Should I Have to Pay for my Lipo Revision?

Different offices do things differently.  Often, if there is a need to back to the operating room, there will be a charge for the OR and the Anesthesiologist.  These are costs that the surgeon usually has no control over.  The surgeon may charge a fee.  This fee is usually reduced.  With liposuction, patient compliance with wearing the compression garment makes a big difference.  Also those patients who have a proper diet and exercise program also usually do better than those who don't. 

In your case there does not seem to be any error or problem with the surgery itself, infact, your results are quite satisfactory.  What you need is additional liposuction to those areas to remove more fatty tissue.  Likely, the surgeon was not able to perform more liposuction during your procedure due to the amount of fluid or blood loss that is associated with such high volume liposuction.  Therefore, your best options now would be to continue dieting and exercise to further improve your results or sign up for more liposuction.  If you choose the latter, it would be up to your plastic surgeon to decide whether or not to charge a professional fee.  There is no way to avoid the surgical anesthesia and facility charges.  To get the best result possible with additional liposuction, you should not opt for the cheap way out, instead, pay for the surgery and anesthesia so that your plastic surgeon can do the best job possible.  Good luck.