The American College of Obstetricians and Gynecologists’ (ACOG) Committee on Adolescent Health Care has issued a committee opinion that offers adolescents and their families advice, surgery, or referral for conditions of the breast or vulva to improve appearance and function. The ACOG offers the following recommendations:
• The obstetrician–gynecologist caring for adolescents should have good working knowledge of nonsurgical alternatives for comfort and appearance as well as knowledge of indications and timing of surgical intervention and referral.
• When adolescents seek medical treatment, the first step is often education and reassurance regarding normal variation in anatomy, growth, and development.
• Appropriate patient counseling and assessment of the adolescent’s physical maturity and emotional readiness are necessary before surgical management or referral.
• Individuals should be screened for body dysmorphic disorder. If an obstetrician–gynecologist suspects an adolescent has body dysmorphic disorder, referral to a mental health professional is appropriate.
Strickland JL, et al. Breast and labial surgery in adolescents. Committee Opinion No. 662. American College of Obstetricians and Gynecologists. Obstet Gynecol. 2016:127:e138–40.