Abstract
Social media sites and platforms have grown in numbers with an enormous potential to reach and disseminate information in real time. They are impacting tremendously for better or for worse on the current practice of plastic surgery. As the demand for elective plastic surgery, in particular for aesthetic procedures, continues to rise, there is a need to determine the influence of social media advertisements and how it motivates the public to undergo cosmetic procedures. Most importantly, there is an urgent need to determine how the social media are impacting plastic surgery practice building and what is proper and efficient marketing while upholding ethics of the medical profession? A thorough PICO tool-based comprehensive literature search was conducted. Fifty-one peer-reviewed publications, 15 patient-centered, 33 provider-centered, and three combined patient/provider were identified to be relevant to the use of social media in plastic surgery and were selected for this review. Evidence on how social media influences the medical practice and helps in practice building remains scarce; nevertheless, reliance of plastic surgeons on social media to improve their practice has been increasing steadily. Social media may be a powerful tool to promote one's career. It presents, however, serious professional, legal, and ethical challenges including maintenance of professionalism and protecting patient confidentiality. If misused, it may be a quick way to end a plastic surgery practice.
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References
Janik PE, Charytonowicz M, Szczyt M, Miszczyk J (2019) Internet and social media as a source of information about plastic surgery: comparison between public and private sector, a 2-center study. Plast Reconstr Surg Glob Open 7(3):e2127
Ghavami A (2018) Discussion: The ethical and professional use of social media in surgery: a systematic review of the literature. Plast Reconstr Surg 142:401e
Day KM, Rohrich RJ, Spiess AM (2019) The past informs the present, academic new media pitfalls: a primer for plastic surgeons. Plast Reconstr Surg Glob Open 7(4):e2178
Aldosari BF, Alkarzae M, Almuhaya R, Aldhahri R, Alrashid H (2019) Effect of media on facial plastic surgery in Saudi Arabia. Cureus 11(11):e6232
Bennett KG, Berlin NL, MacEachern Steven R, Buchman SR et al (2018) The ethical and professional use of social media in surgery—a systematic review of the literature. Plast Reconstr Surg 142(3):388e–398e
Devitt S, Kenkel JM (2019) Social media: a necessary evil? Aesthet Surg J. https://doi.org/10.1093/asj/sjz361
Almarghoub MA, Alghareeb MA, Alhammad AK, Alotaibi HF, Kattan AE (2020) Plastic surgery on YouTube. Plast Reconstr Surg Glob Open 8:e2586. https://doi.org/10.1097/gox.0000000000002586
Hetzler PT III, Wang J, Fan KL, Song DH (2019) Conceptualizing professionalism in social media: a framework for evaluation. Plast Reconstr Surg 143(6):1318e–1319e
50+ Social Media Sites You Need to Know in 2020. https://influencermarketinghub.com/social-media-sites/. Accessed 1 July 2020
65+ Social Networking Sites You Need to Know About. https://makeawebsitehub.com/social-media-sites/. Accessed 1 July 2020
Ben Naftali Y, Duek OS, Rafaeli S, Ullmann Y (2018) Plastic surgery faces the web: analysis of the popular social media for plastic surgeons. Plast Reconstr Surg Glob Open 6(12):e1958
Klietz ML, Kaiser HW, Machens HG, Aitzetmüller MM (2020) Social media marketing: what do prospective patients want to see? Aesthet Surg J 40(5):577–583
Gray MC, Gemmiti A, Ata A, Jun B (2020) Can you trust what you watch? An assessment of the quality of information in aesthetic surgery videos on YouTube. Plast Reconstr Surg 145:329e
