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CLIENT

CONSULTATION

Within this module, you will learn the necessary steps for the basic client communication process. The key to this process is the pre-treatment consultation. The consultation not only acts as an important sales tool, but also ensures that both the client and technician understand what is required. There are some important considerations to understand prior to commencing treatment that you will learn in this section.We will also introduce you to some non-standard scenarios that you will likely come across during some of your consultations. This includes, but not limited to, clients with scars and Alopecia. We will coach you how to approach situations where laser removal may be required.


The consultation is a valuable tool for both the client and the technician. For the client it provides them with the perfect opportunity to ask questions about scalp micropigmentation, how the process works, what styles are possible and about longer term implications, including aftercare. For the technician, they can assess the client’s current situation and calculate approximately how many treatment hours will be required. Of course, the consultation is also the primary opportunity for the technician to secure a confirmed treatment booking from the client.


Use ScalpaConsultation.com to keep the consultation structured, and to ensure both the client and yourself enjoy a constructive consultation experience.The most frequent questions that arise during a consultation are covered below, although bear in mind that the consultation should be individually tailored to the needs of the client. Follow our recommended format, but allow the direction of conversation to be led by the client. This enables you to ascertain what questions and concerns they may have, increasing the likelihood of the consultation resulting in a booking.If your client is proceeding with treatment, make sure they see a copy of our pre-care guidelines. 


 Pre & Post Care Scalpa Document Below


HOW MANY SESSIONS WILL I NEED?

Most clients will require 2-3 sessions. Aggressive fading often associated with treatments by other providers, is uncommon when using genuine Scalpa ink as the formulation is different. Additional treatments will increase the density, the number of ink dots in one area. More density will result in a darker, more natural look, which will help integrate the procedure into any remaining hair. However, explain that it’s always better to work conservatively and not do too much too quick. It’s better for a customer to say “it’s too light and it faded”, versus “it’s too dark, and I need you to laser it”. Clients with scars are more likely to require more sessions as scar tissue absorbs ink more readily, resulting in more significant fading. Treatments on clients with Alopecia may still be complete after 2-3 sessions, however the sessions are likely to be longer, especially if the client is suffering from aggressive Alopecia Areata or patchy hair loss, or Alopecia Totalis, the total loss of all head hair. 



IS THE TREATMENT PAINFUL? 

Scalp Micropigmenation requires a small needle to be inserted into the upper dermis of the scalp. A certain amount of discomfort is inevitable, however most clients report the sensation to be nothing more than mildly irritating, even therapeutic. The general consensus is that the pain varies from a 3-4 out of 10. Some parts of the scalp, for example the temporal regions and the hairline, can be more sensitive. Additionally some people experience more discomfort than others, and people who have used hair systems for a long period of time, or have a significant amount of scar tissue to cover, are also prone to a higher pain level. Pain is covered in more detail in our Pain Management section, however it is often as simple as advising the client to take a simple painkiller before each session. For complete eradication of any pain, clients can use our GON product.    



WHAT IS THE RECOVERY PERIOD? 

Explain to the client that they will experience some redness and swelling on their scalp up to a few days after the procedure. The pigment initially will appear a few shades darker and can take one to seven days to lighten, and in rarer cases up to 14 days. Bruising can also occur from time to time, which may cause the treated area to appear darker or to appear slightly blue. This is relatively uncommon affecting approx 1 in 10 clients, and goes away after a few days. Please note: it is common for clients to panic in the days immediately following their first session. The treatment looks at its worst during this time which can cause some concern. It is important to reassure the client that this is a normal and expected part of the scalp micropigmentation process, and is no cause for alarm. Within a few days, these same clients are likely to report feelings of relief and euphoria, as they start to see their new look taking shape. Clients can reduce their recovery time significantly by using our GON product. See the following video (In the video we are using an old bottle design): 



I’M A HAIR SYSTEM USER

If the client normally wears a hair system, rug, or hairpiece, be sure to tell them NOT to wear the hair system for 10-14 days to allow skin to breathe. By not doing so, they take the chance that the procedure will not take properly. 



