@Michael_Pryor of DesignMorphine was kind enough to share one of the meshes he developed using Pufferfish. The mesh has 5 million polygons and I was able to process and import it into Revit with Conveyor in ~5 minutes on modest hardware. Our custom processing allows for mesh edges to be hidden and creases to be shown for a clean drawing representation in Revit.
Here is a review of the process:
