Background

Demand for cosmetic surgery is increasing year on year. The International Society for Aesthetic Plastic Surgery (ISAPS) statistics in 2017 reported an overall 9% increase in cosmetic procedures over a 12-month period. More recently, in the United Kingdom the British Association for Aesthetic Plastic Surgeons (BAAPS) national audit in 2022 reported a 102% increase in cosmetic procedures performed nationally. Furthermore, there is a growing trend in patients seeking cosmetic surgery abroad, resulting in an increase in complications on their return. The BAAPS 2022 audit found a 44% increase in 2021 of complications following cosmetic surgery abroad, including life-threatening concerns necessitating emergency surgical debridement and intensive-care admission for sepsis.

This national concern is twofold: firstly, the increased burden placed on the NHS and secondly, the physical and psychological burden placed on the patient. The BAAPS 2017 study has estimated that managing complications following cosmetic surgery abroad is costing the NHS on average £13, 500 per individual, and this is increasing to approximately £15,000 in recent years. 

Moreover, there is little public awareness of the incidence of complications following cosmetic surgery abroad, and of the additional financial burden incurred on seeking treatment and corrective procedures (both privately and through the NHS).

Study Aims

CASPA is a national audit and service evaluation held by BAPRAS and the RSTN joint collaboration.

The aim is to obtain retrospective and prospective data from all plastic surgery units in the UK regarding:

1) recent NHS admissions for complications following cosmetic surgery abroad 

2) surgical and non-surgical treatment

3)microbial growth trends

This will seek to capture the true complication incidence rate, the financial burden on the NHS on a national level, and patterns of antimicrobial resistance. The study will help raise public awareness of this issue and help inform government about the true cost of cosmetic tourism.

Registration

Registration to join as a collaborator is open. Please access the form here

Please read the collaborator information guide here  BEFORE registering.

Collaborator conditions

More than one collaborator per plastic surgery unit can register provided you liaise internally and decide who will be your unit PI.   

One PI must be assigned to each plastic surgery unit. This should be a consultant plastic surgeon.

All collaborators will be included in academic outputs (publications and presentations). All collaborators will receive evidence of participation in a national audit.

Centres involved

The Steering Committee

  • Senior Project Leads: Miss Jenny Geh, Miss Pari-Naz Mohanna. Consultant Plastic Surgeons, Guys and St Thomas’ Hospitals.
  • Trainee Project Lead: Miss Rituja Kamble. Plastic Surgery Registrar, St Andrew’s Centre for Burns and Plastic Surgery. East of England.
  • Mr Matthew Gardiner. Consultant Plastic Surgeon, Wexham Park Hospital. RSTN Senior Lead.
  • Dr Anna Goodman. Consultant Microbiologist, St Thomas’ Hospital.
  • Mr Simon Wood. Consultant Plastic Surgeon, Chelsea and Westminster Hospital. BAPRAS Honorary Treasurer.
  • Mr Justin Wormald. Plastic Surgery Registrar, Thames Valley, NIHR Academic Clinical Fellow, Oxford. RSTN Trainee Lead.
  • Dr Megan Henessey. Foundation Doctor, Royal Free Hospital.

Status