The problem with places like MHR is that they are very limited to what they can offer their patients. The reason for this is that the physician only gets a percentage from MHR, usually about 20%, and so their main objective is to do as many cases per day as possible in order to make as much money as possible. This results in very limited technology.
I would recommend asking the physician how many cases are being performed each day, are they dissecting 100% under microscopes and are they using custom-made blades for the site creation i.e. later-slit method.
In order to get a surgery that looks completely natural, it is essential to be using the latest technology, without it this just isn't feasible.
This is the beauty of independents. While not all use the best technology, they really are the only ones' that are able to offer it. Since it limits a physician to one case per day, it just isn't appealing to the larger outfits.