Tricopigmentation is a constantly evolving technique used to mask hair loss both with long or shaved hair. Tricopigmentation conceptually derives from tattooes. This technique allows, with specific instruments, to introduce, into the superficial layer of the derma, small quantities of pigment in order to simulate the presence of growing hair.

This way, a hairless head will seem covered by very short hair and a thinned head will look thicker thanks to the reduction of the chromatic contrast between hair and skin.


From tattoo to scalp micropigmentation.

The insertion of points of pigment in the scalp can recall a specific technique, called “dotwork” tattoo. The dotwork or dot style is a tattoo technique that provides the design of the subject through individual dots, very close together, leaving small spaces that separate the pigmented areas and the not-treated areas in such a way that the perceived effect is three-dimensional. The usually tattooed subjects are religious or purely geometric ones.

In these cases, the size of the dots and the distance between them determine how much filled in the subject will be. In tricopigmentation, the principle is similar: to inoculate point by point little amounts of pigment following a geometric and mathematical criterion in such a way that the surface of the scalp will seem covered with freshly shaved hair.


 From scalp micropigmentation to now

The concept of scalp micropigmentation derives from an idea of hair tattoo developed more than 10 years ago by the HIS hair clinic CEO, Ian Watson.

After a great family mourning he lost all of his hair and begun to simulate them with a makeup pencil.

Ian is a tattoo artist and, seeing that this daily camouflage was working pretty well, he begun to develop the idea of a follicular tattoo.

The results still were immature but the idea was so ingenious that it got used and developed a few years later by some professionals in the field of micropigmentatio, that were already using resorbable pigments.

The combination between this innovative idea and the experience of these professional made possible the development of a technological research process that today allows us to enjoy result impossible to achieve before.


The resorbable pigments for scalp micropigmentation

In Italy, tricopigmentation sees a first development since 2010, also thanks to the support of many communities (forums and blogs) that deal with hair loss.

Before being someone that underwent a tricopigmentation, I attended Ieson, Salusmaster, and, then, Bellicapelli, where I made my choice reality. In these enviroments, tricopigmentation spread in a viral way, both among the users and among the doctors (or the collaborators), thanks to its being resorbable. This feature makes this technique very interesting, since it avoids the problems linked to the permanent pigmentation. If the features of the patient change, a semi permanenet tricopigmentation can change with him in order to always fit the best way possible. If the patient changes his mind or gets tired of it, he can freely choose not to mantain his tricopigmentation and it will fade away. To use resorbable pigments guarantees a total freedom and flexibility, essential aspects for the satisfaction of the patients.

In a short while, tricopigmentation results were qualitatively and quantitatively appreciable.


Differences between tricopigmentation and tattoos

  • Tricopigmentation, on average, uses a pigment that is reabsorbed over time and therefore is not permanent. This way, the result can be modified and adapted to any change. Recently, in Italy, the permanent techniques is developing too (you can read something about it directly on our blog).
  • For the tattoos, much more invasive tools are used. The tattoo gun is much less delicate than the one for tricopigmentation. That’s why the pain is usually absent during a tricopigmentation treatment.
  • The tattoo arrives in the deep dermis, while tricopigmentation only in the superficial dermis.
  • Head tattoos are not very well seen by the medicine world, while tricopigmentation is now becoming increasingly common among doctors who use it as a technique to mask hair loss.


The technique in the medical field thanks to Milena Lardì.

Tricopigmentation can be a valid alternative to surgical or non-surgical thickening systems. Of course, it is advisable to analyze all the limits of the technique.

The work done by Milena Lardì in this field has been constant and systematic. Years of experimentation have led her to develop the winning formulation between equipment, needles, pigments and working protocol. As a consequence of these researches, Milena Lardì began to partecipate as a guest in the most important worldwide hair loss surgery events, to which she is now invited as a lecturer. The validity and professionalism of her work never cease to meet recognition. Today, over sixty surgeons in the world have adopted her protocol. For futher information about Milena Lardì’s tricopigmentation:


 Semi-permanent treatment and 3D concept.

I personally introduced the concept of 3D tricopigmentation at the end of 2013, with some first posts on the Bellicapelli forum, in the section about scalp micropigmentation.

On January 14, 2014, as you can read on Beauty Medical blog, I precisely explained why the suffix “3D” was born. Semi-permanent tricopigmentation loses definition and coverage within the first 6-12 months. During this cleaning process, the dot fades together with the other pigment deposits, creating a sort of very natural halo that simulates the color of the keratin of just shaved hair.

Other dots are added during the maintenance. These deposits are new, intense and clear. Therefore, the new dots will simulate the growing hair, while the previuos halo will be the basis. This way, the naturalness of the result will be much increased.


The combination of these two phenomena creates the concept of optical threedimensionality of the tricopigmentation, even if it remains only two-dimensional.

When you will touch your head after a tricopigmentation, you will not feel anything on the surface, that will always be smooth.


 Tricopigmentation and possible treatments.

There are many possible tricopigmentation treatments. They can be classified as follows:

  • Shaved effect:when you wish to keep very short hair, around 1 mm. In this case, we will have to simulate a shaved head and the density will depend on different variabilities, such as the phototype, the original density in the occipital and superior area, the expectations of the client etc.
  • Density effect: to keep long hair (more than 1 cm). In this case, a more intense shaved effect is performed and the dots are mathematical placed in a different way during the second session.
  • Scar camouflage:used to mask scars due to hair transplant surgeries or to traumas. Not all the scars can be successfully treated.