Dear Dr Reddy, though you claim no linear scarring with H+ technique, i have read a few patients complaining of a golf ball like appearance on the donor area. Could you kindly throw some light on this?

Dear Mr TA, thanks for your question. I have to agree with you on the fact that, I have myself seen a few patients with FUE ending up with patchy areas of visible scalp on the donor area. I would assume this is secondary to over enthusiastic extraction on part of the surgeon, whereby a lot of the grafts are extraction from one zone.
A lot of effort goes into the preparation of an extraction zone and I suspect this could be the reason why some surgeons prefer to stick to a small zone. Also the fact that it is easier to extract from certain areas of the donor areas than others, it is quite possible that this might influence a surgeon in the thought process of extraction.
With the H+ technique, we have totally moved away from focussing on one single zone and working the entire permanent zone. To second this, we have stringent protocols for extraction (Kindly attach a lead to protocols for extraction).
I have always believed in the fact that that the surgeon should aim to get maximum yield with minimal or no transection.