What are these black dots of my scalp? Hair transplant 10 months ago (Photo)

It’s completely normal for the crown area to show slower progress compared to the front and mid-scalp. The blood circulation in the crown is naturally weaker and slower, which means the follicles there take longer to strengthen and produce visible hairs. Full results in the crown usually appear around 15–18 months after the transplant.
The tiny black dots you’re seeing are most likely dormant or newly forming hairs that haven’t yet broken through the skin. They can stay in this early stage for a while before becoming visible hairs. Patience is important at this point — those follicles may still develop into thicker, mature hairs with time.
To help speed things up, minoxidil can be used. It improves blood flow to the scalp and helps dormant follicles transition into active growth. Consistent use may also thicken the existing fine hairs and stimulate new growth.
In short, it’s completely normal that your crown hasn’t filled in yet. The black dots are a good sign that activity is still happening beneath the surface. With time, patience, and the right support, you should continue to see gradual improvement over the coming months.

It sounds like the black dots you're noticing on your scalp could be hair follicles that are in a resting or dormant phase. After a hair transplant, it's common for transplanted hairs to go through a growth cycle, and it can take anywhere from 12 to 18 months for the full results to become apparent. The black dots you're seeing may be hairs that are still in the telogen (resting) phase, and they could potentially start growing out as your hair cycles into the anagen (growth) phase.
Given that you're 10 months post-op, you're still within the window where new growth can occur, especially in areas like the crown, which tends to take longer to fill in compared to the front and mid-scalp. It’s also a good sign that you're taking finasteride, which helps to maintain the existing hair and can potentially stimulate some additional growth.
It may just be a matter of patience at this point, as the final results from your transplant are still developing. Keep monitoring your progress, and you might see those hairs break through in the coming months.