### Date : 2025-04-03 12:50 ---- - **아치온현탁액 (Arcion Suspension)** → 유효성분: **징크피리치온(Pyrithione Zinc)** - **더마톱액 (Dermatop Solution)** → 유효성분: **프레드니카베이트(Prednicarbate)** (국소 스테로이드) --- ## 처방 목적 (Purpose of Prescription) 두피문신(SMP, Scalp Micropigmentation) 후 처방되는 이유는 주로 **두피의 염증 완화 및 피부 회복 촉진, 피부 감염 예방**을 위한 것입니다. - **아치온현탁액(Pyrithione Zinc)**: - 항균 및 항진균 작용이 우수하여 두피에서의 세균 및 곰팡이 균의 성장을 억제합니다. - 특히 지루성 피부염, 두피 습진과 같은 염증성 두피 질환에 효과적으로, 두피문신 이후 자극받은 피부에서 균의 과성장으로 인한 감염 및 자극을 예방하는 역할을 합니다. - **더마톱액(Prednicarbate)**: - 국소 스테로이드 성분으로 강력한 항염작용을 합니다. - 두피문신 직후 생기는 피부의 부종, 발적, 가려움증 같은 급성 염증 반응을 신속하게 억제하여 빠른 회복을 도와줍니다. --- ## 약물의 작용기전 (Mechanism of Action) ### 아치온현탁액 (Pyrithione Zinc): - 세포막 손상: 징크피리치온은 균류 및 세균의 세포막을 손상시켜 균의 증식을 방해합니다. - 항염증 효과: 피부에서 염증 반응을 일으키는 물질의 생성을 억제하여 피부 진정 효과를 나타냅니다. - 비듬 및 지루성 피부염 치료제로 흔히 사용되며, 두피의 미생물 균형을 잡아 건강한 피부 환경을 유지하는 데 도움을 줍니다. ### 더마톱액 (Prednicarbate): - 국소 스테로이드로서 피부 세포의 글루코코르티코이드 수용체에 결합하여 염증 매개물질의 생성을 억제합니다. - 혈관 수축을 유도하여 발적과 부종을 빠르게 감소시키고, 가려움증 및 피부 자극감을 즉각적으로 완화합니다. --- ## 사용 방법 및 주의사항 (Usage and Precautions) ### 아치온현탁액 사용법: - 사용 전 잘 흔들어서 내용물이 균일하게 혼합되도록 합니다. - 일반적으로 하루 1~2회 얇게 도포하여 가볍게 문질러 흡수시킵니다. - 점막(눈, 입, 코 등)에 접촉되지 않도록 주의해야 합니다. ### 더마톱액 사용법: - 하루 1~2회 염증 부위에 얇고 고르게 펴 발라줍니다. - 장기간 연속 사용하지 않으며, 보통 최대 1~2주 정도로 사용 기간을 제한합니다. - 너무 두껍게 바르지 않고, 처방된 기간만큼만 사용하는 것이 중요합니다. --- ## 기대 효과 (Potential Benefits) - **두피의 신속한 진정 및 회복 촉진** - **염증, 가려움증, 붉은기 등의 증상 완화** - **이차 감염 및 피부 합병증 예방** - **두피문신의 색소 유지 및 선명도 보존에 도움** --- ## 가능한 부작용 (Possible Side Effects) ### 아치온현탁액 (Pyrithione Zinc): - 가벼운 피부 자극감, 일시적인 작열감, 따끔거림 등 - 매우 드물게 알러지성 피부 반응(발진, 가려움, 부종) 발생 가능 ### 더마톱액 (Prednicarbate): - 단기 사용 시 부작용은 드물지만, 때때로 작열감, 가벼운 피부 건조 및 박리 현상 등 - 장기 사용 시 피부 위축(피부 얇아짐), 모세혈관 확장, 색소 변화가 발생할 수 있으므로 단기간 사용이 권장됩니다. --- ## 두 약물의 비교 및 함께 처방되는 이유 (Comparison & Combined Prescription) |구분|아치온현탁액|더마톱액| |---|---|---| |성분|징크피리치온|프레드니카베이트 (국소 스테로이드)| |작용|항균/항진균, 경미한 항염작용|강력한 항염작용, 피부 진정| |주 목적|피부 감염 예방, 미생물 균형 유지|급성 염증 감소, 가려움과 자극 완화| |부작용|피부 자극감 (경미), 드물게 알러지|피부 얇아짐 (장기 사용 시), 단기 사용 시 비교적 안전| > 두 약물을 병행 처방함으로써 피부 감염의 위험을 최소화하는 동시에 염증과 가려움 같은 급성 증상을 빠르게 억제할 수 있어 **두피문신 후 빠른 회복과 결과 최적화**를 위한 이상적인 조합입니다. --- # Best Protocol for Pyrithione Zinc (Arcion) and Prednicarbate (Dermatop) After Scalp Micropigmentation ## How Pyrithione Zinc and Prednicarbate Help Post-SMP **Pyrithione Zinc (Arcion Suspension):** Pyrithione zinc is a well-known antimicrobial agent with **antifungal and antibacterial properties** ([Pyrithione Zinc: Uses in Skin Care, Benefits, and Side Effects](https://www.healthline.com/health/pyrithione-zinc#:~:text=Takeaway)). Using it as a rinse-off shampoo helps **prevent scalp infections** after SMP by reducing yeast (e.g. _Malassezia_) and bacterial colonization on the healing scalp. It also has **mild anti-inflammatory effects**, contributing to a healthier scalp environment ( [Targeted Delivery of Zinc Pyrithione to Skin Epithelia - PMC](https://pmc.ncbi.nlm.nih.gov/articles/PMC8465279/#:~:text=Hair%20loss%20Sub,improving%20symptoms%20of%20hair%20loss) ). Importantly, zinc pyrithione normalizes scalp skin cell turnover – it **reduces excessive flaking and shedding of skin** ([Products for maintaing SMP Scalp Micro-pigmentations procedures](https://www.thefreedomstore.ca/smp-maintenance-s/812.htm#:~:text=amount%20of%20touch,of%20fading%20of%20your%20SMP)). This is critical for **pigment retention**, because heavy dandruff or rapid shedding can pull out micropigmentation pigment with the flakes, accelerating fading ([Products for maintaing SMP Scalp Micro-pigmentations procedures](https://www.thefreedomstore.ca/smp-maintenance-s/812.htm#:~:text=amount%20of%20touch,of%20fading%20of%20your%20SMP)). By keeping the scalp calm and flake-free, the pigment is more likely to remain in place during healing. **Prednicarbate (Dermatop Solution):** Prednicarbate is a medium-potency topical corticosteroid that **reduces inflammation, redness, itching, and swelling** in the skin ([Prednicarbate Cream: Uses & Side Effects](https://my.clevelandclinic.org/health/drugs/20189-prednicarbate-emollient-cream#:~:text=Prednicarbate%20Emollient%20Cream)) ([Prednicarbate Cream: Uses & Side Effects](https://my.clevelandclinic.org/health/drugs/20189-prednicarbate-emollient-cream#:~:text=What%20is%20this%20medication%3F)). After SMP, the scalp often has redness and tiny scabs as part of the healing process. Applying prednicarbate helps **minimize inflammation and discomfort** – it calms the redness, swelling, and itch, making the patient more comfortable and less likely to scratch or pick at the scalp. This anti-inflammatory action also potentially aids **pigment retention**: by suppressing excessive immune response in the skin, it may reduce the chance of the body breaking down or rejecting the pigment. Prednicarbate has a favorable safety profile for short-term use, with **high anti-inflammatory activity and low skin atrophy risk** when used intermittently ([Prednicarbate (Dermatop®): A review - JDDonline - Journal of Drugs in Dermatology](https://jddonline.com/articles/prednicarbate-dermatopreg-a-review-S1545961604P0553X/#:~:text=choice%20for%20treating%20these%20diseases%3B,in%20pediatric%20and%20elderly%20patients)). In summary, it serves as a post-procedure anti-inflammatory to promote smooth healing (similar to how steroids are used to reduce swelling after hair transplant ([Medication To Be Taken After Hair Transplant](https://wimpoleclinic.com/blog/maintenance-hair-transplant-medications/#:~:text=Prednisolone))), without significantly compromising the integrity of the pigment deposit. ## Evidence-Based Post-SMP Usage Recommendations Scalp micropigmentation is typically done in **three sessions spaced 2 weeks apart**. Proper aftercare during and between each session is vital to prevent infection, minimize inflammation, and ensure the pigment “sets” in the skin. The following protocol outlines when and how to use pyrithione zinc shampoo and prednicarbate solution after each SMP session: - **Day 0 (Procedure Day):** Immediately after each SMP session, the scalp has thousands of micro-wounds. **Keep the scalp dry and protected for the rest of the day.** Do **not** apply any shampoo or topical product right away, and avoid sweating, swimming, or heavy exercise. Treat the freshly pigmented scalp like a wound – gentle, dry care helps initial healing and allows pigment to begin settling ([When Can I Wash My Hair After Scalp Micropigmentation?](https://yamastudios.co/when-can-i-wash-my-hair-after-scalp-micropigmentation-smp-explained/#:~:text=,the%20sun%2C%20or%20wash%20it) ). If there is excess pigment or blood, lightly blot with sterile gauze and saline or distilled water as advised by your provider, but do not wash or scrub the area. - **Days 1 – 3 (Early Healing Phase):** Continue avoiding regular shampooing during the first 3 days. This **“dry healing” period** lets a thin layer of protective scabs form over the pigment deposits ([When Can I Wash My Hair After Scalp Micropigmentation?](https://yamastudios.co/when-can-i-wash-my-hair-after-scalp-micropigmentation-smp-explained/#:~:text=looks%20like%20is%20after%20your,still%20exposed%20to%20the%20elements) ) ([When Can I Wash My Hair After Scalp Micropigmentation?](https://yamastudios.co/when-can-i-wash-my-hair-after-scalp-micropigmentation-smp-explained/#:~:text=,the%20sun%2C%20or%20wash%20it) ). These tiny scabs hold the pigment in place while the skin is closing. Premature washing or scrubbing can dislodge scabs and pull out pigment, causing lighter or uneven results ([When Can I Wash My Hair After Scalp Micropigmentation?](https://yamastudios.co/when-can-i-wash-my-hair-after-scalp-micropigmentation-smp-explained/#:~:text=Now%20the%20reason%20this%20healing,done%20in%20your%20first%20appointment) ). **Prednicarbate:** Begin **prednicarbate** application about **24 hours after the procedure (Day 1)**, once the initial skin micro-wounds have started to seal. Apply a **thin layer** of Dermatop (prednicarbate 0.1% solution) to the treated scalp **1–2 times daily** (morning and night) from Day 1 through Day 3. Gently part any hair and dab the solution onto the scalp; do not rub vigorously. The steroid will **reduce redness, swelling, and itch** ([Prednicarbate Cream: Uses & Side Effects](https://my.clevelandclinic.org/health/drugs/20189-prednicarbate-emollient-cream#:~:text=Prednicarbate%20Emollient%20Cream)), making the healing phase more comfortable. Importantly, by controlling inflammation early, we prevent excessive oozing or swelling that could form larger scabs or disrupt pigment. _Do not occlude_ (no tight bandages or caps) after applying – let it air-dry. **Avoid using prednicarbate on day 0** or immediately after the procedure when the wounds are wide open, to reduce infection risk (steroids can slightly impair wound healing in the very immediate phase). Starting at Day 1 is a balanced approach to gain anti-inflammatory benefits while minimizing risks. Use prednicarbate only on the procedure area and for the short window of these few days – this limits systemic absorption and side effects. By Day 3 or 4, you should taper and stop the steroid so the skin can continue its normal healing. (If redness or irritation is still significant on Day 4, you may continue once-daily use up to about **5-7 days post-procedure**, but most cases won’t need it that long.) - **Day 4 – 7 (Late Healing Phase):** Around **Day 4 post-SMP, it is safe to begin gentle shampooing** of the scalp. Waiting ~3-4 days is crucial to ensure the pigment has settled and early scabs are not too fragile ([When Can I Wash My Hair After Scalp Micropigmentation?](https://yamastudios.co/when-can-i-wash-my-hair-after-scalp-micropigmentation-smp-explained/#:~:text=Now%20the%20reason%20this%20healing,done%20in%20your%20first%20appointment) ). On Day 4, you can **wash your scalp with a gentle shampoo** – this is where **Arcion (pyrithione zinc) shampoo** comes in. Use **lukewarm water** (not hot) and **gentle pressure**: - Wet the scalp, then apply the **pyrithione zinc suspension shampoo**. **Do not use your nails or scrub