Toward Transparent AI-Enabled Patient Selection in Cosmetic Surgery by Integrating Reasoning and Medical LLMs.

Abstract

Existing AI solutions-like the XGBoost tool by Li et al.-show potential for preoperative screening but rely on fixed questionnaires and opaque feature weighting. We introduce a hybrid framework that combines reasoning LLMs (OpenAI o3, DeepSeek R1, Google Gemini 2.5, Anthropic Claude 3.7 Sonnet) with specialty medical models (Baichuan-M1, Zhipu AI GLM-4-9B-Chat, OpenBioLLM-Llama-70B, MedLLaMA3-v20, Med-PaLM 2, SurgeryLLM). Patient inputs-structured and free-text-are ingested via a secure mobile a