Hi tonkadiesel. It is still looking good. He estimated that I would need to go back in a little over a year. I've had this procedure for around 4 months. --- In all of my experience with Smp providers, Matt Iulo seems to have a great reputation with most everyone, including his competitors. You may want to message Nicole at Shapiro medical for more info on him and the difference between temporary and permanent Smp. She does trichopigmentation for Shapiro, but she used to work at a "permanent" Smp place. The same place where I received my first permanent Smp procedure. ---She told me that temporary(trichopigmentation) looks the most natural as it uses the smallest dots and it never bleeds or turns blue or green. This has been my experience as well. ----However, she said that Matt Iulo at Scalp Micro would be the person she would recommend if one was going to go with the "permanent" option. She also said that she was experimenting with a more permanent pigment at Shapiro. This was back in May. I emailed her to get an update on her progress with this new pigment, but didn't receive a reply. I'll probably write her again, as I like to keep up with any and all advances in this field. I am guessing that the ink that Matt Iulo uses is also temporary to some degree (maybe his lasts 3 to 5 yrs..?)because any truly permanent ink will eventually change color and will bleed together. And once this happens, you cannot simply add touch up ink on top of the old ink. You will have to get the old ink lasered off, as I did. This was painful and costly. -----You want the pigment to slowly fade away, not to fade into a different, blurry color. ----So, anyway,....I recommend trichopigmentation. Erik, at Ahead Ink, did mine, and he did a great job. Nicole ,at Shapiro in Minnesota, is also trained in trichopigmentation and she knows a lot about permanent Smp too. I'd definitely email her. And, if you aren't getting tricho.----Matt Iulo seems to be the man to go to. ---- Also, Vinci would be the only other permanent place that I would even consider (in the U.S.). -----Avoid Scalp Aesthetics, HIS ,GLI...and most all other places actually. Unless recommended by a good transplant doc, and most of them use or recommend tricho. or another temporary process. Although, a Dr. Puig, in Houston, uses a temporary pigment that only last 3 or 4 months,..which is way too short.-------Best of luck!......I hope you can avoid going through all of the grief that I went through. That is the reason I am on here!