We greatly appreciate the thoughtful comments of Dr Reiter. However, we believe that his interpretation of our conclusions reflects several misunderstandings. First, Dr Reiter indicates that, “I believe that their conclusion about a possible relationship between clinical depression and patient satisfaction with facial plastic surgical procedures is not supported by their data. . . . ” Our data do, in fact, demonstrate that patients who self-report being currently treated for depression are significantly more satisfied with the outcome of their facial plastic surgery than patients who do not self-report being treated for depression (mean difference on the Facial Plastic Surgery Outcomes Questionnaire, 18.19; P = .05). Although a single global satisfaction measure (a 10-point visual analog scale) did not indicate a similar statistically significant difference, the variability of the data on this item was extremely limited, with 82% of patients reporting satisfaction above 5 and 66.6% indicating satisfaction at 8 or higher. From a methodological standpoint, some might argue that a multi-item scale, like the Facial Plastic Surgery Outcomes Questionnaire, is likely to yield a more accurate and targeted picture of patient satisfaction than a single global measure. In that case, our data do support a difference in satisfaction between patients who self-report being treated for depression and those who do not.
Moyer JS, Moyer CA, Baker SR, Kim JC. Facial Plastic Surgical Outcomes and Clinical Depression—Reply. Arch Facial Plast Surg. 2010;12(6):434-435. doi:10.1001/archfacial.2010.78