Medical tourism in Turkey is one of the driving forces behind its economy as thousands of patients flood the international clinics and hospitals in Turkey every year all year round to undergo different treatments.
The various treatments that foreign patients look for in Turkey include simple non-surgical treatments to the most invasive surgical and medical treatments.
Why is Medical Tourism in Turkey Popular?
Turkey has a unique geographical location, especially its most famous city Istanbul, which is only a three hours flight from most of the capitals in the world.
Istanbul has gained an irrefutable reputation in the field of medical tourism because of many factors including:
Advanced medical techniques and the newest technologies are used in different medical fields.
Well-trained and experienced doctors, nurses, physicians, and others working in the medical field.
Price may be one of the most effective factors when it comes to the increasing number of foreign patients who choose medical tourism in Turkey.
The cost of treatments, as well as the cost of living in Turkey, is low when compared to different European countries, the USA, or Canada (incl. Australia and the UK)
Hospitals and clinics that are built and operated according to the best European standards.
It is easy to acquire a visa to visit Turkey for most nationalities.
What are the Fields of Medical Tourism in Turkey?
As we mentioned earlier foreign patients come to Turkey seeking many treatments, the most popular of which are:
Hair transplantation:
Istanbul is the first destination when it comes to hair transplantation. There are hundreds of hair transplantation clinics that provide their patients with natural results and perform this procedure using different techniques and the latest discoveries in the field.
Dental Treatments:
Turkey became among the most famous medical tourism destinations in the field of dental treatments because of the high quality of the materials used in the treatments on the one hand, and the affordable cost of these treatments on the other.
International dental clinics, welcomes thousands of patients every year to have dental implants, dentures, or Hollywood smile treatments among many other dental treatments that are less costly than most of the European countries.
Plastic Surgery:
Plastic surgery is one of the beams that hold medical tourism in Turkey. Turkey is among the top ten countries in the world in this field. Patients choose Turkey to have their plastic surgery due to the affordable pieces, high-quality services, accredited hospitals, and clinics.
Prices of treatments, hotels, and other expenses in Turkey are cheaper by 60% to 80% when compared with other different countries especially North America, Canada the UK and Australia.
Dental medical tourism in Turkey witnessed a leap in the number of foreign patients who choose Turkey as the destination for receiving dental treatments. Clinics like Dentakay welcomed thousands of dental patients during the past months who came to Turkey to have dental treatments and spend their vacations in one of the most beautiful cities in the world, Istanbul.
It is worth mentioning that the number of medical tourism patients in Turkey in 2019 was 551,748 patients with 2 billion US dollars in revenues. The expected revenue of medical tourism in Turkey by 2023 is 20 billion US dollars according to some Turkish officials who anticipate an increase in the number of patients who choose Turkey as a destination for leisure, business, and medical tourism.
Chiseled, visible abs were once something you’d see only on genetically-gifted gym rats. But these days, a growing number of men are paying big money to have a surgeon do the chiseling for them. And in Turkey it’s not the big prices plastic surgeons want in the US or Australia! And the men are flocking!
At the 1993 conference of the International Society of Aesthetic Plastic Surgeons, in Paris, a young doctor gave a speech with a provocative hook: What if liposuction could be used to give men six-pack abs? To the crowd of surgeons, the idea seemed foolish. “There was a little bit of uneasiness with the technique,” remembers the surgeon, Dr. Henry Mentz. He was largely ignored.
But Mentz had proof that this procedure could work. In 1992, he had been approached by a male model who, despite being in excellent shape, was never quite able to get a chiseled stomach. Could Mentz help? The model specifically asked if Mentz, who was just starting out in his practice, could use liposuction to carve grooves that would reveal his underlying abdominal muscles.
He gave it a shot. The results looked good. So Mentz did the procedure a second time, and a third, and a fourth. He co-authored a paper on this new technique, which he called “abdominal etching.” Now, 30 years later, he’s performed the operation over 3,000 times, and says the results have been “extremely durable.” Over the years, Mentz gave more speeches at more conferences. New technologies made the operation easier and available to more patients. Other surgeons embraced and evangelized the tech—some learning from Mentz, others cooking up similar ideas on their own. (Like agriculture and calculus, abdominal etching seems to have been invented in several places at around the same time.)
At plastic surgery conferences, ab etching went from fringe topic to headlining act; Dr. Daniel Markmann, a Baltimore-based plastic surgeon who independently began etching abs 20 years ago, says that at a 2021 conference it was “all anyone could talk about.” When Markmann started his practice decades ago, less than 5 percent of his clients were men. That has jumped to 30 percent, and, he says, “It’s all six packs.”
Now abdominal operations are everywhere. “If you look on almost any plastic surgeon’s website, they will have a section on men, and they’ll have a picture of a model who has zero body fat and really defined abs,” says Dr. Joshua Korman, a plastic surgeon based in Mountain View, California. He isn’t surprised by the rising popularity. The lure of a six-pack is obvious. “That’s what high school boys want,” he says. “That’s what college guys want. That’s what people of all ages want.”
And it is also what celebrities want. Fake abs might be the best kept secret in Hollywood. Dr. Gregory Lakin, another plastic surgeon who developed ab etching on his own, says that his patients include actors, singers, dancers, models—“even porn stars.” (He can’t disclose their identities for obvious reasons.)
You can understand why actors would be tempted—it’s not easy to replicate the abs of a Jersey Shore guy. Just ask a Jersey Shore guy. “I’ve always been a workout fanatic and I’ve always been in shape, but it also takes a lot of hard work to stay in shape,” Jersey Shore star Ronnie Ortiz-Magro said on E!s “The Doctors,” which devoted an episode to his ab etching transformation. Or take the Australian reality-star-turned politician, Darryn Lyons, who went public with his ab etching, saying “basically it’s the male version of the boob job.”
It’s gotten to the point where virtually no one, no matter how rich and famous, is safe from accusations of faking their six-pack. Not even Drake. After the rapper posted his abs of steel in a since-deleted Instagram post, Carnage, a well-known DJ, wrote in the comments, “You got fake ab surgery in Colombia you ain’t foolin’ anybody,” leading to a public spat. While Carnage is not the only person who has questioned Drake’s abs, this was probably just a joke; the two are friends. But it’s also true that (in an unrelated context) when asked which country is known for their abs operations, Lakin didn’t hesitate: “I’d say Colombia.”
Most of the men getting abs enhancements are not celebrities. They’re guys like defense contractor Tim Jahnigen, a 44-year-old dad. Jahnigen is a jock. He ran track in college. He’s always been in good shape—if never quite Thor-shape. No matter how many crunches he did or miles he ran, he could never achieve a six-pack.
So he paid a visit to Dr. Markmann. And the doctor asked him a crucial question: You’re in shape now, but are you going to stay that way? Will you gain weight in the future? Markmann asks this because not everyone is a candidate for ab etching. Most aren’t. The ideal patient is already fit, has a BMI under 30, has tight skin, and simply struggles to shed that final layer of belly fat. Their weight doesn’t yo-yo. Markmann’s typical patients are bodybuilders, cops, military guys, and security guards, but he’s also treated lawyers and doctors and trash collectors. His youngest patient was 20, his oldest 69, and he says his clientele is a mix of gay and straight guys.
Markmann can be blunt. “If you have a potbelly, that will look awfully funny,” he says. “On big beer-belly guys, I tell them to go home and lose weight and come back.” He adds that if you have “big love handles” or “big man boobs” or “a lot of fat under your arms,” all of that first needs to go. Basically, he says, you are a good candidate for a surgical six-pack “if you look like you should have a six-pack.”
This is the blessing and curse of ab etching: It will last for life. “The nice thing about fat cells is that you don’t make new ones,” explains Markmann. Your fat cells will expand or shrink when you gain or lose weight, but lipsuction eliminates the cell itself. This means that the six-pack is here to stay, forever, which is good news if you stay trim. On the flip side, as Lakin puts it, “If you gain weight, you’re going to look stupid.”
Often the surgery for abs doesn’t end with the abs. Frederick Hamilton, 60, is a retired law enforcement officer. He’s fit and trim with broad shoulders and a large chest. He speaks with confidence. But Hamilton was self-conscious about what he considered to be his “man boobs.” So he looked into plastic surgery and discovered Dr. Mentz, who told him about ab etching. Mentz used liposuction to chisel the chest, trim his love handles, and etch grooves into his abs.
“You don’t want to have a six-pack and round boobs,” explains Mentz, who estimates that half of his abs patients also get etching for the pecs, to give them a more “quadrangular appearance.” Plastic surgeons now have the ability to flip the liability of one body part to be an asset for another. For one recent patient, a bodybuilder, Markmann took some fat from beneath the armpit and slapped it on top of the pecs, giving more definition to the chest. As Markmann puts it, “I do the pecs, I do the love handles, I do the six-packs.” (He also does the butts; Markmann prides himself on being one of the first surgeons to perform the in-demand Brazilian Butt Lift.)
The procedure itself takes a few hours, maybe longer if you’re getting add-ons. The cost can range from $5,000 to $30,000. When Jahnigen woke up from the operation he was groggy, in a bit of pain, and found his torso wrapped in a bodysuit. Compression is key, post-surgery. Markmann had created a custom piece of foam and inserted it into the new grooves of the abs, like a puzzle piece. “This prevents the other fat cells nearby from falling back in that area,” he explains. “Fat’s like jello. If you squeeze it, you squish it flat. I want to keep the creases.”
Then the pain kicks in. Once the anesthesia wears off, Markmann acknowledges that it can feel like “getting punched in your stomach 100 times.” He recommends patients take a week off from work. No driving. No showering.
Robert, a 49-year-old veterinarian and another patient of Markmann’s, who requested to not use his real name, says the pain can be absolutely brutal. “They’re scraping all that tissue out of you,” he says. “When they push through all that fat, there are nerves and vessels.”
Like Jahnigen, Robert had spent a lifetime trying and failing to get his ideal abs. He dreaded taking his shirt off in public. “I’m in the gay community, and those guys can be really hard and judgmental,” says Robert. Every day he hit the gym—sometimes twice—and even starved himself on the quest for abs, trimming his caloric intake to 1,000 per day. That backfired, because even when he was able to briefly achieve that shiny six-pack, he lost so much weight he lost his other muscles. Part of him knew this was absurd. He acknowledges that our culture (including men’s magazines) has created an impossible standard for abs. “I’ve been tricked by the media to buy into that,” he acknowledges. But it was a look he had to have, so he came to Markmann. He wanted his abs etched. It was only after the surgery, in recovery, when feeling the shards of pain, he began to doubt his decision and he wondered, “What the hell did I do with my body?”
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It’s easy for fake abs to truly look fake. Darryn Lyons, the Australian reality TV star (and later mayor of the city of Geelong), even admitted that when he eventually gained significant weight, “I’m looking more like a Ninja Turtle these days than a ripped, spartan specimen.”
And not all surgeons are properly trained to create a realistic-looking six-pack. “This is very hard,” says Lakin, who considers it to be a trickier procedure than plastic surgery staples like breast implants or face lifts. “This is art. This is one of the truest art forms of plastic surgery.” Lakin, who was once a medical consultant on Grey’s Anatomy, studies photographs of his patients and his operations every night, reviewing his work to analyze what he could have done better, like a football coach obsessing over game tape. Lakin gives ab etching to virtually every patient regardless of what they came in for, almost as an added bonus. “I throw it in for free,” he says, knowing that it fetches him referrals—he now sees abs as his calling card, luring patients to his Michigan office from L.A. and Miami.
“There are so many levels of detail that go into it, and it’s technically very challenging,” says Lakin, who calls his abs operation “Ab Silhouetch,” as in abs-plus-silhouette-plus-etch. (Surgeons often have their own marketing spin on the procedure.) If you draw the lines too straight it will look fake. Too shallow looks fake, too—so does too deep. “I’ve seen this with some young surgeons,” says Mentz. “They tend to make it look like a checkerboard. Like a tic-tac-toe board. It just looks too linear.”
This is why patients still have doubts until they can peel off the bandages and see the results. When it was finally time for Jahnigen to remove the wrap, he found that his torso “literally looked like Iron Man.” (Superheroes are a common theme. Mentz once told patients that he can give them “Superman” abs, but then he realized that Superman doesn’t always have a six-pack. Now he gives them “Batman” abs.) His girlfriend loved them. He told his friends, family, and even coworkers about the procedure. Whenever he lifts up his shirt to reveal the abs, he says the typical reaction is, “Holy fuck, are you kidding me?” His coworkers even gave him a new nickname. “Etch.”
Kenny Sloan, who’s 39 and lives in Fort Lauderdale, had a similar experience. He’s a patient of Dr. Lakin. He had dutifully worked out his whole life and never achieved a six-pack—until now, thanks to Ab Silhouetch. On a recent gay cruise, which Sloan describes as a “very sexualized experience, where everyone notices everyone’s body,” the new abs gave him a jolt of confidence. “I made the right decision. It was worth every dollar.”
Robert, who felt those stabby shards of pain, spent $19,000 on the operation. It took him three years to save up for it. But when he saw the results he felt vindicated—he looked ripped. On a recent trip to Miami, he was with a younger gay crowd packed with “gym-looking guys” and finally felt like he fit in. He knows that $19,000 is a lot of money—that he could have spent it on something more useful. Sometimes he’ll show his abs to his husband and ask, “How does my Honda Civic look?”
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In some ways the “fake abs” from etching aren’t fake at all. They are, quite literally, the abdominal muscles you are born with. The six-pack is simply the original clump of muscles that, thanks to the removal of fat, can now be seen in all their sinewy glory. Saying the abs are fake is like saying Michelangelo’s David is fake; the sculpture was there all along—it just took an artist to chip away the outer layer.
On the other hand, when you see someone with abs, there’s an unspoken understanding (at least for now) that they achieved this through hard work, sweat, iron willpower, and a zealous aversion to carbs. It’s true that these patients all worked hard. They all showed discipline. But it’s also true that they now have a sneaky extra edge.
“I do feel like I cheated,” says Robert. When strangers compliment his abs and ask how he got the stunning results, sometimes he’ll tell the truth and sometimes he’ll lie. And sometimes he feels guilty. Not just for fibbing, but for perpetuating unrealistic body images.
These feelings aren’t universal—Jahnigen didn’t view his abs as some existential problem. It wasn’t that deep. He read about the procedure, he figured the health risks were low and the results looked good, and he had the money, so why not? When the nurse at Dr. Markmann’s office asked him why he was doing this, he replied simply, “I don’t know, because I wanted to?” Hamilton had a similar matter-of-fact rationale, saying, “I just wanted to tighten up some areas.” Simple. We don’t question or mock people for getting their teeth whitened.
Other patients point out that it seems to be more socially acceptable for women to get cosmetic surgery. “Men actually do have confidence issues, too,” says Sloan, pointing out that the average guy is not as stoic, self-assured, or indifferent to their appearance as they present on the surface. Hamilton says something similar. “There’s an unwritten thing that you have to be a manly man, and look the way you are, and that’s just the way that is.” If men want to use new techniques for upgrading their appearance, he asks, what’s the harm?
Psychology aside, there is one final practical question to consider. Jahnigen, Hamilton, Robert, and Sloan are all working hard to stay in peak shape. They know they must. “I needed to get the rest of my body up to par,” says Jahnigen, who has hit the gym nearly every day since his surgery three months ago. He wants to ensure his chest and arms and legs won’t look out of place with those Iron Man abs.
You could even say the extra motivation to stay in shape is healthy. But what about the future? What about when you’re 70 years old? Or 90? Because ab etching is so new (relative to other cosmetic procedures), there simply aren’t many octogenarians on the planet with six-packs. But there will be. Someday there could be a mini-generation of frail old men with abs of steel.
“It’s a risk,” Lakin concedes. Then again, Markmann considers this no different than the long-term consequences of breast implants. “There are definitely women out there in nursing homes with some nice boobs,” says Markmann. “I expect the same thing for guys with six-packs.”
Looking for an affordable face lift without breaking the bank? Want to combine a tummy tuck with two weeks holiday abroad ? You’re not alone.
Nearly a third of people surveyed around the world say they are open to the idea of medical tourism – traveling abroad to enjoy cheaper medical or dental treatment according to a new Ipsos poll of 18,731 adults in 24 countries.
Indeed, 18 per cent said they would definitely consider it.
TURKEY
What better place to tuck up that turkey neck. Turkey is up and coming as one of Europe’s most reasonable destinations for cosmetic and plastic surgery. Prices are significantly lower than in North America or in Western Europe, but quality standards are decent. Many experienced Turkish surgeons are internationally trained and multilingual, and several Istanbul medical facilities are clean and modern. Of course, you need to choose your surgeon and facility wisely. Ask a lot of questions, verify credentials, check referrals and more. Budget shouldn’t be your only criteria when considering a serious cosmetic procedure.
“The concept of medical tourism is well accepted in many countries,” said Nicolas Boyon, senior vice president of Ipsos Public Affairs.
“With the exception of Japan there are at least one third of consumers in every country we covered that are open to the idea,” he said in an interview.
Whether for economic reasons or perceptions of superior treatment elsewhere, for treatments ranging from cosmetic to life-saving surgeries, Indians, Indonesians, Russians, Mexicans and Poles were the most open to the idea of being medically mobile.
Thirty-one per cent or more people in each of those countries said they would definitely consider traveling for a cosmetic, medical or dental treatment.
Conversely, people in Japan, South Korea, Spain and Sweden were least likely to be medical tourists.
Boyon said it was not surprising that men and women from emerging nations would be medically mobile if the treatments were cheaper.”This probably reflects perceptions of medical care in other countries that is superior to what is available at home,” he said.
But he was intrigued by the percentage of people in developed nations such as Italy, where 66 per cent said they would definitely or probably consider medical tourism, along with Germany (48 per cent), Canada (41 per cent) and the United States, where 38 per cent of people were open to the idea.”It is a reflection that the medical profession is no longer protected from globalisation,” Boyon said.
RISKS VS. BENEFITS
Although medical tourism spans a range of treatments, the most common are dental care, cosmetic surgery, elective surgery and fertility treatment, according to an OECD report.
“The medical tourist industry is dynamic and volatile and a range of factors including the economic climate, domestic policy changes, political instability, travel restrictions, advertising practices, geo-political shifts, and innovative and pioneering forms of treatment may all contribute towards shifts in patterns of consumption and production of domestic and overseas health services,” the report said.
Various studies using different criteria have estimated that anywhere between 60,000 to 750,000 US residents travel abroad for health care each year, according to the Centers for Disease Control and Prevention.
Along with variations among countries, the Ipsos survey showed that younger adults under 35 years of age were more likely in most countries to consider medical tourism, than people 50 to 64 years old.
Boyon suggested that the cost of travel, proximity, borders and quality of care may also be factors considered by potential medical tourists. In both Italy and Germany, about 20 per cent of adults said they would definitely consider medical tourism. Both countries are near Hungary, a popular destination for health treatments.
Ipsos conducted the poll in Argentina, Australia, Belgium, Brazil, Canada, China, France, Germany, Great Britain, Hungary, India, Indonesia, Italy, Japan, Mexico, Poland, Russia, Saudi Arabia, South Africa, South Korea,Spain, Sweden, Turkey and the United States.
Known for its pristine Aegean beaches and architectural wonders, Turkey also draws tourists for its cosmetic treatments.
Turkey’s health and cosmetic surgery industries have the winning tickets in a globally competitive marketplace with throngs of red scalped men in Istanbul’s public squares and bandaged noses in its metro stations. It’s unlikely to disappear anytime soon with Australia the latest nation to take notice.
The bottom line is that cosmetic surgery is big business for Turkey and it’s all about the price!
Patients are drawn to Turkey for procedures like hair transplants due to cheap prices and the speed of procedures
Flights back from the Turkish city to Western Europe or the United States and now Australia are often full of people bandaged up, avoiding eye contact with fellow travellers.
Fillers, botox treatments and rhinoplasties are also popular procedures for tourists looking to change their appearance.
Affordable prices, visa free entry and short flight distances from much of West Asia, North Africa and Europe, all add to the appeal of visiting Turkey to get medical and cosmetic procedures done.
Some experts are watching the trend with concern, though, pointing to unethical marketing tactics, results that do not match up with promises and lack of legal protections.
Despite this, the country is a top ten destination for medical tourism globally, with 600 registered clinics in Istanbul alone, according to Patients Beyond Borders (PBB), an organisation that surveys medical tourism.
According to local media reports, more than 100,000 people visit the country for hair transplant procedures alone, the vast majority from Arab states.
The importance of cost
“People can find quality service at affordable prices and work with surgeons and technicians who know the job well,” Ekram Caymaz tells Middle East Eye, succinctly explaining the appeal of “getting work done” in Turkey.
A leading clinician in hair transplantation at Istanbul’s Hair Upload clinic, Caymaz says patients are drawn to Turkey for its comprehensive approach to customer care.
For example, most clinics will not offer the surgery alone but as a package deal, which can include everything from flights, transfers, luxury accommodation, regular aftercare and even tours of the city.
Patients with bandaged heads after undergoing hair transplants in Turkey
For the customer that means every aspect of the procedure is taken care of – they simply need to turn up.
Prices are another draw, with Caymaz charging between $4,000 and $6,000 for his hair transplant procedure, which is considered cheap. Others can be as low as just over $1,000, though the quality of service inevitably varies wildly.
In comparison, procedures such as hair transplants are not available for free on the UK’s National Health Service (NHS) and can cost as much as £30,000 ($36,700) when done privately.
Similarly, cosmetic rhinoplasties can cost around £7,000 in Britain ($8,570), not including the cost of consultations and follow ups, whereas in Turkey the procedure costs less than half that.
Key overheads, such as staff salaries, are much lower in Turkey than in Western Europe or the US, while standards of medical training are relatively high compared to other countries in the Middle East or Asia.
Turkey’s ongoing economic crisis has also helped depress prices to a degree that keeps them affordable for Europeans.
Speed of treatment
But price is not the sole reason for the popularity of cosmetic and other procedures in Turkey.
Speed of treatment is another factor, albeit one that serves as something of a double-edged sword.
Weight loss surgeries, for example, are only available on the NHS in extreme cases, for people who have a body mass index of 40 or more, meaning they are severely obese.
Before proceeding, patients must agree to a rigorous long term follow-up after the surgery, including making healthy lifestyle changes and regular check-ups. Even for people who are eligible, the wait for treatment can last years.
Safety and the black market
Some experts, though, have warned that patients in search of quick and affordable solutions could be setting themselves up for trouble further down the line.
Cosmetic dentist Sam Jethwa, from the UK-based Perfect Smile Studios, tells Middle East Eye that patients can easily be misled when it comes to cosmetic procedures.
“Getting a dental procedure abroad means you risk not having any legal protection, which can leave patients with difficulties afterwards,” he says, adding that patients can also be misinformed, resulting in needing further treatment or repeat procedures.
“The need to have corrective work done back in the UK due to botched cosmetic dentistry procedures (abroad) is on the rise,” Jethwa says.
“We see these patients attending our clinic afterwards regularly, sadly after patients have already chosen treatments that they were not fully appreciative of the risks of.”
While there is no suggestion that a typical procedure in Turkey will result in problems for patients, there are those looking to capitalise on the trend and exploit vulnerable patients.
The International Society for Hair Restoration Surgery (ISHRS), a global non-profit medical association active in over 70 countries, has launched a campaign named Fight the Fight in an effort to shed light on the dangers of the “medical black market” and medical tourism package deals.
Launched in 2019 in response to the growing number of people going to unlicensed technicians to get hair surgeries, the organisation offers support to victims of treatments that have gone wrong and provides education and training about the subject.
ISHRS says there have been cases where doctors or those purporting to have medical training have misled patients and carried out illegal practices, resulting in injuries, scarring and the depleted or uneven appearance of hair.
Caymaz reiterates that the onus to make an informed decision lies with the patient.
“Although clinics and hospitals are inspected, there are so called ‘under the stairs’ places, which are much cheaper,” he says.
“It is very important to examine their social media and videos, the words they say and what is written must match up.”
According to the doctor, one of the main issues within the industry is the lack of follow-up after the operation to ensure there are no complications.
“This is a very important detail, and most clinics in Istanbul do not follow up after the operation. Even customers who have had operations in other clinics ask us about this,” Caymaz says.
Social media and medical tourism
Anyone likely to have mentioned hair loss, weight gain or insecurity about their looks online is likely to have been bombarded with Instagram or Google adverts promising affordable and sometimes miraculous solutions to their issues.
Part of the reason for the popularity of medical and cosmetic tourism is social media advertising.
This trend is compounded by entertainment news coverage of celebrities going public about their own procedures.
Hair transplants are very popular among footballers, with Wayne Rooney confirming he had one in 2011 and Emirati singer Hussain Al Jassmi putting his dramatic weight loss down to a gastric bypass in 2010.
Selena Marianova, a UK based 22-year-old social media content creator and clinic owner, says that social media has an “undeniable influence” on individuals considering surgical enhancements.
In a YouTube video, viewed over 300,000 times, Marianova recounts her experience to her followers. She says that she wants to help other people by sharing information, and that she chose Turkey for her surgery because of their advanced medical technology and experienced doctors.
Marianova went to Istanbul for a rhinoplasty in 2019, cautioning, however, that young people need to feel confident in who they are before they proceed with any surgical enhancements.
“Plastic surgery isn’t to be taken lightheartedly,” she says. “Being a content creator, it is extremely hard to not pinpoint parts of myself that would need ‘improvement’ because I am constantly looking at myself in videos, photos and in the mirror, which can be very mentally draining for people who do not have a strong self concept.”
The link between social media use and negative self-image is well established by researchers but for all the ethical considerations, the bottom line is that cosmetic surgery is big business for Turkey.
In 2018, the cosmetic enhancement industry was worth $2bn in Turkey and hair transplants alone are now a billion dollar industry.
BOTOX parties are on the rise in Queensland, but doctors have urged caution, saying they were regularly called on to fix botched Botox procedures.
Botox party host Claire Licciardo and Hollie Anderson, who says the parties are less intimidating than visiting a clinic.
BOTOX parties are on the rise in Queensland, as everyone from brides-to-be to high-flying lawyers look for a cheaper, more convenient way to turn back the clock.
But specialist doctors urged caution, saying they were regularly called on to fix botched Botox party procedures undertaken by unqualified practitioners.
Cosmetic Holidays International managing director Claire Licciardo said there had been a surge in demand for at-home cosmetic injections in the past few months, and she was now hosting as many as three parties a week with a qualified doctor in southeast Queensland.
She said men in their 40s, lawyers, businessmen, gym owners, strippers and bridal parties were just some of the people flocking to attend parties, at which she said it cost $8 a unit for anti-wrinkle treatments and about $400 for lip fillers.
An internet search turned up evidence of other clinics and registered nurses who are willing to host at-home Botox parties
The parties usually last for at least three hours and Ms Licciardo travels to customers’ homes with a doctor registered with the Medical Board of Australia who can administer cosmetic injections and dermal fillers. The venue host receives a discount.
Ms Licciardo enforces a six-person limit at her parties and said for safety reasons, the consumption of alcohol was not allowed.
“I’m not going to boss people around, but we’re very clear,” she said. “We prefer people not to have alcohol before.
“What they do after we leave is none of my business.”
Hollie Anderson, 27, plans to host a Botox party and said it was less intimidating than visiting a clinic.
“Plus, we can make an evening of it,” she said.
Mishaps don’t just happen at Botox parties. Lawyer Raluca Crisan claims this reaction was the result of mistakenly being injected with snake venom – in a clinic.
Brisbane Skin director and specialist dermatologist Shobhan Manoharan said he’d been approached to give injections in a party setting, but said it’s something he would not do as patients could not be sure what was being injected and a home wasn’t as sterile as a clinic.
He said he regularly sees patients with complications from a Botox party and was especially concerned that the parties were expanding to offer fillers, which could cause serious issues, such as tissue death.
He said that while smaller complications tended to be more common, poor injection skills could lead to brow drops, dribbling problems, and even blindness.
“I’ve had patients who have had to fly in (to Brisbane) from North Queensland to see me because of a Botox party injectable complication there,” he said.
