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One might wish to consider the proverbial 90 yr. old patient who views their decayed molar as being important to them. And justifiably so. Therefore, a pecunious (meant in a literal but not necessarily pejorative sense) dentist who is renown for root canals and gold implants is sought. And...

........it's similar to promoting a mast reduction service to boaters to reduce knockdowns. :D

Agree. I totally see providing value to the client with the removal of dead, diseased, dying, rubbing, etc. limbs. Reduction pruning of healthy limbs seems more subjective (to me). Ie. is the haircut really warranted, or just a cosmetic beauty treatment / revenue generating scam, er, scheme?

Bingo! You get to periodically return and re-bill the client for more pruning back to the paint-by-numbers prescribed growth limits.

I'm relieved to learn that pruning limbs back to those painted lines will mitigate the potential occurrence of structural damage and / or personal injury.