Why does my hair transplant of yesterday, look like this?

These are elevated grafts (photo on the left). The surgeon that put them in used a Choi or Lyon Implanter and left the upper part of the graft sticking out. This is not the way I do it for many reasons including:

1- You have to wear a hat for weeks after the surgery and can’t be normal

2- It may leave cobblestonning of the skin as the skin from the grafts lived and may remain elevated

3- It is not undetectable short or long term. Look at my patient to the right of your picture which is one day after the hair transplant.  No cobbled grafts seen.