Queensland Health also warns against the practice.
Ms Licciardo, who has worked in the cosmetic surgery industry for years, said Botox parties sometimes got a “bad rap”, but she’d only ever work with a registered doctor.
NIP-TUCK holidaymakers booking in again post-covid for cut-price cosmetic surgery in Asia in record numbers are being greeted with at five-star hospitals.
A Sunday Mail investigation in Thailand a decade ago found Australians are using our partnered pkush hospitals complete with chandeliers and the full VIP service! Our patients can wake up with new breasts or a trim tummy the day for up to a third the price of surgery at home.
Queenslanders are among the patients flocking to the cosmetic surgery hotspot for new breasts and flat stomachs for as little as $6500.
Some hospitals the Courier Mail visited operated like well-oiled machines with highly trained surgeons some managed by US and Australian management teams, leading impressed patients to “upsize” from a single procedure to a range of extras, including botox, dental work, eyelid lifts or liposuction.
Group Tours are are back again with Australians are signing-up to cosmetic surgery group tours popular again.
Pre-covid, in the country’s south, Phuket International Hospital was treating 1000 Australians a year 20 times the number four years ago.
The hospital estimates 10,000 Australians a year are flying to Thailand for cosmetic surgery.
“When you are talking about plastic surgery, it is doubling each year,” they said.
Queenslanders make up a quarter of the patients at the hospital, mostly women having breast enlargements.
In Australia, implants can cost between $8000-$17,000.
That compares to about $5000 in Thailand at a major hospital, including surgery, flights and accommodation.
University of Technology Sydney senior lecturer Dr Meredith Jones and researcher on the Sun, Sea, Sand and Silicone project said more Australians were considering cosmetic surgery only after hearing about the cheap price overseas from their girlfriends.
“They were getting it because it is cheap not because they decided I have to have this, now what is the cheapest option?” she said.
TRAVELLING for medical procedures is a growing industry but what’s it really like?
The changing face of healthcare in Australia.
Australians are racing overseas for cheap medical and cosmetic surgeries, after a long pause amid the COVID-19 pandemic.
From dental surgery to face lifts and Botox, these surgeries are generally considered to be much cheaper in locations such as Indonesia, Malaysia and Thailand, and are often coupled with relaxing, resort-style vacations.
Now you know a medical procedure you needed could be done at the same quality but half the price internationally, would you jump on a plane to have it done?
Prior to covid- it was estimated that around 15,000 Australians are heading overseas for nip tuck holidays every year, spending a total of $300 million on medical procedures — some of them life saving.
It’s called medical tourism, and it’s having a significant impact on global healthcare, including in Australia, where our health system is straining under the weight of an ageing population and long waiting lists for elective surgery.
Pre-covid Thailand was leading the world as a medical tourism destination. Of the 26.5 million people who visited Thailand in 2013, 2.5 million came purely for medical reasons. That number has been growing at an average of 15 per cent a year over the past decade.
“It’s changing the landscape in terms of price; in any facet of our life people want value for money,” says one Sydney based plastic surgeon.
“Medical tourism has been around forever when people would travel for procedures not available in their country. Now people are going to underdeveloped countries for things that are offered in Australia because it’s cheaper,” he says.
So what are the risks involved when travelling to a foreign country for medical treatment? And why is the Australian Medical Association and Society of Plastic Surgeons staunchly against it?
“The biggest risk I think is the post operative care. You might get two to four weeks of care overseas but in Australia you would see your plastic surgeon at least four to six times over the following 12 months,” says Dr Rizk.
However Thailand is changing this image dodgy backyard jobs and unqualified surgeons by offering a select group of world class hospitals, state of the art technology and internationally trained physicians.
And then there’s the value. A trip to the dentist for a filling in Australia will set you back around $150, in Thailand it’s $30. Breast implants will cost at least $8000 at home, compared to around $3000-$4000 in Thailand. It is this reality that is changing the medical landscape, as Australians and travellers worldwide are lured by cheaper costs, no wait lists and technology often better than what they’d find at home.
The hospitals — what they’re really like
The two biggest hospitals targeting medical tourists are Bumungrad International Hospital and Bangkok Hospital Group, both located in the country’s largest city.
The impressive private hospitals look more like hotels, which is important when they’re trying to cash in on the huge business of medical tourism.
Bumungrad International Hospital treated more than one million patients in 2013. Forty per cent of these were international patients, including around 8500 Australians.
The country’s move into medical tourism started as a survival strategy in 1998, after Thailand was hard hit by the Asian financial crises. It has transformed the way they deliver healthcare.
The 9/11 attacks were a big turning point, as Middle Eastern patients who once travelled to the US for surgery found it harder to get a visa, so they turned to Asia. Primarily Thailand.
Bumungrad hospital went from treating 10,000 Middle Eastern patients each year pre 9/11 to more than 120,000 today.
Walking into the hospital today like PPSI, you’ll feel like you’ve stepped into a five-star hotel rather than a hospital ward. Lounge areas offer free (non alcoholic) drinks, check-in desks look more like civilised bank tellers, in-house travel agents organise visa extensions and a whole wing is dedicated to interpreters offering translator services for its international patients.
Then there’s the hospital rooms. The top of the line rooms are like small apartments with a living room, bathroom and kitchen all tastefully decorated, offering Wi-Fi, and room for partners or family to stay.
Yes, this is actually a hospital room.
All the comforts of home and room for visitors.
Bumungrad has invested heavily in technology, there’s even a pharmacy robot that dishes out medication into pre made packs to reduce the chance of human error.
Bangkok Hospital tells a similar story. It treated 800,000 patients in 2013, of which 200,000 were medical travellers, including around 2600 Aussies.
Australians and Russians are the biggest customer groups for this service,” Bangkok Hospital Phuket’s director Dr Narongrit Havarungsi.
They can combine the trip to the service with a stay in a four- or five-star hotel,” Narongrit said.
More than 1,000 people, most of them foreigners, visit the Bangkok Hospital Phuket each year for breast augmentation.
The service costs between Bt120,000 and Bt170,000.
He believed foreigners come to his hospital for the service because it was relatively low in cost and good in quality.
People travel here for more than cosmetic surgery. Chronically ill patients are hoping an operation in Thailand could save their life.
A revolutionary Novalis Shaped Beam Surgery is used for cancer treatment, and a less invasive form of open heart surgery, known as OPCAB is also successfully treating patients.
An entire wing is dedicated to sports injuries, where Australian soccer players, AFL stars. and boxers have been treated.
Attached to a shopping mall, it is anything but clinical. Ironically, both hospitals even have a McDonalds to cater for their international visitors.
Cancer patients are choosing Thai hospitals for their revolutionary equipment.
The anti-gravity treadmill treats our injured sports stars.
Then there’s the patient nurse ratio. In Australia the patient to nurse ratio is 8:1, in Thailand it’s 4:1. “The only time the nurse didn’t come was when their buzzer had broken,” said Jackie, a 31 year old professional from the Hunter Valley in NSW who travelled to Thailand for a breast lift, construction and augmentation.
Costs — why is it so much cheaper?
Thailand’s medical procedures are around 30 to 40 per cent cheaper than we’d pay in Australia and up to 50 to 70 per cent less than in the US. While there’s no difference in the cost of medical technology and drugs, it’s the difference in labour costs that make it so competitive.
A nurse can expect to be paid around $17,000 in Thailand compared to $70,000 in Australia. Doctors earn around $50,000 in Thailand compared to $150,000 plus at home. Malpractice premiums are far less too. Doctors may pay around $1000 in Thailand, compared to the US where annual premiums have sky rocketed to $100,000. Then there’s the competition that keeps prices low, as the market battles for the international tourist dollar.
Surgery costs: Australia v Thailand
Breast implants: Australia — $8,000-$12,000, Thailand — $3,000-$4,000
Facelift: Australia — $9,000-$10,000, Thailand — $4,000-$5,500
Tummy tuck: Australia — $7,000-8,000, Thailand — $5,000-$5,200
Dental implant Australia — $3,500-$7,500, Thailand -$2,300
Knee/hip replacement in Australia — $20,000, Thailand — $12,000 -14,000
Fees in Thailand do not include airfares or hotel accommodation (needed for recovery once patients are discharged).
Why are Australians choosing Thailand?
Every patient news.com.au spoke to had a different story for why they are sitting in a five star Bangkok hotel waiting for surgery or recovering from a procedure.
“It’s like the Athlete’s Foot of the boob,” said Michelle, a 33 year old media professional from the Hunter Valley in NSW who had breast implants, teeth whitening and fillings.
Michelle says her experience in the Bangkok medical system was better than anything she had at home. From the doctor patient interaction to the compassion and care of the nurses, the biggest difference was the after-care. She spent three days in hospital and eight days in a five-star hotel after her procedure. She compares this to a friend at home who paid $12,000 for breast implants and was discharged from hospital the same day.
Michelle post breast implants and dental work.
Then there’s 30-year-old Calli from Subiaco in Western Australia, who flew over for rhinoplasty and breast implants. After having her nose fractured twice when she was 19, she booked her surgeries 12 months ago after hearing about it from a couple of friends.
“There’s a get ‘em in, get ‘em out attitude in Australia,” she says. “After one night I wouldn’t have even be able to lift a glass to have a drink of water,” she added, relieved she had longer to recover in a Thai hospital.
From breast implants to whole body transformations, patients range in age from early 20s to 60s.
The end result was worth all the pain for Calli.
