4 months is pretty early to expect a lot of growth. Generally if a patient has no growth at 8-9 months is when they should start feeling concerned, so seeing a small amount at month 4 is perfectly fine.
Aftera hair transplant the grafts go through a resting phase during which time youmay lose the graft hairs.This phase canlast several months followed by a growth phase at 4 to 6 months.The newly growing hair is thin at first but willthicken over time.By 10 to 12 monthsyou should see the final results.