Evidence map›Paper›PMID 42311717›Full record

ArticleCureus2026

Recurrent Clinical Burden and Cost of Cosmetic Surgery Tourism Complications: A Five-Year Retrospective Study From a UK Tertiary Centre.

Pouya Mafi, Krishan Patel, Shuayb Hoque-Uddin, Robert Warner

Abstract read
In one paragraph

Article in Cureus, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Pouya MafiPlastic and Reconstructive Surgery, Queen Elizabeth Hospital Birmingham, Birmingham, GBR.
Krishan PatelPlastic and Reconstructive Surgery, Birmingham Medical School, College of Medicine and Health, University of Birmingham, Birmingham, GBR.
Shuayb Hoque-UddinPlastic and Reconstructive Surgery, Birmingham Medical School, College of Medicine and Health, University of Birmingham, Birmingham, GBR.
Robert WarnerPlastic and Reconstructive Surgery, Queen Elizabeth Hospital Birmingham, Birmingham, GBR.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction Cosmetic surgery tourism can result in postoperative complications requiring management within publicly funded healthcare systems. This study aimed to evaluate the clinical and financial burden of complications following cosmetic surgery performed abroad at a UK tertiary centre, including repeat presentations and comprehensive resource utilisation. Methods A single-centre retrospective observational study was conducted at Queen Elizabeth Hospital, Birmingham, between 2020 and 2025. Patients presenting with complications following cosmetic procedures performed abroad within 12 months were identified through electronic patient record screening. Data were collected at the level of individual hospital presentations and included demographics, procedures performed, complications, healthcare utilisation, and cost. Cost analysis was performed using HRG4+ tariff mapping, the National Schedule of the National Health Service (NHS) Costs, and NHS Drug Tariff data. Descriptive statistical analysis was undertaken. Results A total of 749 patients were screened, yielding 29 patients accounting for 58 hospital presentations. Patients were predominantly female (96.6%) with a mean age of 42.3 years. A total of 61 procedures were performed abroad, most commonly in Turkey (82.8%). Common complications included wound infection, seroma, dehiscence, and necrosis, with venous thromboembolism also observed. The mean inpatient length of stay was 9.2 days, with 27 theatre interventions performed. Nearly half of all hospital presentations (48.3%) represented repeat presentations following an earlier complication-related attendance. The total cost across all presentations was £518,058.47, with a mean cost of £17,864 per patient. Cost per presentation ranged from approximately £46 to £57,691. Conclusions Complications following cosmetic surgery performed abroad impose a significant and recurrent burden on NHS services. When broader presentation-level costing and repeat presentations are considered, the financial impact appears greater than previously reported, although differences in costing methodology may partly contribute. These findings highlight the importance of improved patient awareness, informed decision-making, and systems-level measures such as enhanced patient information and more consistent data collection relating to cosmetic tourism complications.

Indexed as

cosmetic tourismhealthcare costshealth economicsmedical tourismnhs burdenplastic surgery complicationsreconstructive surgeryresource utilisationsurgical complications

Identifiers

PMID42311717
PMCPMC13270276

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.