title: Factors contributing to patient satisfaction with breast reconstruction using silicone gel implants.
abstract: Recently, concerns have been raised about risks and benefits of silicone gel implants for breast reconstruction. Using a survey conducted during the silicone controversy that began in 1990, this study examines patient satisfaction in 174 women with silicone breast implants. Overall satisfaction was high; 43 percent indicated complete satisfaction, and only 3 percent stated they were "not at all" satisfied. Satisfaction was correlated with each woman's assessment of how reconstruction met her expectations, particularly expectations about clothes fitting better, feeling whole, looking normal, and having similar-appearing breasts. Higher levels of satisfaction also were associated with lower body mass index and absence of medical problems. While patients appeared satisfied with their reconstructions, 34 percent said they would be completely unlikely to choose silicone implants today. Further research is needed to understand the impact of the silicone breast implant debate on women who have had or may consider breast reconstruction.
authors.affiliation: Department of Biostatistics, Duke University Medical Center, Durham, N.C., USA.
authors.forename: K
authors.initials: K
authors.lastname: Fee-Fulkerson
authors.forename: M R
authors.initials: MR
authors.lastname: Conaway
authors.forename: E P
authors.initials: EP
authors.lastname: Winer
authors.forename: C C
authors.initials: CC
authors.lastname: Fulkerson
authors.forename: B K
authors.initials: BK
authors.lastname: Rimer
authors.forename: G
authors.initials: G
authors.lastname: Georgiade
mesh_terms: D000328:Adult; D018427:Breast Implants; D003430:Cross-Sectional Studies; D003625:Data Collection; D005260:Female; D006801:Humans; D016014:Linear Models; D016462:Mammaplasty / Q000295:instrumentation / Q000523:psychology*; D008875:Middle Aged; D017060:Patient Satisfaction; D012189:Retrospective Studies; D012828:Silicones
chemical_list: D012828:Silicones