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Derrick et al.                                                                                                                                                          Teen aesthetic surgery may eliminate bullying

           in company. As a result, she was quite desperate to   introvert because of low self-esteem, especially
           have something done and had even mentioned the     pertaining to his big legs,  gynecomastia, and
           thought of suicide. The patient discussed her hope of   overweight body habitus. His father brought him in to
           her father seeing her in a nice dress before he died of   evaluate his lower extremities, as he was concerned
           bladder cancer.                                    the legs may become a chronic lymph edema or
                                                              permanent deformity.
           To help her achieve her dreams and eliminate
           humiliation, we did liposuction with 2 units of autologous   Under valium and ketamine sedation, we performed
           blood and removed 15 L (about 38 pounds) of        liposuction to his legs, pelvis, abdomen, and chest.
           subcutaneous fat (including 8 L of infiltration), followed   After returning back to school, he obtained more
           by 2 other liposuction procedures after waiting for   friends, became athletic, a straight A student, and took
           complete healing in 6 weeks. Additionally, we did a   extra elective courses so he could graduate from high
           breast augmentation, abdominoplasty, brachioplasty,   school with a grade point average above a 4.0. He
           and a thigh lift on the patient.                   has recently been accepted to a top university of his
                                                              choice.
           Figure 2A shows the patient at just 12-year-old and
           230 pounds, prior to any surgical intervention. Her   DISCUSSION
           menarche had begun at age ten so physiologically,
                                                                                                            [3]
           she was mature.                                    It is often stated by people like caplain in Friedman’s
                                                              article that teenagers are too young to make a decision
           Figure 2B was taken just 5 months after all procedures   about their appearance permanently. It perhaps would
           and an astonishing 58-pound weight loss. Since then,   be better to wait until they are fully mature, at ages 21
           the patient continued her weight loss journey and   through 25. Moreover, some believe that surgery is
           weighed in at 152 pounds after a year. Her life has   risky for young people. However, there is no evidence
           become normalized, as she is enrolling in college as a   for that rumor, as we do not hesitate to operate on
           nursing student and has recently gotten married.   infants with cleft lips at merely 10 weeks of age,
                                                              10 pounds of weight, and hemoglobin of 10 grams.
           Patient 3                                          Otoplasties are usually performed before children go
           Case 3 [Figure 3] is a 14-year-old boy who was     to school to prevent them from being ridiculed for their
                                                                      [3]
           overweight. He had very few friends and was an     entire life .
             A                  C                  E                   G                  I













             B                  D                  F                   H                  J













           Figure 3: A: Patient 3 at 14-year-old and 220 pounds; B: patient 3 one year later, post liposuction to his chest, abdomen, flanks, knees,
           calves, and thighs; C: patient 3 prior to any surgical intervention; D: patient 3 one year post-op; E: side view of patient 3 prior to surgical
           procedures; F: side view of patient 3 one year post-op; G: legs and calves of patient 3 prior to any surgical procedures; H: legs and calves
           of patient 3 one year post-op; I: side view of chest and abdomen of patient 3 prior to all surgical procedures; J: side view of chest and
           abdomen of patient 3 one year post-op
            182                                                                                      Plastic and Aesthetic Research ¦ Volume 4 ¦ October 26, 2017
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