Scalp Micropigmentation vs Tattoo of the scalp

I have always believed that as a cosmetic surgeon my job is to meet the needs of my patients. Sometimes, however, the person’s needs do not conform to my willingness to deliver what they want. Here are three examples of different needs. The person on the left is not dissimilar to some of my patients who do not want to see the scalp so the pigments can be placed to cover the entire scalp, essentially painting the scalp. It might work if there was hair on top of it, but with a shaved head it is an example distinctly to the extreme. The person in the middle is more of a classic tattoo statement and has nothing to do with Scalp MicroPigmentation which we do every day in  our office. I hope he loves it but it does nothing for me. The last person on the right is one of our typical Scalp MicroPigmentation patients. Each man addresses the tattoo process differently and all three had balding. Which one can you identify with?