1 Because of this, local anesthesia rates may apply. 2  This can cost $300 to $1,100 extra. 3  Hospital and doctor fees may be extra on top of the surgery fee. 4  While a consultation is free with many plastic surgeons, some may require that an initial exam is done.ectoral implants are made of a flexible silicone that is placed through the underarm in between the two chest muscles. Pectoral implants will give a man the appearance of highly developed chest muscles.