Is 18 Too Young for a Breast Augmentation Consultation?

I have wanted implants ever since my breasts stopped growing in my early teens. I have looked at many before and after photos and I believe I may have hypomastia. I have recently turned 18 and believe I am ready for this surgery. My parent is supportive of whatever decision I make but as I will be the one paying for this surgery it is ultimately my choice. I have the money and ability to do this now. My question is are doctors hesitant to discuss/perform breast augmentation on someone my age?

Doctor Answers 25

Breast implants at age 18

At 18 you are old enough to make important decisions such as having breast implants. Having your parent's consent is very important. You should use the Internet to fully familiarize yourself with the various aspects of implants, such as risks, (encapsulation, infection, distortion), incision sites, placement of the implants in front of or behind the muscle.

Until you are 22 you will have access only to saline implants, but this is not a deterrent in my opinion, unless you have virtually no breast tissue. If this is the case, the saline implants may cause visible wrinkles, which is unattractive. In such a case, the implants will have to be placed under the pectorals muscle, but wrinkles still may be visible. Many surgeons prefer the sub-pectoral position for the implant anyway. These are all things you must consider when making this very important decision.

One bit of additional advice -- be conservative with the size. This will reduce the deformity if there is a complication, and you will be much more comfortable. The prettiest breast are rarely the largest. And finally, find s plastic surgeon who listens to what you want. Best of luck.

Savannah Plastic Surgeon
4.8 out of 5 stars 78 reviews

Is 18 years old too young for a breast augmentation?

Thank you for your question. Yes, You are able to have a breast augmentation performed at 18. I agree that it is a good idea to bring your parents to the consultation. Just make sure you pick a board certified plastic surgeon to perform the surgery. Gather as much information out of the consultation that you can in order to make a final decision if a breast augmentation is right for you. Best of luck!

Dhaval M. Patel 
Double board certified 
Plastic surgeon 
Hoffman Estates

Dhaval M. Patel, MD
Hoffman Estates Plastic Surgeon
4.8 out of 5 stars 93 reviews

Is 18 too youg for a Breast Augmentation?

Thank you for your question.  At 18, you are old enough to make this decision, but I typically recommend having a parent with you during the consultation, and it's great that you have your parent's support.  The main limitation in having a breast augmentation at this age is in breast implant selection -- you can only have saline implants, since silicone implants are not permitted in patients who are under 22 years old.  The two main downsides to saline breast implants are that they are (1) not as soft as silicone (and thus less natural-feeling), and (2) saline implants are also more likely to cause rippling -- wrinkling in your skin -- and this may occur regardless of your current breast size, or if the implant is placed below or above the (pectoralis) muscle.

The next step is to find the right aesthetic plastic surgeon for you. In your consultation, be sure your surgeon addresses all your concerns and discusses the surgery details including the position and size of the incision used, the risks and benefits of the procedure, recovery time, and post-operative course.  Also, be sure to see plenty of before-and-after pictures in women who have a similar breast appearance to yours, and preferably at different time frames (3 weeks out, 3 months out, etc) to more accurately predict your own surgical outcome.

Most importantly, be sure to find a surgeon that you feel comfortable with.

Good luck.

Mark K Markarian, MD, MSPH
Harvard-trained Aesthetic Plastic Surgeon

Is 18 Too Young for a Breast Augmentation Consultation

Thank you for submitting your question. 18 years of age your old enough to make informed educated  decisions. When your ready, make an appointment with a Board Certified Plastic surgeon.  Many times in my 18-20 year patients they are accompanied by their mothers.  Best Wishes

Jeff Angobaldo, MD
Dallas Plastic Surgeon
5.0 out of 5 stars 104 reviews

Is 18 Too Young for a Breast Augmentation Consultation?

Your concerns are understandable but assuming you demonstrate physical and emotional maturity, you are not necessarily too young to undergo breast augmentation surgery. In my practice, I individualize recommendations after in office evaluation of patients' history and physical, maturity levels, motivation, and evaluation of the young ladies' understanding of potential risks/complications associated with breast surgery. Generally speaking, again, best to achieve a level of physical, emotional, psychosocial, and financial “stable state” prior to considering elective plastic surgery. Best wishes.

