Photographic Misrepresentation on Instagram After Facial Cosmetic Surgery: Is Increased Photography Bias Associated With Greater User Engagement?

2021 ◽  
Author(s):  
Elbert E Vaca ◽  
Megan M Perez ◽  
Jonathan B Lamano ◽  
Sergey Y Turin ◽  
Simon Moradian ◽  
...  
Keyword(s):  
Cosmetic Surgery ◽  
Aesthetic Surgery ◽  
General Surgeon ◽  
User Engagement ◽  
Postoperative Result ◽  
Bias Score ◽  
Visual Enhancement ◽  
Before And After ◽  
Operative Result ◽  
Surgical Treatments

Abstract Background Before and after images are commonly used on Instagram to advertise aesthetic surgical treatments and are a powerful means of prospective patient engagement. Consistency between before and after images accurately demonstrating the postoperative result on Instagram, however, has not been systematically assessed. Objectives Our aim was to systematically assess facial cosmetic surgery before and after photography bias on Instagram. Methods The authors queried 19 Instagram facial aesthetic surgery-related hashtags on 3 dates in May 2020. The “top” 9 posts associated with each hashtag (291 posts) were analyzed by 3 plastic surgeons using 5-item rubric quantifying photographic discrepancies between preoperative and postoperative images. Duplicate posts and those that did not include before and after images after facial aesthetic surgery procedures were excluded. Results A total of 3,477,178 posts were queried. Photography conditions were observed to favor visual enhancement of the post-operative result in 282/291 analyzed top posts, with an average bias score of 1.71/5 (± 1.01). Plastic surgeons accounted for only 27.5% of top posts. Physicians practicing outside their scope of practice accounted for 2.8% of top posts including a general surgeon, dermatologist, dentist, ophthalmologist, and maxillofacial surgeon. Accounts with a greater number of followers (p = 0.017) and posts originating from Asia (p = 0.013) were significantly associated with a higher post-operative photography bias score. Conclusions Photographic misrepresentation, with photography conditions biased towards enhancing the appearance of the postoperative result, is pervasive on Instagram. This pattern was observed across all physician specialties and raises significant concerns. Accounts with a greater number of followers demonstrated significantly greater postoperative photography bias, suggesting photographic misrepresentation is awarded by greater user engagement.

Nonsurgical Rhinoplasty: A Technical Note

2021 ◽  
pp. 074880682199015
Author(s):  
Ian S. Lehrer ◽  
Joe Niamtu
Keyword(s):  
Hyaluronic Acid ◽  
Minimally Invasive ◽  
Cosmetic Surgery ◽  
Recovery Time ◽  
Technical Note ◽  
Dermal Fillers ◽  
Facial Surgery ◽  
Before And After ◽  
Application Potential ◽  
Invasive Techniques

Cosmetic facial surgery procedures and therapies have continued to evolve with an emphasis on minimally invasive techniques with a shorter recovery time. We present a how-to guide for nonsurgical rhinoplasty including the use of different hyaluronic acid fillers. We provide examples of before and after patient photos as well as photos demonstrating our technique. This technical note highlights the popular concept of minimally invasive nasal contouring using dermal fillers. As such, we provide a brief overview of different dermal fillers that can be used for this application, potential problems and complications, as well as remedies. Dermal fillers have become an entry point into cosmetic surgery for many patients. Our technique of nasal contouring with hyaluronic acid fillers in particular yields safe, effective, and repeatable results.

scholarly journals Medical and surgical interventions to improve the quality of life for endometriosis patients: a systematic review

2021 ◽  
Vol 18 (1) ◽  
Author(s):  
Maurizio Nicola D’Alterio ◽  
Stefania Saponara ◽  
Mirian Agus ◽  
Antonio Simone Laganà ◽  
Marco Noventa ◽  
...  
Keyword(s):  
Quality Of Life ◽  
English Language ◽  
Short Form ◽  
Work And Family ◽  
Surgical Interventions ◽  
Medline Search ◽  
Accessible Information ◽  
Before And After ◽  
Surgical Treatments

