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Hair Tattoo for Men: Procedure, Costs and Risks

Knox Beasley, MD

Reviewed by Knox Beasley

Written by Geoffrey C. Whittaker

Published 08/21/2021

Updated 11/25/2024

If you’re a man experiencing hair loss, you may have considered hairline tattoos as one potentially helpful hair loss treatment. You probably know that tattooing can be painful and even a little expensive, but you might still be wondering if it’s worth it to cover up bald spots.

Here’s the honest answer: hair tattoos don’t stimulate regrowth or slow down balding, so a tattoo isn’t the right solution if you’re trying to stop hair loss. But if you’ve already lost some hair and want to make your scalp look less sparse or patchy, these tattoos — when done well — can look just like hair and help restore your self-esteem.

Below, we explain how hair tattoo procedures work, the results you can expect, and other options for treating hair loss.

Hair tattoos, or scalp tattoos, are cosmetic tattoos used to cover up hair loss and create the appearance of a full head of hair. They use a technique called scalp micropigmentation (sometimes called SMP), which involves tattooing the scalp with thousands of tiny, layered dots to mimic the appearance of natural hair follicles and tiny, short hairs.

These needles cycle at a rate of 100 to 150 times per second. As each needle comes into contact with the upper dermis, it applies a micro-droplet of pigment, creating a natural, follicle-like pattern on the scalp.

When performed by a skilled professional, a hair tattoo can create the appearance of a full head of hair in a short, buzz-cut hairstyle. In areas of the scalp where the hair is thinning, a hair tattoo can make it look thicker and more dense.

Sometimes, SMP is used only to make hair in a specific part of the scalp appear denser. For example, a hairline tattoo may be used to cover up a receding hairline, while a tattoo near the back of the head can hide scarring from hair transplant surgery.

Micropigmentation hair tattoos can also disguise many types of hair loss, including male pattern baldness and alopecia areata.

The cosmetic hair tattooing process is pretty different from getting a regular tattoo. Scalp micropigmentation uses extremely fine needles that allow for the placement of small dots of pigment in the skin.

To mimic the appearance of real, natural hair that’s cut close to the scalp, a skilled operator will microneedle pigments as close to the skin’s surface as possible. They will also use a range of different dot sizes and pigments.

Because the ink is applied close to the surface layer of the skin, an SMP treatment creates the appearance of fine, tiny dots rather than the smoother texture of a conventional tattoo. This can disguise thinning hair or a receding hairline.

The duration of the SMP treatment process can vary depending on the extent of hair loss and the number of dots needed. Often, tens of thousands of tiny dots are applied to the scalp over several sessions.

If you’re okay with the pain and discomfort, cosmetic hair tattooing can be well worth the effort. When done by a professional — and you follow the aftercare instructions — it’s a relatively low-risk procedure.

Regrow Hair

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One of the most significant downsides of cosmetic hair tattooing is the cost. Some sources estimate that a substantial tattoo will cost between $2,000 and $5,000.

However, the exact cost of a micropigmentation hair tattoo will depend on a number of factors, such as the tattoo artist you choose and their level of experience, as well as where you live.

And then there’s the question of how much tattooing is involved — if you’re just touching up a small bald spot, the tattoo artist has to do significantly less work than they do for someone who has gone fully bald.

With that said, the truth is that male pattern hair loss tends to get more noticeable over time.

Your hairline will continue to recede, and the bald spot on the crown of your head will get bigger. This means you might need touch-ups over the years.

Getting a scalp tattoo can be a big commitment — but people do it for good reason. For many men with hair loss, there are several advantages of hair tattoos over other hair loss procedures, including:

  • The appearance of a full head of hair. A scalp tattoo creates the appearance of a full head of hair unaffected by male pattern baldness.

  • Improvements in perceived density. Although scalp tattoos are usually used to give the appearance of a buzz cut, they can also make hair look denser, especially in thinning areas.

  • Long-lasting results. Unlike hairpieces, which must be replaced and refitted every few months, hair tattoos offer long-lasting results. A typical hair tattoo will maintain its appearance for several years.

  • Low maintenance. Although you’ll need to practice good aftercare following the procedure, a hair tattoo is a relatively low-maintenance treatment. There’s no need to take a pill or apply a topical treatment daily.

  • Relatively tolerable procedure. Scalp micropigmentation is generally less painful than getting a traditional tattoo, as the needles only penetrate the uppermost layers of your skin.

  • Zero downtime. After your SMP treatment, you can go about your day as usual. You won’t need to take time off work after the procedure.

  • A short recovery period. It usually takes seven to 10 days for the scalp to heal after a hair tattooing procedure, after which results are visible. In comparison, a hair transplant may take up to six months to produce noticeable improvements in hair growth.

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Despite their benefits, hair tattoos also have several disadvantages, including:

  • No real improvements in hair growth. While hair micropigmentation can make your hair appear denser, it doesn’t stop hair loss. This is probably fine if you don’t mind the look of a buzz-cut shaved head, but it’s not ideal if you’d like to grow long hair.

  • No protection. Tattoos don’t protect your scalp as effectively as hair, so your bald head will still need protection from the elements. Sunscreen or a hat are both good options.

  • Up close, the results may not look natural.  If they get up close, people might notice that your hair’s texture isn’t natural. When someone touches your scalp, they’ll also be able to feel the difference between real hair and the tattooed area.

  • Lack of affordability, especially compared to other procedures. The cost of a scalp tattoo can vary depending on a few factors. However, it’s certainly not the most budget-friendly procedure for treating hair loss.

  • Although rare, complications can occur. Possible complications of scalp pigmentation include skin infections and other serious infections like hepatitis C. These can be caused by contaminated packaging, tattoo ink, or needles. Another possible side effect is an allergic reaction to the ink.

