The question of who pays for revision surgery is clear in some circumstances, less clear in others. In cases of medical complication such as deep venous thrombosis, pulmonary embolus, wound dehiscence, major flap necrosis, other cardiopulmonary event, adverse reaction to medication, malignant hyperthermia, peripheral neuropathy, visceral perforation with peritonitis, systemic sepsis, septic shock, major wound infection, hematoma requiring drainage, etc., medical and/or surgical treatment may be paid for in full or in part by health insurance carriers, by CosmetAssure, and co-pays, deductibles, and non-covered costs will be the patient's responsibility.
If the problem is less serious, and aesthetic in nature, whether you will be fully or partly responsible for the costs of revision depends on the office policy of your surgeon. In general, several principles apply. First, plastic surgery is an inexact science, and there is NEVER a guarantee of any particular result in advance, expressed or implied. Biologic systems are highly variable, and although your surgeon may control some factors that influence your outcome, he or she does not control your genetics, your general health, swelling and scarring, post surgical activity, and other forces of nature that are germane to your final result. By consenting to surgery, you are accepting a share of responsibility for your result, and acknowledging the element of unpredictability inherent in the surgical pursuit of beauty.
You are of course aware that your surgeon has rent, office staff, insurance, medical equipment and supplies, anesthesia, licensing, continuing education, utilities, and additional considerable costs of treating patients every day, and in return for services provided to patients, even those with an imperfect result, these expenses are passed along to you, the consumer of services.
In the end, most surgeons try to be fair, and sacrifice a great deal to achieve the best result possible for each patient. We doctors are on the side of our patients. We are in the difficult position of reconciling the demands of our patients, the unpredictability of our craft, and the bill collectors on our doorstep every day.
Adjustment of expectations, prioritizing importance of your aesthetic goals, and frank communication with your surgeon should go a long way toward improving your current situation toward the result you hoped for when you decided to proceed with liposuction.