AbstractEndometriosis impairs the quality of life (QoL) of many women, including their social relationships, daily activity, productivity at work, and family planning. The aim of this review was to determine the instruments used to examine QoL in previous clinical studies of endometriosis and to evaluate the effect of medical and surgical interventions for endometriosis on QoL. We conducted a systematic search and review of studies published between January 2010 and December 2020 using MEDLINE. Search terms included “endometriosis” and “quality of life.” We only selected studies that used a standardized questionnaire to evaluate QoL before and after medical or surgical interventions. Only articles in the English language were examined. The initial search identified 720 results. After excluding duplicates and applying inclusion criteria, 37 studies were selected for analysis. We found that the two scales most frequently used to measure QoL were the Short Form-36 health survey questionnaire (SF-36) and the Endometriosis Health Profile-30 (EHP-30). Many medical and surgical treatments demonstrated comparable benefits in pain control and QoL improvement. There is no clear answer as to what is the best treatment for improving QoL because each therapy must be personalized for the patient and depends on the woman’s goals. In conclusion, women must be informed about endometriosis and given easily accessible information to improve treatment adherence and their QoL.

scholarly journals Ethical and legal issues in aesthetic surgery

2012 ◽  
Vol 45 (03) ◽  
pp. 547-549 ◽  
Author(s):  
Suresh Gupta
Keyword(s):  
Cosmetic Surgery ◽  
Aesthetic Surgery ◽  
General Medical Council ◽  
Medical Council ◽  
Criminal Proceedings ◽  
The Past ◽  
Supreme Court Of India ◽  
The Supreme Court ◽  
Ethical And Legal Issues ◽  
Lay Public

ABSTRACTRapid growth and expansion of plastic surgery in general and aesthetic surgery in particular in the past decade has brought in its wake some confusions particularly raising questions for the surgeons conduct towards his colleagues and the patients in the light of ethical requirements. Some thoughts from eminent thinkers form a backdrop to consideration of theories of medical ethics. In this article raging and continuous debates on these subjects have been avoided to maintain the momentum. Apart from the western thoughts, directions from our old scriptures on ethical conduct have been included to accommodate prevelant Indian practices. The confusion created by specialists advertising their abilities directly to the lay public following removal of ethical bars by the American Courts as also latitudes allowed by the General Medical Council of Great Britain have been discussed. The medical fraternity however has its reservations. Unnecessary skirmishes with the law arose in cosmetic surgery from the freedom exercised by the police to file criminal proceedings against attending doctors in the event of a patient′s death with or without any evidence of wrong doing. This has now been curtailed in the judgement of the Supreme Court of India[1] where norms have been laid down for such prosecution. This has helped doctors to function without fear of harassment. An effort has been made to state a simple day-to-day routine for an ethical doctor-patient relationship.

Plastic Surgery: Review on Screening of Psychiatric Disorder

2021 ◽  
Vol 1 (5) ◽  
pp. 91-94
Author(s):  
Angeline Fenisenda
Keyword(s):  
Psychiatric Disorder ◽  
Plastic Surgery ◽  
Cosmetic Surgery ◽  
Psychiatric Patients ◽  
Emotional Adjustment ◽  
Aesthetic Surgery ◽  
Well Being ◽  
Pilot Studies ◽  
Cosmetic Procedure ◽  
Poor Outcomes

Recently the popularity of plastic surgical procedure has been increased. Many people surgically alter their physical appearance with the intent of boosting their social and psychological well-being; however, the long-term effectiveness of aesthetic surgery on improving well-being is unconfirmed. To have successful cosmetic plastic surgery result, it is imperative to assess candidates for predictors of poor outcomes. These include the following factor : psychiatric disorder, demographic factors (male and younger age), relationship issues, unrealistic expectations, previous dissatisfied surgery, and minimal deformity. For psychiatric patients, despite having technically satisfactory cosmetic surgery, poor emotional adjustment and social functioning were seen post procedure. Proper screening and evaluation of these patients could save money and resources. In this brief review we discuss about psychiatric disorder screen on plastic surgery to prevent unwanted outcome. A literature review was conducted in the electronic database PubMed using keyword “Psychiatric Disorder”, “Plastic surgery”, “Prevention” and “Screening”. All type of studies were included for this study, such as controlled trials, systematic reviews, literature reviews, and pilot studies published between 2011 and 2021. Articles which not written in English were excluded from the study. This search resulted in 18 papers. Some patient who undergo cosmetic surgery suffer from underdiagnosed or untreated psychiatric disorder. To avoid unnecessary expense and resource it is advisable that all patient who seek cosmetic procedure undergo psychiatric screen such as PHQ-9, GAD-7, BDDQ and other test to avoid un-necessary expense and resource.