Jaye, a 20-year-old recruitment manager from Bunbury in Western Australia paid $2000 for veneers and to have her wisdom teeth removed, and says she is finally confident to smile again.
Tracy, a 51-year-old Australian mother, googled “cosmetic surgery in Thailand” and two hours later it was a done deal. Recovering from an arm, face and neck lift, as well as a tummy tuck and liposuction she paid $20,000 after being quoted more than $80,000 at home.
“It’s been a confidence lift, I did it to make myself feel better,” she said. Two surgeries and seven days in hospital, she said the support has been unbelievable. “They are more interested in what your expectations are here compared to Australia.”
Jaye, a 20-year-old recruitment manager from Bunbury in Western Australia paid $2000 for veneers and to have her wisdom teeth removed, and says she is finally confident to smile again.
Tracy, a 51-year-old Australian mother, googled “cosmetic surgery in Thailand” and two hours later it was a done deal. Recovering from an arm, face and neck lift, as well as a tummy tuck and liposuction she paid $20,000 after being quoted more than $80,000 at home.
“It’s been a confidence lift, I did it to make myself feel better,” she said. Two surgeries and seven days in hospital, she said the support has been unbelievable. “They are more interested in what your expectations are here compared to Australia.”
Michelle can’t stop smiling after having her teeth whitened for a quarter of the cost in Thailand.
Her friend agreed” You’ll forget you’re in a hospital!”
“I’d go back to the hospital just for the service, it was like a hotel,” said Jackie.
MHTC aims to continue developing existing offerings and enhancing healthcare experiences through niche branding initiatives. — Photos: Pixabay
Malaysia’s health tourism sector, which has been affected by the Covid-19 pandemic, is showing signs of a stronger comeback as the nation heads into 2023, propelled by the Malaysia Healthcare Travel Industry Blueprint 2021-2025.
Malaysia has built a strong reputation as a safe and trusted global destination for healthcare over the past 10 years, with visitors from across the world coming for a range of treatments.
In the next phase, this segment will continue to focus on treatment services such as in vitro fertilisation (IVF), cardiology, oncology, orthopaedic, neurology, dental, aesthetics and general health screening, while unleashing the full potential of the industry, covering the areas of preventive treatments and healthcare.
Five-year industry blueprint
Malaysia Healthcare Travel Council (MHTC) chief executive officer Mohd Daud Mohd Arif said, during the recovery phase, more emphasis is being placed on the healthcare travel ecosystem as readiness measures for the industry to recover and move into a new phase.
“We are now in a solid position to embark on the next phase of the Malaysia Healthcare Travel Industry Blueprint in 2023 to rebuild the industry, while enhancing service delivery of a seamless end-to-end experience for all healthcare travellers.
“Guided strongly by the blueprint, we are on course for a continuous and sustainable industry growth, focusing on providing the best Malaysia healthcare travel experience by leveraging our strengths in three key pillars.
“The three pillars consist of the Healthcare Travel Ecosystem, which focuses on enhancing service quality and experience of care; Malaysia Healthcare Brand, to increase brand cohesiveness across key touchpoints and amplify our brand equity in core markets; Markets, (which) we are looking at growing beyond primary markets and exploring more niche markets to strengthen our presence,” Mohd Daud said in an interview.
MHTC will be enhancing these pillars through collaborations with local, regional and global stakeholders to create value for the entire industry.
“The rebuild phase will also see the industry driving forward with a focus on both curative and preventive treatments as well as several niche branding initiatives such as in cardiology, oncology, fertility, and dental treatments as well as premium wellness offerings, inviting healthcare travellers to experience and rediscover the best of healthcare in Malaysia,” he added.
Top destination
Currently, Malaysia is ranked among the top medical tourism destinations in Asia, alongside India, Thailand, Singapore and South Korea.
President of the Association of Private Hospitals (APHM) Datuk Dr Kuljit Singh has said, Malaysia is one of the best in South-East Asia in terms of cost and high standard of healthcare.
Mohd Daud said Malaysia’s healthcare system has been internationally recognised and has garnered numerous global accolades over the years. They include International Medical Travel Journal (IMTJ) Destination of the Year: Malaysia (2015, 2016, 2017 and 2020); IMTJ Cluster of the Year: Malaysia Healthcare Travel Council (2017, 2018, 2019 and 2020); Asia Pacific Healthcare and Medical Tourism Awards (2016-2022); and International Living: Asia’s Top Destination for Retirement Living (2015-2022).
He said Malaysia saw significant declines in healthcare travel revenue from RM1.7bil in 2019 to RM777mil and RM585mil in 2020 and 2021 respectively, due to the Covid-19
“However, the industry’s swift response to the pandemic has led to fruitful results. Anchoring heavily on public-private partnerships (PPPs), our success as a destination has been an all-industry effort. Together, we have cultivated a solid ecosystem, further positioning Malaysia as a safe and trusted destination for healthcare travellers as we recover from the pandemic,” he added.
Malaysia’s healthcare travel sector will focus on several treatment services this year, including dental.
Malaysia’s healthcare travel sector will focus on several treatment services this year, including dental.
Following the opening of borders in April this year, the sector has seen an encouraging surge in the number of healthcare traveller arrivals
“As of the third quarter of (Q3) 2022, the industry recorded RM726mil of revenue, bringing us closer to our target of achieving RM1bil for 2022. This signifies the healthcare travellers’ trust on Malaysia as a safe and trusted healthcare travel destination, as well as the industry’s positive recovery and growth,” Mohd Daud said.
Discover new fields
Leveraging the demand for niche treatments and its excellent track records, MHTC aims to continue developing existing offerings and enhancing the Malaysia healthcare experiences through niche branding initiatives, which include preventive healthcare and wellness.
“In recent years, the global population has become increasingly diligent in prioritising their physical and mental wellness.
“In response to this trend, Malaysia healthcare introduced a Premium Wellness Programme, an industry-wide collaborative effort with top-tier private hospitals, hotels and travel companies in the country to integrate comprehensive health screening, world-class accommodation and leisure tour offerings into one convenient comprehensive premium package for healthcare travellers.
“Through this programme, we aim to empower the global population by inspiring healthier lifestyles via enhanced health screening offerings, with options for add-ons for dental aesthetics, cosmetic procedures and focused screenings and treatments for Hepatitis C, cancer and heart related disease,” said Mohd Daud.
Malaysia Healthcare has identified Indonesia, China, Bangladesh and Myanmar as core markets based on the volume of healthcare travellers, as well as the growth potential in the respective markets.
It also plans to increase the market penetration in those countries while aggressively raising the country’s profile in secondary markets like Hong Kong, Cambodia, Vietnam, Singapore and Australia.
“Currently, Indonesia represents one of the key markets for Malaysia Healthcare, with healthcare travellers from Jakarta, Surabaya, and Medan making up the majority of those seeking care in Malaysia, to complement the healthcare services obtained in their home country.
“Penang and Melaka are healthcare travel hot spots for Indonesian travellers, dominating more than 70% of total arrivals,” he added.
In terms of travellers by origin, Malaysia continues to attract healthcare travellers from many countries, not just within the region.
For the past decade, citizens from Australia, Bangladesh, China, India, Indonesia, Japan, the Philippines, Singapore, Britain, and the United States make up the top countries of arrival in Malaysia.
Poised for positive growth
Meanwhile, MSU Medical Centre (MSUMC) chief executive officer Zahri Abd Ghani said the health tourism sector’s growth after the pandemic brought positive spill-over effects on the organisation.
Buoyed by the turnaround, MSUMC undertook to refresh its mission of “Caring, Healing, Educating” by providing quality, accessible and affordable services to its customers based on MHTC’s recovery plan for the industry.
MSUMC which began operations in January 2019, offers treatment services such as neurosurgery, plastic and reconstructive surgery, orthopaedic, cardiology, nephrology, hyperbaric oxygen therapy and ophthalmology.
“In general, the segment for overseas patients at MSUMC covers health check-up such as brain and backbone screening package, orthopaedic, plastic and reconstructive surgery, general surgery, nephrology, neurosurgery and cardiology.
“The world-class health care services provided by hospitals such as MSUMC, continue to open the floodgates for healthcare tourism. Malaysia has emerged as one of the preferred destinations for medical tourists given its highly-specialised medical treatment options, reasonable fees and patient comfort coupled with experienced medical experts who are fully equipped to meet patient demands,” he added.
MSUMC has earned international recognition for its reconstructive surgery such as for lymphoedema (chronic condition that causes swelling in the body’s tissue), gum cancer, acid burn, omphalocele (birth defect of the abdominal wall) and craniofacial growth (the cranial base matures earlier than the face).
MSUMC has also received full accreditation from the Malaysian Society for Quality in Health (MSQH) for a four-year term as recognition for achieving compliance to service quality and healthcare safety standards.
“The recognition that Malaysia earns as among the world’s best medical and healthcare tourism destinations augurs well for the sector, which remains on a positive trajectory with ample room for growth,” he said adding that it would directly push demand for skilled human resources and generate more employment opportunities.
He said MSUMC has proactively worked in collaboration with the health tourism industry stakeholders particularly MHTC which plays a vital role in promoting Malaysia’s health tourism to the global community through cooperation with regional and international media practitioners.
High standards
A senior lecturer from the Faculty of Hotel and Tourism Management, Universiti Teknologi MARA (UiTM) Melaka, Akmal Adanan said, emphasis should be given towards safety and health aspects based on set guidelines by the authorities, noting that local health tourism management practices should be on par with international standards to gain tourist confidence.