I HAVE HAIR TRANSPLANT SCARS

Scar tissue reacts different for each client, so therefore, those areas should be approached with extra caution and may require a greater number of treatments. In addition, the client should come back within 5 to 7 days or when swelling disappears for a session that strengthens the fast fading pigment in the scar area. Treatment duration ranges from 30 minutes to 2 hours depending on the treated area. Refer to hair transplant scars 



I HAVE RECENTLY UNDERGONE LASER TREATMENT

Scar tissue reacts different for each client, so therefore, those areas should be approached with extra caution and may require a greater number of treatments. In addition, the client should come back within 5 to 7 days or when swelling disappears for a session that strengthens the fast fading pigment in the scar area. Treatment duration ranges from 30 minutes to 2 hours depending on the treated area. Refer to hair transplant scars 




QUALITY

MARKETING

OUR MARKETING PROGRAM

If you are looking for a way to get more PMU trainings, look no further. By using the Scalpa Lead Generation System you will get new high quality leads everyday. We are using advanced technology to find people searching for PMU trainings in your city and we will send you their information instantly. From there you can let them know anything they need to about you and when your trainings happen.




CONSENT

& SIGNATURE

STANDARD CONSENT FORM

When using the Scalpa brand of products it is mandatory to obtain signed consent from each patient before beginning any procedure. This document will protect you and your client to make sure you have a signed document laying down the agreements of this procedure. Before you use this document it is recommended that you have your lawyer look it over and 



CLIENT

EXCLUSIONS

DO NOT PERFORM

Scalp Aesthetics strictly forbids scalp micropigmentation to be performed on clients with the following conditions:


• Under the influence of drugs or alcohol

• Undergoing chemotherapy

• Undergoing blood thinner therapy

• Undergoing antibiotic therapy

• Undergoing antibiotic therapy

• Infectious diseases ( HIV / Hepatitis)

• High blood pressure 

• Heart disease

• Liver disease

• Epilepsy

• Albinism 

• Blood clots


*** Always consult with your family physician before having a scalp micropigmentation treatment  ***





PAIN

MANAGEMENT

Scalpa and our technicians are not qualified physicians. Therefore, the information on this page is for general guidance only and is acted upon at your own risk. Always seek the advice of a suitably qualified medical professional prior to taking any medication. 


The pain level the client will experience during their treatment is often described as a 3 to 4 out of 10 or equivalent to a small pinch. Pain has been described as varying, dependent upon what portion of the head the artist is working on. It has also been experienced that the frontal hairline and side profiles tend to be a more sensitive area. 


If your client chooses to use some form of pain relief, with the consent of their physician, understand that Aspirin is used as blood thinner and can encourage bleeding during your procedure. As noted in the previous section, it is prohibited from performing any procedure on a client undergoing blood thinning therapies.Please note that using alcohol as a painkiller is not allowed, and again, as stated in the previous section, it is prohibited from performing any procedure on a client under the influence of alcohol.




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Microblading and SMP GONE Redness and Pain Relief

GON is a topical anesthetic that reduces sensitivity by numbing the skin while it reduces bleeding during procedures. GON is a powerful, during procedure anesthetics, that is safe for all types of broken skin procedures.This powerful topical anesthetic contains:4% lidocaine and 2% tetracaine for numbing..02% epinephrine to reduce swelling, bruising and bleeding.This unique combination of ingredients contained in GON will create a relaxing procedural experience





ALERGIC

REACTIONS

HOW TO CHECK FOR ALERGIC REACTIONS

Allergic reactions are a rare occurrence. When you begin a clients first session, start with a very small patch on the top of head but within their native hair. This ensures that should your client choose not to proceed with treatment, their test patch is not visible.Allergic reactions can start immediately, but this is rare. Usually reactions will start after about 48 hours or even a few weeks after receiving the pigment. Look for localized swelling, small blisters/pustules similar to pimples and a sebum; as there maybe fluid oozing from the treated area.This is a great opportunity and reason to recommend a test spot to a potential client during a consultation.





