I have a general question regarding a Doctors responsibility and obligations.
Doctor Answers 9
Revisions and corrections
I think it is a quirk in the cosmetic surgical industry that the consumer has to pay part of revision surgery. I cant think of another results driven profession whereby the provider can charge again to try and achieve the outcome which has already been paid for.
It seems to work in my practice which is outcome not revenue driven.
In your situation you wen tot ask about dog ear excision - a procedure which should cost a few hundred dollars and takes 15 mins under local anaesthetic, you were sold a browlift which will likely have been thousands of dollars. This has not addressed the problem, I find it extraordinary that you are to be billed again.
Dog ear repair
Facelift and other surgical revisions
I am sorry for your disappointment. I wish to believe it is not the intention of any surgeon to leave behind a "dog ear" nor any other side-effect, deformity nor complication following any procedure. We certainly wish to meet your expectations and pursue the very best job we know how to.
Surgery is a science and an art. While perfect results may be desired, they are definitely not guaranteed. Our canvas is the human body and each canvas is unique in its makeup. You may have had excess skin for which your surgeon hoped the skin would retract so it would not be visible or he / she did not extend the potentially visible incision long enough to flatten the irregularity.
There are many ways for your primary surgeon to handle your concerns. In my practice, these include:
- 1.I try to absorb the greatest amount of the revision cost possible. I do this by not charging for the professional (surgeons) fee. I also try to reduce the cost for the operating room or treatment room and anesthesia as well.
- 2.If you visit a second opinion surgeon and he or she performs the correction, I would not expect that surgeon to absorb nor reduce any of the revision costs.
- 3.If the complication requires medically necessary care such as a heart attack, surgical infection or flap ischemia (lack of circulation), most but not all medical insurers will cover (within the terms of your contract) the care of this complication.
It is best for you to review these and any other “fine line” concerns with your surgeon and your insurance company.
I hope this is helpful. All the best!
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Who should pay for revisions?
It is reasonable to charge for basic OR supplies such as sutures etc for revision work. Around the country - Some doctors are free while others charge a full OR fee up to $2000 or $3000.
In our practice -- we do for free or charge a $500 Mini OR fee depending on the revision needed
Thank you for your question. I'm glad that your brow lift looks nice, and I'm sorry the pooches remain. It is hard to say what the policy is. Generally all Board Certified Plastic Surgeons will have a lot of experience on how to deal with this type of problem. Almost all surgeons do "whatever is reasonable". They will go out of their way to bring this problem to a happy ending. Perhaps the cost can be zero if it involves a minor revision with local anesthesia. Please call the coordinator and a suitable compromise can be obtained. Discuss this calmly without accusations. Good luck with your revision.
Below is a similar case where dog-ears were removed
Charge for correction of dog ears
Who picks up the cost of a revision after a facelift?
Dog ears post revison
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