Department of Plastic Surgery, Assaf Harofeh "Shamir" Medical Center, Tzrifin, Israel.
Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.
Aesthetic Plast Surg. 2022 Oct;46(5):2181-2188. doi: 10.1007/s00266-021-02676-8. Epub 2021 Dec 2.
The rapid evolution of the social media platform has had a major effect on the field of medicine.
To identify patterns, trends and patients' concerns before and after aesthetic surgeries involving breast implants, by analyzing social media posts.
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.
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%).
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.
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社交媒体平台的快速发展对医学领域产生了重大影响。
通过分析社交媒体帖子，确定涉及乳房植入物的美容手术后的模式、趋势和患者关注点。
我们检查了 2019 年 1 月至 2021 年 5 月期间在以色列三个热门在线公共论坛上发布的评论，内容涉及：乳房增大、乳房提升-增大和乳房植入物取出。
在研究期间，对三个调查论坛共发布了 561 条评论：术前 165 条，术后 396 条。在术前阶段，69 条（42%）帖子讨论了植入物大小、类型和位置。在术后头两个月，问题反映了对术后医嘱、伤口管理和不对称的担忧：分别为 76 条（43%）、59 条（34%）和 27 条（16%）。这些主题一直持续到术后一年。术后一年后，患者的主要关注点是乳房植入物相关间变大细胞淋巴瘤（25 条，28%）、包膜形成（23 条，26%）和全身效应（23 条，26%）。
利用社交媒体来识别美容乳房手术前后的模式、趋势和患者关注点是一种新方法。错误信息很常见，尤其是在术后一年以上的评论中。四个在术后即刻和晚期特别让患者关注的话题是结果不对称、乳房植入物相关间变大细胞淋巴瘤、包膜切除和全身效应。我们建议外科医生和整形医生协会就有争议的主题发表立场文件，以抵制可能产生误导的信息的传播。
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