There are two ways to do this, use the L band and utilize the watch band, or use Ka band and require an external attachment such as the charging cable assembly.
For SOS, I'd pick the former.
For iPhone and iPad, Apple can just use the Ka band with out any significant external attachment. Maybe a flip out bunny ear antenna.
“Any engineer proposing flip out bunny ears will be taken to the rainbow pavilion at Apple Park and pilloried until such time they are determined to have been sufficiently reformed.“
Maybe it would help if you propose a strawman link budget? You went from discussing microstrips versus lumped components to handwaving around spectrum, but I don't see where the effective power comes from yet to complete the link. GPS uses L band, a high gain antenna and 50W to get 6 bytes per second to the user segment on the ground from a MEO satellite. Starlink uses a fairly large dish to balance the antenna aperture and gain at Ka band wavelengths to get higher data rates to LEO satellites. What assumptions are you making here about that link?