title: The battle for hearts and minds: who is communicating most effectively with the cosmetic marketplace?
abstract: BACKGROUND
  Cosmetic surgery, historically the purview of plastic surgeons, has in recent years seen an influx of practitioners from other fields of training. Many of these new providers are savvy in marketing and public relations and are beginning to control a surprisingly large amount of cosmetic patient care.
  
  
  OBJECTIVE
  The purpose of this study is to measure the amount of traffic being attracted to the Web sites of individual practitioners and organizations vying for cosmetic patients. This study investigates the trends of the past 12 months and identifies changes of special concern to plastic surgeons.
  
  
  METHODS
  The Web sites of 1307 cosmetic providers were monitored over a year's time. The Web activity of two million individuals whose computers were loaded with a self-reporting software package was recorded and analyzed. The Web sites were analyzed according to the specialty training of the site owner and total unique visits per month were tallied for the most prominent specialties. The dominant Web sites were closely scrutinized and the Web optimization strategies of each were also examined.
  
  
  RESULTS
  There is a tremendous amount of Web activity surrounding cosmetic procedures and the amount of traffic on the most popular sites is continuing to grow. Also, a large sum of money is being expended to channel Web traffic, with sums in the thousands of dollars being spent daily by top Web sites. Overall in the past year, the private Web sites of plastic surgeons have increased their reach by 10%, growing from 200,000 to approximately 220,000 unique visitors monthly. Plastic surgery remains the specialty with the largest number of Web visitors per month. However, when combined, the private Web sites of all other providers of aesthetic services have significantly outpaced plastic surgery's growth. The traffic going to non-plastic surgeons has grown by 50% (200,000 visitors per month in September 2008 to 300,000 visitors monthly in September 2009).
  
  
  CONCLUSIONS
  For providers of aesthetic services, communication with the public is of utmost importance. The Web has become the single most important information resource for consumers because of easy access. Plastic surgeons are facing significant competition for the attention of potential patients, with increasingly sophisticated Web sites and listing services being set up by independent parties. It is important for plastic surgeons to become familiar with the available Internet tools for communication with potential patients and to aggressively utilize these tools for effective practice building.
authors.affiliation: Department of Plastic Surgery, Loma Linda University Medical Center, Loma Linda, California, USA. mcamp@llu.edu
authors.forename: Matthew C
authors.initials: MC
authors.lastname: Camp
authors.forename: Wendy W
authors.initials: WW
authors.lastname: Wong
authors.forename: Jason L
authors.initials: JL
authors.lastname: Mussman
authors.forename: Subhas C
authors.initials: SC
authors.lastname: Gupta
mesh_terms: D000329:Advertising / Q000379:methods / Q000639:trends; D003142:Communication; D004465:Economic Competition / Q000639:trends; D004954:Esthetics; D006801:Humans; D033181:Information Dissemination / Q000379:methods; D020407:Internet; D008389:Marketing of Health Services / Q000379:methods / Q000639:trends; D011641:Public Relations; D019651:Plastic Surgery Procedures / Q000379:methods*; D013518:Surgery, Plastic / Q000379:methods* / Q000639:trends