Tom J. Pousti, MD, FACS
San Diego Plastic Surgeon
5.0 out of 5 stars 1,488 reviews

Is 18 too young for a breast augmentation consultation?

Hello! Thank you for your question. Breast augmentation is a procedure often sought by women to increase size, add upper pole fullness and projection along with improve shape and symmetry of her breasts. Women who have the breast augmentation done report increased self-confidence, self-esteem, and more comfortable with her body. In fact, it has been the most popular procedure in plastic surgery in the US for the past few years. Many surgeons use 18 years of age as the standard for when to offer the breast augmentation procedure to women. Maturity and the ability to make an educated decision for yourself of whether this procedure is the right one for you as well as factors regarding implant choice, size, incision placement, position of the implant, other adjunct procedures, etc are major factors. Having the maturity to understand all of the risks and benefits of the surgical procedure is also mandatory - thus, most are readily able to comprehend this at that age. 23 years of age is the FDA guideline for utilization of silicone implants.

Good communication between you and your surgeon of your expectations is warranted - choosing your surgeon wisely is the first step. Consult with a board certified plastic surgeon well-versed in this procedure. Research your surgeon's education, training, as well as ability to perform this procedure. See postoperative photographs and most importantly choose the one who you feel most comfortable with and competent to meet your expectations. Discussion of your wishes and having an honest and open dialog of your procedure is mandatory (e.g, implant type, incision, placement, lift, etc). I have found that photographs brought by the patient is helpful to get a visualization of the appearance you wish for in terms of size, shape, fullness, etc. In addition, your surgeon's pre and postoperative photographs should demonstrate a realistic goal for you. Once this has been accomplished, allow your surgeon to utilize his/her best medical judgment during the procedure to finesse the best possible result for you after preoperative biodimensional planning and fitting the right implant for your breast width.

Hope that this helps! Best wishes for a wonderful result!

Lewis Albert Andres, MD
Scottsdale Plastic Surgeon
5.0 out of 5 stars 26 reviews

Breast augmentation at 18.

At 18, you are certainly old enough to discuss breast augmentation with a plastic surgeon. Having a thorough understanding of your options, the surgery, and the expectations from surgery will help you to make a decision as to whether or not this is the right operation for you. I recommend seeing at least two Board Certified Plastic Surgeons prior to making this decision. It is important to know that at 18 you are limited in which implants you can have. The FDA advises that silicone gel implants only be used in patients 22 years or older. This may be an important factor in your decision.

David Bogue, MD
Boca Raton Plastic Surgeon
5.0 out of 5 stars 25 reviews

A 18 year-old is not too young for breast augmentation.

Yes, you can get breast augmentation at 18 y/o.  As long as you are well informed about procedure, alternatives, possible risks/benefits/complication, you can undergo breast augmentation.  Breast augmentation is a very safe surgery when done for right candidate.  I would encourage you to go for consultation with board-certified plastic surgeon. 

Sugene Kim, MD, FACS
Houston Plastic Surgeon
4.7 out of 5 stars 76 reviews

Breast Augmentation at 18

Hi Relle, that is a great question. Being 18 is not too young to have a breast augmentation consultation. The key is to make an informed choice about your body.  For many women in your same position, breast augmentation can help to achieve the size and look you are hoping for. A consultation is a great learning experience for you to see if you are an appropriate candidate for breast augmentation. I would highly recommend that you have at least 2 consultations with Board Certified Plastic Surgeon which will give you the opportunity to be well informed in making this decision. Make sure to ask many questions so you feel comfortable with the doctor you ultimately choose. Best of luck!

Stewart Wang, MD, FACS
Los Angeles Plastic Surgeon
4.6 out of 5 stars 28 reviews

Too young for breast consultation?

At 18 you are certainly not too young to talk with a board certified plastic surgeon. Whether surgery is right for you now or not is another question. You and your surgeon are the ones who will make the final decision and it would be good to include your parent in the decision making process as well. You should feel comfortable with the surgeon you choose (it may take consultations with several to find the right one for you) and be able to discuss your concerns easily with him or her. Good luck to you.

Margaret Skiles, MD (retired)
Sacramento Plastic Surgeon
3.6 out of 5 stars 13 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.