Follicular Unit Extraction (FUE) is promoted by many doctors as a scar-less surgery. This is never true. All FUE surgeries produce punctate (small) scars which appear at every site where a grafts is removed and can be seen only when the scalp is shaved very closely. Although many patients never see these scars, some of those who shave their donor area hair come to see us to address these problems with Scalp Micropigmentation (SMP). In some patients who have large FUE sessions (sessions between 2500-6000 FUE grafts), large scars may appear. Examples of such large scars as shown in the photos here and are the result of a combination of factors including (1) possibly too many FUE grafts in the surgery, (2) repeat FUE surgeries which may have produced vascular problems, (3) surgical techniques, (4) the anesthetics used, (35) the size of the punches used) and many other factors too numerous to mention. Some patients have come to see us with necrosis of the donor area (gangrene) and unlike the scars that appear in the photos which usually reverse, those with necrosis have permanent scars that do not go away. The good news is that we treat most of these people who come to us with bad scarring, punctate scars that bother them, donor site depletion of hair that produces a see-through donor area, and those with necrosis with scalp micropigmentation (see: https://scalpmicropigmentation.com/scar-covering/).