title: Predictors of satisfaction with facial plastic surgery: results of a prospective study.
abstract: OBJECTIVE
  To identify demographic and psychological factors that predict satisfaction or dissatisfaction with outcomes among patients undergoing facial plastic surgery.
  
  
  METHODS
  All patients presenting to the Center for Facial Cosmetic Surgery at the University of Michigan between January 1, 2007, and January 1, 2008, were asked to participate. Patients answered an initial baseline survey consisting of demographic information and an assessment of their baseline level of optimism/pessimism in addition to a surgery-specific outcome questionnaire both preoperatively and 4 to 6 months postoperatively.
  
  
  RESULTS
  Fifty-one patients (mean [SD] age, 53 [13.0]; 69% female; 98% white) participated. Patients over the mean age of 53 years were more satisfied with their results than those under the mean age (P = .01). Patients currently being treated for depression were more satisfied with surgical outcomes than those not being treated (P = .05). No correlation was identified between baseline optimism/pessimism or other baseline factors and patients' perceived surgical outcomes. Surgeons were decidedly less positive in their assessment of the outcome than patients.
  
  
  CONCLUSIONS
  Despite a priori hypotheses that patients treated for depression might be more pessimistic and rate their satisfaction lower than other patients, patients treated for depression show a trend toward greater satisfaction from facial plastic surgical procedures than those not treated for depression.
authors.affiliation: Premier Plastic Surgery, Palo Alto, California, USA.
authors.forename: Jill L
authors.initials: JL
authors.lastname: Hessler
authors.forename: Cheryl A
authors.initials: CA
authors.lastname: Moyer
authors.forename: Jennifer C
authors.initials: JC
authors.lastname: Kim
authors.forename: Shan R
authors.initials: SR
authors.lastname: Baker
authors.forename: Jeffrey S
authors.initials: JS
authors.lastname: Moyer
mesh_terms: D000328:Adult; D000368:Aged; D003710:Demography; D005145:Face / Q000601:surgery*; D005260:Female; D006304:Health Status; D006801:Humans; D008297:Male; D008875:Middle Aged; D017060:Patient Satisfaction; D011237:Predictive Value of Tests; D011446:Prospective Studies; D011569:Psychiatric Status Rating Scales; D019651:Plastic Surgery Procedures / Q000523:psychology*; D011795:Surveys and Questionnaires; D016896:Treatment Outcome