Proper aftercare is the most important factor in achieving exceptional, long-lasting SMP results. While the procedure itself is minimally invasive, following precise recovery instructions ensures optimal pigment retention, prevents complications, and maximizes the longevity of your investment.
This comprehensive 2026 guide covers everything you need to know about SMP recovery, from hour-by-hour instructions for the first 24 hours to long-term maintenance strategies that will keep your scalp looking fresh for years.
Days 1-3: Critical Phase
Keep scalp completely dry. No water, no sweating, no touching.
Days 4-7: Gentle Washing
Begin washing with lukewarm water. Light scabbing begins.
Days 8-14: Natural Shedding
Scabs shed naturally. Color appears lighter. Return to most activities.
Weeks 3-4: Final Healing
True color emerges. Sun protection required. Schedule follow-up.
Day-by-Day Healing Guide
These first 72 hours are the most crucial for your results. The micro-wounds are still open, and the pigment is vulnerable to removal.
What You Should Do:
- Keep your scalp completely dry - no water contact at all
- Sleep with your head elevated (use 2-3 pillows)
- Avoid touching or scratching the treated area
- Take any prescribed pain medication as directed (typically not needed)
- Apply aftercare ointment only if specifically instructed by your technician
- Wear loose-fitting hats only if necessary for sun protection
What You Must Avoid:
- Any water on the scalp (showers, rain, humidity)
- Exercise or activities that cause sweating
- Swimming pools, hot tubs, saunas, or steam rooms
- Direct sunlight exposure
- Tight hats or headwear that rubs the scalp
- Alcohol consumption (increases bleeding risk)
Normal: Redness, slight swelling, and tenderness are expected. The treated area may appear darker than the final result.
You can now begin washing your scalp, but gentleness is key. This is when light scabbing typically begins.
First Wash Instructions (Day 4):
- Use lukewarm water - never hot
- Apply a small amount of gentle, fragrance-free shampoo
- Lather very gently using only your fingertips - no rubbing
- Rinse thoroughly with lukewarm water
- Pat dry with a clean, soft towel - never rub
- Allow to air dry completely
Days 5-7 Expectations:
- Light scabbing or flaking may appear - this is normal
- Some pigment may appear to shed with the scabs
- The treated area may feel itchy (do not scratch)
- Continue gentle washing once per day
- You may feel comfortable returning to desk work
Critical: Never pick, scratch, or forcibly remove scabs. Let them shed naturally to avoid patchy results.
This is when most of the scabbing and flaking occurs. Many clients panic during this phase because the color appears significantly lighter.
What's Happening:
- Scabs naturally shed, taking some surface pigment with them
- The color appears 40-60% lighter than immediately post-treatment
- This is completely normal and expected
- The pigment beneath the scabs remains intact in the dermis
- True color will re-emerge over the next 2-3 weeks
Skincare Routine:
- Continue gentle daily washing
- Apply fragrance-free moisturizer if scalp feels dry
- Avoid exfoliating products or harsh scrubs
- Keep scalp protected from direct sun
Don't Panic: The "ghosting" or fading during this phase is temporary. Your SMP will darken back to the target shade by week 4.
Your scalp is now fully healed, and the true color of your SMP is emerging. This is when you'll see your final results from this session.
What to Expect:
- Pigment darkens to its true shade (oxidation process)
- Scalp returns to normal sensitivity
- You can resume all normal activities
- Follow-up session can be scheduled (typically weeks 4-6)
Resuming Activities:
- Swimming: Safe after 4 weeks (use SPF waterproof sunscreen)
- Exercise: Full intensity workouts permitted
- Sun exposure: Always use SPF 30+ on scalp
- Hair products: Can resume normal hair care routine
Essential Do's & Don'ts
- Keep scalp dry for first 3 days
- Sleep elevated for first week
- Use gentle, fragrance-free products
- Pat dry - never rub
- Protect from sun (SPF 30+)
- Follow technician's specific instructions
- Attend all follow-up appointments
- Stay hydrated and maintain healthy diet
- Touch, pick, or scratch the treated area
- Exercise or sweat for first week
- Swim or submerge scalp for 4 weeks
- Use harsh chemicals or hair dyes
- Expose to direct sunlight without SPF
- Drink alcohol for first 72 hours
- Remove scabs forcibly
- Skip follow-up appointments
When Can I Resume...?
