{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,9]],"date-time":"2026-09-09T05:32:10Z","timestamp":1788931930879,"version":"build-2803163510"},"reference-count":49,"publisher":"Springer Science and Business Media LLC","issue":"13","license":[{"start":{"date-parts":[[2026,6,2]],"date-time":"2026-06-02T00:00:00Z","timestamp":1780358400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2026,6,2]],"date-time":"2026-06-02T00:00:00Z","timestamp":1780358400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"DOI":"10.13039\/501100004375","name":"Tel Aviv University","doi-asserted-by":"crossref","id":[{"id":"10.13039\/501100004375","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Aesth Plast Surg"],"published-print":{"date-parts":[[2026,7]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Breast corrective surgery has been on the rise in the adolescent population in recent years. Data regarding the effects of surgery on quality of life (QOL) and satisfaction in this patient population are required for accurate risk\u2013benefit evaluation. The objective of this study was to assess the satisfaction and effect of breast corrective surgery on QOL in the adolescent and young adult population, using the validated BREAST-Q questionnaire.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Included were all patients aged 21 and under, who underwent breast corrective surgery due to macromastia, breast asymmetry and gynecomastia during the years 2013\u20132021. Pre- and postoperative BREAST-Q questionnaires were retrospectively completed. QOL and satisfaction measures were assessed and compared before and after surgery.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Fifty-two patients were included, of whom 24 (46.2%) underwent asymmetry correction, 18 (34.6%) underwent reduction mammoplasty and 10 (19.2%) underwent gynecomastia repair. A significant improvement in psychosocial well-being, sexual well-being and satisfaction with the breasts was recorded following surgery in all groups. Physical well-being scores were improved for patients following breast reduction and gynecomastia repair only. Within the breast asymmetry group, correction with implants was associated with decreased physical well-being, while correction without implants was associated with improved physical well-being and the difference between these two subgroups was statistically significant.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>The findings of this study suggest that in adolescents and young adults, breast corrective surgery including reduction mammoplasty, asymmetry correction and gynecomastia repair is associated with high satisfaction scores and improved QOL according to the BREAST-Q questionnaire.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of Evidence III<\/jats:title>\n                    <jats:p>\n                      This journal requires that authors assign a level of evidence to each article. For a full description of these evidence-based medicine ratings, please refer to the Table of Contents or the online Instructions to Authors\n                      <jats:ext-link xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" xlink:href=\"http:\/\/www.springer.com\/00266\" ext-link-type=\"uri\">www.springer.com\/00266<\/jats:ext-link>\n                      .\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1007\/s00266-026-05859-3","type":"journal-article","created":{"date-parts":[[2026,6,2]],"date-time":"2026-06-02T15:11:59Z","timestamp":1780413119000},"page":"5117-5126","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Corrective Breast Surgery in Adolescents and Young Adults: A Retrospective Patient-Reported Outcome Study Using the BREAST-Q Questionnaire"],"prefix":"10.1007","volume":"50","author":[{"given":"Riham","family":"Kheir","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ehud","family":"Fliss","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dana","family":"Adelson","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sapir","family":"Davidov","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eyal","family":"Gur","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yoav","family":"Barnea","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gal","family":"Bracha","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0003-0743-3466","authenticated-orcid":false,"given":"Ehud","family":"Arad","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2026,6,2]]},"reference":[{"key":"5859_CR1","doi-asserted-by":"publisher","unstructured":"The