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Sunday, October 26, 2008

The Myth of a Teenage Plastic Surgery Epidemic

By Dr Barry Eppley

Parents are understandably concerned about the potential influence of the media on their children's perception of their self-image and sense of fashion. With so much coverage of plastic surgery on every type of media outlet, young minds are definitely exposed and easily swayed. This has led to a perception that many teenagers and college students are having a lot of plastic surgery. Some have even called it an epidemic. I am frequently asked about this perceived trend from older adults.

In reality, there is no such deluge of young patients undergoing plastic surgery. In my practice, I see no more than 3 or 4 patients a year under the age of 22 who are having some form of cosmetic enhancement. That makes up less than 1% of my practice patients. According to the American Society of Plastic Surgeons, only 5% of college-age women have had plastic surgery although many more see it as an acceptable thing to do. Their study of over 500 women from 6 universities showed that the most common procedures were chemical peels, breast augmentation, breast reduction, and rhinoplasty. They unfortunately did not give a further breakdown as to the percent per procedure. This is relevant as I don't put a chemical peel (the number one procedure amongst these young patients) in the same category as breast augmentation or rhinoplasty. This is not a procedure that permanently changes your look, it merely gives you fresher skin. If you factored out these topical skin treatments, you would see that more major surgery is a smaller number.

While many more young women may want some form of plastic surgery, there is a simple reason as to why this percentage will not ever significantly increase.....affordability. While many young people may want plastic surgery, there are also the least likely of any age group to have the disposable cash for it. Nor are they likely to be able to get financing which now accounts for a significant percent of patients having cosmetic surgery today. In short, the 'epidemic' of teenage plastic surgery is one of media invention and not substantiated in most plastic surgeon's practices.

This plastic surgery exposure at such young ages, while not accounting for a current epidemic, will likely have an impact decades later. I suspect that this generation will be more likely to have plastic surgery later on as a result of their media exposure and the social acceptance of face and body alterations.


Dr Barry Eppley is a board-certified plastic surgeon in private practice in Indianapolis, Indiana at Clarian Health Systems. (http://www.eppleyplasticsurgery.com) He writes a daily blog on plastic surgery, spa therapies, and medical skin care at http://www.exploreplasticsurgery.com

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