Both major techniques (FUT, FUE) leave marks in the donor area — the difference lies in the shape and visibility of the scarring.

FUT Scar

Leaves a thin, linear scar where the strip was removed. Depending on skin tension, suturing technique, and individual healing response, this scar can fade and thin over time, or, rarely, widen and become more visible.

FUE/DHI "Dot" Scarring

Leaves thousands of tiny, dot-shaped marks. While individually very small (0.7-1mm), very high graft counts can create an overall sense of thinning in the donor area.

Keloid Risk

Keloids — thick, raised scar tissue that grows beyond the normal boundaries of wound healing — can occur with either technique in genetically predisposed individuals (statistically more common in darker skin tones). Patients with a prior history of keloids should always inform their surgeon.

Mitigation strategies: An experienced surgeon can significantly reduce scar visibility through proper tension control, appropriate punch diameter, and donor-area management. Silicone gel, sun protection, and early intervention can also improve scar quality.