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Prepared
by
R.L. Larue, President
InfoVision Systems

Recency of Surgery - Age - Height & Weight  Size Increase - Type of Implant - Texture
Implant Shape - Incision Placement - Size - Brand - Worst Part - Pain - Sensation - Reactions

T-1 Recency of Surgery
Total Sample (N=195)
Recency of Surgery when taking Survey %
Less than 1 week 26.9
1-2 weeks 15.0
3 weeks-2 months 28.5
2 1/2-6 months 9.8
7-11 months 3.1
1 year 6.2
2 years 2.6
3-6 years 3.6
7 or more years  4.1
NET %
2 weeks or less 42.0
2 months or less 70.4
6 months or less 80.3
1 year or less 89.6
This survey is heavily skewed toward those with a recent implant surgery experience; i.e., 80% report having had a breast implant surgery during the past 6 months or less.

T-2 Age
 
Age Total Sample (N=195) w/ Implants 3+ yrs (N=15) 
18-24 14.4 13.3
25-29 27.3 13.3
30-34 25.3 20.0
35-39 19.1 6.7
40+ 13.9 46.7
Net:
Under 30 41.8 26.7
Under 35 67.0 46.7
Under 40 86.1 53.3
The majority of survey respondents to this survey are under 35 years old (67%); and 86% are under 40 years of age. As expected those who have had implants for 3 or more years tend toward an older age distribution.

T-3 Height & Weight of Respondents
Revised Sample (N=120)
HEIGHT: %
5'4" or less 41.7
5'5"-5'6" 29.2
5'7" or taller 29.2
WEIGHT: %
110 lb or less 20.2
111-134 lb 63.0
135 lb or more 16.8
NET: 124 or less 58.0
NET: 134 or less 83.2
Over half of those who responded to this survey weigh 124 pounds or less; and 83% weigh 134 or less -- indicating (alongside the height measures) that breast augmentation surgery is more heavily purchased by those of a slender build (see next table).

T-4 Size Increase
Revised Sample Weight
SIZE: 124lb or Less (N=50)  (N=17) 
From A to B 8.0 17.6
From A to C 50.0 52.9
From A to D 4.0 --
From B to C 18.0 11.8
From B to D 18.0 17.6
From C to D 2.0 --
NET:
From A to any size 62.0 70.5
From B to any size 36.0 29.5
From C to any size 2.0 --
2 or More Sizes 72.0   
According to this survey, the majority of implant purchasers are naturally size A cup (62%); and 72% choose to increase 2 or more sizes.

T-5 Type of Implant
Type Total Sample(N=141) Implants > 3 yrs. (N=11) w/ Complications (N=26)
Saline 92.9 45.5 80.8
Silicone 5.7 54.5 15.4
Soy 1.4 -- 3.8
As expected, Saline implants are purchased by the vast majority of those surveyed (93%) -- except for those with implant purchases 3 or more years ago when Silicone was still more heavily used (45% Saline, 54% Silicone). 3 In addition, this data reflects a greater likelihood of reported complications from those who have Silicone implants relative to the percentage who have these implants, and a lower proportion of reported complications (81%) from those with Saline, relative to those who have Saline implants (93%). (*) page 5T-6 Texture of Implant

Implant Texture
Kind Total Sample(N=195) Implants > 3 yrs. (N=15) w/ Complications (N=35)
Textured  50.6 61.5 57.1
Smooth 49.4 38.5 42.9
It appears from these data that textured implants (while still selected by half of those surveyed) is down somewhat from its share of the market 3 years ago--and there appears to be a slightly higher proportion of reported complications by women with textured implants relative to the percentage who have them (*)

6T-7 Shape of Implant
Shape Total Sample (N=195) Implants > 3 yrs. (N=15) w/ Complications (N=35)
Round 75.0 66.7 63.6
Anatomical 25 33.3 36.4

REASON FOR SHAPE SELECTION:
Doctor Recommended 65.8  doctor recommended ROUND specifically 84.6% 
Liked Look 15.2    
More Natural Look 15.2    
Fuller Look 11.4    
Fit my Body Type 7.6    
Researched as best 5.1    
Round appears to be the shape of choice (75%), as well as appearing to be up in market share over 3 years ago (*).
Surgeons appear to favor and recommend round implants over other choices; i.e., 85% of the survey respondents who purchased round implants report making this decision based on their doctors recommendation. Round implants also appear to have a slightly lower incidence of reported complications relative to the proportion who have these implants (*).


