Semin Plast Surg 2013; 27(01): 067-071
DOI: 10.1055/s-0033-1343998
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Considerations in Breast Augmentation in the Adolescent Patient

Sumanas W. Jordan
1   Division of Plastic and Reconstructive Surgery, Feinberg School of Medicine Northwestern University, Chicago, Illinois
,
Julia Corcoran
2   Division of Plastic and Reconstructive Surgery, Ann & Robert H Lurie Children's Hospital of Chicago, Feinberg School of Medicine Northwestern University, Chicago, Illinois
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Publikationsverlauf

Publikationsdatum:
23. Mai 2013 (online)

Abstract

Nearly 320,000 breast augmentations were performed in 2011, with adolescents under 18 years of age accounting for 4,830 procedures (1.5%). Breast development typically starts at 11 years (range, 8–13 years) and is complete at 15 years (range, 11–18 years). This wide age range for physical maturity matches the equally wide range of emotional maturity in this patient population. Developmental, psychological, and regulatory aspects unique to adolescent breast augmentation are reviewed. Self-image and societal influences must be considered, including both internal and external motivations for seeking breast augmentation. Preoperative assessment and counseling of these patients are discussed. Both parental consent and adolescent assent must be considered. Ideal conditions for adolescent assent are described. Breast augmentation for purely aesthetic purposes should be undertaken with extreme caution as ideal conditions for complete assent are rare. Augmentation as a technique for breast balancing in cases of significant asymmetry can be helpful.

 
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