title: Factors that influence the decision to undergo cosmetic breast augmentation surgery.
abstract: BACKGROUND
  This study examined the factors that motivate women to seek cosmetic breast augmentation surgery.
  
  
  METHODS
  Twenty-five breast augmentation surgery candidates completed measures of body image dissatisfaction, sociocultural influences on physical appearance, marital and sexual satisfaction, and self-report questionnaires that assessed other motivations for surgery. Thirty physically similar women who were not interested in breast augmentation also completed the measures.
  
  
  RESULTS
  Replicating previous studies, breast augmentation candidates, compared with controls, reported greater dissatisfaction with their breasts. The two groups, however, did not differ on overall body image dissatisfaction or greater awareness or internalization of sociocultural influences on physical appearance. Breast augmentation patients reported more positive sexual functioning compared with controls.
  
  
  CONCLUSIONS
  Overall, breast augmentation patients appeared to be motivated by their feelings about their breasts rather than direct or indirect influence from external sources, such as romantic partners or sociocultural representations of beauty. These findings provide new information on the motivations behind breast augmentation and dispute several stereotypes about the factors that influence the pursuit of this surgery.
authors.affiliation: Drexel University, Philadelphia, Pennsylvania, USA.
authors.forename: Elizabeth R
authors.initials: ER
authors.lastname: Didie
authors.forename: David B
authors.initials: DB
authors.lastname: Sarwer
mesh_terms: D000328:Adult; D001294:Attitude to Health; D001828:Body Image; D019928:Breast Implantation / Q000523:psychology*; D016022:Case-Control Studies; D005260:Female; D006801:Humans; D011788:Quality of Life / Q000523:psychology; D012649:Self Concept; D011795:Surveys and Questionnaires; D014481:United States