As with any operation complications can occur, for instance anesthetic problems, thrombosis, bleeding, infection, complicated healing, necrosis of tissue, numbness, asymmetries or a disappointing result. Even in the hands of the most talented plastic surgeon a patient can be disappointed with the result. Esthetic surgery and plastic surgery is not an exact science. No guarantee on uncomplicated healing can ever be given.
Sometimes it is necessary to perform an additional procedure to obtain a decent final result. Follow up operations can only be performed after one year when the healing process is complete and the tissues have settled and may involve additional costs. Also, for second procedures there should be realistic expectations.