harshly**; instead, use your fingertips to lightly work it into the scalp. Let the lather sit for a minute or two for antimicrobial effect, then rinse off thoroughly ([Pyrithione Zinc: Uses in Skin Care, Benefits, and Side Effects](https://www.healthline.com/health/pyrithione-zinc#:~:text=1,Rinse%20thoroughly)) ([Pyrithione Zinc: Uses in Skin Care, Benefits, and Side Effects](https://www.healthline.com/health/pyrithione-zinc#:~:text=Takeaway)). Pyrithione zinc will help **cleanse the area of microbes** (protecting against dandruff and infection) and **reduce any residual irritation or flaking** as the scabs start to come off ([Pyrithione Zinc: Uses in Skin Care, Benefits, and Side Effects](https://www.healthline.com/health/pyrithione-zinc#:~:text=Takeaway)) ( [Targeted Delivery of Zinc Pyrithione to Skin Epithelia - PMC](https://pmc.ncbi.nlm.nih.gov/articles/PMC8465279/#:~:text=Hair%20loss%20Sub,improving%20symptoms%20of%20hair%20loss) ). - After washing, **pat the scalp dry** with a clean towel. Do not rub the scalp, as some scabs may still be present and you don’t want to force them off. They will gradually shed on their own over days 4-7. - **Prednicarbate:** After the Day 4 shampoo, if you are still using prednicarbate (days 4-5), you can re-apply a thin layer once the scalp is completely dry. By Day 4 or 5, many patients can discontinue the steroid as the major inflammation has subsided. If any itch or redness flares as scabs shed, a light application can still be done to soothe the skin. **Do not use prednicarbate beyond 1 week post-procedure** without medical direction, to avoid unnecessary steroid exposure. Each SMP session should only require a few days of steroid use; the goal is to use it **after each session, not continuously** through the entire treatment course. - **Days 5 – 13 (Between Sessions):** In the second week after the procedure, the scalp is mostly healing up. **Most scabs will have fallen off naturally by about day 7**, and the pigment from the first session will appear lighter (this is normal, and subsequent sessions will add density). During days 5-13, you should: - **Continue using the pyrithione zinc shampoo** regularly. This can be done **daily** or **every other day**, depending on your scalp’s needs. Many patients find 2-3 times per week is sufficient to control flaking, but if you have oily or dandruff-prone scalp, **daily use** (or alternating days) is fine as long as it’s not causing dryness. Pyrithione zinc is gentle enough for regular use and will keep controlling dandruff and microbial levels on your scalp ([Products for maintaing SMP Scalp Micro-pigmentations procedures](https://www.thefreedomstore.ca/smp-maintenance-s/812.htm#:~:text=amount%20of%20touch,of%20fading%20of%20your%20SMP)). This not only prevents itch and infection, but also ensures your scalp isn’t excessively shedding skin, which helps **maintain the pigment** that was implanted ([Products for maintaing SMP Scalp Micro-pigmentations procedures](https://www.thefreedomstore.ca/smp-maintenance-s/812.htm#:~:text=amount%20of%20touch,of%20fading%20of%20your%20SMP)). - **Hold off on any other harsh hair products** (no alcohol-based tonics, minoxidil, or hair dye) during this healing period unless cleared by your provider. Also avoid direct sun exposure on the fresh SMP – wear a hat or apply physical sunscreen if you must be outdoors, because UV can fade pigment and irritated skin is more sun-sensitive ([Products for maintaing SMP Scalp Micro-pigmentations procedures](https://www.thefreedomstore.ca/smp-maintenance-s/812.htm#:~:text=Pyrithione%20is%20known%20to%20slow,of%20fading%20of%20your%20SMP)). - **No prednicarbate is needed in this period** if the scalp is healed. We do **not advise continuous steroid use** throughout the 2-week interval, to avoid side effects. Save the steroid for the immediate post-procedure days of each session. If between sessions you develop an issue (e.g. severe itch or dermatitis), consult your dermatologist – they may recommend a very brief additional use, but routine continuous use is not necessary. - **Sessions 2 and 3:** At **Day 14 and Day 28**, your second and third SMP sessions will be performed on a scalp that’s now partially healed and pigmented. **After each of these sessions, repeat the above aftercare routine**: - Day 0 of that session: no washing, no products immediately after. - Days 1-3 after session: apply prednicarbate for a few days, no shampoo yet. - Day 4 after session: resume gentle washing with pyrithione zinc shampoo, then continue as before. Each session may have slightly less scabbing than the first (since the scalp is getting used to it), but you should still treat it with the same care to maximize retention of the new pigment deposited. - **After the Final Session:** Once all three sessions are completed (after about 6 weeks from the start), you’ll enter a longer healing and maintenance phase. For the **first 4 days after the final session**, follow the same routine (no washing, apply steroid briefly, etc.). After