Cosmetic Surgery: A Subspecialty That Needs Specialized Training and Recognition

2021 ◽  
pp. 074880682110518
Author(s):  
Kamran Dastoury ◽  
Jacob Haiavy ◽  
Jane Petro ◽  
Martha Ayewah
Keyword(s):  
American Academy ◽  
Plastic Surgery ◽  
Cosmetic Surgery ◽  
Training Programs ◽  
Aesthetic Surgery ◽  
Fellowship Training ◽  
Subspecialty Training ◽  
Plastic And Reconstructive Surgery ◽  
Surgery Training ◽  
American Society

Introduction: This study was performed to provide a comprehensive review of the breadth and depth of fellowship training provided by the American Academy of Cosmetic Surgery (AACS), with direct comparison with other current aesthetic surgery training programs available in the United States. We hypothesized that this subspecialty training provides essential experience and confidence to perform aesthetic procedures, which are likely not adequately imparted during traditional residency training. We also address the notion that Cosmetic Surgery is not under the sole ownership of one specialty, but rather a subspecialty that flourishes by collaboration between multidisciplinary surgical backgrounds. Materials and Methods: We performed a cross-sectional study of survey data from 2 distinct groups—current fellows in a 1-year AACS program and surgeons who completed an AACS fellowship between July 2008 and June 2017, who have been in active cosmetic surgery practice ranging from 6 months to over 6 years. A survey was administered via email and distributed by the AACS central office. The responses were compared with data published in the Annals of Plastic Surgery concerning Recent Trends in Resident Career Choices after Plastic Surgery Training. Results: The Accreditation Council for Graduate Medical Education (ACGME) requirements for aesthetic surgical cases in a 6-year Plastic Surgery program are 150 cases, but 50% of graduating seniors feel inadequately prepared to transition straight into aesthetic surgery practice, whereas among AACS graduating fellows, 100% feel very prepared to go on the aesthetic surgery practice, having completed an average of 687 cases within the yearlong training program. We note that the survey response rate was 81% among current fellows versus 35% among practicing surgeons. Discussion: We believe that focused subspecialty training in cosmetic surgery after completion of a primary surgical residency in a form of a structured fellowship through AACS, American Society of Plastic Surgery, American Academy of Facial Plastic and Reconstructive Surgery, Commission on Dental Accreditation, and American Society of Ophthalmic Plastic and Reconstructive Surgery (Oculoplastic) is the ideal preparation for the future. As we learn from each other through fellowship training, academic conferences, and research, this will further advance the subspecialty and ultimately improve patient care and outcomes. There is no evidence that these training programs provide less adequate preparation, although they are not accredited by the ACGME. To the contrary, the additional experience and knowledge gained during these fellowship training programs result in better outcomes and more competent practitioners. Conclusions: The development of subspecialty training and board certification for surgeons committed to cosmetic surgery yields the highest level of qualified providers. The diverse backgrounds of these providers continue to allow us to expand and innovate in this field. This study is aimed at moving this conversation forward in a positive direction.

Analyzing the Quality of Aesthetic Surgery Procedure Videos on TikTok

2021 ◽  
Author(s):  
Anjali Om ◽  
Bobby Ijeoma ◽  
Sara Kebede ◽  
Albert Losken
Keyword(s):  
Social Media ◽  
Breast Augmentation ◽  
Cosmetic Surgery ◽  
Video Quality ◽  
Aesthetic Surgery ◽  
Video Content ◽  
Medical Providers ◽  
Cosmetic Procedure ◽  
Different Content

Abstract Background TikTok is one of the most popular and fastest growing social media apps in the world. Previous studies have analyzed the quality of patient education information on older video platforms, but the quality of plastic and cosmetic surgery videos on TikTok has not yet been determined. Objectives To analyze the source and quality of certain cosmetic procedure videos on TikTok. Methods The TikTok mobile application was queried for content related to two popular face procedures (rhinoplasty and blepharoplasty) and two body procedures (breast augmentation and abdominoplasty). Two independent reviewers analyzed video content according to the DISCERN scale, a validated, objective criteria that assesses the quality of information on a scale of 1-5. Quality scores were compared between videos produced by medical and nonmedical creators and between different content categories. Results There were 4.8 billion views and 76.2 million likes across included videos. Videos were created by MDs (56%) and laypersons (44%). Overall average DISCERN score out of 5 corresponded to very poor video quality for rhinoplasty (1.55), blepharoplasty (1.44), breast augmentation (1.25) and abdominoplasty (1.29). DISCERN scores were significantly higher among videos produced by MDs than by laypersons for all surgeries. Comedy videos consistently had the lowest average DISCERN scores, while educational videos had the highest. Conclusions It is increasingly important that medical professionals understand the possibility of patient misinformation in the age of social media. We encourage medical providers to be involved in creating quality information on TikTok and educate patients about misinformation to best support health literacy.

