. 

Best hair transplant closures in my opinion are done by doctors that understand tension and reduce scar tissue. To reduce the tension on the outer skin layer your surgeon should utilize dissolving stitches and close internally to allow the internal stitches to hold the tension. The outer stitches should close the outer layer using very little tension. (Almost just resting the two portions of skin together). 

https://www.chicagohairinstitute.com/trichophytic-closure

SMP is a great way to enhance this closure and camouflage your hair transplant scar. www.Dermimatch.com in Scottsdale Arizona. 

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Free Scar Revision Before SMP

Scalp Micropigmentation is a great way to camouflage hair transplant scars; however there are always limitations to what can be achieved. SMP can not change a scars texture or size so there are other options you need to consider in conjunction to SMP. 

Many people are shocked that you may be able to get a free scar revision. Many hair transplant doctors will revise a scar for past clients; so, if you received a hair transplant you can go back to that same clinic and have a revision at no charge. This is amazing knews that many people do not know about. The only bad side is that if you don’t like your doctor or trust their work; you may be stuck paying for a different clinic to perform your revision. 

Check with the clinic or doctor who performed your transplant and ask if they can revise the scar. I would also request that the surgeon perform a Trichophytic closure if possible. I will be making a separate article regarding this closure technique. 

Obtaining the best results and healthy tissue via scar revision before SMP may yield you a much better outcome in the end. 

Contact www.dermimatch.com on Scottsdale AZ for all SMP questions.

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Turning Gray With SMP

What happens five to ten years down the road if I turn gray? I am asked this question in just about every consultation I have with a potential client.  

The answer may vary depending on how dense and dark you request your SMP. Typically, the density and shade will be determined by your natural existing hair that the artist will match to. 

The main thing to understand is that hair shaved down in a majority of people leaves a shadow of gray. If your hair is brown, black, blond, red, etc. Once shaved, it leaves a gray shadow. The importance of this lies within the SMP pigments. Most SMP is performed with carbon black pigments that are diluted to be shades of gray when healed in the skin. Your SMP artist will add distilled water to the pigment to make the gray shade darker or lighter to match your existing hair. Some SMP pigments are warmed with warming colors added however the same principle remains. 

A small majority of clients with blonde, white or red hair may almost look bald on the sides when their natural hair is shaved down. This is actually not an issue because this transparent look isn’t going to change by the hair going gray; it will still remain transparent. Meaning, your smp will likely match and blend from the start. 

In conclusion, the SMP pigments used, heal in shades of gray already and with a shaved head the color of your hair is already leaving a shade of gray. Your hair turning gray over time may lighten this shadow, however your smp will also have been lighting up over this time as well.  

For those that do have a blending issue due to color years down the road; it’s important to know that SMP is typically removed with one laser session. 

For more information regarding SMP, please visit www.Dermimatch.com located in Scottsdale Arizona and  feel free to give us a call or book a consultation. 

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Elon Musk Hair Transplant Scars

Elon Musk is sporting a modern hipster style haircut these days and has shaved the sides of his head while leaving the top long and slicked back. 

It’s no secret Elon has done something to regain his hair as there are many pictures in his younger years with noticeable hair loss. Many folks that are in the hair loss space have known Musk likely had transplants to correct this as he now has a great full head of hair. 

Elon’s transplant results look incredible and during a recent interview; sporting his new hair style, two visible strip scars are clear as days. This is evidence that Elon has had at least two transplants however, it’s likely he has had 3 or more given the two scar sites. 

It’s very possible Elon is sporting this hairstyle to receive another transplant by FUE as the sides of his haid would need to be shaved down in most cases.

Regardless; he has exceptional results and can enjoy his youthful look. Elon may consider FUE and Scalp Micropigmentation to help camouflage these scars which would allow him to sport his shaved sides without the scar being so noticeable.  

If you have hair transplant scars please reach out to us at www.Dermimatch.com in Scottsdale Arizona. 

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Scalp Micropigmentation 2nd Session

If you have done any research into SMP, you have likely seen providers showing before and afters or even wash sessions progression. 

Any time we see this on a provider’s social media, everything seems perfect and easy going. 

