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More teens are having cosmetic surgery — a trend experts say is fueled by selfies, social media and teens’ increasing self-awareness and desire to fit in. Not only are adolescents having rhinoplasty, otoplasty and reduction mammaplasty, but also the more adult procedures including liposuction, nonsurgical laser resurfacing, fillers, botulinum toxin type A injections to prevent aging and more. This is despite scant data on whether it’s safe to perform many of these cosmetic procedures on patients younger than 19, according to a systematic review and recommendations for teen plastic surgery published in September in Plastic and Reconstructive Surgery.