Journal article
Complications of Cosmetic Surgery Tourism: Case Series and Cost Analysis
Aesthetic surgery journal, Vol.41(5), pp.627-634
04/12/2021
DOI: 10.1093/asj/sjaa092
PMID: 32291444
Abstract
Background: Cosmetic surgery tourism is increasing exponentially. Patients seek cosmetic procedures within the United States and abroad, lured by lower cost procedures, shorter waiting lists, and affordable airfare and hotel accommodations. Unfortunately, operations are often performed by non-board-certified plastic surgeons, sometimes not even by plastic surgeons. Preoperative counseling, frequently limited to a video-chat with an office secretary, provides inadequate discussion regarding potential complications. Postoperative care is careless and rarely involves the operating surgeon. Complications are frequent, with management falling into the hands of plastic surgeons unfamiliar with the patient's care. Furthermore, the physician, rather than the patient or hospital, faces the largest cost burden.
Objectives: The authors sought to explore their institution's experience treating complications of cosmetic tourism and investigate associated costs.
Methods: The retrospective review of 16 patients treated for complications related to cosmetic surgery tourism plus cost analysis revealed a substantial discrepancy between money saved by undergoing surgery abroad and massive costs accrued to treat surgical complications.
Results: The most common complication was infection, often requiring surgery or IV antibiotics on discharge. Mean cost per patient was $26,657.19, ranging from $392 (single outpatient visit) to $154,700.79 (prolonged admission and surgery). Overall, the hospital retained 63% of billed charges, while physicians retained only 9%. The greatest amount paid by any single patient was $2635.00 by a patient with private insurance.
Conclusions: Cosmetic tourism has severe medical repercussions for patients and complications that burden hospitals, physicians, and the US medical system. Physicians treating the complications suffer the greatest financial loss.
Details
- Title: Subtitle
- Complications of Cosmetic Surgery Tourism: Case Series and Cost Analysis
- Creators
- Chelsea Venditto - Medical College of WisconsinMargaret Gallagher - Medical College of WisconsinPatrick Hettinger - Medical College of WisconsinRobert Havlik - Medical College of WisconsinRakel Zarb - Medical College of WisconsinAnne Argenta - Medical College of WisconsinErin Doren - Medical College of WisconsinJames Sanger - Medical College of WisconsinKristen Klement - Medical College of WisconsinWilliam Dzwierzynski - Medical College of WisconsinJohn LoGiudice - Medical College of WisconsinJohn Jensen - Medical College of Wisconsin
- Resource Type
- Journal article
- Publication Details
- Aesthetic surgery journal, Vol.41(5), pp.627-634
- Publisher
- Oxford Univ Press
- DOI
- 10.1093/asj/sjaa092
- PMID
- 32291444
- ISSN
- 1090-820X
- eISSN
- 1527-330X
- Number of pages
- 8
- Language
- English
- Date published
- 04/12/2021
- Academic Unit
- Surgery
- Record Identifier
- 9984701649502771
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