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Body & Soul

Facial Plastic Surgery and Its Effects on the Voice with Babak Azizzadeh, MD

Dr. Azizzadeh is a Board Certified, Harvard trained Facial Plastic Surgeon, specializing exclusively in facial plastic surgery. As a clinical faculty of the UCLA School of Medicine, Dr. Azizzadeh is actively involved in teaching facial plastic surgery to residents and medical students. In addition to his busy surgical practice, Dr. Azizzadeh has also been actively involved in several humanitarian causes such as the Medical Missions for Children (MMFC) and the R.O.S.E. Fund (Regaining One’s Self-esteem), a national non-profit organization committed to ending violence against women and children by assisting survivors in regaining their self-esteem. He has operated on many famous faces. Dr. Azizzadeh's website is http://www.facialplastics.info/

COSMETIC SURGERY AND TEENS OR CHILDREN

MBADC: What are your recommendations for teenagers who want to have surgery? I always heard don’t do anything until you’re maybe 19 so that all the structures are finished growing. But what is the recommendation now?

BA: That’s not necessarily true. The two main common procedures teenagers do are the ears—actually they’re not teenagers, they’re between like 5 and 10 year-olds that get teased, they get called names in school, socially they’re outcasts…I mean, it really affects growing up for them, and it really affects them at school and their social structure. So I highly, highly recommend kids that are being teased or unhappy to do surgery on them. They’re really low-risk operations, they’re short operations, and patients almost uniformly do well. The other big operation that teenagers do is rhinoplasty. That’s when I think you need to wait. For women, you need to wait probably ‘til they’re 14, and for boys until they’re about 16, and at that point the cartilages of the bone don’t really change anymore and won’t have any effect on their growth or on the way they look. So in terms of physiology, at the age of 14 for girls, 16 for boys.

When it comes to the reason why they want to have the surgery, is it that the kids want to have the surgery, or their parents want them to have the surgery? And that’s why I spend not just one consultation, I spend three consultations with both the teenagers and their parents, and sometimes I even ask the parents to leave the room so that I can get more information from the teenager. Because a lot of times it’s the parents who want their child to have the surgery and the child is not bothered by it. Definitely when it comes to teenagers, you have to be very, very careful. But it makes sometimes a lot of difference. Like myself--I was teased so much—I actually broke my nose. I had a really crooked nose. And I was teased so much in high school, but I didn’t do anything about it ‘til—I was in medical school when I finally got my nose straightened.

MBADC: What percentage of your patients are teenagers, would you say?

BA: For the rhinoplasty population, I’d say 30 to 40 percent are teenagers. That’s generally the time period when most people have rhinoplasty. They’re between 16 and 20. Overall, I would say about 15-20 percent are teenagers. It’s not an insignificant number.

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