In this episode of the Plastic Surgery Practice podcast, host Alison Werner interviews Babak Azizzadeh, MD, FACS, a double board-certified facial plastic and reconstructive surgeon and director of the Facial Paralysis Institute in Los Angeles. They discuss the nuances of plastic surgery and aesthetic procedures for younger patients, focusing on rhinoplasty and lip fillers.

Overview of Topic

Azizzadeh elaborates on the increasing demand for aesthetic procedures among younger individuals. He provides insights into the physical and social factors influencing the decision to undergo procedures like rhinoplasty and lip fillers, emphasizing the importance of timing and psychological readiness.

Key Takeaway 1: Considerations for Rhinoplasty in Young Patients

Azizzadeh highlights that rhinoplasty is most popular among teenagers and young adults, typically between the ages of 16 and 24. The physical readiness for surgery depends on the individual's growth and development, with girls often being ready around 15 or 16, and boys a bit later. He stresses the importance of ensuring that the septum and facial growth are complete to avoid stunting facial development.

Key Takeaway 2: The Social Dynamics of Surgery

The social aspects of plastic surgery for minors are complex. Azizzadeh points out that both the patient and their parents must be aligned in their decision-making. Effective communication and mutual agreement are crucial. He also addresses the significant psychosocial impact of nasal deformities, noting that timely intervention can prevent bullying and improve social interactions.

Key Takeaway 3: The Psychological Evaluation Process

Azizzadeh explains that the initial consultation with young patients and their parents is thorough, often lasting up to an hour. During this time, he assesses the psychological readiness and maturity of the patient, as well as the family dynamics. He emphasizes the importance of realistic expectations and continuous evaluation to ensure the suitability of the procedure.

Key Takeaway 4: Timing and Recovery for Surgery

Timing the surgery is critical, with Azizzadeh preferring to schedule procedures early in the summer to allow for ample recovery time. He explains that while the initial recuperation from rhinoplasty is quick, the final results can take longer to manifest, necessitating a more extended recovery period to achieve optimal outcomes.

Key Takeaway 5: Lip Fillers in Younger Patients

Lip fillers are increasingly popular among young adults, particularly those in their 20s, driven by social media influence. Azizzadeh advises a conservative approach, starting with small amounts of filler to achieve a natural look. He warns against overdoing lip fillers, which can result in unnatural appearances and necessitate correction.

Key Takeaway 6: The Impact of Social Media

Social media has profoundly changed the landscape of plastic surgery, making younger patients more informed and opinionated about their desired procedures. Azizzadeh acknowledges the challenge of managing expectations but finds that younger patients are generally open-minded and receptive to professional advice.

Conclusion

Azizzadeh appreciates the enthusiasm and satisfaction of younger patients when procedures are done correctly and conservatively. He emphasizes the importance of education and realistic expectations, ensuring that both physical and psychological factors are considered before proceeding with any aesthetic procedure.