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Rothwell Classification of AI and Internet Search Results in Blepharoplasty Related Queries.
Alexandrea S Collins1, Taylor E Kring1, Mark Jessup1
1University of Miami Leonard M. Miller School of Medicine, Miami.
The Journal of Craniofacial Surgery
|January 8, 2026
Summary
Online information on blepharoplasty varies in quality. While artificial intelligence (AI) tools offer more reliable answers than traditional search results, careful oversight is needed for patient education.
Area of Science:
- Ophthalmology
- Medical Informatics
- Digital Health
Background:
- Patients increasingly use online search engines and AI for blepharoplasty information.
- The accuracy and reliability of online medical information, including AI-generated content, are often uncertain.
Purpose of the Study:
- To evaluate the quality and reliability of online blepharoplasty information.
- To compare the quality of AI-generated responses versus traditional search engine results (People Also Ask questions).
Main Methods:
- Ten blepharoplasty search terms were used in a standardized Google search.
- AI responses and top 50
- People Also Ask
- questions were collected and analyzed.
- Information quality was assessed using the JAMA benchmark for medical websites.
Main Results:
- Most online questions were fact-based, focusing on technical details and cost.
- Webpages from single-surgeon or practice sites had lower quality scores (JAMA scores).
- AI responses predominantly cited academic sources and had higher JAMA scores than traditional search results.
Conclusions:
- Online blepharoplasty information quality is highly variable and often lacks reliability.
- AI tools show potential for providing higher-quality patient education than traditional search results.
- Regulation and oversight are crucial for ensuring the accuracy of AI-generated medical information.
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