day 4, gently wash with pyrithione zinc shampoo. By 2 weeks after the last session, your SMP should be fully healed. At this point: - You can return to normal showering and hair washing routines without as many restrictions. **However, consider continuing to use the pyrithione zinc shampoo long-term** as part of your routine a few times a week. There is evidence that regular use of zinc pyrithione shampoo keeps scalp inflammation and shedding low, which can **prolong the life of your SMP results** (slowing down pigment fading) ([Products for maintaing SMP Scalp Micro-pigmentations procedures](https://www.thefreedomstore.ca/smp-maintenance-s/812.htm#:~:text=amount%20of%20touch,of%20fading%20of%20your%20SMP)). Many clinics recommend an ongoing anti-dandruff shampoo to maintain the pigment as long as possible. - You no longer need prednicarbate after the final healing is done. In fact, extended use of steroids can thin the skin or cause other side effects, so it’s best to reserve it only for those short stints right after each SMP session. If you experience any late inflammation (unlikely once healed), talk to your dermatologist instead of self-treating. - Continue to **protect your scalp from sun exposure** with hats or sunscreen, especially in the first month after SMP, because UV rays can break down tattoo pigments faster ([Products for maintaing SMP Scalp Micro-pigmentations procedures](https://www.thefreedomstore.ca/smp-maintenance-s/812.htm#:~:text=Pyrithione%20is%20known%20to%20slow,of%20fading%20of%20your%20SMP)). Keeping the scalp moisturized (with a gentle, fragrance-free moisturizer) can also help the pigment look its best, as overly dry skin might flake more. **Safe timing for shampooing and product re-application:** In summary, the **safe window to resume shampooing is about 4 days post-SMP** ([When Can I Wash My Hair After Scalp Micropigmentation?](https://yamastudios.co/when-can-i-wash-my-hair-after-scalp-micropigmentation-smp-explained/#:~:text=Ok%2C%20I%20know%20that%E2%80%99s%20hard,I%20know%20that%E2%80%99s%20hard) ). At that point, gently cleansing with the pyrithione zinc shampoo will not harm the pigment – on the contrary, it helps remove debris and prevents infection without scrubbing off pigment (as long as you’re gentle). Whenever you shampoo, do it with lukewarm water and light pressure. It’s best to **apply prednicarbate _after_ washing and drying the scalp**, rather than before, so that the medication is not immediately rinsed away. For example, if you shampoo in the morning, you can apply prednicarbate afterward; and if using twice a day, apply the second dose at night when the scalp will stay dry for several hours. Throughout the two-week intervals, you can continue to use the zinc shampoo on non-consecutive days and a regular gentle shampoo on the other days if desired (this prevents over-drying the scalp ([Products for maintaing SMP Scalp Micro-pigmentations procedures](https://www.thefreedomstore.ca/smp-maintenance-s/812.htm#:~:text=3,Capilia%20Oily%20Scalp%20Shampoo%20alternating))). Always avoid very hot showers or vigorous scrubbing in the first week, as these can irritate the scalp or cause premature exfoliation of pigment. By following this protocol, **inflammation is controlled** (via prednicarbate) and **infection/excessive flaking is prevented** (via pyrithione zinc), all while respecting the healing process to **maximize pigment retention**. This balanced aftercare approach is practical in dermatology clinics and aligns with SMP aftercare goals: keeping the scalp clean but not disturbed, minimizing discomfort, and ensuring the implanted pigment stays as crisp and long-lasting as possible. ## 환자용 두피 문신 시술 후 관리 안내 (한국어) **용법 및 용량:** - **아연 피리티온 샴푸 (아치온 현탁액):** 시술 **4일째부터** 머리 감을 때 사용합니다. 미온수로 두피와 모발을 충분히 적신 후, 아리시온 샴푸를 두피에 도포하여 가볍게 거품을 냅니다. 손끝을 사용하여 문지르되 **절대 세게 긁지 말고** 부드럽게 마사지하세요. 거품을 1-2분 정도 두피에 놓여 둔 뒤에 미온수로 **깨끗이 헹궈냅니다**. 사용 후 깨끗한 수건으로 두피를 톡톡 두드려 물기를 제거합니다 (비비거나 문지르지 마세요). 초기 치유 기간(시술 후 약 1주일)은 **하루 한 번** 정도 사용을 권장하며, 이후에는 두피 상태에 따라 **주 2-3회** 정도 정기적으로 사용합니다. (지루성 두피이거나 비듬이 많다면 초기에는 매일 사용해도 되나, 두피가 건조해지면 격일로 조절하세요.) - **프레드니카바트 용액 (더마톱® 피부용 용액):** 시술 부위의 염증과 가려움을 줄이기 위해 **시술 다음날부터** 사용합니다. 시술 후 첫 날은 두피를 완전히 건조하게 유지하고, **24시간 경과 후** 처음 도포하세요. 사용 전에 손을 비누로 깨끗이 씻은 뒤, 용액을 깨끗한 손이나 면봉에 묻혀 **시술 부위 두피에 얇게 펴 바릅니다**. 하루 **1~2회** (아침/저녁) 사용하며, 바른 후에는 자연 건조시켜 주세요. 머리카락이 있으면 가르마를 타서 약을 바르면 편합니다. 약물이 눈에 들어가지 않도록 주의하고, 사용 후에는 손을 씻으십시오. **3~5일간** 하루 1-2회씩 바른 후에는 상태가 호전되면 사용을 중지합니다 (시술 부위의 발적, 부기, 가려움이 가라앉으면 더 이상 바르지 않아도 됩니다). **사용 시 주의사항:** - **아연 피리티온 샴푸:** 눈에 들어가면 따가울 수 있으니 눈 주위를 피하여 사용하고, 혹시 눈에 닿으면 바로 흐르는 물에 충분히 씻어내십시오. 샴푸 사용 중 두피에 **심한 따가움, 발적(붉어짐)**이나 **두드러기** 등의 자극 반응이 나타나면 사용을 중단하고 의료진과 상의하세요. 드물지만 알레르기 반응으로 **물집**이 생기는 등의 부작용이 있을 수 있습니다. 상처가 완전히 아물기 전 초기에는 손톱으로 두피를 긁지 않도록 주의하고, 샴푸 시에도 **강한 압박을 피하세요**. 샴푸 후에는 두피를 청결하고 건조하게 유지합니다. - **더마톱 용액 (프레드니카바트):** 시술 부위 **피부에만 국소적으로** 바르십시오. 상처가 심하게 **곪았거나 감염된 부위에는 사용하지 마세요** (감염이 의심되면 병원에 문의). 눈, 입, 코 점막에 닿지 않도록 하고, 만일 들어갔다면 물로 깨끗이 헹구십시오. **정해진 기간 이상 연속하여 장기간 사용하지 마세요.