Realistically, there are typically challenges throughout the treatment of many clients. These challenges aren’t anything out of the ordinary but they do require the artist to adjust and make subtle changes in their technique.

The second session is typically the most informative to the artist. This shows how well the pigment stayed in the skin, how well things heeled, does the artist need to use darker or lighter ink, etc. 

Many times clients are concerned as the 1st treatment heals because parts fade, it looks dotty, the impressions might be too large, etc.

This is all common and the client should be prepared for this in advance. You must explain that every person’s body is different and the blending and sessions must be completed to see the final results. 

 One tool an artist can use is completion correction to help with any impressions that have healed too bold or big. This pigment is a thick skin tone pigment that will work as a cover solution and helps with the blending process. 

Completion Correction can be found at www.dermimatch-products.com. Dermimatch clinic is located in Scottsdale, AZ 

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SMP Pigment Not Staying

This is a topic I never hear about from providers. 

Typically pigment not staying or sometimes not even seeing an impression stick is due to working in scar tissue. 

This can be frustrating for both you and your client. It’s the artist’s job to do everything possible to overcome this issue. 

Change needle sizes, maybe change pigments, go slower, etc. 

What if the scar tissue is just bleeding too much or the client has a history of poor healing or keloid scarring. 

Unfortunately, there are times where you as an artist may need to inform the client that they need to address the scars’ heath by letting it heal longer, look at laser resurfacing, microneedling, etc before you can continue. 

It’s important to try and spot these concerns before taking a client on, however this isn’t always obvious until you start the work. 

Dermimatch pigments may be able to help as they are slightly thicker than what is commonly used in the SMP industry. The thicker pigment can help with pinpoint scar work without the “sponge” and migration effect scars can have on highly diluted inks. 

Look at www.dermimatch-products.com. Dermimatch is located in Scottsdale, AZ 

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Scalp Micropigmentation In Different Lighting

Lighting plays a big role in how we see results on any given client. Providers will also use lighting to obtain the best before and after photos for marketing. 

It’s important to understand that this is natural and a fully shaved head will appear darker or lighter depending on lighting. 

Example: You’re in a dimmed bar meeting a date for the 1st time, it’s likely you will have a much more prominent SMP shadow vs. meeting at the beach where your head is reflecting the direct sunlight causing the results to look much more subtle. 

Some clients may ask why they took a picture at the pool and they look completely bald. They may even suggest going darker with their SMP. As an artist you need to be able to educate your client on the lighting effects and why “more is not better”. You don’t want a Lego head. 

One way to address the reflection to achieve more of a shadow effect in bright lighting is to use a matting product. This helps reduce shine on the head and advances the overall realistic look of SMP. 

Check out Zero Shine at  www.Dermimatch-products.com 

This product is designed to last for 12+ hours and maintain its effects in water or while sweating. 

Dermimatch is located in Scottsdale, AZ. 

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What To Expect After Each SMP Session

We all see Instagram posts of before and afters or 1st,2nd and 3rd session progression as it relates to Scalp Micropigmentation. Marketing and photos can be misleading and set false expectations of what is realistic throughout the process. Understanding the process and expectations is very important and should be relayed to potential clients during the consultation. 

I’d like to touch on the process and expectation for each session in general terms. SMP is typically done throughout 3-5 sessions realistically. For demonstration purposes, I will go through session progression as if we are talking about 3 sessions. 

First session – This is the time to create the overall foundation. Depending on your artist, this may be low density or a time to create density and get a “wow” factor for a client. Whatever path your artist chooses, this is the time to get a base down and fill in the balding area. Directly after a 1st session, the results may look amazing but as the treatment heals and the redness dies down, you will likely see sections that have faded or disappeared all together and other sections that have remained. This can leave a patchy appearance but do not be alarmed, this is normal. 

Second session – This is the time that your artist learns about your skin, how you heal, the technique used and any changes your artist must make in their technique. Each client’s skin is different and requires adjustments to be made to achieve the best results. During this session, your artist will be filling in any sessions that faded and blend the work from the first session. This is also the time to create the desired density the client is hoping to achieve or even make any changes to hairline design. 