Industry players should be ready to offer flexible, reasonable and varied service packages in addition to taking proactive steps in accepting the latest technology, such as adapting the Machine Learning (ML) and Artificial Intelligence (AI) applications for data analysis and to meet customer needs.
“The ‘Chatbot’ system that is available in ML allows service providers to interact for 24 hours with their clients online to respond to various queries including providing effective treatment schedules.
“Hospital authorities and service providers should maximise their service promotions especially on the social media platform. The promotion content should be more creative, focusing on soft selling marketing approach such as short videos that provide information as well as useful health tips while promoting the facilities, doctors’ expertise and special services offered,” he said.
Coordination between the Ministry of Tourism, Arts and Culture, the Ministry of Health and MHTC should be strengthened to ensure the health tourism sector provides quality service and continue to attract more tourists from both locally and abroad.
Finance incentives aimed at boosting the operational resilience of the health tourism sector such as awarding of grants, subsidies, sponsorships and deductions or tax exemptions should be considered for the sector’s revival, in addition to tourist friendly policies, rules and procedures such as simplifying the visa process.
In addition, educational programmes, training and professional development courses for industry players can help enhance the quality of their products and services.
“In general, the tourism sector has experienced significant declines in terms of tourist arrivals and earnings due to the Covid-19 pandemic. It may take a long time before the industry can recover to its pre-pandemic levels.
“However, the health tourism sector is poised for positive growth next year given that quality health services are always in demand especially among tourists from neighbouring Indonesia and Singapore as well as China.
“Besides being blessed with scenic and attractive sites for tourists to spend their vacation, the highly trained doctors as well as competitive treatment costs are also a major draw among medical tourists to Malaysia,” he said, adding that continuous studies should be conducted on certain groups’ inclination for choosing treatment destinations. – Bernama
YOUNG Gold Coast women seeking `hot looks’ in bikinis through cheap overseas cosmetic surgery have fuelled a breast-enlargement boom.
The number of Gold Coast models going under the knife has soared from 5 per cent five years ago, to 40 per cent today, said director of Lush Models, Rebecca Lush.
She said the the Gold Coast’s first medical tourism agency in Bundall, had influenced the surge.
“Breast enhancements in Australia have always been out of most of the girls’ price range, but now with the much cheaper procedures in Asia it’s become a lot more common,” she said.
Breast implants on the Coast cost between $10,000-$15,000, but in Bumrungrad International Hospital, Bangkok, they are
between $3000-$4000.
Surfers Paradise model Bronwyn Gendall said it cost her $6000 for surgery, flights and 10 days of five-star accommodation.
“It was quite scary heading to another country for surgery, especially with the horror stories of people having botched jobs done over there, but then dodgy operations happen here too – they’re just not as publicised,” she said.
“Within 12 hours of arriving the breast implants were all done, nothing went wrong and the nurses were so lovely; they came in to check on us at the hotel.”
Company director Claire Licciardo said women needed to choose carefully to avoid cosmetic disaster.
Danielle Gusmaroli in London writes this piece for the The Herald Sun as Aussies head over to Turkey to access cosmetic surgery for prices we haven’t seen for years! NipTuck Holidays is the only agency in Australia offering Turkey as a medical tourism destination with our Group Tour getting ready to officially announce for October 2023! Interested?
Australians craving a dramatic makeover are heading overseas to access cosmetic surgery for a fraction of the cost of procedures at home.
Turkey is fast establishing itself as the new medical tourism hub for Aussies craving bargain boobs, butts and bodies.
In a shift away from the one-time cosmetic surgery capital of Thailand, the southeastern European country has enjoyed a 400 per cent jump in bookings since international flights resumed in February 2022.
Much of the lure is price — procedures are up to 275 per cent cheaper than Australia — but there is also a belief among patients that the work is carried out in clean environments.
Venesa Sacco, 46, underwent her second cosmetic procedure in Istanbul in October — a breast lift and Brazilian butt lift (BBL).
“I feel and look totally different, I’m much more confident and like what I see in the mirror now – it’s like getting a haircut, you feel so much better afterwards,” Ms Sacco, from Caulfield, Melbourne, said.
Venesa Sacco underwent a breast lift and Brazilian butt lift, among other procedures, in Turkey.
She claims to have saved $74,450 on what she would have paid in Australia for her eight surgery procedures in two trips to Turkey over 15 months.
Her BBL cost $550 instead of $3000, her breast lift was $4000 versus $15,000, she paid $3000 for veneers that would have set her back $20,000 and her 360 liposuction was $6000 instead of $20,000.
“I’m addicted and I’m thinking of another round of liposuction … and maybe a facelift next year,” she said.
Ms Sacco says she saved $75,000 over her eight procedures by going to Turkey.
Lisa Consolmagno, 47, from Craigieburn, Melbourne, is part of a WhatsApp group with thousands of Australian members sharing information about plastic surgery in Turkey.
She flew into Istanbul a day after the deadly magnitude 7.8 earthquake for a tummy tuck, removal of old breast implants, breast lift and new implants.
“I went to Turkey because a lot of the men at the gym I go to have had veneers and hair transplants and told me to go,” she said.
Venesa Sacco says she is “addicted” to cosmetic surgery.
Medical tourism firm Estetica Istanbul said Australian bookings had exploded from one or two a month to 10.
According to another firm, Surgery Savior, at least 10 per cent of its 70 aesthetic procedures and hair transplants a month now went to Australians.
“I keep seeing +61 (the Australian country code) flash up on my phone,” Surgery Savior chief executive Sarah Kasule said.
“After Covid, we got flooded with calls.
“There are five Australians in hotel rooms recovering from rhinoplasty as we speak, three of them girls from Sydney.”
Estetica Istanbul chief executive Mert Karakuzu will next month launch a social media advertising campaign to meet the growing demand from Australia.
“You can’t ignore the numbers, Australia has caught on to Turkey and we are now in discussions to advertise on Facebook,” he said.
AMA President Professor Steve Robson advised exercising caution when opting for plastic surgery overseas.
“We are lucky enough to have one of the best health systems in the world with highly trained doctors, nurses and other health professionals working in world-class facilities,” he said.
“Our outcomes are second to none and when, on the rare occasion, something goes wrong, patients have the security of knowing that the health system will be there to support them.”
Chair of the Communications Committee for the International Society of Aesthetic Plastic Surgery Fabian Cortiñas shared concerns about the integrity of the industry.
“Safety should be the first priority when deciding to travel to a different country for an aesthetic surgical or non-surgical procedure,” he said.
Turkey aims to lure 1.5 million health tourists in 2023.
The government has certain expectations of clinics, including having an International Health Tourism Authorisation Certificate, regulated prices and surgical standards.
■ Choose a procedure that suits your age and body type. Risk and results of surgery are affected by age and weight
■ Ensure the plastic or cosmetic surgeon is experienced and medically board certified
■ Complications can occur during and after your procedure – check the level of after-care service provided and country’s safety guidelines. Each country has different safety guidelines and the safety levels will vary
■ If the procedure is performed in a hospital, verify the hospital is accredited or certified. Ask your surgeon for certification information and the name of the certifying body.
■ Ensure the surgical setting is safe and authorised by the country’s regulatory system and with trained personnel and emergency procedures in place.
■ Flights make changes in the body’s physiology, always arrive one or two days before the surgery, during those days take time for a physical consultation with your Doctor for final adjustments
■ Never underestimate the post operative period. Take enough time — at least a week — for a full recovery before your flight back.
Medical tourists are flooding into Antalya for cut-price procedures. This story was written by journalist Tim Moore and published by The Telegraph in the UK on 10 April, 2023 as a piece of investigative journalism about the boom in medical tourism, where approx.150,000 British are travelling to Antalya and Istabul to have ‘work done’ just last year. last year.
He explains the rationale behind this phenomenon- is pretty basic: cosmetic work in Turkey comes cheap. Really cheap!!!! And investigates does it add up to a holiday bargain, or health-endangering hell?
I’ve only come to the CatchLife Aesthetic clinic in Antalya for a chat about Turkey’s medical-tourism boom, but the managing director can’t help blurting out a frank appraisal of my facial shortcomings….
‘We can resolve these things for you so easily…’
In a city with an estimated 1,500 cosmetic-treatment agencies, all squarely pitched at foreigners, you become swiftly hardened to plain-speaking, stigma-free assessments of your physical appearance, and the options for its clinical improvement. As I checked in at my hotel two days earlier, the receptionist looked up with a smile and said: ‘So you are here for dentist?’
More than 1.2 million foreigners visited Turkey for medical procedures in 2022, the vast majority cosmetic. The proportion of Britons among them is growing faster than any other nationality, with an estimated 150,000 of us travelling there to have ‘work done’ last year.
Medical tourism now brings £2 billion into Turkey every year, a vital injection of foreign money into a struggling economy currently burdened with 55 per cent inflation. Each medical tourist spends more than three times as much here as a standard tourist,’ says Cagatay Tekguzel, manager and owner of the Formedi clinic, which last year treated almost 1,000 UK patients in Antalya. At his clinic, the numbers of Brits are up more than 20 per cent year-on-year.
Hair transplantation and cosmetic dentistry top the treatment list, followed by laser-eye correction, weight-loss surgery (typically the removal of half your stomach) and the classic surgical makeovers: nose jobs, boob jobs, facelifts, eye lifts. Istanbul is home to the most clinics, with Antalya number two and rising fast. It’s where Katie Price comes to get her teeth done, and redone, and done again.
