[CptJamesCook]

This is my surgeon's response to your question:

The angle, orientation and position of EACH AND EVERY transplanted graft (of hair follicles) determines the final naturalness of the outcome. This is determined by the “stroke” of the surgeon’s hand while making the recipient sites and cannot be changed by technicians during placement.

A typical poor outcome from a “chop shop” or inexperienced surgeon will likely be unnatural due to a combination of a poorly designed 2-dimensional hairline shape as well as poor angulation of the grafts creating a contrived appearance—like the example you described, but there are many other pitfalls that can occur.

An artistic surgeon will excel at the nuances of hairline shape, variations of transplanted density across the recipient area, graft size (1, 2 or 3 hair grafts) and angles of growth to create undetectability AND coverage at the same time.