Can a doctor really deny a revision if his patient had complications? (Photo)

Dear MarieB85,
Every surgeon has a revision policy. Many involve reduced or even no fees for the surgeon (depending on the situation) while the patient may still be responsible for facility (the use of the operating room, staff, and supplies) and anesthesia fees. Best to go back to your surgeon and have a talk about your concerns again. 
Daniel Barrett, MD

Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Skin necrosis can result from thermal injury (burn or freezing), infection, or injury to the blood vessels that supply oxygen to the skin.  It is not unusual for UAL to cause skin necrosis as a result of ultrasonic energy burning the skin or burning blood vessels that supply the skin.  A rare type of severe bacterial infection can cause necrotizing fasciitis of the skin. Each PS has policies and procedures regarding revisions; best that you consult with the PS who performed your initial surgery.

BBL revisions are trickier to perform than the initial surgery, so you'll need to make sure that whoever you see has a lot of experience with revision surgery. You'll need a thorough consult and examination to determine your candidacy for another surgery.The optimal BBL outcomes are achieved with: 1) use of VASER liposuction to harvest the fat, 2) a closed looped system such as Puregraft to process the fat, and 3) strategic micro-packet transplant technique. These three processes have demonstrated over 95% fat graft take. This means that your results will be stable as long as you maintain your weight. As an official VASER trainer, I am routinely referred unhappy BBL patients. One of the most common reasons for disgruntled BBL patients is that patients are not able to accurately communicate their desired buttocks goals to their surgeons.  A buttocks assessment tool can be an invaluable tool to communicate to your surgeon the exact buttocks size and shape you are desiring. A Skype or FaceTime consultation with a BBL specialist can help you get an accurate recommendation and pricing. 
Respectfully, 
Arian Mowlavi MD, FACS
Realself 100 Hall of Fame Inductee

Surgeons are not obligated to do elective surgical procedures and certainly not cosmetic surgical ones.Not taking care of certain complications could be considered malpractice. Having undesirable outcomes as part of surgery and something that patients generally agree to by signing consent forms.Secondary procedures are far more difficult the primary procedures and patients should keep expectations in line.Asymmetry In size and shape is not related to fat distribution but is almost always based on skeletal structure. Sometimes asymmetry cannot be successfully corrected.Each provider has the Ron level of comfort in regards to doing a revision work as well as doing surgery which may or may not be helpful.Just because you had a symmetry or concerns before surgery doesn’t mean that those can necessarily be corrected with this procedure.All patients who have fat transfer will develop some fat necrosis. Generally it doesn’t leave palpable nodules but sometimes it can.It might be helpful to know exactly what procedure you want your provider to do.Personally I am reluctant to take on secondary body contouring procedures. The second surgeon generally inherits all the problems from the first surgery.Best, Mats Hagstrom MD