I agree, I think the whole microscope thing is overblown. A few doubles in the hairline and nobody will notice imo.
in terms of the OP, I agree with Melvin. You have miniaturized hairs all through the top and I wouldn’t even consider surgery without trying to stabilize your loss with medications. You risk the chance of shock loss.
i also don’t think your case is best suited for keser unless you want to do staggered surgeries. He’s more well known for a slow, stick and place, minor loss doctor.
i would go with a clinic that can give you: naturalness, coverage, density, good donor management (in that order).