My daughter is 18, is serious about breast augmentation for a graduation gift. Is 18 too young?

Question

She just turned 18. Is 5'7" and weighs about 130. I had a small cup size growing up early on but developed later.

Earl Stephenson, Jr., MD, DDS, MBA · Answer

Whether an 18 year old can have a breast augmentation depends on her emotional maturity as well as her physical examination.  The emotional maturity is a judgement that the surgeon must make based during the consultation.  Different surgeons will come to different conclusions.

Thomas Trevisani, MD · Answer

In our practice- breast implants are common graduation gift-- provided the patient is a candidate . She can only have saline breast implants at the moment though. Please, see the video here for more info:

Robert Brueck, MD · Answer

As long as youd aughter is mature and has an understanding of the procedure and its risks and is in good health than there is no reason she would not be a candidate for an aug.

Matthew H. Steele, MD · Answer

Thanks for your question.  If your daughter's breast size has remained stable over the last 2 years, she is unlikely to change much further.  Provided that she is mature enough to understand the risks of surgery and the need for future procedures, then she may be an excellent candidate for a breast augmentation.  Currently, she will be limited to saline implants unless she chooses to use a silicone gel implant in an "off-label" fashion. This would likely mean that the implant company would void the warranty if there were a problem with the implant. Best to seek out a few board certified plastic surgeons for opinions and pick the one with which she feels the most comfortable.  Best wishes.

Robert Drielsma, MBBS, BSc, FRACS · Answer

A great question.  Many young women at that age undergo breast augmentation in my practice and are very happy with the results.  Usually by 18 years of age there won't be significant changes in the breast size particularly if her breast size has been stable for the past 12 months or so.  I recommend young patients take into consideration their lifestyle and future plans for pregnancy and breast feeding when considering implant size, shape and placement.  A comprehensive examination and discuss of her options with a  fully qualified plastic surgeon is her best next step.

Kenneth R. Francis, MD, FACS · Answer

Dear Concerned,Many women will have completed breast development by age 18.  However, some will continue to grow breast tissue into their mid and late twenties.  Check with your pediatrician and see if he/she has classified your daughter as a Tanner stage IV, indicating that her breasts are fully developed.  If so, she might be a great candidate for breast augmentation.  Good luck!

Gustavo E. Galante, MD · Answer

Age is all relative to the level of maturity. This must be determined by her plastic surgeon. If she is healthy, doing it for the right reasons, and has realistic expectations, then it may be acceptable to have this procedure done this age. Silicone implants would be done as an off-label procedure, and in addition, they would not be covered under the manufacturer's warranty.

Kamran Efendioglu, MD · Answer

Hi,As already mentioned by other colleagues 18 year old is usually ok for a breast augmentation. However I'm curious wether giving such a present to your daughter would make her feel even less confident or hurt her feelings as with that move you confirm that her breasts are small. Of course unless you already talked to her about this and she seeks breast augmentation.My best.

Steven Schuster, MD, FACS · Answer

I very often see patients with this request but will not perform the surgery on anyone under eighteen for purely cosmetic purposes.  Contrary to popular belief anyone can get silicone implants provided they sign a special consent.  This would mean she may be voiding the warranty and is signing for an "off label" use of the implant according to legal advice from the ASPS counsel.

Gerard Lambe, MBChB · Answer

It depends. Your daughter is having the surgery and should be mature enough to weigh up all of the pros and cons of proceeding. If she is not capable of making the decision for herself then she should not proceed with surgery.

My daughter is 18, is serious about breast augmentation for a graduation gift. Is 18 too young?

Answers (18)

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