Even though before-and-after photography is one of the most powerful assets a surgeon has for communicating their surgical results, a large audit of Instagram before-and-after photography found that approximately 40 percent of posts scored in a low-quality range on standardized quality criteria. This is an issue because patients may not fully separate clinical quality from the photographic quality when evaluating results online. This episode is based on the book Eminence: The New Standard for Plastic Surgery Marketing by Jen Ahlsten. Available on Amazon and at vitruviani.com. About the Author Jen Ahlsten is a brand strategist and author specializing in luxury branding and marketing for plastic surgeons. She is the founder of Vitruviani and wrote Eminence: The New Standard for Plastic Surgery Marketing. She publishes educational content on how branding functions as a long-term commercial asset in plastic surgery. Her 2025 study, available on ResearchGate, compares how patients perceive branded and unbranded plastic surgery practices across five dimensions, including trust, intent to book, and willingness to pay a price premium. Ahlsten's background is in marketing and fine art. Selected publications and resources: LinkedIn · Research · Book · Podcast · Substack · Email · Vitruviani Sources Ahlsten, J. (2026). Eminence: The New Standard for Plastic Surgery Marketing. Vitruviani.Aldahlawi, S., & Al-Noury, K. I. (2024). Picture perfect: Standardizing and safekeeping clinical photography in plastic surgery. Annals of Medicine and Surgery.ElAbd, R., Alghanim, K., Alnesef, M., Alyouha, S., & Samargandi, O. A. (2023). Aesthetic surgery before-and-after photography bias on Instagram. Aesthetic Plastic Surgery.Plastic Surgery Specialists. (2021). Photographic Standards in Plastic Surgery.Shiah, E., Weidman, A. A., Valentine, L., Alvarez, A. H., Foppiani, J. A., & Lin, S. J. (2023). Capitalizing on social media: An evaluation of the public's preferences for plastic surgery social media content. Journal of Plastic, Reconstructive & Aesthetic Surgery.Soares, D. J., et al. (2022). Introducing the SEPIA scoring system: A tool for the assessment of standardization and quality in aesthetic surgery before-and-after photographs. Plastic and Reconstructive Surgery – Global Open.Ward, B., Ward, M., Friedman, O., & Paskhover, B. (2018). Nasal distortion in short-distance photographs: The selfie effect. JAMA Facial Plastic Surgery.