Background Cosmetic tourism is increasingly popular, driven by lower costs in countries with varying regulatory standards. However, many patients return with complications requiring management in local healthcare facilities, significantly burdening public health systems. This study examines the impact of cosmetic tourism on Australian healthcare and explores opportunities to inform health policy, improve patient education, and enhance international care coordination to mitigate this growing challenge. Methods This retrospective study reviewed patients presenting to Westmead Hospital with complications from overseas cosmetic surgery (1/7/2022–31/12/2022, 1/5/2024–31/12/2024). Data from eMR was analysed using descriptive statistics. Results Twenty-four patients (mean age 38.4 ± 12.5 years; 87.5% female) met the inclusion criteria. Complications included wound dehiscence (45.8%), infection (41.7%), and seroma (20.8%). The median time to presentation was 3.8 weeks, with a mean hospital stay of 3.3 ± 2.9 days. Follow-up averaged 7.3 ± 12.7 weeks, with 45.8% requiring community nursing. Interventions included antibiotics (83.3%), drainage (33.3%), and surgery (54.2%). Common procedures were abdominoplasty (54.2%), breast augmentation (20.8%), and liposuction (25%), mostly performed in Turkey (54.2%) and Thailand (12.5%). Mean Charlson Comorbidity Index was 0.2 ± 0.4, and LACE Index was 5.9 ± 1.5. Conclusion Complications from cosmetic tourism highlight the need for targeted health policies. Better education on risks, international advocacy for improved standards, and enhanced care coordination between overseas providers and local systems are crucial to reducing adverse outcomes and alleviating strain on public healthcare.