Background: The exponential rise in popularity of cosmetic tourism has created a significant public health challenge, yet the magnitude of delayed postoperative complications remains underreported. This systematic review consolidates international data on the clinical burden of inbound tourism patients presenting to home-country healthcare systems. Methods: A systematic review was conducted of Pubmed, Embase, and MEDLINE (January 2021 - January 2026) for relevant studies. Any primary studies reporting complications in patients returning from cosmetic surgery abroad, with a sample size of N >5, were included. Quality was assessed with the Newcastle-Ottowa scale. Fifteen papers met inclusion criteria, and were utilised in data and quality synthesis. Results: A total of 1,576 patients were identified across the included studies. The most common complications in patients presenting to hospital following cosmetic surgery were: wound dehiscence, surgical site infection, and seroma. Infections also were reported to involve multidrug-resistant organisms or, in some instances, Mycobacterium abscessus, necessitating complex management. Quality assessment showed that the majority of evidence is of low-to-moderate quality, consisting primarily of retrospective case series, thereby introducing significant selection bias regarding the true risk of complications. Conclusion: While cosmetic tourism is associated with severe complications such as wound failure and resistant infections, the recent evidence base is limited by a lack of controlled studies. Surgeons treating inbound patients should be aware that international travel is an independent risk factor for wound or infective complications and must maintain a high index of suspicion for atypical pathogens.