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were satisfied (61% of the dissatisfied group experienced complications vs. 27% of the satisfied group). The dissatisfied group also had a higher incidence of serious complications.10 Reduction According to the literature, the level of satisfaction for BR (BR) procedures category is overwhelmingly high. For example, a Danish study of 125 women who had undergone this procedure found that, six months after the procedure, 89 per cent evaluated the result of the procedure to be good or very good. However, this fell to 80 per cent when assessed one year after the initial procedure (see below for further examination of whether satisfaction ‘lasts’ for recipients of cosmetic procedures). 11 Very high rates of satisfaction were also observed in a Brazilian study of 40 BR recipients: six months after the procedure, 97.5 per cent were satisfied.12 A US study of 178 BR recipients also found that over 95 per cent of those surveyed were satisfied with the procedure, and 8 Al-Ghazal SK, Fallowfield L, and Blamey RW (2000) Comparison of psychological aspects and patient satisfaction following breast conserving surgery, simple mastectomy and breast reconstruction European Journal of Cancer 36(15): 1938-43. 9 Tykkä SA-SHHE (2001) Patients' satisfaction with breast reconstruction and reduction mammaplasty Scandinavian Journal of Plastic and Reconstructive Surgery and Hand Surgery 35(4): 399-405. 10 Andrade WN, Baxter N, and Semple JL (2001) Clinical determinants of patient satisfaction with breast reconstruction Plastic and Reconstructive Surgery 107(1): 46-54. 11 Breiting LB, Henriksen TF, Kalialis LV, Gramkow C, and Høyer AP (2012) A prospective study of short- and long-term cosmetic outcome after reduction mammaplasty from three different perspectives: the patient, a department surgeon, and an independent private practitioner in plastic surgery Plastic and Reconstructive Surgery 130(2): 273-81. 12 Freire M, Neto MS, Garcia ÉB, Quaresma MR, and Ferreira LM (2004) Quality of life after reduction mammaplasty Scandinavian Journal of Plastic and Reconstructive Surgery and Hand Surgery 38(6): 335-9. 6 would do it again.13 A UK study of 34 teenage recipients of BR also found that, eight weeks after surgery, 94 per cent were satisfied with the procedure when asked at their postoperative visit to the clinic.14 A Finnish study of 93 BR recipients also indicated that 88 per cent of participants thought that the outcome of the procedure was good or very good. In addition, 43 per cent felt that the outcome of the operation was better or much better than they had expected.15 In addition, high levels of satisfaction with postoperative breast size are also noted by 80 per cent of respondents in a Dutch study of 94 women who had undergone the procedure two years’ previously.16 Augmentation Breast augmentation (BA) procedures have also been shown to generate high levels of satisfaction among recipients. A US study of 360 women who had BA found that over 90 per cent were “consistently satisfied with surgery” at six-, 12-, and 24-month assessment points.17 A US study of 429 women who had undergone breast surgery found similarly that, on a scale of one-to-five, those who had BA had a mean satisfaction rate of 4.4.18 A Canadian study of 41 BA recipients also found that 83 per cent of participants reported improvements in their satisfaction with their breasts after the procedure was undertaken.19 Additionally, a Swedish study similarly indicates very high satisfaction rates among BA recipients: in its sample of 74 women who were interviewed five years after their procedure, 98 per cent reported that they were ‘satisfied’ or ‘very satisfied’. 20 The same proportion of participants - 98 per cent - were also found to lead to a 98 per cent level of “high overall satisfaction” in a small US study undertaken by the proprietor of a private clinic, 21 and good levels of satisfaction were 13 Gonzalez MA, Glickman LT, Aladegbami B, and Simpson RL (2012) Quality of life after breast reduction surgery: a 10-year retrospective analysis using the Breast Q questionnaire: does breast size matter? Annals of Plastic Surgery 69(4): 361. 14 Sharma K, Lim P, Baines R, and Brotherston TM (2014) Reduction mammaplasty in adolescents: a review of the indications, timing, and outcomes in a regional plastic surgery unit European Journal of Plastic Surgery 37(12): 661-6. 15 Tykkä SA-SHHE (2001) Patients' satisfaction with breast reconstruction and reduction mammaplasty Scandinavian Journal of Plastic and Reconstructive Surgery and Hand Surgery 35(4): 399-405. 16 Hermans BJE, Boeckx WD, De Lorenzi F, and van Der Hulst RRWJ (2005) Quality of life after breast reduction Annals of Plastic Surgery 55(3): 227-31. 17 Cash TF, Duel LA, and Perkins LL (2002) Women's psychosocial outcomes of breast augmentation with silicone gel-filled implants: a 2-year prospective study Plastic and Reconstructive Surgery 109(6): 2112-21. 18 Handel N, Cordray T, Gutierrez J, and Jensen JA (2006) A long-term study of outcomes, complications, and patient satisfaction with breast implants Plastic and Reconstructive Surgery 117(3): 757-67. 19 McCarthy CM, Cano SJ, Klassen AF et al. (2012) The magnitude of effect of cosmetic breast augmentation on patient satisfaction and health-related quality of life Plastic and Reconstructive Surgery 130(1): 218-23. 20 Niechajev I,
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