Aesthetic Society\u2019s Cosmetic Surgery National Data Bank: Statistics 2019. Aesthet Surg J. 2020;40(Suppl 1):1\u201326. https:\/\/doi.org\/10.1093\/asj\/sjaa144.","DOI":"10.1093\/asj\/sjaa144"},{"issue":"6","key":"5859_CR2","doi-asserted-by":"publisher","first-page":"1591","DOI":"10.1097\/00006534-200111000-00024","volume":"108","author":"CL Kerrigan","year":"2001","unstructured":"Kerrigan CL, Collins ED, Striplin D, et al. The health burden of breast hypertrophy. Plast Reconstr Surg. 2001;108(6):1591\u20139. https:\/\/doi.org\/10.1097\/00006534-200111000-00024.","journal-title":"Plast Reconstr Surg"},{"issue":"4","key":"5859_CR3","doi-asserted-by":"publisher","first-page":"845","DOI":"10.1097\/01.prs.0000277660.49802.76","volume":"120","author":"JA Spector","year":"2007","unstructured":"Spector JA, Karp NS. Reduction mammaplasty: a significant improvement at any size. Plast Reconstr Surg. 2007;120(4):845\u201350. https:\/\/doi.org\/10.1097\/01.prs.0000277660.49802.76.","journal-title":"Plast Reconstr Surg"},{"issue":"5","key":"5859_CR4","doi-asserted-by":"publisher","first-page":"1556","DOI":"10.1097\/00006534-200204150-00011","volume":"109","author":"ED Collins","year":"2002","unstructured":"Collins ED, Kerrigan CL, Kim M, et al. The effectiveness of surgical and nonsurgical interventions in relieving the symptoms of macromastia. Plast Reconstr Surg. 2002;109(5):1556\u201366. https:\/\/doi.org\/10.1097\/00006534-200204150-00011.","journal-title":"Plast Reconstr Surg"},{"issue":"3","key":"5859_CR5","doi-asserted-by":"publisher","first-page":"227","DOI":"10.1097\/01.sap.0000171444.79737.70","volume":"55","author":"BJ Hermans","year":"2005","unstructured":"Hermans BJ, Boeckx WD, De Lorenzi F, van der Hulst RR. Quality of life after breast reduction. Ann Plast Surg. 2005;55(3):227\u201331. https:\/\/doi.org\/10.1097\/01.sap.0000171444.79737.70.","journal-title":"Ann Plast Surg"},{"key":"5859_CR6","doi-asserted-by":"publisher","first-page":"141","DOI":"10.1016\/j.bodyim.2015.08.004","volume":"15","author":"DL Ordaz","year":"2015","unstructured":"Ordaz DL, Thompson JK. Gynecomastia and psychological functioning: a review of the literature. Body Image. 2015;15:141\u20138. https:\/\/doi.org\/10.1016\/j.bodyim.2015.08.004.","journal-title":"Body Image"},{"issue":"4","key":"5859_CR7","doi-asserted-by":"publisher","first-page":"391","DOI":"10.1111\/j.1524-4741.2011.01104.x","volume":"17","author":"W Chan","year":"2011","unstructured":"Chan W, Mathur B, Slade-Sharman D, Ramakrishnan V. Developmental breast asymmetry. Breast J. 2011;17(4):391\u20138. https:\/\/doi.org\/10.1111\/j.1524-4741.2011.01104.x.","journal-title":"Breast J"},{"issue":"4","key":"5859_CR8","doi-asserted-by":"publisher","first-page":"201","DOI":"10.1080\/02844310902891513","volume":"43","author":"E Eggert","year":"2009","unstructured":"Eggert E, Schuss R, Edsander-Nord A. Clinical outcome, quality of life, patients\u2019 satisfaction, and aesthetic results, after reduction mammaplasty. Scand J Plast Reconstr Surg Hand Surg. 2009;43(4):201\u20136. https:\/\/doi.org\/10.1080\/02844310902891513.","journal-title":"Scand J Plast Reconstr Surg Hand Surg"},{"issue":"3","key":"5859_CR9","doi-asserted-by":"publisher","first-page":"264","DOI":"10.1097\/SAP.0000000000000860","volume":"78","author":"A Kasielska-Trojan","year":"2017","unstructured":"Kasielska-Trojan A, Antoszewski B. Gynecomastia surgery-impact on life quality: a prospective case-control study. Ann Plast Surg. 2017;78(3):264\u20138. https:\/\/doi.org\/10.1097\/SAP.0000000000000860.","journal-title":"Ann Plast Surg"},{"issue":"4","key":"5859_CR10","doi-asserted-by":"publisher","first-page":"514","DOI":"10.1007\/s00266-008-9213-z","volume":"33","author":"RA Davan\u00e7o","year":"2009","unstructured":"Davan\u00e7o RA, Sabino Neto M, Garcia EB, Matsuoka PK, Huijsmans JP, Ferreira LM. Quality of life in the surgical treatment of gynecomastia. Aesthetic Plast Surg. 2009;33(4):514\u20137. https:\/\/doi.org\/10.1007\/s00266-008-9213-z.","journal-title":"Aesthetic Plast Surg"},{"issue":"4","key":"5859_CR11","doi-asserted-by":"publisher","first-page":"761","DOI":"10.1007\/s00266-017-0833-z","volume":"41","author":"D Zavlin","year":"2017","unstructured":"Zavlin D, Jubbal KT, Friedman JD, Echo A. Complications