7T-8 Location of Incision
 Location Total Sample (N=195)  Implants  > 3 Years (N=15)  With Complications (N=35) 
Under breast 52.1 40.0 40.0
Nipple 30.9  53.3 31.4 
Armpit 14.9 6.7 25.7
Belly Button 2.1 -- 2.9
 About half of those surveyed report having surgical incisions under the breast (52%), followed by those with incisions at the nipple (31%) -- an apparent change from those with implants 3+ years ago, where the majority report incisions at the nipple (53%) followed by under the breast (40%). 3 Incision at the armpit appears a more recent procedural trend, but seemingly correlates with higher rates of reported complications (25.7%). (*)

8T-9 Placement of Implant
Placement
Total Sample (N=195) 
Implants  > 3 Years (N=15) 
With Complications (N=35)
Under Muscle 78.8 60.0 94.1
Over Muscle 21.2 40.0 5.9
Under the muscle appears to be the emerging placement trend compared to respondents with implants 3+ years ago. The majority report implants placed under the muscle (78.8%) -- and a higher relative degree of reported complications under the muscle as well (94.1%). (*)

9T-10 Size of Implant
Size Total Sample (N=195)  Implants  > 3 Years (N=15) With Complications (N=35)
Less than 200cc 1.7    
200-299cc 20.0    
300-399cc 52.0    
400-499cc 20.0    
500-599cc 5.1    
600cc + 1.1    
NET: Less than 300cc 21.7 20.0 20.0
NET: Less than 400 cc 73.7 80.0 73.0
NET: 400+cc 26.3 20.0 26.7
Don't Know Size 10.3    
The majority of those surveyed report purchasing an implant that is less than 400cc (73.7%), with about half purchasing implants that are between 300-399 cc.

10T-11 Brand
Revised Sample (N=122)
Don't Know 50.9
Mentor 22.1
Inamed (formerly McGhan)   23.7
Other (foreign) 3.3
NET: Brand Identified 49.1

11T-12 "Worst part of the surgery"
These are coded categories created from open-ended comments (i.e., respondents answered this question using their own words to describe what they considered the worst part of the surgery - unprompted). Total Sample (N=195).
Results may exceed 100% due to multiple response.
NET: PRE OP 32.8 %    
  Pre op anxiety/fears 26.0  %  
  Deciding size, type 13.0 %  
   Cost 3.8 %  
  Finding a Surgeon 1.5 %  
  Anesthesia 11.5 %  
NET: POST OP RECOVERY 74.8    
  Pain 42.7  
  Unable to get around/use arms 14.5  
  Nausea/vomiting 13.0  
  Difficulty sleeping 12.2  
  First few days of recovery 12.2  
  Tightness/pressure in chest 9.2  
  Medications 6.9  
  Post-op exhaustion 5.3  
  Post-op anxiety/depression 3.8  
NET: COMPLICATIONS 5.3    
  Complications (general) 3.1  
  Appearance/scarring 2.3  
  Bad job (general) 0.8  
Post-op recovery - and mainly "the pain" is reportedly the worst part of the surgery (see next Table).

12T-13 Pain Scale
On a 1-6 Scale: 1= Minimal; 6="Felt like I was hit by a truck"
Scale Total Sample (N=195) w/ Complications(N=35) <30 (N-81)  40+ (N=27)
1 14.4      
2 11.9      
3 15.5      
4 17.0      
5 19.1      
6 22.2      
NET: Low (1-3) 41.8 25.7 37.5 51.9
NET: Med (4) 17.0 11.4 20.0 11.1
NET: Bad (5-6) 41.2 62.9 42.5 37.0
Over half of those surveyed rate the pain they experienced from the surgery at the top end of the scale (4,5,6 combined). The younger women seem to rate the pain factor higher and worse than the older women, as do those who report having had complications.

BRUISED: Yes 50.3

13T-14 Nipple Sensation
SENSATION Total Sample (N=195)  Those With Implants 3+ Years  (N=15)
Numb 48.0 44.4
More Sensitive 27.6 33.3
Same as before 20.4 11.1
NET: Changed 74.5 77.8
The majority report some change in nipple sensation -- and this remains essentially the same across time as apparent in the responses of women with implants 3+ years ago.

14T-15 "Comments"
These are coded categories created from open-ended comments.
Results may exceed 100% due to multiple response.
Survey skewed toward those having just recently had implants (80% 6 months or less).