Chen AD, Ruan QZ, Bucknor A, Chattha SC (2019) Social media: is the message reaching the plastic surgery audience? Plast Reconstr Surg 144:773
Sanati-Mehrizy P, Margulies IG, Sayegh F, Ingargiola MJ, Taub PJ (2020) The “RealSelf Effect”: can patient reviews on social media impact clinic volume? Ann Plast Surg. https://doi.org/10.1097/sap.0000000000002245
Azoury SC, Mazzaferro DM, Piwnica-Worms W, Messa CA 4th, Othman S, Stranix JT, Serletti JM, Kovach SJ, Fosnot J (2020) An update on social media in academic plastic surgery training programs: the rising trend of likes, shares, and retweets. Ann Plast Surg. https://doi.org/10.1097/sap.0000000000002289
Cho MJ, Furnas HJ, Rohrich RJ (2019) A primer on social media use by young plastic surgeons. Plast Reconstr Surg 143(5):1533–1539
Gould DJ, Nazarian S (2018) Social media return on investment: how much is it worth to my practice? Aesthet Surg J 38(5):565–574
Gupta N, Dorfman R, Saadat S, Roostaeian J (2019) The plastic surgery social media influencer: ethical considerations and a literature review. Aesthet Surg J. https://doi.org/10.1093/asj/sjz329
Rohrich RJ, Dayan E, Xue AS (2019) Social media in plastic surgery: the future is now? Plast Reconstr Surg 144(6):1509–1510
Dauwe P, Heller JB, Unger JG, Graham D, Rohrich RJ (2012) Social networks uncovered: 10 tips every plastic surgeon should know. Aesthet Surg J 32(8):1010–1015
Arab K, Barasain O, Altaweel A, Alkhayyal J et al (2019) Influence of social media on the decision to undergo a cosmetic procedure. Plast Reconstr Surg Glob Open 7:e2333
Sorice SC, Li AY, Gilstrap J, Canales FL, Furnas HJ (2017) Social media and the plastic surgery patient. Plast Reconstr Surg 140(5):1047–1056
Chopan M, Sayadi L, Clark EM, Maguire K (2019) Plastic surgery and social media: examining perceptions. Plast Reconstr Surg 143(4):1259–1265
Fan KL, Graziano F, Economides JM, Black CK, Song DH (2019) The public’s preferences on plastic surgery social media engagement and professionalism: demystifying the impact of demographics. Plast Reconstr Surg 143(2):619–630
Dorfman RG, Mahmood E, Ren A, Turin SY, Vaca EE, Fine NA, Schierle CF (2019) Google ranking of plastic surgeons values social media presence over academic pedigree and experience. Aesthet Surg J 39(4):447–451
Ward B, Ward M, Paskhover B (2018) Google Trends as a resource for informing plastic surgery marketing decisions. Aesthet Plast Surg 42(2):598–602
Shome D, Vadera S, Male SR, Kapoor R (2019) Does taking selfies lead to increased desire to undergo cosmetic surgery. J Cosmet Dermatol. https://doi.org/10.1111/jocd.13267
Ross NA, Todd Q, Saedi N (2015) Patient seeking behaviors and online personas: social media’s role in cosmetic dermatology. Dermatol Surg 41(2):269–276
Schlichte MJ, Karimkhani C, Jones T, Trikha R, Dellavalle RP (2015) Patient use of social media to evaluate cosmetic treatments and procedures. Dermatol Online J 21(4):13030/qt88z6r65x
Wilson SC, Daar DA, Sinno S, Levine SM (2018) Public interest in breast augmentation: analysis and implications of Google Trends data. Aesthet Plast Surg 42(3):648–655
Tang SYQ, Israel JS, Poore SO, Afifi AM (2018) Facebook facts: breast reconstruction patient-reported outcomes using social media. Plast Reconstr Surg 141(5):1106–1113
Nayyar A, Jadi J, Garimella R, Elkins-Williams ST, Gallagher KK, Kalliainen LK, Hultman CS, Wu C (2019) Are you on the right platform? A conjoint analysis of social media preferences in aesthetic surgery patients. Aesthet Surg J 39(9):1019–1032