HAIR TRANSPLANT

SCARS

The majority of scars you will encounter are the result of hair transplant surgery, although in some cases you may encounter scars from scalp reduction surgery or neurosurgery. The most common scars you will be asked to camouflage are strip scars (FUT scars) and dot scars (FUE scars). 




WHAT CAUSES THESE SCARS?

Strip scars (above left) are caused by follicular unit transplantation (FUT) surgery. This is where a strip of skin containing hair follicles is removed from the back of the head, divided into follicle clusters and redistributed to where they are needed. Multiple FUT scars on one client are common, as the result of multiple procedures.Dot scars (above right) are caused by follicular unit extraction (FUE) surgery. This is a more advanced procedure where individual follicular units are extracted from the donor site, usually the back of the head, and relocated where necessary. 





HOW ARE SCARS TREATED?

Assuming the scar is sufficiently healed, the general process of camouflaging them remains the same. However scar tissue by nature is unpredictable. Scars (and the scar tissue where the donor hair is implanted) require a sensitive approach. When dealing with scars, the multiple 3 session approach should be fully utilized to ensure quality. Scars can be ultra-absorbent, meaning they can require a very delicate and shallow touch. In contrast, scars can even be unaccepting of pigment. It is however, important to note that each session, regardless of how well the skin accepts the pigment, is essentially improving the health of the skin, and therefore increasing the probability of accepting pigment in the future. This is similar to “dry needling” which is a service offered by HT doctors. Breaking the skin allows new and healthy red blood cells to flow to the surface while forcing the skin to regenerate and heal itself with the production of new skin cells and collagen. With FUT scars technicians should treat a large blending area, in addition to the scar itself. This blending area should be at least 15mm both above and below the scar. When treating FUE scars, the blending area should include the healthy skin between each scar, and a buffer of at least 10mm around the donor site. 





WHAT IS POSSIBLE?

Linear strip (FUT) scars are generally more challenging than FUE scars. When treating FUT scars it is important to advise the client beforehand what level of camouflage is to be realistically expected. This is usually expressed as a percentage, i.e 70%. Please note you should NEVER promise your client a 100% camouflage as this is simply not possible.





ALOPECIA

CLIENTS

In order to correctly treat clients with alopecia, it is important to understand that alopecia itself comes in many different forms. The most common types you will encounter are alopecia areata and alopecia totalis, however other strains like traction alopecia and scarring alopecia are also seen from time to time. 


 We’ll focus on alopecia areata and totalis for now. If you require specific advice about another strain please contact us.These two conditions are, in many ways, one and the same. Alopecia areata (below left) is very common and is manifested as patchy hair loss. These patches are usually round and can affect a single area, or multiple areas at the same time. 


The condition is highly unpredictable. Patches can grow larger, reduce in size and even change position. The condition can go away, then come back again. Most people with alopecia areata suffer over a long period of time. Those with a history of the condition are more likely to develop the symptoms again later on in life.


Aggressive alopecia areata can further develop and cause the loss of all head hair including eyebrows, eyelashes and facial hair. At this stage the condition is described as alopecia totalis (below right).




WHAT CAUSES ALOPECIA?

Alopecia-related hair loss happens when the immune system mistakes hair follicles for foreign bodies, and subsequently attacks them. Despite many years of research, it is not yet known why this happens.




WHAT TREATMENTS ARE AVAILABLE?

There is no cure for alopecia, however the following treatments are often used: 


Corticosteroids: 

Anti-inflammatory drugs that are prescribed for autoimmune diseases. 

Corticosteroids can be given as an injection into the scalp or other areas, orally (as a pill), or applied topically (rubbed into the skin) as an ointment, cream, or foam. Response to therapy may be gradual. 


Topical contact allergens or sensitizers: 

This type of therapy may be used if the hair loss is widespread or if it recurs. The inflammation that the treatments cause may promote hair regrowth. Another name for this treatment is topical immunotherapy. 


