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

Vaca, Elbert E.; Perez, Monica A.; Lamano, Jonathan B.; Turin, Sergey Y.; Moradian, Simon; Fagien, Steven; Schierle, Clark

doi:10.1093/asj/sjab203

Cited by 7 publications

(11 citation statements)

References 26 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…[26][27][28] Despite the need for better adherence to standards, recent evidence has pointed to a decline in the quality of BAPs issued by PRSS practitioners as well, showing an overall 97% prevalence of biased photographic misrepresentations that positively correlates with follower count. 8 These findings suggest that photographic misrepresentation is pervasive online and rewarded with greater viewership, potentially being disseminated to the largest audiences. 8 The boom in illusory content mirrors the rise in the incidence of mental health issues in the adolescent and young adult US population-including depression, anxiety, and body image disorders-that has been partially attributed to the increased use of SM.…”

Section: Discussionmentioning

confidence: 96%

“…8 These findings suggest that photographic misrepresentation is pervasive online and rewarded with greater viewership, potentially being disseminated to the largest audiences. 8 The boom in illusory content mirrors the rise in the incidence of mental health issues in the adolescent and young adult US population-including depression, anxiety, and body image disorders-that has been partially attributed to the increased use of SM. [29][30][31][32] Compared with nonusers, SM users demonstrate a propensity toward lower self-esteem, dysmorphia, and reliance on external validation.…”

Section: Discussionmentioning

confidence: 96%

“… 26 – 28 Despite the need for better adherence to standards, recent evidence has pointed to a decline in the quality of BAPs issued by PRSS practitioners as well, showing an overall 97% prevalence of biased photographic misrepresentations that positively correlates with follower count. 8 These findings suggest that photographic misrepresentation is pervasive online and rewarded with greater viewership, potentially being disseminated to the largest audiences. 8 …”

Section: Discussionmentioning

confidence: 96%

“… 8 These findings suggest that photographic misrepresentation is pervasive online and rewarded with greater viewership, potentially being disseminated to the largest audiences. 8 …”

Section: Discussionmentioning

confidence: 96%

“…4,5 However, with the rapid growth in the number of nonsurgical modalities that are now accessible to specialties outside of PRSS, and an explosive growth in the marketing-related utilization of before and after photographs (BAPs) on social media (SM), a trend of declining adherence to photographic norms has been identified. 6–9…”

Section: Introductionmentioning

confidence: 99%

See 4 more Smart Citations

#TheUglyTruth? A Qualitative Evaluation of Outcomes Photography on Instagram: Introducing the SEPIA Scoring System

Soares

Haven²,

Yi³

2022

Plastic and Reconstructive Surgery - Global Open

View full text Add to dashboard Cite

Background: Photographs of cosmetic treatment outcomes on social media are prone to bias and misrepresentation from nonadherence to established photographic standards. However, there is currently insufficient information regarding which norms are most-commonly violated, precluding quality improvement efforts. Methods: A qualitative study of cosmetic treatment photographs published on Instagram was undertaken in accordance with the Guidelines for Reporting Reliability and Agreement Studies using a newly proposed Standards for the Evaluation of Photographs In Aesthetics (SEPIA) nine-point photograph scoring system and grading scale. Results: A total of 510 posts encompassing 2020 clinical photographs published by 102 practitioner accounts on Instagram were audited for photographic quality. The average score was 4 out of 9 (medium quality), with approximately 40% of posts scoring in the low-quality range. Zoom, lighting, timing, and presentation of multiple views were the standards most-commonly disregarded. Plastic and Reconstructive Surgery specialty and subspecialty (PRSS) practitioners scored higher (4.5/9 versus 3.1/9, P = 0.002) and had fewer low-quality posts (22% versus 54%, P = 0.001) than non-PRSS providers. Low-quality photographs were most often seen with rhinoplasty (30% versus 7%, P < 0.00001) and lip filler (60% versus 33%, P = 0.0001) compared with surgical and nonsurgical treatments, respectively, due to a higher incidence of immediate photographs and selfies. Conclusions: Before and after photographs of surgical and nonsurgical cosmetic treatment outcomes on social media are frequently of substandard quality. This study outlines specific items frequently neglected in outcomes photography to assist practitioners in maximizing adherence to established standards of photography online.

show abstract

Section: Discussionmentioning

confidence: 96%

Section: Discussionmentioning

confidence: 96%

Section: Discussionmentioning

confidence: 96%

“… 8 These findings suggest that photographic misrepresentation is pervasive online and rewarded with greater viewership, potentially being disseminated to the largest audiences. 8 …”

Section: Discussionmentioning

confidence: 96%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

#TheUglyTruth? A Qualitative Evaluation of Outcomes Photography on Instagram: Introducing the SEPIA Scoring System

Soares

Haven²,

Yi³

2022

Plastic and Reconstructive Surgery - Global Open

View full text Add to dashboard Cite

show abstract

Aesthetic Surgery Before-and-After Photography Bias on Instagram

ElAbd,

Alghanim,

Alnesef

et al. 2023

Aesth Plast Surg

View full text Add to dashboard Cite

The Ethics and Responsibilities of Social Media Usage by Plastic Surgeons: A Literature Review

Oregi,

Cavale,

Khatib

et al. 2023

Aesth Plast Surg

View full text Add to dashboard Cite

Background and Objectives Social media has revolutionised how plastic surgeons advertise their work and promote their services, but concerns have been raised regarding the ethics of these practices. This review aims to identify said concerns and develop measures to address them. Methods PubMed, Cochrane and Medline were searched for studies assessing the ethics of social media use by plastic surgeons. Five search terms were used and 23 studies identified. Results were catalogued according to which principle of medical ethics was infringed. Results Autonomy: Patients must not be coerced into allowing their operative media to be shared and content anonymised by removing identifiable features and scrubbing metadata. Beneficence: It is difficult to balance the benefit to patients of posting photographs for educational purposes with the risk of identifiable features being present, particularly within craniofacial surgery. Non-maleficence: Taking operative media could be a distraction from the patient and lengthen the procedure which could lead to harm. Any content posted on social media should be adapted to avoid trivialisation or sexualisation. Justice: Surgeons should not entertain their audience to increase their following at the expense of patients. Conclusions Greater oversight of social media use by plastic surgeons is required to avoid patient harm and tarnishing of the specialty’s professional standing. Professional bodies should be tasked with devising a course dedicated to the responsible use of these platforms. This should ensure the public’s trust in the specialty does not become eroded and patients are not harmed by unethical social media use. This review highlights the relevant shortfalls of SoMe use by plastic surgery Several proposals are made to reduce the incidence of these shortfalls and to ensure SoMe is used in a professional and responsible manner It also lists areas of the specialty where SoMe is underused and could be of help, such as academia Level of Evidence IV 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 http://www.springer.com/00266.

show abstract

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

Cited by 7 publications

References 26 publications

#TheUglyTruth? A Qualitative Evaluation of Outcomes Photography on Instagram: Introducing the SEPIA Scoring System

#TheUglyTruth? A Qualitative Evaluation of Outcomes Photography on Instagram: Introducing the SEPIA Scoring System

Aesthetic Surgery Before-and-After Photography Bias on Instagram

The Ethics and Responsibilities of Social Media Usage by Plastic Surgeons: A Literature Review

Contact Info

Product

Resources

About