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. 2023 Apr:68:225-232.
doi: 10.1016/j.breast.2023.02.007. Epub 2023 Feb 22.

Factors impacting informed consent in cosmetic breast augmentation

Stephen Whyte  1 , Laura Bray  2 , Martin Brumpton  3 , Ho Fai Chan  4 , Tim S Peltz  5 , Manisha Tamar  6 , Uwe Dulleck  7 , Dietmar W Hutmacher  8
Affiliations

Factors impacting informed consent in cosmetic breast augmentation

Stephen Whyte et al. Breast. 2023 Apr.

Abstract

Background: For women who undergo cosmetic breast augmentation, their post-operative risk assessment may not match their pre-operative understanding of the involved risks and likelihood of revision surgeries. This may be due to the potential issues surrounding whether patients are being fully informed about all possible risks and related financial implications during the consent phases of patient/doctor consultation.

Methods: To explore comprehension, risk preference, and perceptions of breast augmentation procedure, we conducted a recorded online experiment with 178 women (18-40 years) who received varying amounts of risk-related information from two experienced breast surgeons in a hypothetical first consultation scenario.

Results: We find patient's age, self-rated health, income, education level, and openness to experience to be significant factors impacting initial breast augmentation risk preferences (before receiving any risk information). Further, more emotionally stable patients perceived greater breast augmentation risks, were less likely to recommend breast augmentation, and were more likely to acknowledge the likelihood for future revision surgery. After providing women with risk-related information we find increases in risk assessment in all treatment conditions, and that increased amounts of risk information do decrease women's willingness to recommend breast augmentation. But that increased risk information does not appear to increase women's assessment of the likelihood of future revision surgery. Finally, we find some participant individual differences (such as education level, having children, conscientiousness and emotional stability) appear to impact risk assessment post receiving risk information.

Conclusion: Continuous improvement of the informed consent consultation process is vital to optimising patient outcomes efficiently and cost-effectively. Greater acknowledgement and emphasis on disclosure of related risks and financial burden when complications arise is also important. As such, future behavioural research is warranted into the factors impacting women's understanding both prior to and across the BA informed consent process.

Keywords: Behavioural economics; Cosmetic breast augmentation; Informed consent; Preferences; Revision surgery; Risk.

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Figures

Fig. 1
Fig. 1
Perceived risk of procedure, pre and post surgeon video, differentiated by treatment conditions.
Fig. 2
Fig. 2
Likelihood to recommend procedure, pre and post surgeon video, differentiated by treatment conditions.
Fig. 3
Fig. 3
Likelihood of future revision surgery, pre and post surgeon video, differentiated by treatment.
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References

    1. Sullivan S.R., Fletcher D.R., Isom C.D., Isik F.F. True incidence of all complications following immediate and delayed breast reconstruction. Plast Reconstr Surg. 2008;122(1):19–28. - PubMed
    1. Khersonsky J., Spanknebel K., Rosenberg M., DeLuca-Pytell D., Palaia D., Bonanno P., Petro J. Cosmetic breast augmentation: long-term study of outcome and revision procedures in 56 patients over 4 decades. Am J Cosmet Surg. 2009;26(2):76–81.
    1. Miller G.S., Robinson S., Reid C.M., Hunter-Smith D.J. Cosmetic breast augmentation in Australia: a cost of complication study. Australasian Journal of Plastic Surgery. 2018;1(2):51–64.
    1. Zuckerman D., Abraham A. Teenagers and cosmetic surgery: focus on breast augmentation and liposuction. J Adolesc Health. 2008;43(4):318–324. - PubMed
    1. Van Slyke A.C., Carr M., Carr N.J. Not all breast implants are equal: a 13-year review of implant longevity and reasons for explantation. Plast Reconstr Surg. 2018;142(3):281e–289e. - PubMed