Rogaine (minoxidil): 

This topical drug is already used as a treatment for pattern baldness. It usually takes about 12 weeks of treatment with Rogaine before hair begins to grow.Results from all treatment options can be disappointing, in fact traditional treatments are much more likely to fail than they are to succeed. Scalp micropigmentation really is a great option for men with alopecia, as although it is not a ‘cure’, it is the only treatment available that offers guaranteed results. 


Results from all treatment options can be disappointing, in fact traditional treatments are much more likely to fail than they are to succeed. Scalp micropigmentation really is a great option for men with alopecia, as although it is not a ‘cure’, it is the only treatment available that offers guaranteed results.




HOW TO TREAT ALOPECIA

The implementation of scalp micropigmentation is ultimately the same as with any other client, however planning the clients treatment requires additional considerations.For clients with alopecia areata, the key question is how aggressively your client is experiencing the condition. If the client has just a small area that is affected, and they have never experienced alopecia before (or at least no more severely than at present), then treating the area in isolation is a possibility. 


If however the clients patches are sporadic in nature, frequently change shape, size or position or is regularly recurrent, the advice should usually be to treat the entire head, including the full back and sides. This way, any variation in the clients symptoms will be catered for in advance.A technician should usually follow the clients existing hairline around the entire head, and after shaving the hair down, add sufficient density to provide an illusion of hair regardless of whether or not their real hair is lost. 


For clients with alopecia totalis, the entire ‘shape’ of their head hair must be recreated, although the procedure itself is the same from a technical standpoint as any other procedure. It is strongly recommended that you reference multiple examples of ear lines, neck lines, temples, sideburns, and hairlines. If possible it would be helpful to refer to old photographs of the client showing them with a full head of hair. 


Make sure you actively listen to your client, and allow plenty of time to draw the outline of their new ‘hair’ around their entire head.Also remember that a full head treatment on a client with Alopecia can take up to 6 hours per session to complete. This time should be allowed for (and quoted for) accordingly.



LASER

REMOVAL

Every so often, you will require the services of a laser removal specialist. Typically there are four scenarios that may cause a client to request a removal:


        1) Your client received a poor quality treatment elsewhere, and they’re coming to you for help 


        2) They had their treatment a while ago, and now they want to adjust their hairline, side profiles or some other feature of their treatment 


        3) Your client is struggling to adapt to their new look, and wants to remove their treatment 


        4) You made a mistake with the clients treatment, and a full or partial removal is required


The first thing to remember is that laser removal is a specialist field, and there is a limit to how much information you can provide. A small number of our partners are laser technicians and have the correct equipment on site, but we do not expect our partners to be fully versed in the finer points of laser. You won’t have that much requirement for it anyway.However, you WILL encounter requests for laser removal from time to time, so it is important that you have an outline understanding of the different scenarios. We highly recommend that all our partners find a laser specialist in their locality who they can refer clients to, as and when required. You will be able to discuss these requests with a much greater degree of confidence, if you have a preferred partner in place and understand the basics of how they operate.




POOR QUALITY TREATMENT RECEIVED ELSEWHERE

If a client comes to you with a really bad looking treatment, the chances are it looks bad because the wrong needle, the wrong ink or the wrong penetration depth was used. From a laser technicians point of view, they would approach the removal in the same way they would approach the removal of a regular body tattoo. This makes sense because if the pigments are too deep within the skin (look for dot spreading), or if the wrong inks have been used (look for discoloration), then what your client received would be very similar to a tattoo anyway, and should be removed in the same way. 


Generally speaking, the deeper the ink was deposited, the more laser sessions will be required to remove the ink. Scalpa inks, applied at the right depth, can be removed in just one laser session. Body tattoos can take 5-6 laser sessions to remove.Remember, the client needs to leave 3-4 weeks between each laser session for the skin to heal. The laser technician should be able to provide specific advice. Also remember that if you are treating the client with further pigmentation after the removal is complete, a further 3-4 weeks must be allowed for between their last laser session and their first scalp micropigmentation session.  




STYLE ADJUSTMENT

The most common requests are to make a hairline appear more receded, less defined, or to change the shape of their side profiles.How many laser sessions will be required, depends on whether the treatment was applied correctly in the first place. If they received their treatment at Scalpa and it was correctly applied, one laser session is usually sufficient. If they received a bad treatment elsewhere, please refer to the information above.Remember to allow 3-4 weeks after their last laser session before any further pigmentation is applied.




