This can vary tremendously depending on the circumstance. For example, it can depend on whether the surgery was covered by insurance or completely cosmetic with money out-of-pocket. It also depends on why the patient is dissatisfied. With cosmetic procedures, surgeons will often not charge for any revisions necessary to repair or correct a complication. However, the patient may incur additional facility or anesthesia fees. These issues are dealt with on a case by case basis but we usually try to accommodate our patients to the best of our ability.