{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,16]],"date-time":"2026-10-16T17:50:49Z","timestamp":1792173049936,"version":"4.4.0"},"reference-count":14,"publisher":"Wiley","issue":"9","license":[{"start":{"date-parts":[[2025,9,3]],"date-time":"2025-09-03T00:00:00Z","timestamp":1756857600000},"content-version":"vor","delay-in-days":2,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2025,9,1]],"date-time":"2025-09-01T00:00:00Z","timestamp":1756684800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/501100001809","name":"National Natural Science Foundation of China","doi-asserted-by":"publisher","award":["82173440"],"award-info":[{"award-number":["82173440"]}],"id":[{"id":"10.13039\/501100001809","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100001809","name":"National Natural Science Foundation of China","doi-asserted-by":"publisher","award":["82304058"],"award-info":[{"award-number":["82304058"]}],"id":[{"id":"10.13039\/501100001809","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100001809","name":"National Natural Science Foundation of China","doi-asserted-by":"publisher","award":["82473555"],"award-info":[{"award-number":["82473555"]}],"id":[{"id":"10.13039\/501100001809","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100005230","name":"Natural Science Foundation of Chongqing Municipality","doi-asserted-by":"publisher","award":["CSTC2021JCYJ\u2010MSXMX0955"],"award-info":[{"award-number":["CSTC2021JCYJ\u2010MSXMX0955"]}],"id":[{"id":"10.13039\/501100005230","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100012546","name":"Chongqing Postdoctoral Science Foundation","doi-asserted-by":"publisher","award":["CSTB2023NSCQ\u2010BHX0049"],"award-info":[{"award-number":["CSTB2023NSCQ\u2010BHX0049"]}],"id":[{"id":"10.13039\/100012546","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J of Cosmetic Dermatology"],"published-print":{"date-parts":[[2025,9]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Scalp micropigmentation (SMP) is emerging for camouflaging localized alopecia, yet standardized protocols and long\u2010term efficacy data remain limited.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Aims<\/jats:title>\n                    <jats:p>To evaluate technical parameters, clinical outcomes, and safety of SMP in diverse alopecia subtypes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      Ten patients (androgenetic alopecia:\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u20096; scarring alopecia:\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u20094) underwent a standardized three\u2010session SMP protocol. Technical refinements included zone\u2010specific needle selection (single\/triple point), hierarchical pigment deposition (prioritizing thick\u2010haired regions), and randomized distribution to avoid uniformity. Pigment density was incrementally adjusted (30%\u219270%\u2192100% of natural follicular spacing). Adherence to a zero\u2010bleeding protocol ensured epidermal\u2013upper dermal depth. Outcomes were assessed via visual density score (VDS, 0~10) and patient satisfaction score (PSS, 0~3).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      All patients achieved significant cosmetic improvement. Immediate posttreatment VDS averaged 8.7\u2009\u00b1\u20091.1, with androgenetic cases scoring higher (9.1\u2009\u00b1\u20090.5). At 6\u2010month follow\u2010up, VDS declined modestly (7.7\u2009\u00b1\u20091.4), though scarring alopecia showed greater fading (\u0394\u2009=\u20091.6 vs. \u0394\u2009=\u20090.9 in androgenetic,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.03). Patient satisfaction was high (mean PSS\u2009=\u20092.7\/3), with 85.7% of androgenetic cases \u201cvery satisfied.\u201d Strong correlation existed between VDS and PSS (\n                      <jats:italic>\u03c1<\/jats:italic>\n                      \u2009=\u20090.91,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001). No adverse events occurred.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>SMP is a safe, minimally invasive solution for localized alopecia, providing sustained cosmetic improvement. Technical refinements in needle selection, pigment layering, and depth control optimize outcomes. Future studies should focus on long\u2010term pigment retention and expanded cohorts.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jocd.70375","type":"journal-article","created":{"date-parts":[[2025,9,3]],"date-time":"2025-09-03T09:34:47Z","timestamp":1756892087000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Scalp Micropigmentation Is an Effective Treatment for Localized Alopecia: Technical Analysis and a Series of Ten Case Reports"],"prefix":"10.1111","volume":"24","author":[{"ORCID":"https:\/\/orcid.org\/0009-0008-8277-0602","authenticated-orcid":false,"given":"Qinsi","family":"Liu","sequence":"first","affiliation":[{"name":"Department of Dermatology &amp; Cosmetic Medicine Center The Second Affiliated Hospital of Chongqing Medical University  Chongqing China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mang","family":"Sun","sequence":"additional","affiliation":[{"name":"Department of Dermatology &amp; Cosmetic Medicine Center The Second Affiliated Hospital of Chongqing Medical University  Chongqing China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jiezhi","family":"Zhang","sequence":"additional","affiliation":[{"name":"Department of Dermatology &amp; Cosmetic Medicine Center The Second Affiliated Hospital of Chongqing Medical University  Chongqing China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2225-7651","authenticated-orcid":false,"given":"Hengguang","family":"Zhao","sequence":"additional","affiliation":[{"name":"Department of Dermatology &amp; Cosmetic Medicine Center The Second Affiliated Hospital of Chongqing Medical University  Chongqing China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,9,3]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1111\/ijd.15131"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/ijd.17260"},{"issue":"3","key":"e_1_2_10_4_1","first-page":"35","article-title":"Scalp Micropigmentation: A Concealer for Hair and Scalp Deformities","volume":"8","author":"Rassman W. R.","year":"2015","journal-title":"Journal of Clinical and Aesthetic Dermatology"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijwd.2017.02.016"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/jocd.16429"},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00266-013-0259-1"},{"key":"e_1_2_10_8_1","doi-asserted-by":"publisher","DOI":"10.4103\/JCAS.JCAS_116_16"},{"key":"e_1_2_10_9_1","doi-asserted-by":"publisher","DOI":"10.1097\/SCS.0000000000007208"},{"key":"e_1_2_10_10_1","doi-asserted-by":"publisher","DOI":"10.1159\/000524135"},{"key":"e_1_2_10_11_1","doi-asserted-by":"publisher","DOI":"10.1111\/jocd.15297"},{"key":"e_1_2_10_12_1","doi-asserted-by":"publisher","DOI":"10.1111\/ijd.14295"},{"key":"e_1_2_10_13_1","doi-asserted-by":"publisher","DOI":"10.1097\/GOX.0000000000001420"},{"key":"e_1_2_10_14_1","doi-asserted-by":"publisher","DOI":"10.1084\/jem.20171608"},{"key":"e_1_2_10_15_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41598-017-11721-z"}],"container-title":["Journal of Cosmetic Dermatology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/jocd.70375","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/jocd.70375","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/jocd.70375","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,27]],"date-time":"2026-08-27T01:01:01Z","timestamp":1787792461000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/jocd.70375"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,9]]},"references-count":14,"journal-issue":{"issue":"9","published-print":{"date-parts":[[2025,9]]}},"alternative-id":["10.1111\/jocd.70375"],"URL":"https:\/\/doi.org\/10.1111\/jocd.70375","archive":["Portico"],"relation":{},"ISSN":["1473-2130","1473-2165"],"issn-type":[{"value":"1473-2130","type":"print"},{"value":"1473-2165","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,9]]},"assertion":[{"value":"2025-04-10","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-07-22","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-09-03","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e70375"}}