Necrosis and lack of random placement of grafts

This is not an uncommon problem in the hands of less knowledgeable surgeons, assuming, of course, that this was done by a surgeon and not a technician.  The Necrosis outlined in the photo by a circle, is probably the effect of improper use of adrenaline (epinephrine) to minimize the bleeding at the time of implantation.  In addition, note that all of the grafts are placed in rows. The grafts line up like soldiers.  In men with straight hair, these rows will be detectable when and if the hair grows out.