Some of the youngest patients who may be candidates for plastic surgery are adolescents and teenagers. These patients deserve special consideration due to their particular circumstances, and Dr. Hutchinson is an ideal surgeon to handle these unique cases.
Teenage years are a time of physical, psychological, and emotional development, and there are a number of procedures that may benefit this age group. Most commonly, there is a functional or medical component that warrants correction with plastic surgery. Alternatively, teenagers may wish to improve an aesthetic aspect of their body, such as asymmetry that becomes noticeable during physical development in adolescence.
When a teenager under the age of 18 is seen in consultation by a plastic surgeon, their parent/guardian must not only be present but must also give consent for any surgery. These consultations include discussions with both the patient and their guardian in order to address all possible aspects of the surgery.
The guardian is also essential in establishing that the patient is an appropriate candidate for surgery, can express their expectations, and understands the necessary aspects of the pre and post-operative instructions. Patient compliance is extremely important in maximizing the chance of achieving an optimal outcome after plastic surgery.
Dr. Hutchinson has extensive experience performing surgery on adolescents and will discuss all options with both the patient and their guardian in order to get the best possible results.
Rhinoplasty is perhaps the most common cosmetic surgery performed on teenagers. This procedure is done for those with nasal deformity or a deviated septum; who have suffered nasal trauma or fracture; who have visible distortion of the nose, or who have difficulty breathing. The nose develops from late childhood into early adolescence, usually reaching its full size and appearance around age 15-16 years in girls and 16-17 years in boys. This may therefore be a safe age for rhinoplasty to be performed.
Most commonly, teenage patients seek to improve the appearance of their nose by straightening it, reducing the dorsal hump, or refining the appearance of the tip by narrowing it or turning it up. In some teenagers, rhinoplasty is sought out after nasal trauma, which can cause a broken nose or deviated septum. In these patients, if the nasal bones are obviously displaced, it may be necessary to perform corrective rhinoplasty and reduce the nasal fracture immediately after injury.
Rhinoplasty may be performed using either invisible internal incisions hidden inside the nose (called a “closed technique”) or using a small incision on the skin between the nostrils (called an “open technique”). The surgery requires either general anesthesia or local anesthesia with sedation. After the procedure, nasal packing may be kept in place for a day and a nasal splint may be used to stabilize broken nasal bones for one week, after which sutures (if any) would also be removed.
Breast reduction can be performed on teenage girls with gigantomastia (excessive breast growth) or significant breast hypertrophy (overgrowth of breast tissue), which are conditions that can impact their ability to participate in physical activity or interfere with their sports performance.
Normally, breast enlargement in girls occurs in response to hormonal influences and as part of physiologic changes in puberty. The process may begin as early as age 7 and continue for several years, usually until around age 18. Once breast maturity occurs and there is no further increase in breast size, breast reduction surgery may be safely undertaken.
Results are immediate, and return to full physical activity is usually possible within 2 weeks after surgery.
Gynecomastia surgery is for boys with breast tissue enlargement that gives their chest a feminized appearance. Gynecomastia is the growth of excess fatty and glandular breast tissue that can develop in male individuals. In adolescent boys, hormonal changes in puberty may occasionally result in an imbalance between estrogen and testosterone, which can manifest as gynecomastia. This condition — which can affect up to half of boys ages 10-19 years old — often resolves on its own, but when it persists, it can cause physical pain and social embarrassment. It most often affects both breasts, although there may be asymmetry or unilateral breast involvement. Use of alcohol, certain drugs such as steroids and marijuana, and hypogonadism may be implicated in causing gynecomastia.
When gynecomastia has persisted for six months or longer and certain causes have been ruled out, surgery may be considered. Most often, liposuction alone is sufficient to remove excess tissue and create a flatter chest. However, in some patients, a small additional incision around the areola may be necessary to allow for the removal of excess breast tissue.
Gynecomastia surgery is usually performed under local anesthesia with sedation, and patients often wear a compression garment for a short time after surgery. The results are immediate, and patient satisfaction is generally extremely high.
Breast asymmetry correction (breast augmentation) is an option for girls — most often those at least 18 years of age — who have breast underdevelopment or breast asymmetry after they have completed breast development.
Sometimes associated with congenital syndromes such as Poland’s syndrome, significant breast asymmetry may develop during adolescence. In girls whose breasts remain underdeveloped throughout adolescence, bilateral hypoplasia (small breast size) may persist.
Correction of breast asymmetry in young patients has been shown to achieve both physical and psychological benefits, with improvement in emotional wellbeing and self-esteem as well as appearance.
There are numerous alternatives and advantages to each option for breast asymmetry correction. During your consultation with Dr. Hutchinson, she will have a comprehensive discussion with you regarding the various possibilities. She will carefully assess each patient for their specific needs and expectations in order to determine the appropriate surgical plan.
Dr. Olivia Hutchinson is a board certified aesthetic plastic surgeon who has been delivering exceptional results to the patients of Manhattan’s Upper East Side and all over the world for over two decades. Educated at top-notch institutions such as Harvard and Columbia, she has a stellar reputation and is highly respected; her in-depth knowledge, training, skill, and experience set her apart. She also displays a rare sensitivity and excellent bedside manner with every patient. Her goal is to ensure the finest surgical results for her patients and exceed their expectations. Dr. Hutchinson is dedicated to providing the best care for each individual patient. To schedule a consultation, contact us online or call us at (212) 452-1400.
Model images are used throughout the site and may not represent actual patients.
