From the trout pout and duck lips to butt lifts gone wrong and cleft palates, cosmetic and reconstructive surgery are tight markets. And, it's not that easy to carve out (pun intended) a defined market position. When one considers the nature of their work, it can occasionally come out less than perfect. It is estimated that less than 1% of all procedures have difficulties; 25,000 last year. Butt let's face it, nothing is perfect and when things go sideways with a person's physical body, it's extremely noticeable, and makes the news quickly.
So, cosmetic and reconstructive surgeons don't have it as easy as the television shows and public perspective might reflect.