Hello Dr. Rassman I was wondering could you explain how the ink of smp will not fade if you decided to get a hair transplant after getting Scalp Micropigmentation

All permanent tattoo inks fade over time, especially if you expose them to sun, however, the hair transplant will not impact the SMP. We have found that 20% of our SMP patients will come in for a touch-up within 5 years of the SMP. See our website here: https://scalpmicropigmentation.com/

A rare finding is balding men is a strong persistent juvenile hairline.  Even with significant balding, this mans hairline will probably remain throughout his life regardless of how much he will bald. 

No, the hair just doesn’t grow back starting another cycle. I have seen many developing mature hairlines and I don’t remember ever seeing miniaturization

How do you know if you’re balding? What if you have a spot on your crown that is a little lighter that hasn’t really changed for months?

Many men first notice thinning in the crown before anything else becomes apparent. Get a HAIRCHECK test ( https://baldingblog.com/haircheck-test-how-it-is-done-video/ ) which will pick up hair loss that you can’t see and then you will know what you have to do treatment wise.

Before and after 1.5 years using fianstride.  The before picture must have been taken after the finasteride was started as you can see the new growth coming in in the right corner. His hairline appears to have returned to normal

This is an expensive process in which each individual hair or group of hairs is attached to a synthetic hair (or more).  Then, as the natural hair grows out, these weaved hairs move further and further away from the scalp, so to manage this problem (100% of people have this problem), these attachments are moved down the hair shafts to bring them closer to the scalp.  Hair grows at a rate of 1/2 inch per month, so this adjustment must be made at least once a month or even more frequently.  The second problem that these individual hair weaves bring, is traction alopecia (loss of the hairs that these weaves are attached to), so the person who utilizes this modality will find that they have less and less natural hair over time, leading to significant balding in a matter of years.  The short-term satisfaction that the person gets from this thickening process is significantly offset by future hair loss.

I have some criticisms: (1) the crusting should have been washed off immediately after the surgery so that you are normal looking, and (2) the harvest was extended beyond the permanent zone of the donor area, something that should not be done.