More Than 200,000 Teens Had Plastic Last Year, and many believe the culprit is social medial.

Dr. George Bitar, a Board Certified Plastic Surgeon out of the Washington, DC Area, joins Gayle Guyardo the host of the nationally syndicated health and wellness show Bloom and said, “Social Media is driving teen’s desire for plastic surgery.”

He went on to say there are times plastic surgeons should draw the line as to what procedures are appropriate and what are not.

Dr. Bitar says “plastic surgeons, parents, and teens need to set limits for teenage plastic surgery and set positive body image role models. Certain procedures are not appropriate for teens.”

Here is a list of Dr. Bitar’s thoughts on what is acceptable and what is not:


Breast reduction


Some teens suffer from Juvenile Breast Hypertropy. This often results in teasing, name calling, difficulty with exercise and clothing selection. It is reasonable to perform breast reduction surgery on these girls as early as thirteen because it is a medically necessary surgery in terms of relieving back pain, neck pain and psychological trauma associated with heavy breasts. This procedure is performed under general anesthesia and the breast tissue is sent off for pathological evaluation. Recovery tends to be less than two weeks with minimal overall risks and very happy and grateful patients.
Otoplasty (ear pinning)
Kids get teased for having “Dumbo ears” quite routinely. We become aware of the “other” in our lives after the age of 6. Otoplasty can be done at any age after 6. It is a safe surgery that can be easily performed in the office under local anesthesia, or if the patient or parents should choose, general anesthesia is available. This procedure should only be performed, in Dr. Bitar’s opinion, if it bothers the patient and not the parents. If a patient is OK with their ears, then this surgery should not be performed.
 
Rhinoplasty


There are few things a teen can do to hide a nose they are not happy with or get teased about. Teens can have rhinoplasty surgery, but only after their faces have completed growing. For girls that can be as young as 15 years old, and for boys, it is typically around 16 years old. Often, teens have additional problems with nasal obstruction from trauma as kids. This can be fixed at the same time as the cosmetic surgery. Insurance will often cover the medical portion of the surgery, but the cosmetic portion is usually an out-of-pocket expense.
Dr. Bitar is one of the pioneers of the non- surgical rhinoplasty, which is a five minute procedure in which a filler is injected to shape the nose. It can improve the appearance of a bump or bulbous tip, or even a deviated septum, to a limited extent, and thus avoiding or delaying surgery. This procedure is very popular among teenagers at the Bitar Institute because it is much less expensive than a surgical rhinoplasty, it is reversible, and will last about a year or so, so it is not as huge a commitment as a surgical rhinoplasty.
The apps available to modify noses on Smartphones  has created anxiety among teens, and the perception that their idols’ noses on social media are perfect is thanks to apps and digital alterations. Therefore, it is very important to discuss with a teenager and their parents what are the realistic goals that a rhinoplasty, surgical or non-surgical, is expected to achieve.
 
Liposuction


Liposuction for teens is not a common procedure. For most teens, they can achieve healthy bodies via proper diet and exercise. Frankly, this is better for them.  I can say that I have never performed liposuction on anyone younger than 18 years old and rarely under 25.
 
Butt Implants


Butt implants are not a procedure that teens should have performed. I personally do not like nor perform this operation because of its high rate of complications. I believe this procedure should not be undertaken in patients less than 21 years old. Other better alternatives are exercise as a method for gluteal muscle enlargement and fat transfer to the butt (Brazilian Butt Lift), which is popular among women 30’s to 50’s .
 
Breast Implants


The American Society of Plastic Surgeons recommends that breast implants, especially silicone implants, not be used in patients less than 22 years of age. This is primarily for reasons of patient maturity and possible early family planning. I have performed saline breast implants on women 18 and older, and because I do it from the armpit, there is no visible scar. It is a popular procedure in my practice with the demand for teenagers on the rise! These patients are incredibly happy with their breast augmentations. A big misperception is that women who have breast implants early in life cannot breast feed and will lose nipple sensation. Those two complications are incredibly rare in my practice.

Botox in the Forehead and Crow’s Feet, as well as for Gummy Smile Correction


With today’s access to technology, everyone is squinting to look at tiny screens. Over time, this increases complaints of eyestrain, headaches, and wrinkles. I think neurotoxins can be injected for patients as early as 25 years old for cosmetic reasons, and earlier if treating for migraines. I have not treated teenagers with Botox to reduce wrinkles or as age prevention tool. I have injected Botox in teenagers to improve a gummy smile. Botox is injected in the muscles that elevate the upper lip and make them less active to fix a gummy smile. This is a simple procedure that makes teens with gummy smiles smile a lot more!

Chin Implant


Chin implant surgery can be performed in teens after their faces have finished growing. It is a procedure that is often combined with rhinoplasty, and/or chin liposuction to create a better jawline in those whose jaws are underdeveloped. If a patient is not a candidate for jaw surgery by their dental surgeons, they often seek out plastic surgeons for this combination of procedures.


Chin and Cheek Fillers


Nonsurgical chin and cheek augmentation, with fillers to shape the chin and cheeks, is a very common procedure in my practice. Similar to non-surgical Rhinoplasty, nonsurgical chin and cheek augmentation give a nice contour of the chin with a fillers, as opposed to a silicone implant. The advantages are that it is less expensive than a chin/cheek implant, it is a procedure that takes a few minutes without any downtime, and it is temporary. If a patient likes the shape of the chin or cheeks and wants to continue doing fillers, they can. If they want more volume, they can have more fillers. Ultimately if they want a more permanent solution then there are chin and cheek implants as an option.
Fillers to noses, chins and cheeks have given teenagers a lot more flexibility at a lower price point than surgery. The nonsurgical facial chiseling trend for teenagers is here to stay!
 
Lip Fillers


Lip fillers are not really something I perform in those younger than 18 years old. There isn’t a significant justification for lip augmentation in this population. After they turn 18 years old and are legally adults, then I have no problem injecting filler if the volume request is reasonable and the young patient has realistic expectations and a healthy body image. Creating attractive lips in teenagers is an art and can have a very high rate of satisfaction. Since the material injected is hyaluronic acid, then it can easily be dissolved if the patient does not like it. I feel the injector, whether a physician, a PA, or a nurse, has a moral obligation to create attractive, normal looking lips for teenagers and not overfill the lips and create an unnatural and unhealthy look.

Bloom airs in 40 markets across the country, with a reach of approximately 36 million households, and in Puerto Rico, U.S. Virgin Islands and Madison, WI.

You can watch Bloom in the Tampa Bay Market weekdays at Noon on WTTA: Spectrum 1006; Frontier 514; DirecTV 38; Dish 38; Comcast 43, and look for Bloom early mornings on WFLA News Channel 8.