Exercise & Physical Activity
- Light walking: Day 4
- Moderate cardio: Day 8
- Weightlifting: Day 10
- High-intensity training: Day 14
- Contact sports: 4 weeks
Water Activities
- Showering: Day 4 (lukewarm water, gentle)
- Hair washing: Day 4 (fragrance-free shampoo)
- Swimming pools: 4 weeks minimum
- Ocean/lakes: 4 weeks minimum
- Hot tubs/saunas: 6 weeks
Sun Exposure
- Brief outdoor exposure: Day 1 (with hat)
- Limited sun (15 min): Week 2 (with SPF 50+)
- Normal sun exposure: Week 4 (always use SPF 30+)
- Tanning: Never recommended (accelerates fading)
Grooming & Hair Care
- Regular haircuts: 2 weeks (inform barber)
- Shaving head: 2 weeks (electric razor), 3 weeks (blade)
- Hair coloring: 4 weeks minimum
- Chemical treatments: 6 weeks
- Scalp massages: 2 weeks
Common Recovery Concerns Answered
Yes. Redness for 24-72 hours is completely normal. It should fade gradually. If redness increases after day 3, persists beyond day 7, or is accompanied by warmth/swelling, contact your technician immediately.
Yes. Immediately after treatment, pigment appears 40-50% darker than the final result. This is due to oxidation and scabbing. The color will lighten significantly during days 5-14, then re-darken slightly to the target shade by week 4.
No, never scratch. Itching during days 5-10 is normal and indicates healing. Instead: apply a cool compress (after day 4), use fragrance-free moisturizer, or gently tap the area if you must touch it. Scratching can remove pigment and cause patchy results.
No, this is expected. Scabs naturally shed between days 5-12, taking surface pigment with them. The actual pigment is deposited in the dermis below and will re-emerge. However, if you forcibly removed scabs, some pigment loss may occur - this is why follow-up sessions exist.
Don't panic. Gently pat the area completely dry with a clean towel. Brief water exposure is not ideal but usually won't ruin your results. Avoid any further water contact and follow aftercare strictly from this point. Contact your technician if you're concerned.
Yes, often normal. Uneven pigment retention occurs in 60-70% of clients after the first session, especially in areas with different skin densities. This is exactly why 2-3 sessions are recommended. Your follow-up session will address any patchy areas and perfect the coverage.
Long-Term Aftercare (Months & Years)
After your SMP is fully healed, ongoing care is minimal but important for longevity:
Sun Protection (Most Important)
- Apply SPF 30+ sunscreen daily on scalp
- Wear hats during extended outdoor activities
- Avoid tanning beds completely
- UV exposure is the #1 cause of premature fading
Skincare Products
- Use gentle, sulfate-free shampoos
- Avoid harsh exfoliants on treated areas
- No chemical peels or laser treatments on scalp
- Moisturize regularly to keep skin healthy
Maintenance Sessions
- Touch-ups typically needed every 4-6 years
- Minor fading is natural over time
- Cost: $300-$800 depending on coverage needed
- Keeps your SMP looking fresh indefinitely
Lifestyle Habits
- Stay hydrated for healthy skin cell turnover
- Maintain consistent sleep schedule
- Balanced diet supports skin health
- Avoid smoking (impairs healing and longevity)
When to Contact Your Technician Immediately
While complications are rare, contact Therapeutic Cuts immediately if you experience:
- Increasing redness, warmth, or swelling after day 3
- Pus, discharge, or signs of infection
- Severe pain that isn't relieved by over-the-counter medication
- Allergic reaction symptoms (rash, hives, breathing difficulty)
- Unusual color changes (green, blue, or gray tones)
- Excessive bleeding or crusting beyond normal scabbing
Therapeutic Cuts - Queens, NYC
Phone: (718) 555-0123
Address: 123 Main Street, Flushing, NY 11354
Hours: Mon-Sat 9am-7pm, Sun 10am-5pm
Recovery & Aftercare FAQs
You'll see the true color and coverage from your first session at the 4-week mark. However, final results require 2-3 sessions spaced 4-6 weeks apart. Complete results are visible 4 weeks after your final session - typically 3-4 months from start to finish.
Coffee is fine. Avoid aspirin and blood thinners for 48 hours before and after treatment as they increase bleeding risk. Use acetaminophen (Tylenol) for pain relief instead. Consult your doctor before stopping any prescribed medications.
Most clients return to desk work the next day. You may have slight redness, similar to a mild sunburn. If you work outdoors or in physically demanding jobs, consider taking 2-3 days off. Schedule treatments on Thursday or Friday to have the weekend for initial healing.
Keep it simple: gentle, fragrance-free shampoo (like Cetaphil or Vanicream), fragrance-free moisturizer (CeraVe or Aquaphor), and SPF 30+ sunscreen for scalp (Neutrogena Sheer Zinc or EltaMD UV Sport). Your technician may provide an aftercare kit with specific products.
Ready for Your SMP Transformation?
Proper aftercare begins with proper treatment. Schedule a free consultation at Therapeutic Cuts to learn about our SMP process, see before/after results, and get personalized aftercare instructions for your specific needs.