Eggerstedt M, Schumacher J, Urban MJ, Smith RM, Revenaugh PC (2020) The selfie view: perioperative photography in the digital age. Aesthet Plast Surg 44(3):1066–1070
Domanski MC, Cavale N (2012) Self-reported, “worth it” rating of aesthetic surgery in social media. Aesthet Plast Surg 36(6):1292–1295
Mess SA, Bharti G, Newcott B, Chaffin AE, Van Natta BW, Momeni R, Swanson S (2019) To post or not to post: plastic surgery practice marketing, websites, and social media? Plast Reconstr Surg Glob Open 7(7):e2331
Economides JM, Fan KL, Pittman TA (2019) An analysis of plastic surgeons’ social media use and perceptions. Aesthet Surg J 39(7):794–802
Fan KL, Economides JM, Song DH (2019) To bot or not? Challenging the top social media influencers in #PlasticSurgery. Plast Reconstr Surg 143(1):337–343
Gould DJ, Grant Stevens W, Nazarian S (2017) A primer on social media for plastic surgeons: what do I need to know about social media and how can it help my practice? Aesthet Surg J 37(5):614–619
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
Chen AD, Furnas HJ, Lin SJ (2020) Tips and pearls on social media for the plastic surgeon. Plast Reconstr Surg 145(5):988e–996e
Branford OA, Kamali P, Rohrich RJ, Song DH, Mallucci P, Liu DZ, Lang D, Sun K, Stubican M, Lin SJ (2016) #PlasticSurgery. Plast Reconstr Surg 138(6):1354–1365
Bennett KG, Vercler CJ (2018) When is posting about patients on social media unethical “medutainment”? AMA J Ethics 20(4):328–335
Jalalabadi F, Grome L, Shahrestani N, Izaddoost SA, Reece EM (2018) Entrepreneurial strategies to seek venture capital funding. Semin Plast Surg 32(4):179–181
McEvenue G, Copeland A, Devon KM, Semple JL (2016) How social are we? A cross-sectional study of the website presence and social media activity of Canadian plastic surgeons. Aesthet Surg J 36(9):1079–1084
Montemurro P, Cheema M, Tamburino S, Hedén P (2019) Online and social media footprint of all Swedish aesthetic plastic surgeons. Aesthet Plast Surg 43(5):1400–1405
Nayak LM, Linkov G (2019) Social media marketing in facial plastic surgery: what has worked? Facial Plast Surg Clin North Am 27(3):373–377
Schoenbrunner A, Gosman A, Bajaj AK (2019) Framework for the creation of ethical and professional social media content. Plast Reconstr Surg 144(1):118e–125e
Chang JB, Woo SL, Cederna PS (2015) Worth the “likes”? The use of Facebook among plastic surgeons and its perceived impact. Plast Reconstr Surg 135(5):909e–918e
Wheeler CK, Said H, Prucz R, Rodrich RJ, Mathes DW (2011) Social media in plastic surgery practices: emerging trends in North America. Aesthet Surg J 31(4):435–441
Kuechel MC (2010) Showcase your service: social media and marketing basics in a dynamic, over-populated, mixed-message, and highly competitive world. Facial Plast Surg Clin North Am 18(4):533–536
Mabvuure NT, Rodrigues J, Klimach S, Nduka C (2014) A cross-sectional study of the presence of United Kingdom (UK) plastic surgeons on social media. J Plast Reconstr Aesthet Surg 67(3):362–367
Siegel N, Jenny H, Chopra K, Yang R (2020) What does it mean to be a #PlasticSurgeon? Analyzing plastic surgery hashtag utilization in social media. Aesthet Surg J 40(4):213–218
Laban J (2012) Growing a medical practice with social media marketing. Plast Surg Nurs 32(2):49–53
Cho MJ, Li AY, Furnas HJ, Rohrich RJ (2020) Current trends in the use of social media by plastic surgeons. Plast Reconstr Surg 146(1):83e–91e
Miller RJ (2010) Internet marketing 101. Facial Plast Surg Clin North Am 18(4):509–516
Workman AD, Gupta SC (2013) A plastic surgeon’s guide to applying smartphone technology in patient care. Aesthet Surg J 33(2):275–280
