Anatomy against the algorithm

Area of Science:

• Ophthalmology
• Plastic Surgery
• Digital Media Studies

Background:

• Social media beauty filters significantly influence patient self-perception and aesthetic requests.
• Patients increasingly present filtered images as surgical goals, posing challenges in oculoplastic consultations.

Purpose of the Study:

• To analyze the discrepancy between social media filter-induced aesthetic desires and surgical realities in oculoplastics.
• To explore communication strategies for managing patient expectations shaped by digital distortions.

Main Methods:

• Case study analysis of a patient requesting to emulate a filtered appearance.
• Objective assessment using caliper measurements to compare filtered features with anatomical possibilities.
• Qualitative analysis of patient-clinician communication dynamics.

Main Results:

• Some aesthetic requests (e.g., brow elevation, lid adjustments) are surgically feasible.
• Other requests (e.g., narrowed interpupillary distance, enlarged irises) are anatomically impossible due to digital distortion.
• Reframing the discussion towards underlying goals (e.g., appearing rested, confident) is a constructive approach.

Conclusions:

• Clinicians must address the gap between digital ideals and anatomical limitations with honesty and empathy.
• Effective communication is crucial for setting realistic expectations and preserving patient trust in the digital age.
• Safeguarding patient identity requires acknowledging the emotional drivers behind aesthetic requests influenced by technology.