Evidence map›Paper›PMID 40899372›Full record

ArticleJournal of cosmetic dermatology2025

Scalp Micropigmentation Is an Effective Treatment for Localized Alopecia: Technical Analysis and a Series of Ten Case Reports.

Qinsi Liu, Mang Sun, Jiezhi Zhang, Hengguang Zhao

Abstract readCase Reports
In one paragraph

Article in Journal of cosmetic dermatology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

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PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Qinsi LiuDepartment of Dermatology & Cosmetic Medicine Center, The Second Affiliated Hospital of Chongqing Medical University, Chongqing, China.ORCID https://orcid.org/0009-0008-8277-0602
Mang SunDepartment of Dermatology & Cosmetic Medicine Center, The Second Affiliated Hospital of Chongqing Medical University, Chongqing, China.
Jiezhi ZhangDepartment of Dermatology & Cosmetic Medicine Center, The Second Affiliated Hospital of Chongqing Medical University, Chongqing, China.
Hengguang ZhaoDepartment of Dermatology & Cosmetic Medicine Center, The Second Affiliated Hospital of Chongqing Medical University, Chongqing, China.ORCID https://orcid.org/0000-0003-2225-7651

Funding

Chongqing Postdoctoral Science Foundation CSTB2023NSCQ-BHX0049National Natural Science Foundation of China 82173440National Natural Science Foundation of China 82304058National Natural Science Foundation of China 82473555Natural Science Foundation of Chongqing Municipality CSTC2021JCYJ-MSXMX0955
6 · The paper itself

Abstract

backgroundScalp micropigmentation (SMP) is emerging for camouflaging localized alopecia, yet standardized protocols and long-term efficacy data remain limited.

aimsTo evaluate technical parameters, clinical outcomes, and safety of SMP in diverse alopecia subtypes.

methodsTen patients (androgenetic alopecia: n = 6; scarring alopecia: n = 4) underwent a standardized three-session SMP protocol. Technical refinements included zone-specific needle selection (single/triple point), hierarchical pigment deposition (prioritizing thick-haired regions), and randomized distribution to avoid uniformity. Pigment density was incrementally adjusted (30%→70%→100% of natural follicular spacing). Adherence to a zero-bleeding protocol ensured epidermal-upper dermal depth. Outcomes were assessed via visual density score (VDS, 0~10) and patient satisfaction score (PSS, 0~3).

resultsAll patients achieved significant cosmetic improvement. Immediate posttreatment VDS averaged 8.7 ± 1.1, with androgenetic cases scoring higher (9.1 ± 0.5). At 6-month follow-up, VDS declined modestly (7.7 ± 1.4), though scarring alopecia showed greater fading (Δ = 1.6 vs. Δ = 0.9 in androgenetic, p = 0.03). Patient satisfaction was high (mean PSS = 2.7/3), with 85.7% of androgenetic cases "very satisfied." Strong correlation existed between VDS and PSS (ρ = 0.91, p < 0.001). No adverse events occurred.

conclusionsSMP is a safe, minimally invasive solution for localized alopecia, providing sustained cosmetic improvement. Technical refinements in needle selection, pigment layering, and depth control optimize outcomes. Future studies should focus on long-term pigment retention and expanded cohorts.

Indexed as

AlopeciaCosmetic TechniquesAdultFemaleFollow-Up StudiesHumansMaleMiddle AgedPatient SatisfactionScalpTreatment OutcomeYoung Adultcosmetic camouflagelocalized alopeciascalp micropigmentationtreatment protocol

Identifiers

PMID40899372
PMCPMC12406178

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