Do plastic surgeons get upset when you're not happy with their work and need a revision?

I am sure your plastic surgeon will want to hear your concerns and see if anything further needs to be done. The combination of implants and a lift has a higher revision rate than most procedures, because it can be tricky to predict how the tissues will settle out. Often the revision is relatively minor such as adjusting nipple position or a bit more tightening of the skin envelope so I think it still makes sense to combine the two procedures rather than staging them.

I'm sorry to hear about your concerns. It's important to know that every surgeon should be willing to listen to their patients concerns after surgery. No doubt your surgeon would want you to express your concerns. You'll then be able to have a discussion about how best to proceed. Sometimes the answer is giving yourself more time to heal, a revision, or no surgery at all.

In most circumstances preoperative preparation should make postop to satisfaction very uncommon. If you do not like something about the breast augmentation calmly explained to your surgeon what you do not like. It is important that you be very specific. Then be prepared to listen. Also remember that many apparent problems vanish with the passage of time.

Speak candidly with your doctor as to what your concerns are. If you do not feel satisfied with the answers you are given, consult with breast revision experts in your area

Revisionary surgery is part of what we do as plastic surgeons.  It is a necessary thing because we are not done until you are happy!   It can be a very subjective thing. Augmentation with a lift is a very difficult operation and I tell my patients that there is a 10-15 percent chance I will need to do a touch up or revision of the breasts.  Very common.   We try and keep everyone happy.  When revisions occur there is a fee for the operating room and the anesthesia supplies.. We do need to charge for that.