scholarly journals Evaluation of Personality Perception in Men Before and After Facial Cosmetic Surgery

2019 ◽  
Vol 21 (5) ◽  
pp. 369-374 ◽  
Author(s):  
Keon M. Parsa ◽  
William Gao ◽  
Jack Lally ◽  
Stephen P. Davison ◽  
Michael J. Reilly
Keyword(s):  
Cosmetic Surgery ◽  
Before And After ◽  
Personality Perception

scholarly journals Aesthetic Surgery Training during Residency in the United States: A Comparison of the Integrated, Combined, and Independent Training Models

2014 ◽  
Vol 2014 ◽  
pp. 1-7 ◽  
Author(s):  
Arash Momeni ◽  
Rebecca Y. Kim ◽  
Derrick C. Wan ◽  
Ali Izadpanah ◽  
Gordon K. Lee
Keyword(s):  
United States ◽  
Minimally Invasive ◽  
Plastic Surgery ◽  
Cosmetic Surgery ◽  
Online Survey ◽  
Aesthetic Surgery ◽  
The United States ◽  
Surgery Training ◽  
Aesthetic Procedures

Background. Three educational models for plastic surgery training exist in the United States, the integrated, combined, and independent model. The present study is a comparative analysis of aesthetic surgery training, to assess whether one model is particularly suitable to provide for high-quality training in aesthetic surgery. Methods. An 18-item online survey was developed to assess residents’ perceptions regarding the quality of training in aesthetic surgery in the US. The survey had three distinct sections: demographic information, current state of aesthetic surgery training, and residents’ perception regarding the quality of aesthetic surgery training. Results. A total of 86 senior plastic surgery residents completed the survey. Twenty-three, 24, and 39 residents were in integrated, combined, and independent residency programs, respectively. No statistically significant differences were seen with respect to number of aesthetic surgery procedures performed, additional training received in minimal-invasive cosmetic procedures, median level of confidence with index cosmetic surgery procedures, or perceived quality of aesthetic surgery training. Facial aesthetic procedures were felt to be the most challenging procedures. Exposure to minimally invasive aesthetic procedures was limited. Conclusion. While the educational experience in aesthetic surgery appears to be similar, weaknesses still exist with respect to training in minimally invasive/nonsurgical aesthetic procedures.

An Analysis of Preoperative and Postoperative Photography Available on the Internet for Facial Aesthetic Surgery

2016 ◽  
Vol 34 (1) ◽  
pp. 46-49
Author(s):  
Landon C. Meekins ◽  
Morgan R. Godin ◽  
Tanya Khan ◽  
Betsy Colon-Acevedo ◽  
Julie A. Woodward
Keyword(s):  
Image Analysis ◽  
Web Sites ◽  
Cosmetic Surgery ◽  
Aesthetic Surgery ◽  
The Internet ◽  
Face Lift ◽  
Laser Resurfacing ◽  
Internet Images

Preoperative and postoperative photography is a powerful tool that remains integral to the practice of cosmetic surgery. The purpose of this study is 2-fold. The first is to evaluate the standardization of surgical photography used on physician Web sites for 3 specific facial cosmetic procedures, including preoperative and postoperative blepharoplasty, face-lift, and laser resurfacing. The second part of the study evaluates the standardization of photography presented by industry to promote their lasers and energy-based devices. Internet images were judged by 3 independent physicians on 2 qualities: (1) standardization of lighting/flash and (2) standardization of camera positioning/angle/zoom. Each set of images received a “pass” or “fail” based on 2 of 3 physician ratings. A total of 51.3% of images (blepharoplasty 51%, face-lift 56%, laser 47%) collected from physician Web sites failed at least 1 component (either lighting or position) of analysis. Images from industry Web sites showed only a 35% fail rate for at least 1 component of the image analysis and had a higher pass/pass percentage compared with physician Web sites. Manipulation of the camera by the photographers may result in images that are not helpful to patients or to the profession.

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