By Douglas Fraser, SMP Artist at Scalp Studio
What do we discuss at an SMP consultation?
I use the consultation to understand what you want SMP to do, rather than assuming that every client wants the same finish. We discuss whether you are considering a shaved look, density between existing hair, scar camouflage, alopecia camouflage or another approach. Scalp Studio offers SMP for Repair, Scars, Alopecia, Shaved, Hair Tattoo and Male Density.
I ask how you usually wear your hair and whether you intend to keep it shaved, at fine stubble length or longer. If you still have thinning hair, Male Density SMP may help reduce visible scalp between existing hairs, but the remaining hair needs to be kept short enough for the pigment to blend with it. SMP does not change hair growth or make hair regrow.
I also ask about previous scalp treatments, tattoo reactions, allergies, medication and skin conditions. Please mention active eczema, psoriasis, scalp acne, a history of keloid scarring or any previous problem with healing. This information helps me decide whether treatment should be delayed, adapted or discussed with a healthcare professional first.
How is the hairline planned?
Hairline planning is one of the most important parts of a scalp micropigmentation consultation. A hairline that is too low, straight or symmetrical can look out of place, so I assess your facial structure, age, remaining hair and the way you want to maintain your appearance.
For a fully shaved look, I show you the proposed shape before any pigment is applied. We can discuss a softer hairline for a less detectable finish, or a sharper edge-up style if that is the look you prefer. The aim is not to draw a painted border across the forehead. A natural result usually includes gentle variation in the front edge and some visible scalp.
I encourage you to look closely at a practitioner’s hairline work when comparing providers. Ask to see relevant examples, including work on a similar hair-loss pattern or skin type. A consultation should give you time to ask questions about the technique, pigment and healed results.

How do you choose the pigment colour?
Colour matching starts with your current hair or follicle colour, not with an imagined future shade. I consider your closely shaved hair, surrounding scalp and normal hairstyle. The purpose of the pigment is to reduce the contrast between hair and scalp, not to place black tattoo ink visibly on the skin.
Colour is only one part of the result. Dot size, spacing, placement depth and the way your skin heals all affect the final appearance. I normally prefer a conservative starting point, using lighter pigment and wider spacing before adding density where it is needed. This helps me assess how the work settles instead of trying to make the scalp look completely finished immediately.
We also discuss the realistic visual effect. SMP creates the impression of follicle shadow or greater density. It does not create a solid, fully painted scalp, and some scalp showing through the hair is normal. Setting that expectation before treatment is an important part of an honest consultation.
What safety questions should I ask?
Your consultation is a suitable time to ask how the practitioner manages hygiene and what qualifications or permissions they hold. Before booking, you should verify that the practitioner has SMP-specific training, a body art practitioner licence, bloodborne pathogens certification and any relevant local health permit.
You can also ask how equipment is prepared. Needles should be packaged and opened in front of you, and the practitioner should use appropriate barrier protection, including gloves, mask, barrier tape and device guards. The studio should be clean.
Ask how allergies are handled. Tell me about every known allergy, including reactions to tattoo or cosmetic pigments. No procedure is entirely free from risk. Reported risks associated with tattoo-based SMP include infection, allergic reactions, granulomas, scarring, pigment colour change and, in some cases, discomfort around MRI scans if pigments contain metallic components.
If you have active scalp inflammation or a tendency to form keloids, SMP may not be suitable until the issue has been assessed or resolved. I do not advise stopping prescribed medication without speaking to the clinician who prescribed it.
How should I prepare for the appointment?
I will explain preparation based on the area and your planned treatment. In general, arrive with clean hair and scalp. Avoid topical hair products, including medicated and non-medicated products, in the week before treatment unless we have discussed otherwise. Avoid alcohol for the day before and after the session, and avoid caffeine on the day if it makes you tense or more aware of discomfort.
Arrive rested and hydrated. Do not stop prescribed blood-thinning medication without medical advice. Tell me if your scalp has changed since the consultation, including new irritation, spots, sunburn or a flare-up of a skin condition.
During treatment, I mark the areas and confirm the design with you. Numbing medicine can be used to reduce discomfort, and I work in sections so that you can communicate, stretch and take breaks. A session may take up to five hours depending on the area and detail. Most people need more than one appointment, because building the result gradually allows the skin to settle between sessions.
What happens after the consultation?
You should leave knowing what SMP can and cannot achieve, which style has been discussed, how your existing hair will be managed and what preparation is required. I will also explain aftercare and the likely treatment plan. The exact number of appointments varies with the size of the area, scarring, alopecia, remaining hair and how your scalp responds. You can read more about how many appointments your scalp treatment may take.
After each session, general guidance includes keeping the scalp dry for the advised period, avoiding heavy exercise, sweating, hot showers, steam rooms, swimming and direct sun while it settles. Follow the specific instructions I give you, because the timing can depend on the work completed.
Lightening during healing is normal. Do not pick scabs or interfere with the area. Once healed, long-term scalp protection with SPF can help limit fading from sun exposure. SMP is a permanent cosmetic tattoo, although it softens over time and may eventually need a touch-up.
For further background, my Scalp Micropigmentation service information explains the different treatment aims. Scalp Studio is based in Glasgow. You can also see the Dubai scalp micropigmentation service page.
If the consultation leaves you unsure, you do not have to proceed. A good consultation should help you make a considered decision, including deciding that SMP is not right for you at present.
Book a consultation if you would like to discuss your scalp and options with me.
Frequently asked questions
Should I bring photographs to my scalp micropigmentation consultation?
Yes, photographs showing how you normally wear your hair can be useful, particularly if your hair is longer on the day. You can also bring examples of hairlines or density styles you like. They are reference points only, because the final plan must suit your own scalp, facial structure, hair and expectations.
Can I have a consultation if I am not ready to book treatment?
Yes. A consultation should give you enough information to make an informed decision, not pressure you into treatment. You can use the appointment to discuss suitability, design, risks, pigment, aftercare and the likely number of appointments. If you remain uncertain, it is sensible to take time before deciding.
Will you be able to tell me exactly how long my SMP will last?
No practitioner can accurately guarantee an individual longevity period. Fading is influenced by sun exposure, skin type, lifestyle, skin ageing and the type of hair loss. I can explain the factors relevant to you and discuss the possibility of a future touch-up as the pigment gradually softens.
Can SMP cover a transplant scar?
SMP can be considered for some scalp scars, including scars associated with hair transplant procedures, but suitability depends on the scar's maturity, texture, colour and healing history. I need to examine the area and discuss your expectations first. A scar may require a different plan from ordinary scalp density work.
What if I change my mind about the hairline after the consultation?
Tell me before treatment begins. The consultation is the right time to review the shape, height and softness of the proposed hairline. Once pigment has been placed, changing a design is more complicated and may involve fading, correction or removal. I will not treat until the plan is understood and agreed.
Is a scalp micropigmentation consultation painful?
The consultation itself should not be painful because it involves discussion and assessment rather than pigment application. I will inspect the scalp, but there is no treatment needle involved. We can discuss expected discomfort and numbing options before you decide whether to proceed.