Abstract：
BACKGROUND: Scalp micropigmentation (SMP) is becoming increasingly popular. Accordingly, complications of the procedure are on the rise. However, the results of improperly performed SMP are exceedingly challenging to rectify and ultimately lead to severe mental stress and feelings of inferiority in patients.
OBJECTIVE: This retrospective study aimed to explore various aspects of unsatisfactory SMP outcomes and examine corrective measures available after the procedure.
METHODS: A total of 120 patients who underwent corrective surgery or procedures due to unsatisfactory outcomes after SMP were enrolled in the study. Their photographs and medical charts were reviewed retrospectively.
RESULTS: Out of 120 participants, 76 were women and 43 men. In total, 107 patients (89.2%) had been treated at a tattooing or cosmetic facility at a beauty salon performing permanent makeup, 12 (10.0%) at another clinic, and one (0.8%) at an oriental medicine clinic. Of 120 patients, hair transplant surgery was performed on 74 patients (61.7%). Twenty-five (20.8%) underwent both hair transplant surgery and complementary SMP. Sixteen (13.3%) patients received laser tattoo removal and underwent SMP anew. Five patients (4.2%) had a previous tattoo removed without additional treatment. Patients\' subjective satisfaction scores averaged 4.5/5. The physician\'s objective satisfaction score was 4.6/5.
CONCLUSIONS: In cases where SMP is inadequately performed, satisfactory results can be achieved through appropriate revisions, such as tattoo removal, repeated SMP, or hair transplant surgery to conceal the tattoo by highly experienced medical professionals.
METHODS: IV.
OBJECTIVE: This retrospective study aimed to explore various aspects of unsatisfactory SMP outcomes and examine corrective measures available after the procedure.
METHODS: A total of 120 patients who underwent corrective surgery or procedures due to unsatisfactory outcomes after SMP were enrolled in the study. Their photographs and medical charts were reviewed retrospectively.
RESULTS: Out of 120 participants, 76 were women and 43 men. In total, 107 patients (89.2%) had been treated at a tattooing or cosmetic facility at a beauty salon performing permanent makeup, 12 (10.0%) at another clinic, and one (0.8%) at an oriental medicine clinic. Of 120 patients, hair transplant surgery was performed on 74 patients (61.7%). Twenty-five (20.8%) underwent both hair transplant surgery and complementary SMP. Sixteen (13.3%) patients received laser tattoo removal and underwent SMP anew. Five patients (4.2%) had a previous tattoo removed without additional treatment. Patients\' subjective satisfaction scores averaged 4.5/5. The physician\'s objective satisfaction score was 4.6/5.
CONCLUSIONS: In cases where SMP is inadequately performed, satisfactory results can be achieved through appropriate revisions, such as tattoo removal, repeated SMP, or hair transplant surgery to conceal the tattoo by highly experienced medical professionals.
METHODS: IV.
摘要：
背景：头皮微色素沉着（SMP）正变得越来越流行。因此，手术的并发症正在上升。然而,SMP执行不当的结果对于纠正非常具有挑战性,并最终导致患者严重的精神压力和自卑感.
目的：本回顾性研究旨在探讨SMP结果不令人满意的各个方面，并检查手术后可用的纠正措施。
方法：共有120例因SMP术后结果不理想而接受矫正手术或手术的患者纳入研究。他们的照片和医学图表进行了回顾性审查。
结果：在120名参与者中，76名女性和43名男性。总的来说,107名患者（89.2％）在美容院的纹身或美容设施中进行了永久性化妆，12（10.0％）在另一家诊所，和一个(0.8%)在东方医学诊所。120名患者中,对74例患者(61.7%)进行了毛发移植手术。25例（20.8％）接受了头发移植手术和补充SMP。16名（13.3％）患者接受了激光纹身去除，并再次接受了SMP。五名患者（4.2％）在没有额外治疗的情况下删除了先前的纹身。患者主观满意度得分平均为4.5/5。医师客观满意度得分为4.6/5。
结论：在SMP执行不充分的情况下，通过适当的修改可以取得令人满意的结果，比如去除纹身，重复SMP，或头发移植手术，由经验丰富的医疗专业人员隐藏纹身。
方法：IV.
目的：本回顾性研究旨在探讨SMP结果不令人满意的各个方面，并检查手术后可用的纠正措施。
方法：共有120例因SMP术后结果不理想而接受矫正手术或手术的患者纳入研究。他们的照片和医学图表进行了回顾性审查。
结果：在120名参与者中，76名女性和43名男性。总的来说,107名患者（89.2％）在美容院的纹身或美容设施中进行了永久性化妆，12（10.0％）在另一家诊所，和一个(0.8%)在东方医学诊所。120名患者中,对74例患者(61.7%)进行了毛发移植手术。25例（20.8％）接受了头发移植手术和补充SMP。16名（13.3％）患者接受了激光纹身去除，并再次接受了SMP。五名患者（4.2％）在没有额外治疗的情况下删除了先前的纹身。患者主观满意度得分平均为4.5/5。医师客观满意度得分为4.6/5。
结论：在SMP执行不充分的情况下，通过适当的修改可以取得令人满意的结果，比如去除纹身，重复SMP，或头发移植手术，由经验丰富的医疗专业人员隐藏纹身。
方法：IV.
