American Society of Plastic Surgeons
For Medical Professionals

Googling Liposuction? Study Shows Low Quality of Online Information

Patients doing Internet searches to learn about liposuction will find overall "very poor" quality of information, reports a study in Plastic and Reconstructive Surgery-Global Open®, the official open-access medical journal of the American Society of Plastic Surgeons (ASPS).

Areas of special concern include the lack of information on possible risks of liposuction, as well as "disappointing" low quality of information presented by plastic surgeons' websites, according to the report by Dr. Adrian Fernando Palma of University Hospital Zurich, Switzerland, and colleagues.

Call for Better Online Information on Common Plastic Surgery Procedure

Using popular web search engines, the researchers identified 245 websites providing information on liposuction (excluding duplicate and irrelevant sites). The websites were evaluated using the modified "Ensuring Quality Information for Patients" (EQIP) tool, which provides a standardized assessment of the quality and completeness of Internet health information. The results showed "substantial shortcomings" of the online information about liposuction. Only about 30 percent of sites had "high scores" on the EQIP, earning at least 18 out of 36 possible points. The median score was 16 out of 36 possible points, with a range of eight to 29 points.

Nearly two-thirds of the websites were developed by plastic surgeons and practices and practices offering liposuction services. But the quality of the information provided was low-more than three-fourths of websites developed by plastic surgeons had low scores for quality of information.

In contrast, other types of websites-including those developed by professional societies (such as ASPS), portals, patient groups, health departments, and academic centers-scored higher for quality of information about liposuction.

But few of the websites provided information on complications associated with liposuction. Surprisingly, most sites developed by plastic surgeons did not mention any of the potential risks. While liposuction is generally a very safe procedure, the overall complication rate has been reported as high as one in every ten patients. The estimated mortality rate is one out of 5,000 procedures.

Information on risks is especially important given the large numbers of patients undergoing liposuction. According to ASPS statistics, more than 222,000 cosmetic liposuction procedures were performed in 2015, up five percent from the previous year. Liposuction is now the second-most frequently performed cosmetic plastic surgery procedure in the United States.

"According to our results, the overall quality of information on liposuction for patients is very poor," Dr. Palma and colleagues write. While the low quality of plastic surgeons' websites is particularly disappointing, they note that even the highest-scoring websites have significant limitations.

"Better quality of patient information is needed especially in terms of the surgical procedure, qualitative and quantitative benefits and risks for the patient, how complications are handled, and what precautions patients can take," Dr. Palma and coauthors conclude. They also suggest that website developers use the EQIP tool to ensure the good quality of the information presented.

Plastic and Reconstructive Surgery-Global Open® is published by Wolters Kluwer.

Click here to read "Systematic Review of Quality of Patient Information on Liposuction in the Internet."

Article: "Systematic Review of Quality of Patient Information on Liposuction in the Internet." (doi: 10.1097/GOX.0000000000000798.)

About PRS Global Open

Plastic and Reconstructive Surgery—Global Open (PRS Global Open) is an open access, rigorously peer-reviewed, international journal focusing on global plastic and reconstructive surgery. PRS Global Open educates and supports plastic surgeons globally to provide the highest quality patient care and maintain professional and ethical standards through education, research, and advocacy.

About ASPS

The American Society of Plastic Surgeons (ASPS) is the world's largest organization of board-certified plastic surgeons. Representing more than 8,000 member surgeons, the Society is recognized as a leading authority and information source on aesthetic and reconstructive plastic surgery. ASPS comprises more than 93 percent of all board-certified plastic surgeons in the United States. Founded in 1931, the Society represents physicians certified by The American Board of Plastic Surgery or The Royal College of Physicians and Surgeons of Canada. ASPS advances quality care to plastic surgery patients by encouraging high standards of training, ethics, physician practice and research in plastic surgery.

About Wolters Kluwer

Wolters Kluwer is a global leader in professional information services. Professionals in the areas of legal, business, tax, accounting, finance, audit, risk, compliance and healthcare rely on Wolters Kluwer's market leading information-enabled tools and software solutions to manage their business efficiently, deliver results to their clients, and succeed in an ever more dynamic world.

Wolters Kluwer reported 2015 annual revenues of €4.2 billion. The group serves customers in over 180 countries, and employs over 19,000 people worldwide. The company is headquartered in Alphen aan den Rijn, the Netherlands. Wolters Kluwer shares are listed on Euronext Amsterdam (WKL) and are included in the AEX and Euronext 100 indices. Wolters Kluwer has a sponsored Level 1 American Depositary Receipt program. The ADRs are traded on the over-the-counter market in the U.S. (WTKWY).

Wolters Kluwer Health is a leading global provider of information and point of care solutions for the healthcare industry. For more information about our products and organization, visit, follow @WKHealth or @Wolters_Kluwer on Twitter, like us on Facebook, follow us on LinkedIn, or follow WoltersKluwerComms on YouTube.


Patient Care Center