Is it ethical to operate on patients under 18? The controversy around teenage cosmetic surgery, according to Dr. Yily De Los Santos

 

Where does personal desire end and medical responsibility begin?

Cosmetic surgery in patients under 18 sparks heated debates among doctors, parents, teens, and society. In a world dominated by social media, more adolescents are seeking procedures like rhinoplasty, otoplasty, or even liposuction to enhance their appearance.

Dr. Yily De Los Santos, a renowned plastic and reconstructive surgeon in the Dominican Republic, believes that ethics must always come before demand. “Not every cosmetic wish justifies a surgical procedure, especially in individuals who are still developing physically and emotionally,” she explains.

When is it acceptable, and when is it not?

According to Dr. De Los Santos, there are valid exceptions. “If plastic surgery addresses a functional need or a feature that severely affects self-esteem and emotional well-being, it must be evaluated thoroughly—with informed consent from the parents and support from a multidisciplinary team.”

Social pressure and digital filters

One of today’s greatest challenges is the influence of image filters on social media. “Teens want to look like unreal versions of themselves, which creates distorted expectations,” says Dr. De Los Santos. “As ethical surgeons, our job is to educate, not just to please.”

The role of the responsible plastic surgeon

Dr. Yily De Los Santos follows a strict protocol before considering surgery for minors. “We evaluate the reason, level of maturity, real motivation, and always prioritize physical and mental health. Surgery is not a magic fix.”

Teen cosmetic surgery is not a trend—it is a delicate matter of ethics and medical responsibility. In Dr. De Los Santos’ words: “The scalpel should never replace emotional support or the healthy building of self-esteem.”