** 스테로이드 제제를 오래 사용하면 드물게 **피부가 얇아지거나 색소 침착 변화**, **모낭염(뾰루지)**, **여드름 악화** 등의 부작용이 나타날 수 있습니다 ([Prednicarbate (Dermatop®): A review - JDDonline - Journal of Drugs in Dermatology](https://jddonline.com/articles/prednicarbate-dermatopreg-a-review-S1545961604P0553X/#:~:text=choice%20for%20treating%20these%20diseases%3B,in%20pediatric%20and%20elderly%20patients)). 그러나 권고된 수일 간의 단기 사용에서는 전신 부작용 발생이 매우 드뭅니다. 바르는 동안 두피에 특별한 자극이나 화끈거림, **심한 작열감**이 느껴지면 일시 중지하고 의료진과 상담하십시오. 항상 **지시된 횟수와 용량만** 사용하시고, 증상이 없는데 예방 목적으로 남용하지 마세요. **사용 기간 및 시점:** - **샴푸 시작 시점:** 두피문신 **시술 후 3~4일째부터** 머리를 감을 수 있습니다. 시술 직후 2~3일간은 색소가 피부에 안착되도록 **머리를 감지 않고 유지**하는 것이 중요합니다. **시술 4일째** 되는 날부터 아리시온 샴푸로 두피를 세정하세요 ([When Can I Wash My Hair After Scalp Micropigmentation?](https://yamastudios.co/when-can-i-wash-my-hair-after-scalp-micropigmentation-smp-explained/#:~:text=,the%20sun%2C%20or%20wash%20it) ). 이후 **다음 시술 전날까지** (약 2주간) 아리시온 샴푸를 규칙적으로 사용합니다. 최종 3차 시술 후에도 같은 방식으로 **시술 4일 후부터 샴푸 사용**을 재개하며, **시술 후 약 2주까지** 지속합니다. (완전히 치유된 이후에도 비듬 예방 및 두피 건강을 위해 아연 피리티온 샴푸를 주 1-2회 꾸준히 사용할 수 있습니다.) - **스테로이드 사용 기간:** 더마톱 용액은 **각 시술 후 1일째부터 사용 시작**하여 보통 **3일 정도 연속 사용**합니다. 예를 들어 시술 다음날부터 3일간 하루 2회 바르고, **4일째부터는** 두피 상태에 따라 중지합니다. 필요하면 5일째까지 하루 1회로 줄여 연장할 수 있지만, **1주일을 넘기지 않는** 것이 원칙입니다. 이후 다음 시술까지 (남은 1주+ 기간 동안)은 더마톱을 **쉬었다가**, **다음 시술 후 다시 3~5일간** 동일한 방식으로 사용합니다. **연속적으로 장기간 사용하지 않도록** 주의합니다. 각 시술 직후에만 짧게 사용하고, 시술 사이 기간에는 특별한 염증 증상(심한 붉어짐이나 가려움 등)이 없으면 바르지 않습니다. - **기타 시술 후 관리 시점:** 시술 부위 세척은 시술 **후 3일 간은 금지**하며, 4일째부터 가볍게 시작합니다 ([When Can I Wash My Hair After Scalp Micropigmentation?](https://yamastudios.co/when-can-i-wash-my-hair-after-scalp-micropigmentation-smp-explained/#:~:text=,the%20sun%2C%20or%20wash%20it) ). 샴푸 이외의 헤어제품(젤, 스프레이, 염모제 등)은 **최소 시술 후 1~2주간**은 사용을 피하세요. **강한 운동이나 땀**은 시술 후 첫 3-5일간 피하는 것이 좋습니다 (땀이 상처에 닿으면 자극이 될 수 있음). 또한 시술 후 **적어도 1주일간**은 햇빛 노출을 최소화하시고, 부득이 외출 시 모자 등을 착용하여 보호하세요. 마지막 3차 시술이 끝난 후에도 **약 1개월간**은 과도한 일광노출, 사우나, 수영 등을 피하면 색소가 더욱 오래 유지되는 데 도움이 됩니다. 이상의 지침을 따라 관리하시면 염증과 감염을 최소화하고 시술 부위의 **색소를 최대한 오래 유지**할 수 있습니다. 두피 문신 부위가 **심하게 붓거나 고름**, **열감**이 나타나는 등 **감염 의심 증상**이 있을 경우 지체 말고 병원으로 연락주시기 바랍니다. 안전한 관리로 좋은 결과를 유지하시길 바랍니다. --- # Optimized Post-SMP Aftercare Protocol (Pyrithione Zinc Shampoo + Prednicarbate) ## Scientific Rationale for Reduced Medication Intensity The described scalp micropigmentation (SMP) technique is minimally invasive, depositing carbon-based pigment only ~0.5–1.5 mm deep at the epidermis-dermis junction with a gentle manual method. As a result, the inflammatory response in the treated crown area is minimal. This means we can **avoid aggressive or prolonged aftercare** – the scalp simply doesn’t need heavy medication to heal properly. In fact, over-treating could be counterproductive. For example, extended use of topical steroids can **delay wound healing** ([Microblading Pigmant Retention Issues| Permanent Makeup](https://www.vegas3deyebrows.com/permanentmakeup-pigment-fading#:~:text=,inflammatory%20drugs%20%28NSAIDs%29%2C%20and%20anticoagulants)), which might ultimately interfere with pigment settling. Therefore, we aim for the **minimum effective intervention** to support comfort and pigment retention while preventing rare complications. **Why use pyrithione zinc shampoo?** Pyrithione zinc (ZPT) is an anti-dandruff agent with notable anti-inflammatory and antimicrobial properties on the scalp ([Frontiers | Trace element zinc and skin disorders](https://www.frontiersin.org/journals/medicine/articles/10.3389/fmed.2022.1093868/full#:~:text=and%20antiandrogenic%20effects%20%2878%29,and%20scale%2C%20but%20its%20therapeutic)). Using a ZPT rinse-off shampoo after SMP helps in several ways: - **Reduces inflammation & itch:** ZPT can significantly reduce scalp inflammation and itching by controlling Malassezia yeast and other microbes ([Frontiers | Trace element zinc and skin disorders](https://www.frontiersin.org/journals/medicine/articles/10.3389/fmed.2022.1093868/full#:~:text=and%20antiandrogenic%20effects%20%2878%29,and%20scale%2C%20but%20its%20therapeutic)). This keeps the healing area calm without needing strong antiseptics or antibiotics. - **Prevents flaking (scaling):** It curbs excessive skin cell turnover and dandruff formation ([Frontiers | Trace element zinc and skin disorders](https://www.frontiersin.org/journals/medicine/articles/10.3389/fmed.2022.1093868/full#:~:text=and%20antiandrogenic%20effects%20%2878%29,and%20scale%2C%20but%20its%20therapeutic)). This is important because **excessive scalp flaking can shed pigment prematurely and fade the SMP**. By slowing hyperactive shedding, ZPT shampoos help the pigment “stay put” in the skin ([Products for maintaing SMP Scalp Micro-pigmentations procedures](https://www.thefreedomstore.ca/smp-maintenance-s/812.htm#:~:text=1.%20An%20Anti,of%20fading%20of%20your%20SMP)). In short, a pyrithione zinc shampoo keeps the scalp clean and balanced, which **promotes better pigment retention** ([Products for maintaing SMP Scalp Micro-pigmentations procedures](https://www.thefreedomstore.ca/smp-maintenance-s/812.htm#:~:text=1.