Some surgeons aren't interested in taking the case. I'm not looking for perfection, just improvement. Any tips?

I've had 2 virtual appts and 2 in-person consults. All Board Cert PS. I've noticed the in-person consults the surgeons presented a treatment plan and seemed confident in their ability to achieve good results. On the other hand, the virtual appts that I've had (I provided photos and history) come back with "not able to achieve the results that I'm asking for"- even though I never discussed the results that I'm hoping for. BSSO, and genio '15, chin revision '17, platysmaplasty and fat graft 21