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Recent COVID-19 Infection Increases Complication Risk After Body-Contouring Surgery
Aesthetic Surgery Journal. Open Forum
|November 28, 2025
Summary
Recent COVID-19 infection increases surgical risks for body-contouring procedures. Patients undergoing aesthetic surgery should delay procedures for at least 30 days post-infection to minimize complications and enhance safety.
Area of Science:
- Plastic Surgery
- Infectious Diseases
- Public Health
Background:
- COVID-19 infection rates have declined, but potential risks in aesthetic surgery remain a concern.
- Surgical risks associated with recent COVID-19 infection are not well-defined.
- Previous studies had small cohorts and early data, lacking conclusive evidence on post-infection surgical outcomes.
Purpose of the Study:
- To determine if COVID-19 infection within 30 days before body-contouring surgery is linked to increased postoperative complications.
- To assess the impact of recent SARS-CoV-2 infection on aesthetic surgery outcomes.
Main Methods:
- Adult patients undergoing body-contouring surgery (August 2020-March 2025) were identified from the US TriNetX network.
- Patients were grouped by COVID-19 infection within 30 days preoperatively.
- Propensity score matching (1:1) balanced groups; 30-day postoperative complications were compared using risk ratios (RR) with P < .05 significance.
Main Results:
- 3941 matched patients in each COVID-19 and non-COVID-19 group.
- COVID-19 group showed significantly higher risks of surgical-site infection (RR 1.56), wound disruption (RR 1.69), postoperative pain (RR 1.66), anticoagulant use (RR 1.77), and ED visits (RR 1.50).
Conclusions:
- Recent COVID-19 infection is associated with increased postoperative complications after body-contouring surgery.
- Delaying elective aesthetic procedures by at least 30 days post-infection is recommended.
- This delay enhances patient safety and minimizes surgical risks.
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