%20An%20Anti,of%20fading%20of%20your%20SMP)) while also minimizing infection risk through routine gentle cleansing. **Why use prednicarbate cream?** Prednicarbate is a mid-potency topical corticosteroid effective at relieving redness, swelling, and itching ([Scalp Micropigmentation Aftercare: Essential Tips](https://scalpmasters.com/blog/scalp-micropigmentation-aftercare-essential-tips/#:~:text=To%20reduce%20redness%20after%20scalp,directed%20and%20don%E2%80%99t%20overdo%20it)). It’s a newer-generation steroid chosen for its **high anti-inflammatory effect but low risk of skin thinning** ([Prednicarbate (Dermatop): profile of a corticosteroid - PubMed](https://pubmed.ncbi.nlm.nih.gov/16092003/#:~:text=Results%3A%20%20Prednicarbate%20is%20a,inflammatory%20action)). Applying a thin layer for a short duration post-procedure will: - **Soothe inflammation:** Even if visible irritation is minor, a light steroid application calms any micro-inflammation, reducing redness and tenderness ([Scalp Micropigmentation Aftercare: Essential Tips](https://scalpmasters.com/blog/scalp-micropigmentation-aftercare-essential-tips/#:~:text=To%20reduce%20redness%20after%20scalp,directed%20and%20don%E2%80%99t%20overdo%20it)). This makes the healing process more comfortable and helps patients avoid scratching (which could introduce infection or disturb pigment). - **Prevent itch and irritation:** By controlling itching, prednicarbate ensures the patient won’t be tempted to pick at tiny scabs or touch the area. This also lowers any infection risk and helps the pigment heal evenly. Because our SMP method causes only mild trauma, we can **reduce the intensity and duration** of steroid use without compromising results. A brief course will provide the needed anti-inflammatory benefit **without the downsides of prolonged steroid use** (like slowed healing or skin atrophy) ([Microblading Pigmant Retention Issues| Permanent Makeup](https://www.vegas3deyebrows.com/permanentmakeup-pigment-fading#:~:text=,inflammatory%20drugs%20%28NSAIDs%29%2C%20and%20anticoagulants)). In fact, evidence suggests that keeping inflammation in check early on helps pigments settle, but once acute healing is over, continuing steroid unnecessarily could hinder the final outcome ([Microblading Pigmant Retention Issues| Permanent Makeup](https://www.vegas3deyebrows.com/permanentmakeup-pigment-fading#:~:text=,inflammatory%20drugs%20%28NSAIDs%29%2C%20and%20anticoagulants)). Prednicarbate’s favorable safety profile ([Prednicarbate (Dermatop): profile of a corticosteroid - PubMed](https://pubmed.ncbi.nlm.nih.gov/16092003/#:~:text=Results%3A%20%20Prednicarbate%20is%20a,inflammatory%20action)) means short-term use is very low-risk and has been well-tolerated by our patients to date (no adverse reactions have been noted with our current post-care routine). **Bottom line:** Given the minimal wounding, **we can safely scale back aftercare** to what’s truly necessary. A gentle pyrithione zinc shampoo and a short course of prednicarbate cream are sufficient to address all key needs – keeping the scalp clean, calm, and comfortable – without overmedicating. This evidence-based approach supports pigment retention and patient comfort while minimizing any chance of infection, itch, or excessive scaling. ## Post-Procedure Medication Protocol & Usage Instructions Based on the above rationale, here is the **optimized post-SMP care protocol** using pyrithione zinc shampoo and prednicarbate cream. This regimen is deliberately simplified, focusing on the critical steps to promote healing and retain pigment, in light of the less-traumatic SMP method. **1. Immediate Aftercare (Day 0–2):** _“Hands off and keep it dry.”_ For the first 48 hours after each SMP session, do **not** wash or soak your scalp. The tiny micropigmentation punctures will close quickly, but avoiding water and sweat for two days helps protect the fresh pigment. Refrain from heavy exercise or activities that cause sweating during this time ([Scalp Micropigmentation Aftercare: 30 Day Step-by-Step Action Plan | Eximious SMP](https://eximiousbarbershop.com/blog/scalp-micropigmentation-aftercare/#:~:text=For%20the%20first%204%20days%2C,term%20care)). Also, **do not pick, scratch, or touch** the treated area with bare hands (this prevents introducing bacteria that could cause infection). The inflammatory reaction is minimal, so you likely won’t see much redness or swelling – any that does occur is normal and should subside fast. To further ensure comfort: **apply a thin layer of prednicarbate cream once daily**. We recommend doing this at night before bed, from the day of the procedure through the next 2–3 days. The prednicarbate will **soothe any mild redness and itching** ([Scalp Micropigmentation Aftercare: Essential Tips](https://scalpmasters.com/blog/scalp-micropigmentation-aftercare-essential-tips/#:~:text=To%20reduce%20redness%20after%20scalp,directed%20and%20don%E2%80%99t%20overdo%20it)), keeping you comfortable. A small amount (pea-sized) gently smeared over the treated scalp is enough – _do not over-apply or use it longer than instructed_. A brief 2-3 day course is sufficient given the mild nature of the procedure, and it avoids any risk of slowing the healing by using steroid for too long ([Microblading Pigmant Retention Issues| Permanent Makeup](https://www.vegas3deyebrows.com/permanentmakeup-pigment-fading#:~:text=,inflammatory%20drugs%20%28NSAIDs%29%2C%20and%20anticoagulants)). By the end of Day 2, the scalp should feel normal with little to no irritation. **2. Early Cleansing (Day 3 onwards):** _“Gentle wash with medicated shampoo.”