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

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.

Thank you for your question.  While there are competent Plastic Surgeons outside the U.S. offering attractively priced vacation packages, there are often hidden considerations that an informed consumer must be aware of.  It is very difficult for the average consumer to accurately the best surgeon for them when travelling.  A lack of knowledge about credentialing bodies and standards that are not uniform is one issue.  Standards of care can vary from country to country as well as regulatory oversight even though standards are well established.  Travel in and of itself is a risk factor for deep venous thrombosis which can be a serious consideration when having more extensive body contouring procedures. Most complications after surgery such as infections, seromas, or healing problems tend to become an issue about two weeks after surgery.  Most package programs do not keep their patients around beyond that point.  This can lead to patients having to deal with complications without a trained Plastic Surgeon to care for them.  You may be tempted to go to the ER or primary care physician so that your insurance will cover the costs of your complication, but that may not be in your best interests.  Specialty training is important when managing complications of cosmetic surgery.  Some insurance companies may also deny coverage for the complication because it stemmed from a cosmetic operation leaving you with a large hospital bill.  All of these costs tend to add up making that great package deal not so attractive.  Consider consulting with a couple of surgeons in your area until you find someone you have a good rapport with.  Check their credentials and their experience delivering the kind of care you are seeking.  Also consider purchasing insurance such as Cosmetassure which covers postop complications up to 30 days after a cosmetic procedure.  The old adage "buyer beware" definitely applies in this case.