I concede that his consults are great, no question about that. I've never had one personally, but I hear he spends hours with you and really goes through things in intricate detail. It's very expensive, but I agree, the amount of detail justifies the high price tag. In retrospect, I would have paid for his consult and taken his plan (bar the stupid HA paste additives) to a good local surgeon.
I am reluctant to say, however, if Gunson is able to execute anything particularly spectacular, at least not on any consistent basis. Also, I agree, his surgeries are complex, but the question is, do they need to be? I've heard from a few patients that they were coerced into totally unnecessary procedures like HA paste, cheek augmentations, genioplasties, and costly restorations (upwards of 100K!). I feel this violates an ethical duty to do no harm. From an aesthetic perspective as well, I have yet to see a single result I was truly wowed by from his work. His before and afters on Facebook are impressive, but the results from his patients on Facebook, surgery forums and groups are mediocre at best, from an aesthetic point of view.
I don't believe Arnett was ever sued, at least not by a patient. I don't know, I disagree he is in the top-tier skill wise. I feel his lack of restraint demonstrated by his encouragement of HA paste, cheek augmentations and other plastic surgery procedures shows his insecurity. I think he is a hell of a marketer, but a lacking surgeon IMO.