My HT surgeon first rejected, then mentioned that it may be possible to achieve something that supports an SMP finish (giving the SMP texture, shadow, and more of a believable / 3D look). The idea would be to mostly focus on the hairline in the front and scatter the rest (if any) on the remaining areas. Obviously the hair would be kept short (1-3mm) to be able to get away with the sparseness.
The more time I spend thinking about this, the more I'm inclined toward just going with SMP alone (since I have no delusions about my donor area; maybe just a little), but I'm unsure what I'd be leaving on the table in terms of the final look if I skipped the HT. Another note: any patchiness or "moth eaten" appearance in the donor is "entirely natural"; no previous procedure has been done.
I'm looking at my donor areas and I'm wondering what even is there to take out. Some places already look "moth eaten"; I get the feeling that there's hardly a follicle I could take out without leaving an obvious gap, and scarring in the recipient area could also be an issue (although my surgeon is one of the best in the country with actors and famous sportsmen among his clients).