What You Need to Know About Pain and Preparation for Your First Scalp Micropigmentation Treatment
- MAGAZINE COVER SMP

- Aug 18
- 4 min read
Updated: Sep 12
Scalp micropigmentation (SMP) is a game-changer for individuals facing hair loss or thinning hair. This innovative technique uses specialized pigments and ultra-fine needles to replicate the look of natural hair follicles, giving you a fuller-looking scalp. If you're thinking about this treatment, it’s vital to know what to expect, especially regarding pain, healing time, and preparation for your first session.
Understanding Scalp Micropigmentation
SMP is more than just a cosmetic procedure; it is an art form that requires expertise and attention to detail. The technique involves injecting pigment into the scalp to create the illusion of hair follicles. SMP can effectively tackle various hair loss issues, such as receding hairlines, bald patches, and even disguising scars from earlier hair transplant surgeries.
The results can be remarkably lifelike, leading many clients to feel a renewed sense of confidence. However, understanding the procedure is essential—especially its pain levels and how to get ready for it.
Does SMP Hurt?
Pain is a common concern among those contemplating SMP. Everyone has a different pain threshold, but many clients say the experience is akin to getting a tattoo.
Pain Levels During Treatment
In the SMP process, a specialized machine is employed to apply the pigment. The ultra-fine needles create tiny punctures in the scalp, which can lead to some discomfort. Nevertheless, most technicians use a topical anesthetic to ease any pain.
Many clients describe the sensation as a mild scratching or tingling rather than a sharp pain. It’s crucial to keep the lines of communication open with your technician throughout the treatment. If necessary, they can adjust their technique or apply more numbing cream.

Healing Time After Treatment
Post-treatment, you might notice some redness and slight swelling on your scalp, similar to a mild sunburn. This reaction is common and usually fades within a few hours.
Most clients can resume regular activities the very next day; however, it's best to avoid heavy exercise and excessive sweating for at least 48 hours. Complete healing generally occurs within 5 to 10 days, at which point the pigment will settle more naturally into your skin, revealing the final results.
Preparing for Your First SMP Session
Preparation is vital for a successful SMP treatment. Here are essential tips to help you get ready for your first appointment:
1. Research Your Technician
Before scheduling your session, take time to investigate potential SMP technicians. Look for ratings, before-and-after images, and their professional experience. A skilled technician can greatly enhance not just the results but also your comfort during the treatment.
2. Avoid Blood Thinners
In the days leading up to your appointment, steer clear of blood-thinning medications and substances, such as aspirin, alcohol, and caffeine. These can lead to increased bleeding during the procedure, potentially affecting the outcome.
3. Clean Your Scalp
On the day of your treatment, thoroughly wash your scalp to eliminate any oils or products that could hinder the pigment application. Refrain from applying any hair products, as a clean scalp aids in better absorption of the pigment.

4. Dress Comfortably
Wear loose-fitting, comfortable clothing for your appointment, as you may be sitting for a significant duration. Bringing a hat or beanie is a smart move since your scalp may be sensitive afterward and could benefit from some sun protection.
5. Stay Hydrated
Keeping yourself well-hydrated is vital for both your overall health and the healing process. Drink plenty of water in the days before your treatment to ensure your skin is well-prepared for the pigment.
What to Expect After Your First Treatment
After your SMP session, following the aftercare instructions given by your technician is crucial. This may include avoiding direct sunlight, swimming, and harsh hair products for a specified time.
Monitoring Your Healing Process
Pay attention to how your scalp heals. If you notice any unusual symptoms, such as persistent redness, swelling, or any unusual discharge, reach out to your technician right away.
Most clients leave their initial treatment feeling pleased with the results. However, some may need a touch-up session to achieve their desired look. This follow-up is generally scheduled a few weeks after the first treatment, allowing time for proper healing and pigment settling.

Wrapping Up
Scalp micropigmentation presents an exciting solution for those looking to enhance their look and restore confidence in their hairline. While concerns about pain are common, knowing what to expect can help ease these worries.
By preparing thoughtfully and adhering to aftercare guidelines, you can set yourself up for a successful SMP experience. The results can be transformative, offering a natural-looking answer to hair loss. If you’re ready to make the leap, consult a qualified technician to discuss your options and embark on your journey to a fuller-looking scalp.
Does SMP Hurt?
Pain is one of the most common concerns for anyone considering Scalp Micropigmentation (SMP). The truth is, discomfort is usually minimal.
Most clients compare the sensation to a light scratching or tingling feeling, rather than sharp pain. Because ultra-fine needles are used, it’s far less intense than a traditional tattoo. To make the process even more comfortable, your technician applies a topical numbing cream before and during your session.
Every client’s pain tolerance is different, but overall, the experience is very manageable — and most people find it easier than expected. Keeping an open line of communication with your artist ensures adjustments can be made if needed.
After your session: You may notice mild redness, similar to a sunburn, which usually fades within a few hours. Most clients return to work the very same day.
