I am disappointed in the 5400 grafts I had 9 months ago, thoughts?

That is a lot of grafts for the balding area. At nine months, I would expect to see 90 percent of the growth already out.  I doubt that many more grafts will come in but waiting a full year is a good idea. If you are still concerned at one year, go back and see your doctor and discuss your expectations and your doctor’s expectations for what was done. With 5,400 grafts, the team of technicians must be very efficient and fast, not leaving the grafts open to the hair for more than a few seconds in placing them or they will die and you will get dead grafts placed.