Evidence map›Paper›PMID 42310087›Full record

ArticleAesthetic plastic surgery2026

An Evaluation of Breast Augmentation: Accuracy, Utility, and Accessibility of Knowledge for Patient Education and Consultation with Artificial Intelligence.

Emrah Işıktekin, Yusuf Furkan Kırış, Salih Kılıç, Betül Gözel

Abstract readComparative Study
In one paragraph

Article in Aesthetic plastic surgery, 2026. 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

4 authors.

Emrah IşıktekinDepartment of Plastic, Reconstructive and Aesthetic Surgery, Faculty of Medicine, Balıkesir University, Balıkesir, Turkey.ORCID http://orcid.org/0000-0001-6068-9899
Yusuf Furkan KırışDepartment of Plastic, Reconstructive and Aesthetic Surgery, Faculty of Medicine, Balıkesir University, Balıkesir, Turkey.ORCID http://orcid.org/0009-0001-7672-289X
Salih KılıçDepartment of Plastic, Reconstructive and Aesthetic Surgery, Faculty of Medicine, Balıkesir University, Balıkesir, Turkey. salih.kilic@balikesir.edu.tr.ORCID http://orcid.org/0009-0000-6402-9943
Betül GözelDepartment of Plastic, Reconstructive and Aesthetic Surgery, Faculty of Medicine, Balıkesir University, Balıkesir, Turkey.ORCID http://orcid.org/0000-0002-1333-841X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe purpose of this study is to compare the answers of the 12 most frequently asked questions regarding breast augmentation surgery on both Google Gemini and ChatGPT-4.5. Our research highlights the growing importance and differential performance of artificial intelligence models in informing patients before surgery.

methodsThe 12 most asked questions about breast augmentation, based on user engagement metrics, were obtained from the Realself website. These twelve questions were investigated on both Google Gemini and ChatGPT-4.5. Information received from both platforms was analyzed and evaluated by ten plastic surgeons with European Board of Plastic Reconstructive and Aesthetic Surgery (EBOPRAS) certification. The surgeons, who reached a consensus on the application of the Global Quality Score (GQS) scale prior to evaluation, were blinded to the source of the answers. The GQS scale was used for the evaluation.

resultsThe average results obtained were compared with each other. While the average of Google Gemini responses was calculated at 2.842, the average of ChatGPT-4.5 responses was calculated at 3.867. For this calculation, the Wilcoxon signed-rank test was used. It was found that the ChatGPT-4.5 responses were statistically superior to Google Gemini according to the Global Quality Score (GQS) (p = 0.003).

conclusionWhile there is emerging research on AI in plastic surgery, studies specifically comparing ChatGPT and Gemini for breast augmentation patient education using a blinded evaluation by board-certified surgeons remain limited. We suggest that AI-powered chatbots offer significant advantages for patient education but should be used cautiously. While ethical concerns persist, this study underscores the practicality of ChatGPT in informing patients about plastic surgery procedures, emphasizing the need for careful usage and collaboration to optimize benefits while minimizing risks. LEVEL OF EVIDENCE V: 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

Artificial IntelligenceMammaplastyPatient Education as TopicAdultFemaleGenerative Artificial IntelligenceHumansSurveys and QuestionnairesArtificial intelligenceBreastBreast augmentationChatGPTPatient education

Identifiers

PMID42310087
PMCPMC13493419

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.