Does SMP Hurt? Sessions, Pain Levels & Numbing Explained

If you’re researching Scalp Micropigmentation (often called a hair tattoo) and wondering, “Does it hurt?”, you’re not alone. The short answer: most people describe SMP as mild to moderate discomfort rather than real pain—more of a scratchy, tingling sensation. In this guide I’ll break down what SMP feels like, how numbing works, what to expect session by session, and easy ways to stay comfortable. This is the exact advice we give clients at Sharp SMP in SMP Birmingham.

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Quick take: how much does SMP hurt?

Remember, pain is relative to the individual, everyone has a different level of tolerance for pain, this is what the majority of people would say about the level of pain.

• Pain level: typically 2–4/10, occasionally 5–6/10 on more sensitive spots.

• Sensation: light pricks/scratches; some areas feel almost relaxing.

• Duration: sessions are broken into short, manageable passes with micro-breaks.

• Numbing: numbing isn’t really necessary, the feeling of getting Scalp Micropigmentation done is very manageable. Numbing cream can affect the way the skin behaves and getting the most out of your treatment is the priority at Sharp SMP.

Remember, SMP is a minimally invasive hair loss treatment—no incisions and no general anaesthetic—so discomfort is usually very manageable.

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What affects pain levels?

1. Area of the scalp

• Softer/fleshy zones (sides/occipital) = usually easier.

• Bony/sensitive zones (temples, hairline edge, crown vortex) = can feel sharper.

2. Skin type & sensitivity

• Dry or sensitised skin can feel more “scratchy.”

• Oily/thicker skin may feel duller but can need a few more passes.

3. Hydration, sleep, caffeine

• Well-rested, well-hydrated clients cope better.

• Too much caffeine can make you jumpy.

4. Mindset & breathing

• Gentle, slow breathing genuinely helps. We pace the session around you.

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What do the sessions actually feel like?

Most clients need 2–3 sessions plus an optional refinement/top-up. Here’s the usual experience:

Session 1 — Mapping & foundation (light to moderate)

• We design a natural hairline, match colour, and lay the first density layer.

• Sensation starts mild as you settle in. Sensitive spots may ping briefly, then settle.

• You’ll get short breaks, water, and time to breathe.

Session 2 — Density & blending (moderate but familiar)

• Feels easier because you know what to expect.

• We build density and blend seamlessly into your native hair/skin tone.

• Any sharp moments are short and manageable.

Session 3 — Detail & finish (light to moderate)

• Fine-tuning hairline texture and tonal balance.

• Shorter overall; most clients say this one feels the easiest.

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Pain map: which areas feel what?

• Front hairline/temples: occasionally a quick “zing”—more nerve endings, thinner skin.

• Crown/vortex: can feel sharper near the centre, otherwise mid-range.

• Parietal/sides & occipital (back): usually the easiest—often described as “just scratchy.”

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How we keep you comfortable at Sharp SMP (SMP Birmingham)

• Paced sessions: frequent micro-breaks and pressure changes to avoid fatigue.

• Breathing & positioning: relaxed posture, neck support, calm breathing cadence.

• Clean technique: the right depth and cadence reduce unnecessary irritation.

• Communication: you can ask for a pause at any time—no heroics needed.

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After the session: what does it feel like?

• Right after: warm, tight, or slightly sunburnt feeling for 24–48 hours.

• Days 1–4: mild itchiness is common—don’t scratch. Keep it dry and clean.

• By Day 5+: most sensations fade; you’ll start gentle washing and light moisturising.

• Full comfort: usually within the first week as the micro-wounds close.

(For the full routine, read our SMP Aftercare (Days 0–30) guide. It’s the fastest route to a crisp, long-lasting result.)

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Tips to make SMP even easier

• Sleep & hydrate the day before; eat a normal meal pre-appointment.

• Limit caffeine (coffee/energy drinks) right before your session.

• Bring headphones if music or podcasts help you relax.

• Moisturise lightly the week before if your scalp is very dry (avoid heavy actives).

• Tell us about any skin conditions, sensitivities, or medications.

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Myths vs facts

• “SMP is as painful as a regular tattoo.”

No its not. The technique, depth, and needles are different; most clients rate SMP much lower on the pain scale.

• “Numbing stops you feeling anything.”

It reduces sensation but doesn’t remove it entirely—think dulled, not gone.

• “Pain means better results.”

False. Good results come from correct depth, spacing, angle, and colour—not from discomfort.

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Is SMP right for you?

If you want a non-surgical hair loss treatment that looks natural and fits an active lifestyle, Scalp Micropigmentation is hard to beat. Discomfort is usually mild, numbing is available, and sessions are designed around your comfort. At Sharp SMP (11+ years’ experience in SMP Birmingham), we tailor pain management to you—no drama, no surprises.

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FAQs

Does SMP hurt more than a hair transplant?

No. Transplants involve surgical incisions; SMP is minimally invasive and typically far milder.

How long is each session?

Usually 4-6 hours depending on coverage, skin type, and rest breaks. We never rush.

Can I take painkillers?

Simple options like paracetamol are commonly used. Avoid aspirin or other blood-thinners unless prescribed—always check with your clinician.

What if I have very sensitive skin?

We’ll start gently, use pacing and adjust technique to keep you comfortable.

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Ready to talk it through?

Book a free consultation to see your hairline design and get a personalised comfort plan. Explore our Services, view real Before & Afters in the Gallery, or get in touch today—let’s make your hair tattoo look sharp and stay comfortable from start to finish.

• Explore services: sharpsmp.co.uk/scalp-micropigmentation

• See results: sharpsmp.co.uk/gallery

• Book a free consultation: sharpsmp.co.uk/contact