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Aesthetic Plastic Surgery

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02-12-2021 | Breast Augmentation | Original Article

Social Media as a Tool to Educate Plastic Surgeons on Patients’ Concerns Before and After Cosmetic Breast Surgeries

Authors: Nir Shaul, Eran Hadad, Andre Ofek, Lior Heller

Published in: Aesthetic Plastic Surgery | Issue 5/2022

Abstract

Background

The rapid evolution of the social media platform has had a major effect on the field of medicine.

Objective

To identify patterns, trends and patients’ concerns before and after aesthetic surgeries involving breast implants, by analyzing social media posts.

Methods

We examined comments posted on popular Israeli online public forums between January 2019 and May 2021, regarding: breast augmentation, mastopexy-augmentation and breast implant removal.

Results

During the study period, 561 comments were posted on the three forums investigated: 165 pre-operative and 396 post-operative. In the pre-operative period, the main interests were implant size, type and location, as discussed in 69 posts (42%). During the first two months post-operative, questions reflected concerns regarding post-operative instructions, wound management and asymmetry: 76 (43%), 59 (34%) and 27 (16%), respectively. These topics continued to be in focus up to one year post-operative. Beyond the first post-operative year, patients’ main interests were breast implant-associated anaplastic large cell lymphoma (25 posts, 28%), capsule formation (23 posts, 26%) and systemic effects (23 posts, 26%).

Conclusions

Social media harnessing to identify patterns, trends and patient concerns pre- and post-aesthetic breast surgeries is a novel approach. Misinformation was common, particularly in comments posted more than one year post-operative. Four topics that especially concerned patients in the immediate and late post-operative period were asymmetric results, breast implant-associated anaplastic large cell lymphoma, capsule removal and systemic effects. We advise surgeon and plastic surgeon societies to issue position papers on controversial subjects, to counter the dissemination of potentially misleading information.

Level of Evidence V

This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266

Bergström A, Jervelycke Belfrage M (2018) News in social media: incidental consumption and the role of opinion leaders. Digit J 6(5):583–598

Domanski MC, Cavale N (2012) Self-reported, “worth it” rating of aesthetic surgery in social media. Aesthetic Plast Surg 36(6):1292–1295. https://doi.org/10.1007/s00266-012-9977-zCrossRefPubMed

Benetoli A, Chen TF, Aslani P (2018) How patients’ use of social media impacts their interactions with healthcare professionals. Patient Educ Couns 101(3):439–444. https://doi.org/10.1016/j.pec.2017.08.015CrossRefPubMed

Greaves F, Ramirez-Cano D, Millett C, Darzi A, Donaldson L (2013) Harnessing the cloud of patient experience: using social media to detect poor quality healthcare. BMJ Qual Saf 22(3):251–255. https://doi.org/10.1136/bmjqs-2012-001527CrossRefPubMed

https://www.infomed.co.il/forums/220/

http://www.estetica.co.il/%D7%A4%D7%95%D7%A8%D7%95%D7%9D_%D7%94%D7%92%D7%93%D7%9C%D7%AA_%D7%97%D7%96%D7%94

https://www.beok.co.il/forums/forum-283/

Vardanian AJ, Kusnezov N, Im DD, Lee JC, Jarrahy R (2013) Social media use and impact on plastic surgery practice. Plast Reconstr Surg 131(5):1184–1193. https://doi.org/10.1097/PRS.0b013e318287a072CrossRefPubMed

Tebbetts JB, Tebbetts TB (2002) An approach that integrates patient education and informed consent in breast augmentation. Plast Reconstr Surg 110(3):971–981. https://doi.org/10.1097/00006534-200209010-00039CrossRefPubMed

10.

Adams WP Jr (2008) The process of breast augmentation: four sequential steps for optimizing outcomes for patients. Plast Reconstr Surg 122(6):1892–1900. https://doi.org/10.1097/PRS.0b013e31818d20ecCrossRefPubMed

11.

