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Alopecia Areata and Scalp Micropigmentation: Who Is It For and What to Consider?
Can SMP be an option for alopecia areata? Disease activity, extensive forms, medical assessment and the limits of pigmentation.
Alopecia areata occurs when the immune system targets hair follicles, usually causing round, sharply defined bald patches. It may stay limited to one patch, recur, or involve the whole scalp (totalis) or body (universalis). SMP can be a camouflage option.
Diagnosis and treatment first
A dermatologist should confirm the diagnosis, assess activity and plan treatment. Many patches regrow spontaneously or with treatment, so pigmentation decisions must consider the disease course.
| Situation | Assessment |
|---|---|
| Long-stable single or few patches | May be considered for camouflage |
| Alopecia totalis | An option for a shaved look |
| Recurrent, changing patches | Careful planning as areas shift |
| Active, rapidly spreading | Usually treat and stabilise first |
Why not transplants? During active disease, transplanted follicles may also be attacked; SMP needs no follicles, so it can be preferable in some cases.
Limits
If hair regrows in pigmented areas, it grows over the pigment, usually without issues (plan with the doctor); new patches may need additional work; and the most natural full-scalp look comes with short hair.
Before treatment: no active inflammation or skin disease, tell the practitioner about medicines (some increase sensitivity), and plan with dermatology input.
Alopecia areata can deeply affect confidence; camouflage may improve quality of life, and psychological support can be part of care.
At our Istanbul clinic, SMP decisions for alopecia areata consider disease activity and dermatology assessment, with camouflage planned when appropriate; clients from Yalova, Bursa, Kocaeli and Gebze can share their treatment history.
