From Hashtags to Health Narratives: A Content Analysis of Breast Implant Illness on TikTok.

IF 2 3区医学 Q2 SURGERY

Aesthetic Plastic Surgery Pub Date : 2025-07-23 DOI:10.1007/s00266-025-05074-6

Payton K Grande, Jacob R Siegel, Shawnece Frazier-Mayfield, Osayamen Atekha, Kometh Thawanyarat, Rahim S Nazerali

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引用次数: 0

Abstract

Background: Breast Implant Illness (BII) is a term used to describe a constellation of nonspecific symptoms attributed to breast implants and is increasingly discussed on social media platforms like TikTok. Understanding online discourse surrounding BII is important to better appreciate patient experiences and recognize potential impacts on patient decision-making.

Objectives: This study aims to assess available information on TikTok regarding BII by examining both video content, quality, and engagement while identifying prevailing trends in the discourse.

Methods: TikTok was queried using BII-related hashtags. Relevant videos with over 10,000 views were included. Video engagement metrics, creator type, content, and purpose were analyzed. DISCERN and Global Quality Scale (GQS) scores were utilized to assess the quality of health information.

Results: The analyzed videos accumulated over 116 million views, with patients being the predominant content creators (73.9%). Engagement metrics did not differ significantly between creator types or board certification status, but verified accounts received significantly higher engagement. Personal experience videos were more common (45.7%) than entertainment (28.3%) and education (26.1%) videos, yet entertainment-focused videos received significantly more views and likes (p < 0.05). Overall, video quality was low, with plastic surgeons producing significantly higher DISCERN and GQS scores than patients (p < 0.001).

Conclusion: Social media serves as an important space for BII discourse, but the predominance of anecdotal content over evidence-based knowledge raises concerns about misinformation. Plastic surgeons' videos were higher quality but did not achieve greater engagement, highlighting the need for greater provider participation to strengthen accurate and appropriate patient information.

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.

查看原文本刊更多论文

从话题标签到健康叙事：TikTok上乳房植入疾病的内容分析。

背景：乳房植入病（Breast Implant Illness，简称BII）是一个用于描述由乳房植入物引起的一系列非特异性症状的术语，在TikTok等社交媒体平台上的讨论越来越多。了解围绕BII的在线讨论对于更好地了解患者体验和认识对患者决策的潜在影响非常重要。目的：本研究旨在通过检查视频内容、质量和参与度，同时确定话语中的主流趋势，评估TikTok上有关BII的现有信息。方法：使用bii相关标签对TikTok进行查询。相关视频点击量超过1万次。我们分析了视频参与指标、创作者类型、内容和目的。使用DISCERN和全球质量量表（GQS）评分来评估健康信息的质量。结果：所分析的视频累计观看量超过1.16亿次，以患者为主（73.9%）。用户粘性指标在创建者类型或董事会认证状态之间没有显著差异，但认证账户的用户粘性明显更高。个人体验视频比娱乐（28.3%）和教育（26.1%）视频更常见（45.7%），但以娱乐为重点的视频获得的观看量和点赞量明显更多(p结论：社交媒体是BII话语的重要空间，但轶事内容对基于证据的知识的主导地位引发了对错误信息的担忧。整形外科医生的视频质量更高，但没有达到更大的参与度，这突出了需要更多的提供者参与，以加强准确和适当的患者信息。证据等级v：本刊要求作者为每篇文章指定证据等级。有关这些循证医学评级的完整描述，请参阅目录或在线作者说明www.springer.com/00266。

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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来源期刊

Aesthetic Plastic Surgery 医学-外科

CiteScore

4.40

自引率

25.00%

发文量

479

审稿时长

3 months

期刊介绍： Aesthetic Plastic Surgery is a publication of the International Society of Aesthetic Plastic Surgery and the official journal of the European Association of Societies of Aesthetic Plastic Surgery (EASAPS), Società Italiana di Chirurgia Plastica Ricostruttiva ed Estetica (SICPRE), Vereinigung der Deutschen Aesthetisch Plastischen Chirurgen (VDAPC), the Romanian Aesthetic Surgery Society (RASS), Asociación Española de Cirugía Estética Plástica (AECEP), La Sociedad Argentina de Cirugía Plástica, Estética y Reparadora (SACPER), the Rhinoplasty Society of Europe (RSE), the Iranian Society of Plastic and Aesthetic Surgeons (ISPAS), the Singapore Association of Plastic Surgeons (SAPS), the Australasian Society of Aesthetic Plastic Surgeons (ASAPS), the Egyptian Society of Plastic and Reconstructive Surgeons (ESPRS), and the Sociedad Chilena de Cirugía Plástica, Reconstructiva y Estética (SCCP). Aesthetic Plastic Surgery provides a forum for original articles advancing the art of aesthetic plastic surgery. Many describe surgical craftsmanship; others deal with complications in surgical procedures and methods by which to treat or avoid them. Coverage includes "second thoughts" on established techniques, which might be abandoned, modified, or improved. Also included are case histories; improvements in surgical instruments, pharmaceuticals, and operating room equipment; and discussions of problems such as the role of psychosocial factors in the doctor-patient and the patient-public interrelationships. Aesthetic Plastic Surgery is covered in Current Contents/Clinical Medicine, SciSearch, Research Alert, Index Medicus-Medline, and Excerpta Medica/Embase.