The debate about young patients has been constant in the world of plastic surgery. In 2001, a Quebec- based teen had breast implant surgery for free thanks to the provincial health board known as the RAMQ - Régie de l'assurance maladie du Québec.
The decision by the board was taken after the parents came in armed with a note from a psychiatrist saying their child's small breasts were harming the girl's mental and emotional stability.
Louise Duranceau, the then head of the Quebec Association of Plastic Surgeons, said many girls have self-image problems related to breast size. An operation presumably would give a girl more confidence.
A parallel case in England betrayed the same logic. Fifteen-year-old Jenna Franklin, from Nottinghamshire, was offered breast implants by her parents for her 16th birthday. Jenna's mother, Kay Franklin - who twice had her own breasts enlarged - had said that if she could alleviate some of her daughter's 'hang-ups,' she would.
'There are so many young girls who are depressed or bothered about the way they look, so if you can do something about it, that's great,' Jenna's mother told the Express.
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