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Assessing the quality and reliability of patient information regarding aesthetic fat grafting on YouTube

Doug Dembinski MD, Meredith G. Moore BS, Fernando Ovalle Jr MD , Ryan M. Gobble MD
University of Cincinnati
2020-01-27

Presenter: Doug Dembinski

Affidavit:
This is the original work of the resident

Director Name: Ann Schwentker

Author Category: Resident Plastic Surgery
Presentation Category: Clinical
Abstract Category: Aesthetics

Background:
Patients increasingly consult social media regarding aesthetic surgery information. Given that fat transfer operations continue to become more commonplace in surgeons' practices as well as in media coverage, this study assesses the quality and reliability of patient information available on YouTube regarding aesthetic fat grafting procedures.

Methods:

The terms "fat grafting" and "fat transfer" were searched on YouTube with respect to the terms "face", "breast", "buttock", and "Brazilian butt lift". Filtered by view count, the top 20 unique, English language, aesthetic surgery-related videos for each search combination were reviewed by three independent reviewers for demographic and descriptive characteristics. Videos were rated for information reliability and quality using the Modified DISCERN (MD) tool (1 = low, 5 = high) and Global Quality Scale (GQS) (1 = poor, 5 = excellent).

Results:

Out of 80 total videos, 76% were authored by physicians and 24% by laypersons. The overall mean MD score was 1.5 and mean GQS was 2.6. Videos authored by physicians outscored those by non-medical authors (MD: 1.6 vs. 1.3; GQS 2.7 vs. 2.2). Board-certified plastic surgeon videos (N = 30) scored higher on both the MD (1.7 vs 1.3) and GQS (3.1 vs 2.2) than non-medical authors. On the contrary, videos by laypersons and non-plastic surgeons had 40% more views, twice as many "likes", and nearly double as many subscribers.

Conclusion:

The overall quality of information presented in aesthetic fat grafting procedures videos on YouTube is low and from unreliable sources. Surgeons should educate patients regarding potentially inaccurate information.

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