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

Before-and-After Photography on Social Media: The Pursuit of Impossible Beauty

Plastic surgeons and aesthetic medicine professionals often share "before" and "after" clinical cases on social media, but this practice can lead to unintended consequences, such as dysmorphophobia and unrealistic expectations. These before-and-after images, frequently posted on social media, tend to promote unreachable, sometimes retouched, beauty standards, downplaying the complexities of the surgical process, omitting details about postoperative care, recovery, and potential complications. This can create the illusion that perfection is easily attainable through surgery, fostering unrealistic ideals and negatively impacting viewers' self-image and self-worth. Dysmorphophobia, characterized by an excessive preoccupation with perceived flaws in one's appearance, is closely linked to social media usage, especially among Caucasian women. Plastic surgeons hold the responsibility to provide honest insights into cosmetic procedures on social media, emphasizing the healing process, potential risks, and limitations. Celebrating diversity in appearance and sharing genuine patient stories can combat idealized beauty standards and reduce the stigma surrounding cosmetic surgery. They must prioritize honesty, provide comprehensive context for their images, and promote a broader view of beauty that includes mental health and individual diversity. Their ethical responsibility extends beyond the operating room and should guide all aspects of their professional practice.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 .