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What's your opinion on cosmetic plastic surgery?

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What is your opinion about plastic surgery? COSMETIC plastic surgery, the kind one gets in order to fix "imperfections." (breast aug, lip aug)

Reconstructive plastic surgery is needed to correct legitimate health problems (burn victims, the morbidly obese, a cleft pallet).

What about teenagers getting plastic surgery for their graduation, etc? What do you consider to be too young?