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Assessing ChatGPT-4o's Image Generation for Educational Infographics in Plastic Surgery: A Pilot Study
Gianluca Marcaccini1, Omar Shadid2, Ishith Seth2,3
1Department of Plastic and Reconstructive Surgery, University of Siena, 53100, Siena, Italy. gianlu32@gmail.com.
Aesthetic Plastic Surgery
|February 12, 2026
Summary
Generative AI like ChatGPT-4o can create effective, visually appealing patient education infographics for plastic surgery. While anatomical accuracy needs improvement, AI shows promise for enhancing patient communication.
Area of Science:
- Medical Illustration
- Artificial Intelligence in Healthcare
- Plastic Surgery Education
Background:
- Generative AI, specifically ChatGPT-4o, offers advanced language and image generation for patient education.
- Visually intensive fields like plastic surgery can benefit from AI-powered content creation.
Purpose of the Study:
- To evaluate ChatGPT-4o's efficacy in generating educational infographics for common plastic surgery procedures.
- To assess the quality of AI-generated infographics based on expert surgeon evaluations.
Main Methods:
- Pilot study using ChatGPT-4o to create infographics for rhinoplasty, blepharoplasty, abdominoplasty, facelift, and liposuction.
- Expert plastic surgeons (N=4) rated infographics on visual appeal, clarity, accuracy, educational value, and suitability.
- Descriptive statistics and one-sample t tests analyzed evaluation scores.
Main Results:
- All infographics achieved mean Likert scores above 4.0 across all evaluated domains.
- Visual appeal received the highest rating (mean 4.72 ± 0.08).
- Anatomical accuracy was rated lower (mean 4.32 ± 0.08) but still significantly above the benchmark (p < 0.001).
Conclusions:
- ChatGPT-4o shows significant potential for creating visually engaging and educationally sound plastic surgery infographics.
- Further development is needed to enhance anatomical precision in AI-generated visuals.
- AI-generated visual tools can improve patient communication, engagement, and informed consent in clinical practice.

