Quality Assessment of Blepharoplasty Information on TikTok: An Observational Qualitative Study
Quality of Blepharoplasty Content on TikTok
DOI:
https://doi.org/10.46570/utjms-2026-1902Keywords:
Blepharoplasty, TikTok, MisinformationAbstract
Introduction: Following a decline in overall surgical volume in 2020 due to the pandemic, there was a +81.7% increase in traditional blepharoplasties in the year 2021. 68% of a study's respondents reported increased awareness of facial plastic surgery (FPS) procedures through social media, which was significantly correlated with the decision to pursue FPS (P = 0.02). TikTok (ByteDance) is a social media platform commonly used by healthcare professionals and patients to share individual experiences and medical advice, and this study evaluates the quality and reliability of TikTok videos discussing blepharoplasties.
Methods: This observational qualitative study analyzed the quality and reliability of TikTok videos discussing blepharoplasties. Videos were selected using six hashtags related to blepharoplasty: #blepharoplasty, #upperblepharoplasty, #lowerblepharoplasty, #eyelidsurgey, and videos tagged with the combination of #blepharoplasty and #surgeryrecovery. The top 20 videos with a minimum of 1,000 views were collected for each hashtag and reviewed by four independent reviewers using the DISCERN tool to assess video quality and reliability. Statistical analyses were performed in Excel using the Data Analysis ToolPak.
Results: Of the 100 TikTok videos that were screened, 99 met inclusion criteria. Healthcare professionals (HCP) created the majority of videos reviewed (n = 51, 51.5%). Plastic surgeons created the most content of all HCPs (n = 31, 60.8%), followed by unspecified physicians (n = 10, 19.6%) and ophthalmologists (n = 6, 11.8%). Videos created by HCPs had significantly higher reliability (T = 5.37, P < 0.001), quality (T = 5.11, P < 0.001), and overall DISCERN scores (T = 8.40, P < 0.001) compared to non-healthcare professionals.
Conclusions: TikTok videos about blepharoplasties have significantly greater reliability, quality, and overall DISCERN scores when they are created by HCPs as compared to non-healthcare professionals. This study underscores the need for active engagement by healthcare professionals on social media to combat misinformation.
References
Subramanian N. Blepharoplasty. Indian J Plast Surg Off Publ Assoc Plast Surg India. 2008 Oct;41(Suppl):S88–92.
Yang P, Ko AC, Kikkawa DO, Korn BS. Upper Eyelid Blepharoplasty: Evaluation, Treatment, and Complication Minimization. Semin Plast Surg. 2017 Feb;31(1):51–7.
Zhang SY, Yan Y, Fu Y. Cosmetic blepharoplasty and dry eye disease: a review of the incidence, clinical manifestations, mechanisms and prevention. Int J Ophthalmol. 2020 Mar 18;13(3):488–92.
Naik MN, Honavar SG, Das S, Desai S, Dhepe N. Blepharoplasty: An Overview. J Cutan Aesthetic Surg. 2009;2(1):6–11.
Al-Dossary SK. Gender and Patient Preferences: Unraveling the Decision-Making Process for Blepharoplasty Among Males and Females. Patient Prefer Adherence. 2025 May 5;19:1295–303.
Liu J, Song B. Review of complications in double eyelid surgery. Indian J Ophthalmol. 2022 May;70(5):1460–5.
Hass AN, Penne RB, Stefanyszyn MA, Flanagan JC. Incidence of postblepharoplasty orbital hemorrhage and associated visual loss. Ophthal Plast Reconstr Surg. 2004 Nov;20(6):426–32.
Kirkpatrick CE, Lawrie LL. TikTok as a Source of Health Information and Misinformation for Young Women in the United States: Survey Study. JMIR Infodemiology. 2024 May 21;4:e54663.
Comp G, Dyer S, Gottlieb M. Is TikTok The Next Social Media Frontier for Medicine? AEM Educ Train. 2020 Oct 21;5(3):10.1002/aet2.10532.
Tahir M, Muhammad U, Muhammad F, Rahman SU, Khan I, Idrees M, et al. Evaluation of Quality and Readability of Online Health Information on High Blood Pressure Using DISCERN and Flesch-Kincaid Tools. Appl Sci. 2020 May 5;10.
Koo TK, Li MY. A Guideline of Selecting and Reporting Intraclass Correlation Coefficients for Reliability Research. J Chiropr Med. 2016 June;15(2):155–63.
Soroceanu A, Ching A, Abdu W, McGuire K. Relationship Between Preoperative Expectations, Satisfaction, and Functional Outcomes in Patients Undergoing Lumbar and Cervical Spine Surgery: A Multicenter Study. Spine. 2012 Jan 15;37(2):E103.
Hargreaves S, Bath PA, Duffin S, Ellis J. Sharing and Empathy in Digital Spaces: Qualitative Study of Online Health Forums for Breast Cancer and Motor Neuron Disease (Amyotrophic Lateral Sclerosis). J Med Internet Res. 2018 June 14;20(6):e9709.
Coughlin SS, Vernon M, Hatzigeorgiou C, George V. Health Literacy, Social Determinants of Health, and Disease Prevention and Control. J Environ Health Sci. 2020;6(1):3061.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2026 Mary Grace Hamlin, Bo DeVries, Pranav Gunturu, Pavan Suresh, Nicholas Kenner, Ariane Crabb, Tiffany Shahrooz (Author)

This work is licensed under a Creative Commons Attribution 4.0 International License.
Authors who publish with this journal agree to the following terms:
- Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License (CC BY 4.0) that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
- Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
- Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work (See The Effect of Open Access).