Dong C, Cheema M, Samarasekera D, Rajaratnam V (2015) Using LinkedIn for continuing community of practice among hand surgeons worldwide. J Contin Educ Health Prof 35(3):185–191
Irwin TJ, Riesel JN, Ortiz R, Helliwell LA, Lin SJ, Eberlin KR (2020) The impact of social media on plastic surgery residency applicants. Ann Plast Surg. https://doi.org/10.1097/sap.0000000000002375
Lifchez SD, McKee DM, Raven RB 3rd, Shafritz AB, Tueting JL (2012) Guidelines for ethical and professional use of social media in a hand surgery practice. J Hand Surg Am 37(12):2636–2641
Wong WW, Gupta SC (2011) Plastic surgery marketing in a generation of “tweeting”. Aesthet Surg J 31(8):972–976
Montemurro P, Cheema M, Hedén P (2018) Patients’ and surgeons’ perceptions of social media’s role in the decision making for primary aesthetic breast augmentation. Aesthet Surg J 38(10):1078–1084
Montemurro P, Porcnik A, Hedén P, Otte M (2015) The influence of social media and easily accessible online information on the aesthetic plastic surgery practice: literature review and our own experience. Aesthet Plast Surg 39(2):270–277
Montemurro P, Tay VKS, Hedén P (2020) The evolution of patients’ and surgeons’ perspectives towards the role of the internet and social media in breast augmentation over 5 years. Aesthet Surg J. https://doi.org/10.1093/asj/sjaa087
Parmeshwar N, Reid CM, Park AJ, Brandel MG et al (2018) Evaluation of information sources in plastic surgery decision-making. Cureus 10(6):e2773
Sugrue RM, Kelly J (2020) The ethics of sharing plastic surgery videos on social media: systematic literature review, ethical analysis, and proposed guidelines. Plast Reconstr Surg 145(1):217e–218e
Economides JM, Choi YK, Fan KL, Kanuri AP, Song DH (2019) Are we witnessing a paradigm shift?: A systematic review of social media in residency. Plast Reconstr Surg Glob Open 7(8):e2288. https://doi.org/10.1097/gox.0000000000002288
Turin S, Schierle CF (2019) Commentary on: What does it mean to be a #PlasticSurgeon? Analyzing plastic surgery hashtag utilization in social media. Aesthet Surg J. https://doi.org/10.1093/asj/sjz242
Morrison CM, Rotemberg SC, Moreira-Gonzalez A, Zins JE (2008) A survey of cosmetic surgery training in plastic surgery programs in the United States. Plast Reconstr Surg 122:1570
Alghonaim Y, Arafat A, Aldeghaither S, Alsugheir S, Salah Aldekhayel S (2019) Social media impact on aesthetic procedures among females in Riyadh, Saudi Arabia. Cureus 11(10):e6008
Preminger BA, Hansen J, Reid CM, Gosman AA (2018) The divergence of ethics and professionalism in the social media arena. Plast Reconstr Surg 141(4):1071–1072
Dorfman R, Vaca EE, Fine NA, Schierle CF (2017) The ethics of sharing plastic surgery videos on social media: systematic literature review, ethical analysis, and proposed guidelines. Plast Reconstr Surg 140:825
Furnas H (2018) Discussion: The ethical and professional use of social media in surgery: a systematic review of the literature. Plast Reconstr Surg 142:399e
Varady NH, Chandawarkar AA, Kernkamp WA, Gans I (2019) Who should you be following? The top 100 social media influencers in orthopaedic surgery. World J Orthop 10(9):327–338
Complete History of Social Media: Then and Now. https://smallbiztrends.com/2013/05/the-complete-history-of-social-media-infographic.html. Accessed 1 July 2020
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Atiyeh, B.S., Chahine, F. & Abou Ghanem, O. Social Media and Plastic Surgery Practice Building: A Thin Line Between Efficient Marketing, Professionalism, and Ethics. Aesth Plast Surg 45, 1310–1321 (2021). https://doi.org/10.1007/s00266-020-01961-2
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DOI: https://doi.org/10.1007/s00266-020-01961-2