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Plastic surgery in the past was an option most often associated with adults, especially older adults, who desired to improve their appearance. But the number of teenagers undergoing plastic surgery is trending upward.

Nearly 230,000 cosmetic procedures were performed on patients from the ages of 13 to 19 in 2017, according to the American Society of Plastic Surgeons. Doctors say part of the reason is due to the social media explosion, but they add that it’s also to fix a feature that makes teens a target of bullying, or to address a health need.

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