Hello, I am thinking about him too. I think he has less reviews because a lot of surgeons buy fake reviews to look good on RealSelf. It does seem odd that less respected surgeons would have far more 5-star reviews despite having been in the industry for a shorter time. I believe some of these surgeons may pay/discount their customers to post good reviews or to post their before and after shots online or on social media. This is pure speculation however.
I did read elsewhere that Marcells isn’t going to try and talk you into getting surgery because he has enough clients to work with. I think that’s a good sign.
The best thing to do will be to ask to see more before and afters in his office, as Marcells is more private with patient results. Personally, I would be happy to post before and afters in return for a rebate if I was happy with the results but some surgeons focus less on their marketing and more on their surgery skills.