Evidence map›Paper›PMID 40660033›Full record

ArticleAesthetic plastic surgery2025

Embodied Affirmation: Experiences with Gender-Affirming Top Surgery.

Ethan D Paliwoda, Elma Dema, Kiersten Hamilton, Shivani Modi, Melia Wakeman, Hanaa Shihadeh, Benjamin J Schalet, Dzifa S Kpodzo

Abstract read
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In one paragraph

Article in Aesthetic plastic surgery, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Ethan D PaliwodaDivision of Plastic Surgery, Department of Surgery, Albany Medical Center, 50 New Scotland Ave, Albany, NY, 12208, USA. paliwoe@amc.edu.ORCID 0009-0005-5069-5829
Elma DemaUnion College, Schenectady, NY, 12308, USA.
Kiersten HamiltonUnion College, Schenectady, NY, 12308, USA.
Shivani ModiDivision of Plastic Surgery, Department of Surgery, Albany Medical Center, 50 New Scotland Ave, Albany, NY, 12208, USA.
Melia WakemanDivision of Plastic Surgery, Department of Surgery, Albany Medical Center, 50 New Scotland Ave, Albany, NY, 12208, USA.
Hanaa ShihadehDivision of Plastic Surgery, Department of Surgery, Albany Medical Center, 50 New Scotland Ave, Albany, NY, 12208, USA.
Benjamin J SchaletDivision of Plastic Surgery, Department of Surgery, Albany Medical Center, 50 New Scotland Ave, Albany, NY, 12208, USA.
Dzifa S KpodzoDivision of Plastic Surgery, Department of Surgery, Albany Medical Center, 50 New Scotland Ave, Albany, NY, 12208, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundGender-affirming top surgery is an increasingly requested procedure by individuals to address gender dysphoria. On Instagram and TikTok, "#TopSurgery" is currently the most common gender-affirming surgery hashtag, with most content being shared by patients. This study aims to analyze online posts to elucidate patient perceptions and information dissemination related to gender-affirming top surgery.

methodsInstagram and TikTok were queried under "#TopSurgery." Public patient posts discussing their gender-affirming top surgery experiences were collected. Across 808 posts made after 2020, forty-two subthemes were identified reflecting gender-Q foci and were grouped into five central motifs.

resultsThe five central motifs were Psychosocial and Emotional Well-being (31%), Empowerment and Identity Formation (30%), Navigating the Medical Journey (17%), Physical Health and Body Image (16%), and Allies and Stigma (6%). The most common subthemes were Appearance & Body Image (587, 73%), Satisfaction and Relief (576, 71%), Empowerment & Confidence (554, 69%), Positivity & Inspiration (535, 66%), Quality of Life & Mental Health (496, 61%), Self-Esteem & Identity Affirmation (470, 58%), Milestones & Achievements (404, 50%), and Outreach & Health Literacy (306, 38%).

conclusionSignificant differences existed between social media posts shared on Instagram and TikTok, those made before and after surgery, and by those of different identities. Patients use social media to share experiences with gender-affirming top surgery, including emotional, physical, and lifestyle changes. Themes of these posts vary by platform, surgical stage, and gender identity. These insights can enhance the physician-patient relationship, improving counseling, setting patient expectations, and navigating the pre/postoperative period. LEVEL V: OBSERVATIONAL STUDY: This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266 .

Indexed as

Gender-Affirming SurgeryGender DysphoriaSocial MediaTransgender PersonsAdultBody ImageFemaleHumansMaleQuality of LifeSelf ConceptGender affirmationPerspectivesSocial mediaTop surgery

Identifiers

PMID40660033

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.