Total Sample (N=195) COMMENTS: %

NET: Positive Comments 46.8
I'd do it again 31.9
I'm happy with the results 25.5
I feel better about myself 23.4

NET: Negative Comments 31.9
Feel ridges 17.0
Complications (general) 7.4
Need correction 7.4
Too high (waiting to drop) 7.4
Bad look 4.3
Capsular Constriction/hardening 3.2
Eating through 2.1
Deflated 1.1

OTHER MISC:
Surgery motivated after nursing 21.3
"Wish I'd gone bigger" 14.9
Husband/boyfriend appeal 11.7
I'm choosing to redo (generally larger) 8.5

Overall, the open ended comments of women who participated in this survey are highly positive, favorable, and supportive. Interestingly, even those who report experiencing problems and complications (in a very few cases severe), seem by and large to offer a positive attitude about the surgery and the results (see samples of extracted comments in appendix).

15T-16 "I had this surgery for..."
Total Sample (N=195)

Myself  63.6
Husband 0.5
Boyfriend  0.5
Other 0.5
Not answered 34.9
The majority clearly consider they are choosing the surgery for themselves, and indeed, there were a number of comments that suggested that a husband or boyfriend was (at least initially) not in favor of the procedure (although most add that this person was still supportive of her decision to have the surgery.)

16T-17 "Negative Comments/Influence?"
"Have you had any negative comments about having a breast augmentation?"
Revised Sample (N=73)
No 37.0  
No, only positive 16.4  
No one knows yet 2.1  
NET: No 57.5  
Yes 31.5  
  Husband 26.1
  Friends 20.0
  Mother 17.4
  Co-workers 13.9
The majority of those surveyed do not seem to be concerned with (nor for the most part do they report) negative comments from others. From the content review, these women's concern over negative comments from others appears negligible, and indeed many provide positive responses to this question.

17T-18 SIZE SATISFACTION PROFILE

  Total Sample (N=195) > 3 years (N=15) w/ Complications (N=35)
I like the results 72.3 53.3 55.9
Wish I had gone bigger 24.1 40.0 35.3
Wish I had gone smaller 3.7 6.7 8.8
Happy with Results 94.1 80.0 76.5
Not Happy 5.9 20.0 23.5
No answer  4.8 -- 2.9
The vast majority (virtually all those surveyed) report being happy with the results of the breast implant surgery -- and regardless of any complications, discomfort or social factors. In fact, 94% say they are happy with the results (including 76% of those who reported complications and who nonetheless report being happy overall with the results). While conducting the content review, it was clear that many survey participants said that they wished they had "gone bigger". This shows as 24% of the responses to this question (above), and is also contained within other open-ended comments where a good number of women said they "would do it again in a heartbeat - only bigger", and other such favorable comments suggesting interest and intention to do more augmentation in the future.

18T-19 Age
68.8% of those responding to this survey had not yet purchased implants and the remaining already had
Total Sample (N=32)
NET %
Under 30 58.1
Under 35  83.9
Under 40 96.8 
*This survey is heavily skewed toward young women (83.9% under 35).

19T-20 SOCIAL INFLUENCES SURVEY
Reasons for Considering Breast Implants
Total Sample (N=32)
NET: %
Self-Esteem 80.8
To feel better about how I look 65.4
My breast size is too small 38.5
Want to achieve a particular look 15.4
To look better in clothes 11.5
OTHER:  
After nursing need 15.4
Influenced by significant other 11.5
Reconstructive reasons 7.7
*'Self-esteem by virtue of looking better through augmented breasts is clearly the main reason women participating in this survey report considering the purchase of breast implants.

20T-21 "Why Haven't You Purchased Implants Yet"
(based to those who have not yet purchased)
Pre-Purchase Sub-Sample (N=22)
Haven't made up my mind yet  60.0
Haven't gotten the courage 20.0
Cost 20.0

CONCERNED ABOUT PEOPLE KNOWING?
No 57.1
Somewhat 32.1
Yes 10.7

21T-22 Perceived Social Pressure on Looks
Asked a series of questions about women's perceived social cultural pressure on looks.
Total Sample (N=32)
Question % Answering Yes
Does the media exploit women? 77.4
Does the media put too much pressure on women? 73.4
Are men's standards too high for how women should look? 73.3
Do you think men hold themselves to the same standards? 19.4
Do you wish men should put as much effort into looking good as women do? 61.3
Answers to these questions suggest (for the most part) that the women who are considering breast augmentation feel influenced by social pressure on women's looks. These questions are not suitably asked or scaled to conduct any more in-depth analysis of the psychographic and socio-cultural influences toward considering breast augmentation.


* Questions were added or deleted over the year long course of collecting data, and as a result some questions were only asked and answered by a smaller than total sample (revised sample). 

* Tables with a small number of respondents (N of 50 or less) should only be interpreted as a general apparent difference and not an actual statistical difference.

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