Third session – This may be your last session for a while or it may not. This session is typically used to blend and create final detailed touches. Some artists may use a different shade of pigment to create a dusted 3D look on this session. 

As mentioned, each client is different so your artist should be working with you based on how the results are healing. A client’s scalp skin is different from inch to inch so if some sections impressions stay and others do not, you will need extra sessions. As a client, it can be a scary process when the results are not healing perfectly after every session; again this is common and each session is used to fill faded portions. 

Marketing might make one believe that each session looks perfect. This is not the case and requires many sessions to make the final results you see advertised. 
You can book a consultation with your local SMP provider or feel free to contact Dermimatch in Scottsdale, AZ at https://www.dermimatch.com and schedule a consultation.

Dermimatch Hair Clinic
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The Accepted “SMP Look”

Unfortunately as great as SMP is as a hair loss solution, we are still utilizing a 2D solution for a 3D problem. There are limitations to how natural this solution can look and it must be performed in such a manner as to obtain the most natural look. 

Is SMP natural up close in person? This all depends, however, when creating 1000’s of impressions, it would be a lie to say every single impression remains small and precise. Each portion of the scalp is a different texture and can yield a different result from one inch to the next. It takes a skilled artist and lots of patients to achieve the best results possible. Your artist should also be utilizing a complexion correction or saline solution to target any impressions that are not satisfactory as a standard part of the treatment. 

Natural hairlines are a must to obtain a natural result. It has become a trend in the SMP world to create the edged up barber look. If we are creating a shaved head look with SMP, how might one obtain an edge up look if they have a shaved head? You must have some length to achieve this with real hair right? So why would this be a great idea with a 2D impression? Although you can create a feathered edge up this is still a risky hairline to choose for the most natural result.  

The idea is to give a shaved look of a full head of hair, not to try and create hair. As an SMP artist I can typically spot SMP in the real world from a mile away. Even if the SMP work is excellent, I can still tell. It has almost become a “look” that is acceptable. The “SMP look”. 

I find this acceptable “SMP look” to defeat the purpose. So how do we avoid this look? SMP must be Subtle. Subtle with a natural feathered hairline. Do not get caught in the “more is better” trap. 

Another point I should touch on is pigments. The SMP world tends to utilize diluted straight black carbon ink. Luckily some artists have adopted the idea that the carbon black needs to be warmed up to help avoid the “shoe polish SMP look” and to help avoid blue ting in lighter skinned clients. 

Do your research and go to an artist that promotes a natural feathered hairline, subtleness and warm pigments. 

Take a look at Dermimatch.com to see natural before and after results in Scottsdale, Arizona.

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Topical Finasteride

The idea of topical Finasteride has become more popular as big companies like “Hims” are utilizing and advertising this as an option to the traditional oral delivery method. 

Finasteride taken orally is one of the few FDA approved treatments to combat hair loss.  Subsequently, topical Finasteride is not FDA approved to treat hair loss at this time. So why would you want to take Finasteride topically if this is not an FDA approved method. The answer is very simple; side effects of taking Finasteride orally can override the benefits for many. 

Finasteride works by blocking the hormone DHT in the body. As with any medication that is altering hormones in the body, there will be side effects associated. 

  • Decreased sex drive
  • Ejaculation disorder
  • Skin rash
  • Trouble getting or keeping an erection
  • Increase in breast size and tenderness
  • Gynecomastia

Although Finasteride is typically well tolerated, many can be affected by these side effects or maybe just want to avoid taking the medication due to possible side effects. 

Alternatively; “Topical finasteride primarily lowers the levels of DHT in the scalp and has a substantially lower impact on serum DHT in the body, which makes it less likely to cause side effects than oral finasteride.” https://www.usarx.com/drug/finasteride/does-topical-finasteride-work

To learn more or by topical Finasteride. Hims might be a good place to start. 

Forehims.com

For other additional coverage if you’re either thinning or if you’re passed the point of pharmacologic intervention and still want to address your balding; check out Dermimatch Hair clinic in Scottsdale, AZ. https://www.dermimatch.com/ 

scalp micropigmentation in Scottsdale, AZ for thinning hair - scalp micropigmentation in Scottsdale, AZ for thinning hair