_ On **Day 3 post-procedure**, you can begin washing the scalp gently. Use a **pyrithione zinc shampoo** (rinse-off anti-dandruff shampoo) once per day to cleanse the treated area. When washing, use **lukewarm water and gentle pressure** – do not scrub harshly or use very hot water. Lather the ZPT shampoo in your hands and **lightly massage** it over the scalp with your fingertips (avoid using fingernails). Let it sit for a minute, then rinse off thoroughly. Pat the area dry with a clean towel; do not rub vigorously. This gentle washing will remove any light scabs or debris without disturbing the pigment. The pyrithione zinc in the shampoo will also start working to **prevent flaking and inflammation** as your scalp heals ([Frontiers | Trace element zinc and skin disorders](https://www.frontiersin.org/journals/medicine/articles/10.3389/fmed.2022.1093868/full#:~:text=and%20antiandrogenic%20effects%20%2878%29,and%20scale%2C%20but%20its%20therapeutic)). Starting shampooing by Day 3 is appropriate here because our method leaves only minimal scabbing. (Any tiny scabs present will be soft and will slough off on their own with washing – never forcibly pick at them.) Regular cleansing from Day 3 onward also helps **prevent infection** by keeping the area clean of sweat or oils, all while the ZPT’s antifungal/antimicrobial action protects against dandruff and microbes on the scalp ([Frontiers | Trace element zinc and skin disorders](https://www.frontiersin.org/journals/medicine/articles/10.3389/fmed.2022.1093868/full#:~:text=demonstrated%20that%20using%20an%20herbal,antiandrogenic%20effect%2C%20and%20antiproliferative%20effect)) ([Scalp Micropigmentation Aftercare: Essential Tips](https://scalpmasters.com/blog/scalp-micropigmentation-aftercare-essential-tips/#:~:text=hydrocortisone%20creams%20or%20ointments,directed%20and%20don%E2%80%99t%20overdo%20it)). Importantly, using this shampoo will **slow down excessive skin shedding** that could otherwise fade your new SMP pigment too quickly ([Products for maintaing SMP Scalp Micro-pigmentations procedures](https://www.thefreedomstore.ca/smp-maintenance-s/812.htm#:~:text=1.%20An%20Anti,of%20fading%20of%20your%20SMP)). In short, a daily gentle wash with pyrithione zinc shampoo strikes the right balance: it’s cleansing and therapeutic, but not overly aggressive. **3. Ongoing Week 1 Care (Days 3–7):** _“Support healing, but don’t overdo it.”_ Continue to use the **zinc pyrithione shampoo once daily** through about the first week after the procedure. This means from Day 3 up to Day 7 (about 5 consecutive days of use). This routine will ensure your scalp remains flake-free and calm during the critical initial healing period. By Day 3 or 4, you should **stop applying the prednicarbate cream** – in most cases, 3 days of steroid use is enough because by this point any procedure-induced inflammation has resolved. If your scalp feels completely normal (no redness or itch) even earlier, you can discontinue the steroid sooner. The idea is to use it **only as long as needed**, and no longer. After cessation of the steroid, if you experience a bit of dryness as the skin renews, you may switch to a simple moisturizer (fragrance-free) to keep the scalp from getting too dry. However, many patients find the shampoo’s normal conditioning agents and the short steroid course already suffice to prevent excessive dryness or itch. Throughout the first week, still **avoid direct sun exposure** on the treated area and heavy sweating. You don’t need to cloister yourself; just use common sense: for example, wear a hat if you’ll be outdoors (UV rays can break down tattoo pigments ([Products for maintaing SMP Scalp Micro-pigmentations procedures](https://www.thefreedomstore.ca/smp-maintenance-s/812.htm#:~:text=2,depending%20on%20your%20skin%20type))), and skip the sauna or high-intensity workouts for a few more days. By the end of one week, the scalp should be fully surface-healed (most micropigmentation micro-wounds close within ~7 days) and you’ll be past the delicate stage. **4. After 1 Week (Day 7+):** _“Return to normal routine, with maintenance in mind.”