‘My eyelids became infected – I was scared to sleep’

• Key Takeaways for Clinical Practice
• Unregulated cosmetic tourism carries significant infection risks – patients undergoing blepharoplasty abroad face complications including serious eyelid infections that may require prolonged treatment and compromise function
• Post-operative care standards vary dramatically – inadequate sterile technique, poor wound management, and lack of follow-up at unaccredited facilities result in preventable infections requiring NHS treatment
• GPs should screen returning patients for cosmetic surgery complications – consider infection, poor aesthetic outcomes, and functional deficits (visual obstruction) in patients who've had procedures abroad, as delayed diagnosis worsens morbidity

Three women describe what happened when they travelled abroad for cheap "bleph" eyelid surgery.

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