Is it standard industry practice to pay surgical fees for a revision if I'm not happy with the original results?

Hello, I do agree that you are experience pseudo-ptosis; where tissues bottom out and nipple areolar complexes raise higher. Every surgeon will address revisions differently. Depending on the scenario, I will always work hard, many times for free to ensure that a patient is happy. It is very likely that you signed consent paperwork stating that there is risk of healing complications and unsatisfactory results. Good look on you revision journey.

Your results are typical with the anchor incision technique. At this time, you will need a revision and possibly fat transfer or small implants placed to create the upper pole fullness that was not achieved with the anchor incision. Your surgeon should give you a discount since this is a complication from the technique he selected.

Best Wishes,

Gary Horndeski, M.D.

Dear kivam,
the price is entirely practice dependent. If it was planned to be staged than the cost may be included. If its a revision, typically surgeons only ask the patient to pay for the surgery center and anesthesia.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Yes, you should be expected to pay for this surgery since it is a different procedure than the reduction, plus there are new fees of the surgery center and anesthesia. Look in your paperwork from the original procedure to see if revision for the procedure you had has a fee or reduced fee. Your surgeon can tighten your lower pocket to help lower your nipples. Adding implants is a completely different procedure than the one you had.

Your nipple/areola are pointing up and your breasts are bottom heavy (lack of upper pole fullness) which is neither common nor uncommon in breast reduction procedures (depends on both surgeon technique and patient healing). Your scars do not appear to be very thick (a physical exam would confirm this).
It is not uncommon for plastic surgeons to have reduced fees for revision procedures.
Best wishes.
Dr. Taranow