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It is best to ask your surgeon about post operative care as each doctor has their unique regimen. Dead skin will not affect your results.
A photograph of the area would be helpful. Generally speaking at 4 months post-op there is little that can happen that would damage the grafts.
Without a visual of your scalp, it is difficult to say; however, at 4 months post-op it is likely that the "dead skin" you see is problematic to your transplant. How often do you shampoo? At least twice a week is healthy for your scalp.
I am not sure what you mean about the term 'dead skin'. If it does not wash off with a good shampoo, see your surgeon
It is best to ask your surgeon about post operative care as each doctor has their unique regimen. Drying your hair or keeping your hair wet has no impact on hair loss or hair growth.
If you are having issues after surgery, especially with "tightness" you should contact your doctor. There is no way to tell what is going on via Internet.
You cannot tell how many graft were implanted based on photos alone. If you are concerned, ask your doctor.