Our Summary

This research paper looks at the growing trend of “cosmetic tourism” where people travel to other countries for breast augmentation. The study analyzed existing literature on the topic up until April 2017. Out of 17 studies, it was found that common destinations for this type of surgery include Europe, South America, and South East Asia. The research identified several risks associated with this practice, including infection, dissatisfaction with results, and severe outcomes such as sepsis, need for ventilation, irreversible brain damage, or even death. The study also found that there is an expectation that the patient’s home country’s health system will deal with any complications or necessary follow-up procedures. This puts a strain on these health systems. The authors hope that this study will help inform Australian patients considering such procedures abroad, and help health systems better understand the implications of this trend.

FAQs

  1. What are some common destinations for “cosmetic tourism” for breast augmentation?
  2. What are the risks associated with getting breast augmentation in another country?
  3. How does “cosmetic tourism” affect the health systems of the patients’ home countries?

Doctor’s Tip

A helpful tip a doctor might tell a patient about breast augmentation is to carefully research and choose a board-certified plastic surgeon with experience in the procedure. It’s important to have a thorough consultation to discuss goals, expectations, risks, and potential complications. Additionally, following post-operative care instructions and attending all follow-up appointments is crucial for a successful outcome.

Suitable For

Patients who are typically recommended breast augmentation are those who are dissatisfied with the size or shape of their breasts, have asymmetrical breasts, have lost breast volume due to weight loss or pregnancy, or have undergone a mastectomy. Additionally, patients who are in good overall health, have realistic expectations about the outcome of the surgery, and are able to follow post-operative care instructions are also good candidates for breast augmentation. It is important for patients to consult with a board-certified plastic surgeon to determine if they are suitable candidates for the procedure.

Timeline

  1. Initial consultation: The patient meets with a plastic surgeon to discuss their goals, expectations, and medical history. The surgeon will assess the patient’s suitability for the procedure and discuss the different options available.
  2. Pre-operative preparation: The patient undergoes a series of tests and evaluations to ensure they are healthy enough for surgery. They may also be required to stop smoking and avoid certain medications in the weeks leading up to the procedure.
  3. Surgery: The breast augmentation procedure is performed under general anesthesia and usually takes a few hours to complete. The surgeon will make incisions, insert the implants, and close the incisions with sutures.
  4. Recovery: The patient will experience some pain, swelling, and discomfort in the days and weeks following surgery. They will need to follow the surgeon’s post-operative instructions carefully to ensure proper healing.
  5. Follow-up appointments: The patient will have several follow-up appointments with the surgeon to monitor their progress and address any concerns or complications that may arise.
  6. Long-term results: Over time, the patient will gradually see the final results of their breast augmentation. They may need to replace their implants in the future or undergo additional procedures to maintain their desired appearance.
  7. Potential risks and complications: While breast augmentation is generally safe, there are risks associated with any surgical procedure. These include infection, bleeding, scarring, implant rupture, and changes in sensation. It is important for patients to be aware of these risks and discuss them with their surgeon before proceeding with the surgery.

What to Ask Your Doctor

  1. What are the potential risks and complications associated with breast augmentation surgery?
  2. What is the recovery process like, and what kind of post-operative care will be needed?
  3. What type of implants are available, and what are the pros and cons of each?
  4. How long do breast implants typically last, and what is the likelihood of needing them replaced in the future?
  5. How will breast augmentation surgery impact breastfeeding, mammograms, and other aspects of breast health?
  6. What are the qualifications and experience of the surgeon who will be performing the procedure?
  7. What is the cost of the surgery, and what is included in that cost (e.g. anesthesia, follow-up appointments)?
  8. What are the potential long-term effects of breast augmentation on my overall health?
  9. Can you show me before and after photos of previous patients who have had breast augmentation surgery?
  10. What should I do if I experience complications or have concerns after the surgery?

Reference

Authors: Brightman L, Ng S, Ahern S, Cooter R, Hopper I. Journal: ANZ J Surg. 2018 Sep;88(9):842-847. doi: 10.1111/ans.14326. Epub 2017 Dec 3. PMID: 29205748