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Cosmetic interventions are booming. Many say ethical conversations are lagging
Bioethicists say plastic surgery and injectables are spreading faster than ethical guidance, even as demand rises across age groups and backgrounds.
Demand for cosmetic surgery in the United States has increased in recent years across all age demographics, says Dr. C. Bob Basu, president of the American Society of Plastic Surgeons, noting it is no longer exclusive to the wealthy.
Over nearly 20 years, Dr. Michael Obeng has witnessed a dramatic shift in acceptance of cosmetic procedures, with younger patients now seeking preventive interventions like Botox in their 30s rather than waiting until later ages.
Despite this ubiquity, bioethicists say training is not prioritized in plastic surgery education. "Nobody rotates to plastic surgery," said Arthur Caplan, founding head of the Division of Medical Ethics at New York University Grossman School of Medicine.
The Vatican released a document in March decrying the "cult of the body," while feminist theologian Natalie Carnes of Duke Divinity School calls for broader conversations that avoid placing the burden solely on women.
Individuals like Ivory Kellogg, a 29-year-old actor in Los Angeles, grapple with tension regarding interventions, while Shula Jassell, 25, from Southern California weighs surgical implants against temporary fillers, illustrating the philosophical struggles consumers face.