Background: Scars on hair-bearing skin such as the scalp and eyebrow produce an unsightly cosmetic appearance because of the absence of hairs on the areas. Recently micropigmentation of the scar area has been practiced to improve this defect. Objective: To evaluate the result of the micropigmentation accomplished to improve the cosmetic appearance of the scars on hair bearing skin. Methods: Follow-up assessment of micropigmentation was made in 18 patients with scars on their scalp or eyebrows. Besides the clinical evaluation, histopathological observation at intervals of over a one year period was made to observe the remained pigments in the skin tissue after the procedure. Results: 17 patients out of the 18 patients (94%) showed excellent or good results. No complications were seen. Painful sensation of the treated site was present for two days after the procedure. Histopathologically the pigments initially occupied down to the deep dermis but three weeks later the pigments remained only in superficial dermis and, thereafter, did not change significantly between four weeks and one year. onclusion: Micropigmentation of the scalp and eyebrow scars is a safe procedure with satisfying cosmetic results. Histopathologically the pigments were removed from the deep dermis within three weeks of the procedure and remained in superficial dermis thereafter. (Korean J Dermatol 2008;46(3):305∼309)