Every plastic surgeon has a few patients who will require breast implant revision surgery or have complications requiring additional medical care and/or surgery. As you have been or will be told, no surgeon can guarantee a result or promise zero complications. In cosmetic procedures there are certain problems that will happen statistically, no matter how good the care, or how careful the doctor and team. Examples of problems that may be encountered are bleeding, infection, capsular contracture or an unfavorable scar after a surgical procedure. It may be necessary to return to surgery, either on an emergency basis (as in the case with bleeding) or an elective basis (as in the case of scarring), perform additional diagnostic testing/procedures, admit the patient to the hospital and/or consult physicians from other specialties.
The most frustrating part of Dr. Feldman's practice is when patients' fail to recognize the importance of following post-operative care instructions. Many of the complications encountered after breast augmentation are preventable, and directly attributable to not following activity restrictions, supportive bra use and/or massage after surgery. Compliance with our instructions, and restrictions, plays as large a role, or even larger, in your result as the surgery itself. We collectively call this "pride of ownership." Unfortuantely, actions have consequences, and many times overuse will lead to bleeding, bruising, hematoma, contracture, implant malposition or symmastia. Most of Dr. Feldman's patients over do it, most get away with it, but about 5% don't, meaning 5 out of every 100 surgeries require another operation in the first 6 months that could have been avoided by following instructions.
Fixing suboptimal results is hard and will ultimately end up costing more money, for a less pleasing result. Breasts are "cousins not sisters or twins," and therefore the best possible outcome of primary augmentation is first cousins. Each additional surgery drops one level lower, meaning the best possible outcome of a revision surgery is second cousins, third surgery, third cousins, and by the 4th of 5th surgery, neighbors or strangers. This is why following our specific instructions to reduce the chance of needing more surgery is so important.
It is our policy, as a predetermined courtesy to our patients, not to charge a surgeon’s fee for complications or revisional surgery within 6 months from the original surgery date. We do, however, expect the patient to pay whatever other expenses, including, but not limited to, hospital, medication/pharmacy, consulting physician, anesthesia, laboratory, implant and radiology fees that arise as a result of treatment of a complication. If the breast augmentation revisional surgery occurs in our office facility within 6 months, the patient is responsible for the expense of the facility, anesthesia and implant, if applicable, outlined below.
After 6 months, this revision fee schedule is NOT applicable. Additionally, there is a $250 fee for in-office evaluation (starting 6 months after surgery) at which a new quote may be provided, for any requested procedures.
Should any complication occur due to external factors, as determined solely by the surgeon/staff, including, but not limited to trauma, overuse, non-compliance with post-operative instructions/restrictions, failure to massage or wear supportive bras, missing or rescheduling follow-up appointments, pregnancy, weight loss/gain, smoking, illicit drug use, or new tattoos/piercings during healing, the below estimated base fee schedule is not applicable, and a new quote may be provided if revision surgery is offered. Revision surgery will not be offered, at any price, to patient's who demonstrate continued non-compliance.
We hope that no complication arises and no revisional surgery is necessary in your case. However, no plastic surgeon can guarantee this to their patients. It is important for the patient undergoing an elective surgical procedure to understand this financial/revision policy and fee schedule.
Exploration/Evacuation of Hematoma (approximately 1% risk) starting at $1500 per side
Capsular Contracture (approximately 4% risk) starting at $3000 per side
Breast implant malposition “Bottoming Out, Symmastia, Lateral Displacement, Double Bubble” (approximately 2% risk) starting at $3500 per side
Infection requiring washout (less than 1% risk) starting at $2500 per side
Scar Revision (approximately 1% risk) starting at $1500 per side
Breast implant exchange due to device failure starting at $3500 per side
(Silicone Implant Manufacturer warranty covers above fee for 10 years)
(Saline Implant warranty does NOT cover this fee!)
Desire to change size of implants starting at $4500
Pricing subject to change without notice.