FULL REMOVAL

It is extremely rare for a client to request a full removal, however it does happen from time to time. If the client received a correctly applied treatment at Scalp Aesthetics, one laser session is usually enough to remove the pigment. However, if the treated area covers a large area, for example most of the top of the head, a further session may be required as it is very difficult for a laser technician to accurately cover a large area without missing any pigment.




YOU MADE A MISTAKE

Don’t beat yourself up about it. Even the very best technicians make mistakes sometimes, and you are more likely to make a mistake while you’re still learning. Also know when to stand your ground. Just because your client is unhappy, doesn’t mean you made a mistake. Sometimes customers can be unreasonable. The most important thing is to rectify the situation for the customer as quickly as you can, regardless of who is to blame.If you made a mistake, as long as you followed our depth guideline, the chances are that you selected the wrong shade, or there is a problem with blending, density or the clients hairline. All of these issues can be resolved with a single laser session, and most likely a final pigmentation session.




WHAT CAN THE CLIENT EXPECT?

Removing a scalp micropigmentation treatment by laser is not painless, but it is not excruciating either. The pain level is generally comparable to the discomfort felt while receiving the treatment, so if they can handle the treatment process, they should be fine with laser.Immediately following their laser session the client should see a white, almost powdery appearance at the treatment site. This soon goes away, and in the days following their session, the area may appear darker than it did before. Your client needs to be careful with making the decision to get their SMP procedure lasered because it will not only remove the pigment, but it will remove some of the remaining hair as well. Over a period of 3-4 weeks, the pigmentation will gradually lighten and depending on the situation (as per the above scenarios), should disappear completely.  



WHO PAYS FOR LASER TREATMENTS?

If you are the one that preformed a bad procedure you should be the one to pay for the laser treatment of your client. If there is a If the client is coming in with a bad procedure for someone else you can either try to fix it by adding a lot of density with a lighter pigment, or you can suggest that they get their head lasered and allow the laser to heal fully before they come on to get their new procedure. 




POST CARE

INFORMATION

FOR 7 DAYS FOLLOWING APPLICATION OF YOUR SCALP MICROPIGMENTATION TREATMENT:


Do not touch the healing pigmented area with your fingers, they may have bacteria on them andcreate an infection.Apply your favorite antibiotic ointment or Vaseline 3-5 times daily until the procedure area has healed. Always use a clean cotton swab and not your fingertips. 


No make-up, sun, soap, sauna, Jacuzzi, swimming in chlorine pools or in the recreational bodies of water, contact with animals, gardening for 7-10 days, (until area is completely healed) post procedure and after all touch-ups.Before bathing, gently apply a light coating of Vaseline on the procedure area using a clean cotton swab. Continue this regime until the procedure area has completely healed. 


Do not rub or traumatize the procedure area while it is healing (pigment may be removed along with crusting tissue).Use a “total sun block” after the procedure area has healed to prevent future fading of pigment color. 


Do not use products that contain AHA’s on the procedure area (for example: Glycolic, Lactic Acids). Always check your product labeling as products containing these ingredients will fade your pigment color.If you are a blood donor, you may not give blood for 1 year following your Permanent Make-up application (per Red Cross). 


Touch-up visits should be scheduled between 30-45 days post procedure. All Permanent Make-up procedures are a two-step process. Results are not determined until touch-up application is completed.If you have any questions or concerns please notify your technician immediately.If you experience any itching, swelling, blistering or any other complications post-procedure, stop using product and call your technician immediately. You may be allergic to the after care product you are using! 


If you have excessive redness, swelling or tenderness or any red streaks going from the procedure site toward the heart, elevated temperature, or purulent drainage from the procedure site, contact your physician as the area may be infected and you may need to seek medical care.



If you have any questions at any time please contact your trainer at trainer@scalpashop.com

Questions?

Contact Gaby on WhatsApp 

at+1 (626) 376-5269