_ At roughly one week post-procedure, your scalp will have healed enough to **resume your normal hair care routine**. You can stop using the medicated shampoo daily and return to your regular shampoo or schedule. (If you have no issues like dandruff, there’s no need to keep using pyrithione zinc continuously.) The SMP pigment will initially look slightly lighter once fully healed, but that’s expected as the skin regenerates. From this point until your next session (if you have multiple sessions) or indefinitely if this was the final session, just maintain general scalp hygiene and protection: keep the area moisturized if needed, and **protect your scalp from excessive sun** with hats or sunscreen to prolong the pigment’s longevity ([Products for maintaing SMP Scalp Micro-pigmentations procedures](https://www.thefreedomstore.ca/smp-maintenance-s/812.htm#:~:text=2,depending%20on%20your%20skin%20type)). **No continuous medication is necessary** on a healed scalp. If you are prone to dandruff or seborrheic dermatitis, incorporating the ZPT shampoo 1–2 times a week into your routine can help keep inflammation down and potentially extend the life of your SMP by reducing ongoing scalp flaking ([Products for maintaing SMP Scalp Micro-pigmentations procedures](https://www.thefreedomstore.ca/smp-maintenance-s/812.htm#:~:text=1.%20An%20Anti,of%20fading%20of%20your%20SMP)). Otherwise, there is no requirement to regularly use medicated products on a healthy, healed scalp. **Prednicarbate cream should not be used long-term** on the scalp except for the short post-procedure periods, since extended steroid use is not needed and can cause side effects. If your SMP treatment involves **multiple sessions**, simply repeat this aftercare protocol after each session. The regimen is easy and gentle enough to be used each time without issue. Because we’ve minimized the trauma per session, healing between sessions should be quick and uneventful. Each time, a few days of steroid and a week of medicated shampoo use will optimize your results. Thereafter, **routine care is minimal** – just normal washing and sun protection. ## Emphasis on Safety and Efficacy This optimized protocol is designed to ensure **safety** (preventing infection or adverse reactions) while using the **least amount of intervention necessary**. Both recommended products are backed by evidence and clinical experience in scalp care. Pyrithione zinc has a long track record of safely treating scalp conditions with anti-inflammatory benefits ([Frontiers | Trace element zinc and skin disorders](https://www.frontiersin.org/journals/medicine/articles/10.3389/fmed.2022.1093868/full#:~:text=and%20antiandrogenic%20effects%20%2878%29,and%20scale%2C%20but%20its%20therapeutic)), and prednicarbate is a well-tolerated corticosteroid known for its favorable benefit–risk profile ([Prednicarbate (Dermatop): profile of a corticosteroid - PubMed](https://pubmed.ncbi.nlm.nih.gov/16092003/#:~:text=Results%3A%20%20Prednicarbate%20is%20a,inflammatory%20action)). By limiting the use of each to the crucial healing window, we maximize their benefits (comfort, cleanliness, pigment preservation) and minimize any risks. Patients have found this approach easy to follow and have experienced excellent pigment retention and healing outcomes. In summary, **yes – we can reduce the intensity/duration of post-SMP medications** thanks to the clinic’s refined, gentle technique. A short, evidence-based aftercare routine is **sufficient and optimal**: it keeps the scalp environment ideal for pigment retention (moist, uninflamed, and infection-free) without unnecessary prolonged treatment. The following is a **revised simplified aftercare instruction sheet in Korean** for patient use, reflecting this streamlined protocol and emphasizing key do’s and don’ts for safe healing. --- ## 시술 후 관리 안내 (간소화 버전) – 두피 모발 문신 (SMP) - **시술 직후 ~ 2일째:** 시술 부위를 **청결하고 건조하게** 유지하세요. 최소 48시간 동안은 머리를 감거나 시술 부위를 물에 적시지 마십시오. 땀을 많이 흘리는 격렬한 운동도 3일 정도 피해주세요. 시술 부위를 손으로 만지거나 긁지 않는 것이 중요합니다. 손에는 세균이 있으므로 상처에 닿지 않도록 주의하세요. 시술 부위에 작은 딱지가 생길 수 있지만 **임의로 떼지 마시고 자연히 떨어지도록 두세요**. 의사가 처방한 **스테로이드 연고(프레드니카베이트)** 를 시술 당일 밤부터 사용합니다. 하루에 한 번, 깨끗한 손으로 연고를 **얇게** 펴 발라주세요. 염증과 가려움을 가라앉혀 주며, 너무 많이 바를 필요는 없습니다. 연고는 **총 3일간만** 바르시면 됩니다 (과도하게 장기간 사용하지 마십시오). - **시술 3일째 ~ 7일째:** **세척을 시작**하는 기간입니다. 시술 후 3일째부터는 **약용 비듬 샴푸(피리티온 아연 함유)**로 머리를 감을 수 있습니다. 미지근한 물을 사용하고, 손끝으로 시술 부위를 **살살 문질러 세척**하세요. 거품을 낸 샴푸를 두피에 가볍게 묻힌 뒤 오래 두지 말고 1분 이내에 충분히 헹궈냅니다. 이후 깨끗한 수건으로 톡톡 두드려 물기를 제거하세요 (문지르지 마세요). 약용 샴푸는 두피의 **가려움과 비듬 발생을 줄여주어** 상처 부위가 깨끗하게 치유되도록 도와줍니다. 첫 일주일간은 **매일 1회** 이 샴푸로 두피를 감아서 청결을 유지하세요. (두피가 너무 건조해지지 않도록 필요 시 격일로 감아도 됩니다.) 연고 사용은 3일 정도로 종료하며, 4일째부터는 연고를 바르지 않아도 됩니다. 시술 후 나흘째부터 일주일째까지는 피부가 재생되는 기간이므로, 두피가 약간 건조하거나 간지러울 경우 무향의 **순한 보습제**를 소량 발라 촉촉하게 해줄 수 있습니다. 아직 일주일이 되지 않았다면 과도한 땀이나 **사우나, 수영장** 이용은 더 피해 주세요. 직사광선도 피하는 것이 좋습니다. - **일주일 이후:** 대부분의 두피 상처가 아물고 안정된 상태입니다. 이 시점부터는 **평소의 샴푸**와 생활로 돌아가셔도 됩니다. 일주일간 사용했던 약용 샴푸는 중단해도 괜찮습니다. (평소 비듬이나 지루성 두피염이 있다면 일주일에 한두 번 정도 계속 약용 샴푸를 사용하면 두피 건강 및 색소 유지에 도움이 될 수 있습니다.) 시술 부위의 **색소가 안전하게 안착**된 이후에도, **강한 햇빛**은 SMP 색소를 흐리게 할 수 있으므로 **2~4주간은 모자 쓰기** 또는 **자외선 차단제**로 두피를 보호하는 것을 권장합니다. 시술 부위에 **심한 붉은 기, 부기, 고름** 등이 나타나면 드문 경우지만 **감염** 가능성이 있으므로 바로 병원에 연락해 주세요. 추가 시술 세션이 예정되어 있다면, **각 세션 후 동일한 방법으로 관리**하시면 됩니다. 이 지침을 따르면 시술 부위의 불편함을 최소화하면서 색소가 잘 유지되고 안전하게 치유될 것입니다. 건강한 두피 관리로 보다 좋은 시술 결과를 오래 유지하시기 바랍니다.