The rationale behind this phenomenon is pretty basic: cosmetic work in Turkey comes cheap.Incredibly cheap, generally a third of what you’d pay at a UK clinic, sometimes even less. A new nose for £2,500, a new pair of breasts for £3,000, a new head of hair for £1,700.
A full set of ‘Turkey teeth’, those dazzling, perfect pearly whites that are suddenly everywhere, starts at £3,200. And these prices are inclusive, typically covering four or five nights B&B in a decent hotel and all transfers as well as, often, a cheeky extra like facial filler or blemish removal at no extra cost. By comparison, rhinoplasty (a nose job) in the UK starts at around £6,200, breast implants about £7,000, a full 4,500-follicle hair transplant can cost up to £9,000 and a new set of teeth at least £12,000.
‘We’re now at a point where anyone can afford this stuff if they save up for a year or two,’ says Paul Adams, a 60-year-old from Manchester who’s in Antalya with his partner Joanne Murray. She is getting her teeth transformed; he had his own done here last September while she was getting a facelift, and got his eyes laser corrected the previous year. The pair have spent a shade over £20,000 in all for the three medical trips. Tens of thousands of Brits who could never have dreamt of cosmetic surgery are now having it done in Turkey. Some of them, in thrall to shape-shifting, twinkle-toothed social-media influencers and these irresistible prices, hardly know when to stop.
For better or worse, thanks to Turkish clinics cosmetic surgery has been democratised, normalised, stripped of taboo. Almost every patient I meet is happy to discuss the experience under their real names, often with gleeful gusto.
Antalya is located in the south of Turkey and backs onto the Mediterranean CREDIT: Uladzimir Zuyeu
‘I mean, look at the state of me here!’ cries Murray, brandishing the clinic’s pre-facelift ‘before’ shot on her phone. It’s difficult to know how to respond, but by any assessment she now looks a good 15 years younger.
Mediterranean resort city of two million, Antalya has long depended on the tourist dollar. Hotel complexes and holiday apartment blocks stretch along the coast for more than 20 miles, bookending the minarets and steepling alleys of the old town.
Off season, when flights are at their cheapest and the milder weather is better suited to the gentle healing of post-op wounds, the streets are thronged with black-glazed luxury minibuses that speed patients to and from clinics, bearing clunky, sometimes unsettling names and slogans: Time Travel, CosmetoCity, Corpus Renew, Aesthetic Travel – We Love to Change You.
There’s this holiday atmosphere that means you just don’t get nervous before your procedure,’ says Murray. ‘You’ve been shopping for leather goods at the bazaar, sitting in the sun, eating lovely mezes – and then suddenly you’re on the operating table.’
Two middle-aged men stroll past, conversing amiably in London accents. Both have shaved heads that are stippled with innumerable red pinpricks: the legacy of recent hair transplants, in which up to 5,000 individual follicles are excised from the bits of your scalp that still have hair, then grafted into the bits that haven’t.
In the days ahead, I complete my cosmetic-treatment-aftermath bingo card on the streets of Antalya: noses neatly tented with splints and gauze, bandaged jowls, skin-closure butterfly strips poking beyond the perimeter of oversized sunglasses.
Tekguzel, a quietly engaging 31-year-old with a degree in English, meets me by the well-appointed Konyaalti seafront hotel where guests at his Formedi clinic are accommodated. His anatomical vocabulary betrays the clinic’s target nationality: he talks of ‘bums’, ‘tummies’ and ‘super-huge boobies’.
‘As a business, ours is unusual in medical terms,’ he says, thoughtfully. ‘No one really needs a new nose or a rounder bum. This is elective surgery requested by people who are not sick. When they arrive, they are healthy, and we call them clients. Then we operate, and they become patients.’
This apartment is typical of the accommodation offered to travelling patients.
Just up the road, Tekguzel leads me through the Formedi’s glossy new expansion – a suite of five dental surgeries, furnished with expensive-looking equipment and executive leather. When it opens in a fortnight, he tells me, the clinic will be able to process 150 predominantly British ‘full-mouth’ patients a month, here for the signature Turkey-teeth set of 28 cubic zirconium crowns. It’s a £200,000 investment, he says. When I suggest that might take him a few years to recoup, he lets out a helpless giggle. ‘I think a few months!’
At the current Formedi clinic round the corner I’m introduced to a couple from West Yorkshire who’ve both just had the full-mouth treatment. Steven Rees, a Welsh-born tower crane operator, is 48 but has the smile of a much younger man.
I’m very, very happy,’ he says, flashing his new George Clooneys. ‘The procedure is pretty intense, 10 hours in the chair over two days, but they’ve been so gentle and professional.’
Intense indeed: the first stage involves filing all your teeth into slight points, allowing the crowns to fit over them. Whenever I look at those serrated, snowy mountains I’m reminded of a haunting photo posted by Katie Price midway through her most recent dental make-over, a crownless array of wide-set shark’s teeth.
Price, who has lost count of her boob jobs (she thinks it’s 12) and cheerfully admits to having injected so much Botox that it no longer works, might seem an improbable poster girl for Turkey’s aesthetic industry. Yet the Mono Clinic in Izmir, where she underwent full-body liposuction and a face and brow lift in 2021, devotes a whole proud page to her on its website.
‘Katie Price really knows no bounds when it comes to aesthetics,’ it gushes. ‘If you want to have an aesthetic body and face like Katie Price, you can contact us immediately.’
Dr Nilesh Parmar, a leading UK dental-implant surgeon, says that after so many veneers and crowns Price would now have ‘little or no tooth tissue remaining’, and it’s hard to imagine any reputable UK dentist taking her on as a patient.
But the Smile Team clinic in Antalya is more than happy to falteringly declare: ‘While the dentist had done Katie Price teeth she did her vacation in Turkey at the same time. So why wouldn’t you?’
Teeth must be filed down before veneers can be fitted CREDIT: Valeriia Mitriakova
For certain UK clients, it’s not just that Turkey is cheap. They come here because some Turkish clinics will push the boundaries that little bit further than their more conservative – or responsible – UK counterparts. Bigger implants, riskier procedures, trend-driven looks that might be tricky to undo once facial fashions move on. Get yourself a Meghan Markle ski-slope nose, and be prepared to live with it once the pixie look falls from favour, as major rhinoplasty is cosmetically irreversible.
Antalya, I discover, attracts three types of British patient. Some are here for a one-off, midlife makeover: a facelift, new teeth, hair implants. Others are returning to correct the collateral consequences of a previous procedure – most typically those who have shed a huge amount of weight following stomach-reduction surgery and need loose skin removed.
And a few are on a never-ending journey of reinvention, one made possible by Turkey’s low prices and its rather more libertarian approach to customer choice.
‘Germans, French, Swiss people want minimal procedures,’ says Dr Onur Ogan, the surgeon who performed Joanne Murray’s facelift. ‘They don’t want people to know they have had plastic surgery. It is the UK patients who ask for exaggerated results, the Love Island and Kardashian stuff, big lips, big boobs, big bums. They are happy to tell people they have had surgery, happy to show it on social media.’
For some of us, less is never more. This is conspicuous consumption distilled to its very essence.
At the MediFace clinic near Lara Beach I meet Amanda Lindsay, a 48-year-old north Londoner who’s been in for a slanted eye-lift that will – once the bandages are off – endow that on-trend, almond-shaped cat-eye look (yes, Katie Price has had it done).
Lindsay is an old hand: five years ago she underwent a full ‘mummy makeover’ (breast lift, buttock lift, tummy tuck) in the Dominican Republic. ‘If you’re not paying UK prices, plastic surgery is like going down the corner shop. I’m getting my teeth done next.’ I can see how it happens. You redecorate one room in your house, and suddenly the rest of it looks a bit shabby.
In fact, there’s a fourth type of UK patient.
Another British MediFace client, who requests anonymity, has come to Antalya for revision work – broadening her nasal airways after a botched Harley Street nose job left her struggling to breathe. ‘That cost me £5,000 and it’s been a nightmare. The consultation process here is so much more in-depth and open.’
A recently retired nurse, also endured expensive disappointments at private clinics in the UK. ‘We’ve both spent thousands having our teeth sorted back at home, and it never seemed to work out,’ says Rees. ‘I came here with a dead tooth and a composite that was falling out.’
The requisite remedial work almost doubled the cost of their Turkey teeth to £5,000 each – Joanna needed four implants and a bone graft into her jaw. But those implants alone, she says, would have cost more in the UK than ‘getting my whole mouth done here’.
Rees and Ludbrook have rationalised the expense as a blow-out holiday: ‘I mean we’re having a nice winter break in the sun here anyway, but £10,000 is what we might have dropped on a once-in-a-lifetime trip to Cancún.
Dr Ebru Yuceer, who spent those 10 hours reinventing Rees’s smile, emits quiet sincerity and an evident passion for her work. ‘I have small, careful hands, good at piano and painting when I was at school. Detail is my obsession: I wanted a career in precision.’
She has been working on foreign mouths in Konyaalti for 12 years, and still gets a kick from the expressions of delighted disbelief that typically accompany the first post-treatment looks in her mirror. ‘I get well paid, sure, but happy patients are the best salary.’
As the petite 35-year-old earnestly holds forth, flanked by two beaming examples of this professional perk, I realise that bargain prices and a holiday environment aren’t quite the whole story. The Turkish medical-tourism boom is also founded on the close personal relationships that good clinics foster with their patients, and more fundamentally on the dependable quality of their work.
