What is normal procedure for aftercare of surgery out of state/country?

99% chance you will have to pay for any after care. I charge initial $500 for 1st visit plus if surgery correction than additional fees. Follow up visits $250 per visit. Most need 3 to 6 visits, so expect to pay at least $1,000 to local USA Plastic Surgeon. If you are done in USA, I wave all the fees except costs of supplies to render care if and only if you were done by boarded USA PS. As for DR surgery I see at least 3 patients a month with serious issues that end up costing them thousands of $$$s.. The cheap becomes expensive saying comes to mind... There are so many excellent boarded PSs in Ohio why risk issues??? 

Follow-up care after out of country plastic surgery presents many difficult dilemmas for patients and US plastic surgeons. There are several reasons for this. First, the plastic surgeon in the US did not perform the surgery, but is often asked to deal with the complications of another surgeon with no knowledge of how the procedure was done or the experience and expertise (or lack of) of the surgeon. Obtaining valid information on how the procedure was done is often impossible. Secondly, caring for the complications of non US surgeons presents a huge medico-legal exposure to US surgeons. There have been cases where US surgeons caring for  patients who had complications was sued by the patient because the patients had no ability to sue the foreign surgeon. Understandably, this makes US surgeons less than eager to care for these patients.To your other question, insurance is not likely to cover any potential ER or hospital visits for complications of cosmetic surgery done outside the USA. Some insurance companies may cover some conditions, but if they don't, the bill can be fairly expensive.