"Most countries ensure that a high level of quality care is maintained with all surgery, but this isn't the case everywhere," says Dr. Viel. According to Dr. Cavale, part of the issue is returning home after surgery as quickly as some women do — usually one to two weeks. Over a five-year period, he has seen 24 women who have had serious problems following cosmetic surgery abroad. "If you have problems once home, it can be very difficult to then get ahold of your surgeon," he explains. "Eventually, many of these women end up in their local NHS department. There can also be a problem with quality, like with breast implants, and treating infection, because bacteria are different around the world."