Medalie's got a couple of PoC results on transbucket as well, if I recall correctly. I'm pretty light-skinned (to the point that I don't correct anyone who calls me white, because I'm mixed but not mixed "enough" to be able to call myself ndn) so my results when I get 'em won't help you any, but the ones I saw on darker-sinned guys have all been pretty dang good. He's gonna shake some people off because he's changing his practice and isn't taking insurance in the interim but if you're paying out of pocket I'd highly recommend him (though I have no idea about Fischer, so definitely talk to Max a bit if you're interested). He's ~6500$, which is relatively cheap, and looking between him and Garramone, he was the obvious choice for me. Something about Garramone feels... skeevy? in a sort? to me, and I've heard some weird-bad things come out of his recovery patients. (Particularly from people who recovered in the centre he's recommended.) IMO the quality of Garramone's work has declined, like he's rushing a bit because top surgery is all he does these days. But that's just my personal thoughts.
I know Medalie's been a bashed a little for his brisk bedside manner, but he certainly knows what he's talking about and his nipple placements are very near-natal male placement. Since I'm stealth, I'm also really liking that he's lately seemed to change his incisions to give a more diagonal scar, because one of the things that worries me with trans visibility is getting called out on my top scars. (I'm rambling now, I think. TL; DR, I'd recommend Medalie over Garramone any day because personal opinion. Medalie's cheaper than Fischer but will probably have a longer wait time. I haven't looked at many of Fischer's results so I can't say much there.)