This can be a source of frustration for patients, so I typically cluster all of the fees together so that there are no surprise charges. I would ask the plastic surgeon's office about it, as the staff can likely give you more information on policies of that office. Kenneth Hughes, MD Los Angeles, CA
can sometimes surface but you should contact your doctor's office and have their staff resolve this for you IF your estimate included EVERYTHING (implant, facility, anesthesia and surgeon fees). If it did not and you were not clearly told this, then your doctor was not clear with you about what costs you are responsible for and you have a legitimate gripe if this was the scenario. Sometimes cases go long but I cannot imagine an additional fee of $1200 for anesthesia... but this should also have been made clear to you before you 'signed up'. Hope you can resolve this with your surgeon and his anesthesia provider as these surprises usually never happen with cosmetic surgery.