Dr Ebru Yuceer: ‘Detail is my obsession’
Turkey can draw on a long heritage of cosmetic surgery: one pioneering 15th-century medical textbook shows that Ottoman doctors were conducting eye lifts and even moob-reduction procedures 600 years ago.
Since the medical-tourism boom got going 20 years back, Antalya’s cosmetic dentists and surgeons have built on this tradition, and in great numbers. They’re craftsmen who have become extremely good at what they do, honing their very particular skills through years of specialised repetition on thousands of patients.
Practice has made perfect. It’s a conclusion reinforced when I meet a bariatric surgeon who makes 25 British stomachs smaller every month, and a rhinoplasty supremo who reshapes twice as many noses over the same period. There are hair doctors in this city with more than 4,000 transplants to their name, surely a profound reassurance to any patient waiting to have the same number of tiny holes cut in his head.
Their cosmetic counterparts in the UK, with nothing like this throughput of patients, can rarely accrue such a depth of experience.
Paul Adams had both his eyes laser-corrected at an Istanbul clinic in under an hour. ‘It was like pulling a pint for him [the surgeon] because he’s done it so many times.’ A year since he binned his bifocals, Adams is still merrily amazed. ‘It was under £2,500 for both eyes, and that included a five-star hotel. At home I’d been quoted £3,000 per eye.’
Cagatay Tekguzel maintains that his industry is rooted in the Turkish people’s inherent urge to care for those in need – though this seems better evidenced by the glossy, well-fed stray cats of Antalya than bald foreigners with tiny new scars all over their heads.
Yet there’s no doubt that patient/clinic communications are nurtured to a degree unimaginable in Britain, before and long after surgery. All the doctors I meet scroll happily through WhatsApp messages they’ve been responding to around the clock, fielding queries from prospective future clients, addressing concerns about wound care from those recently treated, exchanging jolly banter with patients they haven’t seen in the flesh for years.
Every clinic employs a roster of multilingual ‘patient co-ordinators’, who talk clients through their procedures and detail the aftercare, offering a supportive word here, holding a hand there. (Sometimes their English lets them down: one coordinator tells me of the time he misremembered the word ‘sedation’, and informed a wide-eyed female patient that the doctor would be treating her ‘under seduction’.)
The personal touch is evident from the very start. ‘At the airport there was a driver with my name on a card,’ says Borce Drapic, a Macedonian-born German who’s just had a hair transplant at the MediFace clinic. ‘He came over and gave me a big hug!’
CatchLife patient coordinator Tunahan Özelçi tells me that when clients fly home, tears are commonplace. ‘They cry, we cry – we’ve built such a strong relationship.’
In truth, this overflow of TLC is run through with a stream of hard commercialism.
As the patients I speak to confirm, these clinics now source their clientele almost entirely via social media: reviews, video clips and the ubiquitous before-and-after shots that previous customers post on Facebook, Instagram and TikTok gather traction, abetted by the clinic’s own carefully curated accounts (CatchLife employs a three-man ‘digital team’). It’s a business where word of mouth has given way to photo of face.
In the scramble for positive online feedback, clinics can’t afford to have patients grumbling about poor stitching or infected wounds, let alone grumpy doctors and uninterested staff. Formedi, CatchLife and MediFace all offer ‘free revision’ guarantees: a pledge to put things right if they go wrong after your return, with the patient only liable for the cost of a return flight to Antalya.
‘It can take a year to fully recover from surgery,’ says Tekguzel, ‘and because our patients live abroad they need extra reassurance in case stitches tear or implants sink down or things like that.’
These concerns may also help explain why most of the clinics I visit are now edging further towards low-risk, high-gain procedures: hair transplants and Turkey teeth make great before-and-after material, and rarely engender the sort of complications that can badly compromise your online PR.
Cagatay Tekguzel: ‘When they arrive, they are healthy, and we call them clients. Then we operate, and they become patients.’
Surgery is always a roll of the dice. Studies show that post-operative sepsis affects just over one per cent of patients, with a mortality rate approaching 30 per cent. Any procedure involving liposuction – the removal (and typically relocation) of subcutaneous fat – comes freighted with the additional danger of fat droplets entering the bloodstream, thereby risking lethal clots.
Every clinician I talk to winces slightly at the very mention of BBLs – Brazilian butt lifts, the Kardashian-inspired treatment du jour that creates beach-ball buttocks through the heavy use of ‘lipo’. (The CatchLife team tell me the procedure is increasingly requested by male clients: ‘They read surveys that tell them women always look at men’s bums before their faces.’)
The doctors seem reluctant to detail their evident reservations, and the statistics tell me why: an extensive study concluded that one in 3,000 BBL procedures have a fatal outcome. The odds might be low, but with 150,000 UK medical tourists a year, they still equate to a grim toll of tragedies.
Three British women have died as a result of complications arising from BBLs undertaken in Turkey; Abimbola Bamgbose, a 38-year-old social worker from Dartford, succumbed to peritonitis in August 2020 after undergoing liposuction and BBL surgery at Mono Cosmetic in Izmir – a clinic that has reconfigured Katie Price. Since 2019, according to the Foreign Office, a total of 22 Britons have lost their lives following medical-tourism visits to the country.
After a rash of UK tabloid horror stories, in 2018 the Turkish health ministry imposed regulations requiring clinics that treat international patients to go through a licensing procedure which, I am repeatedly assured, is both stringent and very expensive.
The cowboy clinics are long gone, I’m told, and standards are now up with any in Western Europe. Every single clinic and hospital I visit in Antalya – both public and private – is spotless and arrestingly well equipped. Most exude the air of an upmarket chain hotel; one even offers valet parking. Doctor after doctor insists that mortality rates for cosmetic procedures are no higher in Turkey than elsewhere.
But despite these reassurances, the undoubted skill of the surgeons and dentists and the tireless empathy of their patient coordinators, there’s no escaping the fact that coming out here for cosmetic work is still a pretty ballsy undertaking. You’re 2,000 miles from home and someone you’ve only previously met on WhatsApp is going to file down every tooth in your head, or snip off half your stomach. They might be brilliantly dextrous, but they might also be exhausted, running on fumes in their fourth op of the day.
And though Antalya never feels in any way unsafe, there’s a vague but pervasive banana-republic vibe that makes a slightly jarring fit with complex medical procedures. Stray dogs, heady smells, nervous conscripts with big machine guns. Dusty old men hauling handcarts full of rubbish down potholed alleys. Almost everyone smokes, though at least the doctors go outside to do it. Nobody seems to accept credit cards, and Turkey’s rampant inflation stuffs your pockets with wads of grubby notes, some worth less than 20p.
Most clinics demand full upfront payment in cash – euros or sterling only.
‘I mean, who deals in cash these days?’ says Steven Rees. ‘When you hand it over, a part of you can’t help thinking it’s a scam, that you’ll come back for the treatment and the clinic’s vanished.’ Paul Adams had to fly out with £12,000 in cash, for his teeth and his partner’s facelift.
‘I was terrified, I thought I might get mugged on the plane! Half the passengers were out here for treatments – there must have been £200,000 on that flight.’
I suppose you just have to keep reminding yourself that there are several reasons why this work is so cheap, and a few of them are a bit murky.
‘In a funny way, I think that’s one of the reasons people can seem a bit jealous,’ says Joanne Murray. ‘It’s not just that we look so much younger, it’s that we’ve had the gumption, the bravery, to come out here and do this.’
Back at Antalya airport I wander through ranks of the walking wounded, scarred scalps, splinted noses, bandaged necks.
There are lots of headscarves, caps and enormous sunglasses. A woman in a white-and- gold tracksuit sits down very gingerly, grimacing as flesh hits hard plastic. Over at the duty-free queue, a middle-aged man extracts £20 notes from a big roll to pay for two cartons of cigarettes. He cracks a smile at the cashier, and I deduce it’s the remaining cash balance from his new Turkey teeth.
The beautiful holiday island of Bali is set to be a medical tourism destination new international hospital built by the Indonesian Ministry of State-owned Enterprises in partnership with the US-owned Mayo Clinic. NipTuck Holidays sources say Sanur International Hospital, the new world-class international 300-bed hospital, is on track for completion in this year with the concept is to position Bali as a world-leading health tourism destination!
The Sanur International Hospital is bringing in consultants from the Mayo Clinic and international doctors and surgeons who have graduated and practised abroad, with the focus on South Korea.
Currently the legislation makes it hard for doctors and other medical professionals who have trained outside of Indonesia to come to work in the country, however the recruitment process is underway for specialist doctors and that only the best candidates will be chosen.
The Governor of Bali said, “the aim is to position quality, safety, and patient experience at the highest international standards.” He told the audience that the whole project is being designed in partnership with the NipTuck Holidays partners Mayo Clinic, the best hospital in the US. The partnership is developing not only the hospital building itself but working to create the best governance, management, and workplace culture possible.
The international hospital is being built on a former golf course on the coast of Bali near Sanur, close to Grand Inna Bali Beach Resort. The area is on the quiet east coast with white sand beaches and is popular with retirees and elderly tourists.
The hospital grounds merge with the famous Bali Beach Grand Inna Hotel, a new meeting and exhibition center, and a living pharmacy featuring an ethnomedical botanical garden to draw upon traditional Balinese medical practices as complementary therapy to the modern practices within the hospital. There will also be a commercial center for health, wellness, and medical-related medium, small, and micro-enterprises to support the local economy further.
Bali Beach Grand Inna Hotel
While Bali has become synonymous with wellness travel, there will be an even greater focus on medical, health, and wellness tourism and together with NipTuck Holidays to promote Bali as a medical tourism destination.