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SEMI-PERMANENT Scalp micropigmentation (SMP) Used to be done by tattoo artists only with varied results, now more hair surgeons and hair techs are offering it Can cover up scalp scars and supplement transplant Usually, no anesthetic needed Several rounds of treatments, at least 10 days apart, using gradually darker ink Does not injure the hair follicles since ink placed closer to surface Lasts 3-5 yrs PERMANENT Surgical hairline lowering (SHA) Most common non-transplant surgical hair procedure More popular in women due to a stable hairline Process: Marking, Numbing, Incision (beveled), Releasing, Endotines, excise forehead skin, and suture Typically performed under deep sedation As early as 4 months after the procedure, can perform a hair transplant to lower hairline even more and to round out the temporal area Hair transplant Most people have about 6000-7000 donor scalp hair grafts Different recipient sites: scalp, eyebrows, beard, underarms, chest, pubic, arms/legs Different donor sites: scalp, neck, chest, back Useful for women with androgenetic alopecia FUE (follicular unit extraction) is the most modern method for removing hair in which naturally occurring 1-4 hair grafts are removed one by one

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10.3390/ijerph17051616 287