Although tricopigmentation is not a strictly themed topic with our site where we basically deal with the possibility of recovery or maintenance of androgenetic alopecia thanks to official medical therapies , I hope I have answered those who have asked me for information on this type of remedy. aesthetic.

Also because, as we have seen, it is a treatment that can easily be integrated with the use of topical lotions and creatine microfibers which we have extensively discussed in the various articles of our blog.

If you liked the article or would like to request more information, do not hesitate to leave a comment in the appropriate box below.


The Hair pigmentation of the scalp is not among the remedies that I have personally tried, but because I get many requests for information relating mainly to the possibility of integration with traditional topical therapies or other systems to cover the thinning (microfibers of keratin), I thought it would be useful to write an article about it.

What is Tricopigmentation?

First of all it is necessary to explain what this type of aesthetic treatment consists of. Tricopigmentation is part of the branch of skin micropigmentation used for example for permanent make-up or tattoos, but evolved to simulate the presence of hair in the scalp (with a shaved appearance and more … as we will see shortly) allowing coverage in areas prone to baldness androgenetic or other types of alopecia.

But is this a common tattoo?

To those who are not in the sector it could happen to confuse tricopigmentation with a common tattoo because apparently very similar equipment is used with which the colored pigment is deposited in the skin.

The differences between the two methodologies are however considerable for the following reasons:

  • The instruments are specially designed to work in a delicate area such as the scalp and the motors have specific calibrations relating to the rotation speed and strokes per second.
  • Even the needle used differs from that for tattoos since it has a smooth tip only for drilling and a porous wall through which the pigment is deposited in a controlled quantity.
  • This equipment allows the pigment to be deposited in a much more superficial skin layer than in tattoos where the color goes deeper into the dermis.
  • It is very important to focus on the particularity of the quantity and of the subcutaneous layer where it is positioned. In fact, if deposited in excess, deformations can occur in the drawn dots which manifest themselves in the form of enlargements and color changes . In such cases, the aesthetic result is seriously compromised
  • Pigment is not permanent but resorbable over a period of time ranging from 12 to 24 months.

Types of treatment

Scalp tricopigmentation can be used for different types of problems related to hair loss, but basically they can be grouped into the following treatment modalities:

Shaved effect

It allows you to reproduce the appearance of shaved hair on the skin  through the design of points that simulate the look of hair cut to zero. If done by an expert operator, the aesthetic result is indistinguishable from the other hair of the subject.

It is indicated in cases where the areas affected by alopecia are too large for other types of tricopigmentation. Obviously the three-dimensional effect will be missing since in fact the dots are only drawn, but the results can be truly remarkable.

Density effect

As the name itself indicates, it allows you to optically thicken  a thinning hair thanks to the elimination of the contrast between the hair and the white scalp . The lack of such transparencies reduces the visibility of the skin thus giving a thicker look to the hair .

This type of treatment allows you to bring your hair to normal lengths unlike tricopigmentation with a shaved effect.

Correction of scars

It allows you to cover areas with linear scars in the scalp where hair cannot grow back naturally. It can occur following surgery, hair transplants with the FUT technique (in which a strip of skin is taken and a scar remains) or injuries in general.

Here too, thanks to the deposit of micro pigments, an attempt is made to reduce the chromatic contrast between hairless skin and the rest of the scalp.

How is it done?

Initially there will be a consultation with the operator during which the feasibility will be verified and the optimal design of the attachment will be planned.

The treatment generally requires up to 3 sessions initially in which the desired coverage effect is gradually achieved. Then , generally recalls 1-2 times a year must be made to restore and maintain the result since, as we have seen, the pigments are reabsorbable and with the passage of time the color tends to disappear.

The duration of the initial sessions ranges from a minimum of 1 hour to a maximum of 3 hours depending on the extent of the area to be treated and how the patient’s skin reacts in terms of pigment absorption.

Maintenance sessions, on the other hand, have a much shorter duration.

Generally, tricopigmentation is not painful but depending on the sensitivity of the individual, it is possible to use anesthetic creams if necessary.

Is it better temporary or permanent tricopigmentation?

It is certainly a legitimate question that anyone approaching the world of tricopigmentation for the first time will have asked. On the other hand, it is natural to think that if you were to use a permanent color as happens in tattoos, you could avoid maintenance sessions which involve, in addition to an economic outlay, also a waste of our time due to the trips often necessary to go to the operators. more qualified.

