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Surgical Emphysema Post Liposuction Overseas: A Case Report.
Aesthetic Surgery Journal. Open Forum
|July 29, 2025
Summary
Severe subcutaneous emphysema occurred in a liposuction patient after air travel. This rare complication highlights the risks of post-operative flying and cosmetic surgery tourism.
Area of Science:
- Plastic Surgery
- Surgical Complications
- Patient Safety
Background:
- Liposuction is a globally common cosmetic procedure, generally considered safe.
- Cosmetic surgery tourism is rising due to lower costs, but may increase complication risks.
- Post-operative air travel following liposuction presents potential risks.
Observation:
- A 49-year-old male developed severe subcutaneous emphysema after air travel five days post-liposuction.
- Symptoms included significant pain, swelling, and crepitus, confirmed by CT scan.
- Findings indicated extensive subcutaneous emphysema, likely linked to surgical technique and exacerbated by air travel.
Findings:
- Subcutaneous emphysema is a rare but serious complication of liposuction.
- Air travel in the early post-operative period may significantly worsen this complication.
- The case underscores the importance of patient counseling regarding travel risks after surgery.
Implications:
- Patients undergoing liposuction must be thoroughly counseled on the risks of early post-operative air travel.
- Healthcare providers should be aware of potential complications arising from cosmetic tourism.
- Public hospitals may see increased presentations from patients experiencing complications after overseas cosmetic procedures.

