Having a major surgery for cosmetic reasons is not something that requires a specific age to understand. Certainly there are young people with a great understanding of the process, the recovery, the expectations and the irreversible nature of the procedure and older people who do not seem to grasp these things. But to operate and change an 18 year old forever requires a fair amount of contact between the physician and patient to ensure that the operation is something you will be happy with both in the short term and the rest of your life. This is an important responsibility on the surgeon and requires that you, as the patient, seek out a qualified and caring surgeon. I assure you that someone, somewhere will operate on you whether you are ready or not if you ask enough surgeons. Find one who takes time to understand your rationale, your desires and your expectations.Best,Dr. Pyle