Meta and TikTok ad rules for Plastic Surgeons

  1. This page is general information, not legal advice.
  2. Platform rules change often. Check each platform’s current policy before launching.
  3. Platform approval doesn’t mean an ad meets state medical board, FTC or other advertising rules. Review those separately with your counsel.

Plastic surgeons can advertise on Meta and TikTok, but each platform has strict rules. As of November 2026, Meta’s Health and Wellness policy [add link] permits before-and-after imagery for general cosmetic surgery when ads target 18+ and avoid body-shaming. Confirm the current policy before launching. TikTok allows cosmetic surgery ads in the US and Canada with approval and conditions. Most rejections come from targeting, claims and landing pages.

Last updated: November 8, 2026. Next review: February 2027. Platform rules change often. Check each platform’s current policy before launching.

Meta (Facebook and Instagram)

  • Before-and-after images. Meta’s Health and Wellness standard, last updated July 22, 2026, lists general cosmetic procedures and surgeries depicting before-and-after transformation as allowed, without negative self-perception tactics.
  • Age. Cosmetic procedure and surgery ads must target people 18 and older.
  • Messaging. No body-shaming, no exploiting insecurities, no implying someone should feel bad about their looks.
  • Higher-risk categories. Weight loss products and wrinkle or anti-aging treatments such as Botox and fillers have stricter imagery rules. HighKey does not run side-by-side comparisons for these.
  • Full review. Meta reviews the image, text on image, targeting and landing page together. A policy-safe ad can still fail if the landing page contradicts it.
  • Ads for prescription weight-loss drugs have additional requirements, including advertiser certification, and aren’t covered on this page.
  • Edits. Editing an approved ad typically triggers a new review.

TikTok

  • According to TikTok’s March 2026 policy update, cosmetic surgery ads are permitted in the US and Canada with approval and conditions.
  • TikTok’s policy lists requirements including approval, adult-only targeting, licensed providers, disclosure of medical risks and recovery times, and no results imagery that exaggerates outcomes.

Organic posts vs. ads

Ads and organic posts follow different rules. Community guidelines apply to organic content, and graphic or bloody surgical footage is a frequent reason a post is limited or removed. We film and edit organic content with both sets of rules in mind.

    Patient media and privacy

    • Every patient photo or video needs signed written authorization before use.
    • Ads must never imply knowledge of a viewer’s health status.
    • Comments and DMs are for scheduling. Clinical discussion moves to your office.

    • Never confirm or discuss whether someone is a patient in public comments or replies.

    HighKey pre-launch checklist

    We review each item with your practice before launch. Your practice is responsible for patient authorizations and the accuracy of medical claims.

    1. Age targeting set to 18+.
    2. No body-shaming or insecurity messaging.
    3. Results shown only in a format the platform allows.
    4. Signed authorization on file for every patient shown.
    5. No guaranteed outcomes or unrealistic timelines.
    6. Landing page matches the ad.
    7. Disclosure of risks and recovery where the platform requires it.
    8. Account and page in good standing before spend starts.
    9. Credentials and claims, such as board certification, are accurate and match state rules.

    Change log

    • November 2026: Page published. Reflects Meta’s July 22, 2026 Health and Wellness update and TikTok’s March 2026 cosmetic surgery update.