Mayer Simon Andreas, Struckmann Victoria Franziska, Diehm Yannick Fabian, Falkner Florian, Thomas Benjamin, Kneser Ulrich, Siegwart Laura Cosima
BG Klinik Ludwigshafen, Klinik für Hand-, Plastische-, und Rekonstruktive Chirurgie, Klinik an der Universität Heidelberg, Ludwigshafen, Germany.
Handchir Mikrochir Plast Chir. 2025 Aug;57(4):276-282. doi: 10.1055/a-2616-0691. Epub 2025 Jul 21.
In Germany, more than 460,000 aesthetic surgical procedures are performed each year. Driven by lower costs, aesthetic surgeries abroad are also gaining popularity. However, there is a lack of official data on acute complications, their management, and the resulting healthcare costs.We conducted a retrospective study including all patients who required inpatient treatment for acute postoperative complications following aesthetic surgery in Germany or abroad (January 2018 to March 2024). We analysed patient characteristics, the type of aesthetic procedure, the country in which the aesthetic surgery was performed, complications, revision procedures, treatment costs, and the presence of follow-up cost insurance.Fifty patients were included in the study. The aesthetic procedures were primarily performed in Germany (44%), Turkey (32%), and the Czech Republic (16%). The most common complications were infections (54%) and wound dehiscence (34%). Re-operation was performed in 94% of patients and 8% of patients required intensive care treatment due to life-threatening complications. The average cost of inpatient treatment was EUR 6,192. Only 28% of patients had a follow-up cost insurance.Aesthetic surgery can lead to serious postoperative complications that frequently necessitate re-operation and result in high treatment costs. Comprehensive patient education, including the recommendation of follow-up cost insurance and medical care, should be provided to enhance patient safety and reduce the cost burden on both patients and the healthcare system.
在德国，每年进行超过46万例美容外科手术。受低成本驱动，国外的美容手术也越来越受欢迎。然而，目前缺乏关于急性并发症、其处理方法以及由此产生的医疗费用的官方数据。我们进行了一项回顾性研究，纳入了2018年1月至2024年3月期间在德国或国外接受美容手术后因急性术后并发症需要住院治疗的所有患者。我们分析了患者特征、美容手术类型、美容手术实施的国家、并发症、修复手术、治疗费用以及后续费用保险情况。该研究纳入了50名患者。美容手术主要在德国（44%）、土耳其（32%）和捷克共和国（16%）进行。最常见的并发症是感染（54%）和伤口裂开（34%）。94%的患者进行了再次手术，8%的患者因危及生命的并发症需要重症监护治疗。住院治疗的平均费用为6192欧元。只有28%的患者有后续费用保险。美容手术可能导致严重的术后并发症，这些并发症常常需要再次手术，并导致高昂的治疗费用。应提供全面的患者教育，包括推荐后续费用保险和医疗护理，以提高患者安全性，减轻患者和医疗系统的费用负担。
