Hassell Natalie E, Bustos Valeria P, Elmer Nicholas, Comer Carly D, Manstein Samuel M, Lin Samuel J
Division of Plastic Surgery, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA, USA.
Plast Surg (Oakv). 2024 Aug;32(3):468-475. doi: 10.1177/22925503221134817. Epub 2022 Nov 4.
The purpose of this study was to understand the perceptions of potential complications and motivations among patients willing to travel internationally for cosmetic surgery and to gain insight into public perceptions of cosmetic surgery tourism by surveying a large, cross-sectional sample of the general public. A cross-sectional survey was performed through Amazon Mechanical Turk regarding cosmetic surgery tourism in adults 18 years and older and currently residing in the United States (US). A total of 484 responses were analyzed. Of those, 45.2% of participants would consider having plastic surgery. Among these participants, 67.1% would consider traveling outside of the US to receive cosmetic surgery. Participants who reported Hispanic or Latino ethnicity had increased odds of considering surgery abroad (OR 3.1, 95% CI 1.1-8.7, = .030). Participants reported that the top advantages of traveling outside of the US for surgery were the price of surgery internationally, a shorter waiting list for surgery, and privacy during recovery. The top disadvantages were the risk of complications, lack of follow-up or continuity care after surgery, and distance from home. Although the risk of complications was acknowledged as the top disadvantage, the perceived safety of receiving plastic surgery abroad was not related to willingness to consider having surgery abroad ( = .268). These findings support the need for continued awareness of patients considering international travel for cosmetic surgery and increased education of the general public regarding the safety of cosmetic surgery tourism and the importance of selecting board-certified plastic surgeons and accredited facilities.
本研究的目的是了解愿意前往国外进行整容手术的患者对潜在并发症的看法和动机，并通过对大量公众横断面样本进行调查，深入了解公众对整容手术旅游的看法。通过亚马逊土耳其机器人对18岁及以上、目前居住在美国的成年人进行了一项关于整容手术旅游的横断面调查。共分析了484份回复。其中，45.2%的参与者会考虑进行整形手术。在这些参与者中，67.1%会考虑在美国境外接受整容手术。报告为西班牙裔或拉丁裔的参与者考虑在国外手术的几率增加（比值比3.1，95%置信区间1.1 - 8.7，P = 0.030）。参与者报告称，在美国境外进行手术的最大优势是国际手术价格、手术等待名单较短以及恢复期间的隐私。最大劣势是并发症风险、术后缺乏随访或连续性护理以及离家距离远。尽管并发症风险被认为是最大劣势，但在国外接受整形手术的感知安全性与考虑在国外进行手术的意愿无关（P = 0.268）。这些发现支持有必要持续提高对考虑出国进行整容手术的患者的认识，并加强对公众关于整容手术旅游安全性以及选择获得委员会认证的整形外科医生和认可机构的重要性的教育。