  • Limited research on long-term safety. Since scalp micropigmentation is a relatively new procedure, there’s little research on its long-term safety.

  • Potentially time-consuming procedure. Most people need several sessions to reach their desired level of density and coverage. Each session takes four to five hours on average, making the process quite time-consuming.

  • Despite being long-lasting, results aren’t permanent. Although tattooed hair can last several years, the procedure must be repeated for natural-looking results. Over the long term, the costs of repeating this type of procedure can add up.

  • It’s fairly uncomfortable. Although it’s not as painful as getting a regular tattoo, a head tattoo procedure can still be quite uncomfortable — doubly so if you’re afraid of needles.

  • Not all tattooers are equally skilled. When searching for a hair tattoo artist, check customer testimonials and before-and-after photos. This can help you determine whether they can provide the results you’re looking for.

  • Removal can be costly. While scalp tattoos may fade over time, they don’t always go away entirely. If you change your mind and end up with scalp micropigmentation regrets down the road, hair tattoo removal can be pretty painful (and expensive).

As with regular tattoos, it’s important to be absolutely sure you want a hair tattoo before you head into the provider’s office. Many practices offer a free consultation, during which you can receive a personalized quote and learn more about the procedure, aftercare, and recovery process.

While hair tattoos may be a saving grace for some, others may not find them appealing. Maybe they're out of your budget, maybe you actually want your hair to grow, or maybe you're just afraid of needles. Fortunately, they're not the only hair loss solution out there.

If you’re starting to lose your hair, you can try the following treatments to stop hair loss and even restore hair in areas of your scalp with noticeable thinning.

Hair Loss Medication

Medication is king when it comes to hair health. Currently, the FDA has approved two medications as hair loss treatments:

Another option is a combination of finasteride and minoxidil for hair loss.

While a hair tattoo can reduce the appearance of baldness and hair thinning, these medications can slow hair loss. It’s even possible they can stimulate regrowth in the areas of your scalp with visible hair loss.

Good news, though: It doesn’t have to be an either/or situation. If you’d like, you can use minoxidil and finasteride after getting a hair tattoo. Just let your scalp heal fully before using any topical medication.

Hair Transplant Surgery

Unlike scalp micropigmentation, which creates the appearance of hair follicles, a hair transplant moves hair follicles from one part of your scalp to another, allowing you to restore your hair, improve density, and make hair thicker.

Modern hair transplant techniques involve moving a few of your own hair follicles to bald patches. This allows for a more convincing, natural-looking result than the hair plugs of a few decades ago.

For a hair transplant to be an effective treatment option, you’ll need enough existing hair to “donate” to the bald patches on your scalp, as well as healthy skin in the areas of your scalp affected by hair loss.

You’ll also need to cover surgical fees, which can often reach thousands of dollars. Still, even with the cost of a hair transplant, it could be an option worth considering if you’re looking for a long-term solution for hair loss.

Other Types of Camouflage

There are several other types of camouflage for bald men who would prefer to avoid an expensive and permanent tattooing procedure.

Alternative hair camouflage types include:

You can also ask your barber or stylist to help you explore options to cover balding spaces with alterations to your regular haircut.

Hair loss treatments, delivered

Before you get ready to ink up, it’s important to look at the big picture — and not just one that can cover your blank canvas of a bald spot.

Here are some important takeaways for anybody considering SMP treatment:

  • Tattooing is effective. When done by an expert, SMP procedures can give you the appearance of natural hair, disguising bald spots and areas with thinning hair.

  • It might be prohibitively expensive. Hair tattoo treatments are costly, and you may need to get touch-ups throughout your life.

  • Hair tattoos don’t affect your follicles. SMP won’t worsen your hair loss, but it also won’t stop or reduce it. Fortunately, many hair loss treatments can actually help stop hair loss.

If you’re considering a hair tattoo, it’s important to know the advantages and disadvantages, not to mention your other options for treating hair loss.

Ready to take the next step? Addressing hair loss often starts with consulting a healthcare practitioner. We can help set you up to speak with an expert from the comfort of your own home. From there, you can get the treatment you need.

3 Sources

  1. Rassman WR, et al. (2015). Scalp micropigmentation a concealer for hair and scalp deformities. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4382144/
  2. Saed S, et al. (2017). Hair camouflage: a comprehensive review. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5419059/
  3. Zito PM &Raggio BS. (2021). Hair Transplantation. https://www.ncbi.nlm.nih.gov/books/NBK547740/
Editorial Standards

Hims & Hers has strict sourcing guidelines to ensure our content is accurate and current. We rely on peer-reviewed studies, academic research institutions, and medical associations. We strive to use primary sources and refrain from using tertiary references. See a mistake? Let us know at [email protected]!

This article is for informational purposes only and does not constitute medical advice. The information contained herein is not a substitute for and should never be relied upon for professional medical advice. Always talk to your doctor about the risks and benefits of any treatment. Learn more about our editorial standards here.

Knox Beasley

Dr. Knox Beasley is a board certified dermatologist specializing in hair loss. He completed his undergraduate studies at the United States Military Academy at West Point, NY, and subsequently attended medical school at Tulane University School of Medicine in New Orleans, LA. 

Dr. Beasley first began doing telemedicine during his dermatology residency in 2013 with the military, helping to diagnose dermatologic conditions in soldiers all over the world. 

Dr. Beasley is board certified by the American Board of Dermatology, and is a Fellow of the American Academy of Dermatology.

Originally from Nashville, TN, Dr. Beasley currently lives in North Carolina and enjoys spending time outdoors (with sunscreen of course) with his wife and two children in his spare time. 

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  • Dermatology Residency. San Antonio Uniformed Services Health Education Consortium

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