Instagram vs Reality: Assessment of the Representation of Lip Aesthetic Subtypes on Social Media Using the Lip Classification of Tubercles System.

Aesthetic surgery journal. Open forum Pub Date : 2025-02-05 eCollection Date: 2025-01-01 DOI:10.1093/asjof/ojaf010
Steven Harris, Fabrizio Castellari, Madara Orlovska, Don Othoro, Greg Bran
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Abstract

Background: Social media platforms, particularly Instagram appear to be influencing contemporary beauty standards, especially concerning lip enhancements. Understanding the prevalent lip types showcased can offer valuable insights into evolving aesthetic ideals to inform both patients and practitioners.

Objectives: This study aims to analyze lip types associated with minimally invasive lip enhancements on Instagram (Meta, Menlo Park, CA) and compare these findings with classifications from a patient clinic using the Lip Classification of Tubercles system.

Methods: A within-participants design was employed to examine 120 "before and after" images from 4 trending Instagram hashtags related to lip enhancements. Four expert examiners performed the classification, and interrater reliability was assessed. Data from a previous study involving patients from an aesthetic clinic (n = 214) were incorporated to compare the frequencies of lip types in the clinic and on Instagram.

Results: The interrater reliability for lip classification on Instagram was very good (Fleiss' Kappa: pretreatment k = 0.817; posttreatment k = 0.837). The most common lip-type pretreatment was 1A, which dramatically shifted to Type 3A posttreatment. The comparison with the patient clinic revealed that although Type 1A was the most prevalent in both datasets, Instagram exhibited lower variability, with only 10 unique types identified pretreatment and a predominant Type 3A posttreatment.

Conclusions: The representations of lip enhancements on Instagram reflect a narrower range of lip types compared with clinical findings, including a dramatic shift toward a Type 3A lip shape. This standardization of beauty ideal highlights the need for further exploration of social media's influence on lip enhancement preferences and the associated risks, as well as how these trends shape patient expectations in aesthetic practices.

Level of evidence 4 diagnostic:

Instagram vs现实:利用结节系统的嘴唇分类评估社交媒体上嘴唇美学亚型的表现。
背景:社交媒体平台,尤其是Instagram,似乎正在影响当代的审美标准,尤其是在丰唇方面。了解流行的唇型可以为不断发展的审美理想提供有价值的见解,以告知患者和医生。目的:本研究旨在分析Instagram (Meta, Menlo Park, CA)上与微创嘴唇增强相关的唇型,并将这些发现与使用唇结节分类系统的患者临床分类进行比较。方法:采用参与者内部设计来检查来自4个Instagram热门话题标签的120张与丰唇相关的“前后”图片。四名专家审查员进行了分类,并评估了相互信度。之前一项研究的数据来自一家美容诊所的患者(n = 214),用于比较诊所和Instagram上唇型的频率。结果:Instagram上唇型分类的判读信度非常好(Fleiss’Kappa:预处理k = 0.817;处理后k = 0.837)。最常见的唇型预处理为1A型,后处理显著转变为3A型。与患者诊所的比较显示,尽管1A型在两个数据集中最普遍,但Instagram表现出较低的可变性,只有10种独特的预处理类型和主要的3A型后处理。结论:与临床结果相比,Instagram上的唇型增强图反映的唇型范围更窄,包括向3A型唇型的巨大转变。这种审美理想的标准化凸显了进一步探索社交媒体对丰唇偏好的影响和相关风险的必要性,以及这些趋势如何影响患者对美容实践的期望。4级诊断证据:
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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