Cosmetic Procedures in Teens

1. The most critical element to optimal outcomes, proper decision-making, and safety is to find an empathetic certified physician, with the proper expertise, judgement, and experience in the management of the complex issues in dealing with the mindset of the developing adolescent.
2. Before considering any type of cosmetic approach, it is imperative to engage the teen in a frank discussion about his or her concerns and desires. Involve the parent or guardian.
3. The use of treatments to improve skin appearance from acne scarring or dermatologic problems may include chemical peels or laser therapy.
4. Use of Botox and cosmetic fillers for facial enhancements is broadly discouraged in adolescents unless there is a medical reason, such as an acquired or congenital lip or cheek deformity or a facial nerve palsy.
5. Liposuction or body-contouring procedures are not indicated in most teens, because excess weight can be properly treated with diet, exercise, and nutritional counseling in most cases.
6. Otoplasty (correction of prominent ears) can and should be performed at an early age (5-7 years) if possible, when the ears are almost fully grown
7. Breast augmentation should not be performed in girls younger than 18 years, and only saline implants should be used in young women from 18 up to 22 years of age.
8. Breast reduction or reshaping, and the use of breast implants for correction of significant congenital deformities or significant asymmetries, are reasonable with proper patient counseling.
9. Gynecomastia (male breast enlargement) can be treated if it does not subside in the later teenage years.
10. 10.Rhinoplasty is indicated for correction of functional or traumatic deformities as well as significant cosmetic deformities.