Scarring alopecia is permanent. Scarring alopecia irreversibly destroys the hair follicles, whether caused by an accident, surgery, inflammatory disease, infection or autoimmune disease. It leaves a fibrous scar that makes the skin smooth and shiny. Restorative trichopigmentation is a medical tattooing technique that has been commonly used since the 1990s to conceal scalp scars.

The benefits of reparative trichopigmentation
  • Naturally and realistically conceals scars on the scalp
  • Lasts between 1 and 4 years
  • Suitable for men and women
  • Works on all hair types (long and short)
  • Recommended for scarring alopecia

What is restorative trichopigmentation?

Restorative trichopigmentation is a medical and semi-permanent tattooing technique. The dermograph injects pigments into the superficial layer of the scalp to naturally mimic the presence of hair. It allows to effectively conceal any fibrous scar, whether the patient has long, short or even shaved hair.

For which patients?

Trichopigmentation is suitable for people who have scars on their scalp, whether they are caused by accidents, surgery, inflammation, infection or congenital conditions. Trichopigmentation can be performed on both men and women, whether they have long or short hair.

What results to expect?

The effects of trichopigmentation are immediate and it only takes one to four sessions for the scars to be concealed in a completely natural and realistic way. The tattoo can last from one to four years before gradually fading.

What happens during a trichopigmentation session?

Trichopigmentation is an aesthetic procedure that must be performed by specialized dermographers. This is why CMCC has partnered with a reputable center located near the office. Our doctors monitor the patient’s condition and progress.

1st step: diagnosis and choice of pigment

Before any intervention, a thorough examination of the scalp is needed. This diagnosis allows us to identify the areas that need to be corrected, to decide on the trichopigmentation technique to be used (micro-dots or micro-lines) and to choose the color of the pigments (according to the color of the hair and the skin tone of the patient).
Duration: 60 minutes

2nd step: pigmentation

After cleaning and anesthetizing the areas to be treated, an experienced dermograph proceeds with the micro-tattooing of the epidermis using a sterile, single-use micro-needle. The doctor monitors the patient’s condition and progress.
Duration: between 60 and 120 minutes

3rd step: touch-ups

Up to three touch-up sessions are sometimes needed to achieve the most natural results. These sessions must be spaced out to allow time for the pigments to stabilize.
Duration: 2 hours for the first session, 1.5 hours for the second and 1 hour for the third.
4th step: follow-up
An annual maintenance session should be scheduled to preserve an optimal result.


Preliminary diagnosis*: 80 €.
FUT/FUE scar correction: from 380 to 580 €.
Accident/burns scar correction: from 680 to 980 €.
* The diagnosis is mandatory and allows us to determine a precise quote for subsequent treatments.

Restorative Trichopigmentation FAQ

Are there any contraindications to trichopigmentation?

YES – Trichopigmentation is not recommended for people with ongoing skin diseases, infectious and viral diseases, severe insulin-dependent diabetes, infectious scalp dermatoses, heart, kidney or liver failure, or congenital immune deficiency. Pregnant or breastfeeding women should not receive this treatment either.

I have already had one or more hair transplants. Can I have trichopigmentation?

NO – Trichopigmentation requires specialized skills. Only a trichopigmentation specialist can draw the hair on the scalp realistically and use medical grade pigments. This is why we have partnered with a center specialized in medical dermopigmentation.

Does restorative trichopigmentation risk damaging the hair bulbs?

NO – The dermograph does not go below the epidermis. The hair bulbs are located in the lower layers of the dermis. Therefore, they will not be touched by the needles.

I have already had one or more hair transplants. Can I have trichopigmentation?

YES – Trichopigmentation fills in the space between the grafts and masks the scars from the hair follicle removals.

Is restorative trichopigmentation painful?

NO – The protocol at CMCC is to perform a local anesthetic to make sure the procedure is completely painless.

Are there any operating constraints?

NO – Trichopigmentation is a superficial procedure. Consequently, no specific preparation is required and the patient can resume most of his or her activities immediately after the session. However, the patient should wait one week before going out in the sun, dusty areas, doing strenuous exercise, or swimming or going to the sauna.

Is there a risk of allergy?

NO – The pigments used in restorative trichopigmentation are natural, biocompatible and hypoallergenic and, as such, are generally well tolerated by the skin. The risk of allergic intolerance is minimal and this is why they are commonly used in aesthetic medicine.

Are the results immediate?

YES – Restorative trichopigmentation effects are immediate. However, 3 to 4 weeks are needed to allow the cells to renew themselves and the pigments to stabilize. Furthermore, touch-up sessions may be required to enhance the results.

have a shaved heIs the tattoo permanent? Can I still have a trichopigmentation?

NO – The pigments used in restorative trichopigmentation are semi-permanent. They will last between one and four years before gradually fading, depending on the acidity of the patient’s skin. An annual maintenance session is recommended to preserve the pigmentation of the affected areas. If the hair color changes, we can let the tattoo disappear and then do a new trichopigmentation.

have a shaved head. Can I still have a trichopigmentation?

YES – The dermograph will tattoo micro-dots. This will create a “shaved head” effect, while concealing the scars on the scalp.

Learn more about surgical treatments for scarring alopecia and hair systems