title: Predictors of satisfaction in patient with silicone breast implants and its association with drug intake habits.
abstract: BACKGROUND
  Satisfaction is an important outcome variable in surgical success. The purpose of this study is to evaluate predictors of satisfaction in women submitted to silicone textured breast implant surgery.
  
  
  METHODS
  A retrospective evaluation of women receiving textured silicone breast implants was performed. Patients were divided in four groups: cosmetic cohort (n = 104), reconstructive cohort (n = 120), general population control cohort (n = 120) and aesthetic control cohort (n = 54). Data were collected based on information retrieved from patient records, a planned consultation and a self-administered structured questionnaire.
  
  
  RESULTS
  Patient satisfaction was influenced by preoperative information (p = .007), cohort (p < .001), and occurrence of postoperative complications (p < .001). The degree of satisfaction was also related with drug intake habits: women using psychotropic drugs were 3-fold more likely to report poor satisfaction than those that never used these drugs (p < .001).
  
  
  CONCLUSIONS
  The purpose of the surgery, preoperative information and the occurrence of postoperative complications have an impact on the degree of satisfaction of women submitted to silicone breast implant surgery. Women using psychotropic drugs are more likely to report poor satisfaction.
authors.affiliation: a Department of Plastic and Reconstructive Surgery, Faculty of Medicine , University of Porto and Hospital de São João , Porto , Portugal.
authors.forename: Inês
authors.initials: I
authors.lastname: Correia-Sá
authors.affiliation: b REQUIMTE/Department of Chemistry, Faculty of Sciences , University of Porto , Portugal.
authors.forename: M Natália D S
authors.initials: MN
authors.lastname: Cordeiro
authors.affiliation: a Department of Plastic and Reconstructive Surgery, Faculty of Medicine , University of Porto and Hospital de São João , Porto , Portugal.
authors.forename: José
authors.initials: J
authors.lastname: Amarante
authors.affiliation: a Department of Plastic and Reconstructive Surgery, Faculty of Medicine , University of Porto and Hospital de São João , Porto , Portugal.
authors.forename: Marisa
authors.initials: M
authors.lastname: Marques
mesh_terms: D000328:Adult; D019928:Breast Implantation / Q000379:methods* / Q000523:psychology; D018427:Breast Implants; D016022:Case-Control Studies; D005260:Female; D006801:Humans; D016462:Mammaplasty / Q000379:methods* / Q000523:psychology; D008875:Middle Aged; D017060:Patient Satisfaction; D011183:Postoperative Complications / Q000453:epidemiology / Q000503:physiopathology; D011237:Predictive Value of Tests; D011475:Prosthesis Failure; D011619:Psychotropic Drugs / Q000008:administration & dosage*; D012189:Retrospective Studies; D018570:Risk Assessment; D020034:Silicone Gels; D011795:Surveys and Questionnaires; D016896:Treatment Outcome
chemical_list: D011619:Psychotropic Drugs; D020034:Silicone Gels
keywords: Breast implant; aesthetic; psychotropic; reconstructive; satisfaction