Gimlin D (2010) Imagining the other in cosmetic surgery. Body Soc 16(4):57–76. https://doi.org/10.1177/1357034X10383881CrossRef

12.

Taylor JS (2012) Buying and selling breasts: cosmetic surgery, beauty treatments and risk. Sociol Rev 60(4):635–653. https://doi.org/10.1111/j.1467-954X.2012.02127.xCrossRef

13.

Brown TP, Ringrose C, Hyland RE, Cole AA, Brotherston TM (1999) A method of assessing female breast morphometry and its clinical application. Br J Plast Surg 52(5):355–359. https://doi.org/10.1054/bjps.1999.3110CrossRefPubMed

14.

Westreich M (1997) Anthropomorphic breast measurement: protocol and results in 50 women with aesthetically perfect breasts and clinical application. Plast Reconstr Surg 100(2):468–479. https://doi.org/10.1097/00006534-199708000-00032CrossRefPubMed

15.

Gabriel A, Fritzsche S, Creasman C, Baqai W, Mordaunt D, Maxwell GP (2011) Incidence of breast and chest wall asymmetries: 4D photography. Aesthet Surg J 31(5):506–510. https://doi.org/10.1177/1090820X11410868CrossRefPubMed

16.

Rohrich RJ, Hartley W, Brown S (2006) Incidence of breast and chest wall asymmetry in breast augmentation: a retrospective analysis of 100 patients. Plast Reconstr Surg 118(7 Suppl):7S-17SPubMed

17.

Tang SYQ, Israel JS, Afifi AM (2017) Breast implant illness: symptoms, patient concerns, and the power of social media. Plast Reconstr Surg 140(5):765e–766e. https://doi.org/10.1097/PRS.0000000000003785CrossRefPubMed

18.

Tanna N, Calobrace MB, Clemens MW et al (2021) Not all breast explants are equal: contemporary strategies in breast explantation surgery. Plast Reconstr Surg 147(4):808–818. https://doi.org/10.1097/PRS.0000000000007784CrossRefPubMed

19.

Elizaveta K. Eran H., Lior H., Breast implantation rates in Israel- is there a change in trend? Accepted for publication in The Israel Medical Association Journal (IMAJ).

20.

https://www.fda.gov/medical-devices/medical-device-recalls/allergan-recalls-natrelle-biocell-textured-breast-implants-due-risk-bia-alcl-cancer

21.

Dayani F, Tijerina JD, Morrison SD, Nazerali RS (2020) Public interest in textured breast implants recall: a google trends analysis. Aesthetic Plast Surg 44(5):1489–1497. https://doi.org/10.1007/s00266-020-01724-zCrossRefPubMed

22.

Johal KS, Floyd D (2020) To bloc or not to bloc: challenges in the management of patients requesting “en-bloc capsulectomy.” Aesthet Surg J 40(9):NP561–NP563. https://doi.org/10.1093/asj/sjaa115CrossRefPubMedPubMedCentral

Title: Social Media as a Tool to Educate Plastic Surgeons on Patients’ Concerns Before and After Cosmetic Breast Surgeries
Authors: Nir Shaul
Eran Hadad
Andre Ofek
Lior Heller
Publication date: 02-12-2021
Publisher: Springer US
Keywords: Breast Augmentation
Breast Surgery
Mastopexy
Breast Augmentation
Breast Surgery
Mastopexy
Breast Augmentation
Wound Management
Mastopexy
Anaplastic Large Cell Lymphoma
Anaplastic Large Cell Lymphoma
Published in: Aesthetic Plastic Surgery / Issue 5/2022
Print ISSN: 0364-216X
Electronic ISSN: 1432-5241
DOI: https://doi.org/10.1007/s00266-021-02676-8

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Social Media as a Tool to Educate Plastic Surgeons on Patients’ Concerns Before and After Cosmetic Breast Surgeries

Abstract

Background

Objective

Methods

Results

Conclusions

Level of Evidence V

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Background

Objective

Methods

Results

Conclusions

Level of Evidence V

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