I agree with many of your points. I do believe a patients state of mind can greatly impact their level of happiness with an outcome.
Photos from users can often be inconsistent and so don’t always reveal all the details.
As to the craftsmanship, I think this is a decent outcome given this H&W patient’s previous hair transplant history and what seems to be progressive hair loss.
If negligence occurred that is unacceptable.
Question: do you think unshaven transplants can produce lower yield? I know if can effect angulation, blending, naturalness, etc.