By Aviva Preminger, MD, MPH, FACS
As a plastic surgeon, I often consult with young patients and their families about procedures such as rhinoplasty (nose reshaping) and breast reduction. For many teenagers, these surgeries are not just about appearances but are closely linked to issues of self-esteem, comfort, and physical health. In my practice, I’ve seen firsthand how transformative these procedures can be, but I also emphasize the importance of making these decisions carefully and with a clear understanding of the risks and benefits.
Today’s teens are navigating a world where social media and peer influence can intensify self-awareness. While the desire to change one’s appearance is nothing new, the increasing accessibility and normalization of plastic surgery have made it a more viable option for many young people. For some teenagers, addressing physical features they find distressing, such as a prominent nose or overly large breasts, can genuinely improve their quality of life.
In my practice, rhinoplasty and breast reduction are among the most common procedures requested by teens. Rhinoplasty is often pursued to create a more balanced facial profile, which can help improve a teen’s self-confidence. For teenage girls experiencing physical discomfort due to large breasts or for young men dealing with gynecomastia (excess breast tissue), breast reduction can be life changing. These surgeries can alleviate physical pain, improve posture, and allow teens to participate fully in sports activities and wear clothing without feeling self-conscious.
While the potential benefits are real, it’s critical to approach teenage plastic surgery responsibly. As a surgeon and a mother, I look for certain key indicators that a young patient is an appropriate candidate for a procedure. First and foremost, the motivation for surgery should come from the teen themselves—not from friends, social media, or even family members. The patient should have realistic expectations about the outcome, understanding that surgery will not change who they are or solve all of life’s challenges.
Rhinoplasty, for example, can enhance facial harmony, but I make sure young patients understand that it won’t “fix” self-esteem on its own. Breast reduction can alleviate physical strain, but I also discuss how it may impact their overall appearance and body image.
When a family comes to me with questions about surgery for a teenager, I strive to create an open and honest dialogue. My role is not only to explain the procedure but also to ensure the family is prepared for the commitment that surgery entails, including potential downtime, aftercare, and recovery.
For teenagers, the support of their family is essential. Surgery at this age requires both physical and emotional resilience, and a supportive home environment can make all the difference. I often encourage parents to explore all concerns, so that their child feels empowered to make an informed choice.
Ethics play a vital role in teenage plastic surgery, and as a practitioner, I am careful to follow guidelines established by the American Society of Plastic Surgeons and other professional bodies. I take a conservative approach, particularly with teens whose bodies may still be developing. I also ensure that any surgery aligns with the patient’s physical health needs and emotional well-being. If I believe that a teen is not ready for a procedure, I advise waiting until they are older or have further considered the decision.
For the Five Towns community, where values of modesty and self-respect are fundamental, the decision to undergo plastic surgery may feel complex. Yet, I believe that when thoughtfully considered, these procedures can align with the values of care and compassion. For some teens, surgery can relieve years of discomfort, whether physical or emotional. It’s not about conforming to societal pressures but about allowing a young person to feel comfortable in their own body.
In my practice, I encourage young patients to view surgery as part of a holistic approach to self-care, one that includes building confidence, resilience, and self-acceptance. For some teens, achieving these goals may include surgery; for others, it may involve exploring non-surgical avenues for self-improvement.
As a plastic surgeon, my role is not just to perform procedures but to support my patients in making decisions that align with their long-term well-being. For teenage patients, plastic surgery can offer a meaningful solution to issues that may have troubled them for years. But these decisions should never be taken lightly. My commitment is to guide my young patients and their families with honesty, care, and responsibility, helping them make choices that support their overall growth and happiness.
In an age where appearance seems to matter more than ever, it’s essential to approach teenage plastic surgery thoughtfully, balancing the potential for change with the importance of nurturing confidence and self-acceptance. n
Dr. Aviva Preminger is an Ivy League-educated and trained plastic surgeon. She has earned respect and prestige in her field with her extensive credentials. She holds faculty appointments at Columbia University as well as several other fully accredited New York hospitals. Dr. Preminger has expertise in a wide range of cosmetic and reconstructive procedures and has lectured and published extensively. She and her staff are committed to excellence. You can reach Dr. Preminger at 212-706-1900 or at PremingerMD.com/contact.
