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Twitter (www.twitter.com) is today the fastest-growing online tool for a person ( doctor or patient before, after a procedure ) to update their status at any point of time. And some plastic surgeons are using this service to the best use. Some doctors are twitting while they are in the middle of surgery, speaking out loud while performing a procedure while an assistant sends out 140-character tweets to all the doctor's followers. After every few twitts, the assistant takes a picture and sends that along as well. Some plastic surgeons opting using this are Kirkland plastic surgeon Dr. Gavin Dry, Rodeo Drive Plastic Surgery, Washington DC dermatologist, Dr. Elizabeth Tanzi

Advantages
a. Physicians can use twitter to allow potential patients follow a procedure or gain an insight on how a procedure is being conducted.
b. It is a good place to generate publicity and get exposure.
c. Information about a surgeon’s website and a brief description of who he is and what he do can be put up.
d. It is a less formal way of giving people information, as well as a feeling for what plastic surgery and their services are all about.
e. These quick updates can provide people with late breaking news and information on what it is like to be a plastic surgery patient.
f. Though some people are against this trend, friends and family members of patients in surgery can follow the procedures live
g. Patients can twit their status or how they are recovering from a procedure to all their friends and family

Disadvantages for surgeons
a. Too much buzz about a surgeon might create bad buzz and its hard to control negative criticism on twitter, not knowing who is a real patient is and who is not.
b. One should also avoid twitting costs during surgery, operating heavy machinery like lasers, or while examining a patient.
d. Take the consent of patients to the twitts before surgery.
e. Avoid revealing identifying information to protect the privacy of patients.

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