Instead, as we mentioned above, most of the operators in the sector today opt for semi-permanent tricopigmentation which involves the use of completely reabsorbable pigments within 12-24 months.

In my opinion this last approach is correct since you will certainly have seen people with long-standing tattoos who over the years have had color changes (for example black tends to become bluish or greenish) or enlargements of the lines that made the final result is less clear.

These are things that can happen both for reasons related to the pigment, but also for the intrinsic characteristics of our skin which, being a living tissue , is in continuous regeneration. However, it is one thing if the problem occurs on a tattoo that is generally in easily concealable areas, but if it occurs on a particularly exposed area such as the scalp, subject to alopecia, the aesthetic damage would be significant. In fact, it could happen that the dots drawn during the session expand by changing shape and color and this would be extremely deleterious, for example in a shaved effect tricopigmentation where the “dot” allows to obtain the naturalness of the result.

This is why I reiterate once again the importance of contacting qualified personnel and not standard or worse still improvised tattoo artists.

There are also professionals who offer permanent tricopigmentation which uses pigments similar to those used in classic tattoos and destined to remain in the skin indefinitely .

This methodology, in my view, still has some disadvantages today:

  • First of all, permanent tricopigmentation does not go away if not with decidedly expensive and sometimes annoying laser sessions.
  • However, it requires maintenance sessions to correct the inevitable variations that over time also affect normal tattoos. It will not be the 1-2 annual sessions of the semi-permanent, but a session every 3-4 years must still be done.
  • It does not take into account the age of the subject where for example a hairline drawn at the age of 25 might seem anomalous once the subject has reached the age of 50-60.
  • It does not take into account the white hair that could appear with the aging of the subject … and if one had done a beautiful black trico, I think there may be some problems 😉

In short, to date, in my view, semi-permanent tricopigmentation is better because in fact the color never has time to age in the skin since it is reabsorbed and with maintenance sessions you always have new pigment. Furthermore, even in the event of problems, it allows total disappearance within 12-24 months.

Alternative to the prosthesis

Tricopigmentation is a path followed by many users of hair prostheses which nowadays allow to obtain truly incredible results in terms of aesthetic performance.

However, they require long maintenance once a week and over the years many get tired and opt for the more practical shaved look obtainable with tricopigmentation. Particular procedures must be respected and generally the prosthesis must be removed at least one month before the session to allow the skin to return to a normal state. Very often, in fact, the adhesives and glues that are used to hold these capillary systems in place cause irritation and inflammation of the scalp.

Can I continue to use lotions or other thinning remedies?

Many of those who resort to tricopigmentation still want to continue to treat their baldness with topical products such as minoxidil  or topical finasteride in order to protect the residual indigenous hair as much as possible and fear having to stop the treatments once the micro-pigmentation has been performed. On the other hand, apart from ten days before and after the sessions in which it is advisable to suspend the applications of products on the scalp, it is safely possible to continue the treatment for androgenetic alopecia .

A need of those who instead undergo tricopigmentation with a density effect (and therefore bring their hair to normal length) is to be able to further improve the aesthetic effect by resorting to concealers such as keratin microfibres . Here, too, the answer is affirmative and, by respecting the pre and post-session precautions that the operator you will refer to will not fail to explain, it will be possible to use additional remedies to camouflage baldness .

Does it create damage to miniaturized hair?

This is also a more than legitimate doubt and, although those who are preparing to do a tricopigmentation session generally have hair that is already compromised by androgenetic alopecia, the fear that piercing the scalp hundreds of times could damage our poor residual hair is very frequent.

Well, in this respect we can sleep peacefully as the needle deposits the pigment in a much more superficial area than the hair follicle and therefore does not create problems . This, of course, provided you contact recognized professionals.

Indeed, it is a widespread opinion even among doctors who are experts in transplants that thanks to the holes made by the needle, a greater quantity of blood is recalled to the area and consequently more nutrients and oxygen. It is a bit like the operating principle on which the Dermaroller is based  . So you can rest assured that at least it doesn’t do any damage 😉

Tricopigmentation: what are the pros and cons?

After this reading, hopefully not too boring, I guess you have your own idea about this aesthetic treatment.

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