and outcomes after gynecomastia surgery: analysis of 204 pediatric and 1583 adult cases from a national multi-center database. Aesthet Plast Surg. 2017;41(4):761\u20137. https:\/\/doi.org\/10.1007\/s00266-017-0833-z.","journal-title":"Aesthet Plast Surg"},{"issue":"1","key":"5859_CR12","doi-asserted-by":"publisher","first-page":"223","DOI":"10.1007\/s00266-011-9785-x","volume":"36","author":"MS Neto","year":"2012","unstructured":"Neto MS, Abla LE, Lemos AL, et al. The impact of surgical treatment on the self-esteem of patients with breast hypertrophy, hypomastia, or breast asymmetry. Aesthet Plast Surg. 2012;36(1):223\u20135. https:\/\/doi.org\/10.1007\/s00266-011-9785-x.","journal-title":"Aesthet Plast Surg"},{"issue":"6","key":"5859_CR13","doi-asserted-by":"publisher","first-page":"616","DOI":"10.1016\/j.asj.2007.09.002","volume":"27","author":"M Sabino Neto","year":"2007","unstructured":"Sabino Neto M, da Silva AL, Garcia EB, Freire M, Ferreira L. Quality of life and self-esteem after breast asymmetry surgery. Aesthet Surg J. 2007;27(6):616\u201321. https:\/\/doi.org\/10.1016\/j.asj.2007.09.002.","journal-title":"Aesthet Surg J"},{"issue":"5","key":"5859_CR14","doi-asserted-by":"publisher","first-page":"669","DOI":"10.1111\/1469-7610.00762","volume":"42","author":"KJ Simis","year":"2001","unstructured":"Simis KJ, Verhulst FC, Koot HM. Body image, psychosocial functioning, and personality: how different are adolescents and young adults applying for plastic surgery? J Child Psychol Psychiatry. 2001;42(5):669\u201378.","journal-title":"J Child Psychol Psychiatry"},{"key":"5859_CR15","doi-asserted-by":"publisher","first-page":"206","DOI":"10.1016\/j.adolescence.2015.06.007","volume":"43","author":"L Rew","year":"2015","unstructured":"Rew L, Young C, Harrison T, Caridi R. A systematic review of literature on psychosocial aspects of gynecomastia in adolescents and young men. J Adolesc. 2015;43:206\u201312. https:\/\/doi.org\/10.1016\/j.adolescence.2015.06.007.","journal-title":"J Adolesc"},{"issue":"3","key":"5859_CR16","doi-asserted-by":"publisher","first-page":"291","DOI":"10.1007\/BF00449797","volume":"18","author":"GR Evans","year":"1994","unstructured":"Evans GR, Ryan JJ. Reduction mammaplasty for the teenage patient: a critical analysis. Aesthet Plast Surg. 1994;18(3):291\u20137. https:\/\/doi.org\/10.1007\/BF00449797.","journal-title":"Aesthet Plast Surg"},{"issue":"3","key":"5859_CR17","doi-asserted-by":"publisher","first-page":"227","DOI":"10.1097\/00000637-199509000-00001","volume":"35","author":"JD McMahan","year":"1995","unstructured":"McMahan JD, Wolfe JA, Cromer BA, Ruberg RL. Lasting success in teenage reduction mammaplasty. Ann Plast Surg. 1995;35(3):227\u201331. https:\/\/doi.org\/10.1097\/00000637-199509000-00001.","journal-title":"Ann Plast Surg"},{"issue":"3","key":"5859_CR18","doi-asserted-by":"publisher","first-page":"229","DOI":"10.1016\/j.ijsu.2010.12.001","volume":"9","author":"PF Koltz","year":"2011","unstructured":"Koltz PF, Sbitany H, Myers RP, Shaw RB, Patel N, Girotto JA. Reduction mammaplasty in the adolescent female: the URMC experience. Int J Surg. 2011;9(3):229\u201332. https:\/\/doi.org\/10.1016\/j.ijsu.2010.12.001.","journal-title":"Int J Surg"},{"issue":"1","key":"5859_CR19","doi-asserted-by":"publisher","first-page":"9","DOI":"10.1097\/00006534-200201000-00003","volume":"109","author":"KJ Simis","year":"2002","unstructured":"Simis KJ, Hovius SE, de Beaufort ID, Verhulst FC, Koot HM. Adolescent-reported appearance ratings and appearance-related burdens in patient and general population groups. Plast Reconstr Surg. 2002;109(1):9\u201317. https:\/\/doi.org\/10.1097\/00006534-200201000-00003.","journal-title":"Plast Reconstr Surg"},{"key":"5859_CR20","doi-asserted-by":"publisher","first-page":"341","DOI":"10.1037\/10404-014","volume-title":"Body image, eating disorders, and obesity in youth: Assessment, prevention, and treatment","author":"DB Sarwer","year":"2001","unstructured":"Sarwer DB. Plastic surgery in children and adolescents. In: Thompson JK, Smolak L, editors. Body image, eating disorders, and obesity in youth: Assessment, prevention, and treatment. Washington: American Psychological Association; 2001. p. 341\u201366. https:\/\/doi.org\/10.1037\/10404-014."},{"issue":"1","key":"5859_CR21","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1016\/S0272-7358(97)00047-0","volume":"18","author":"DB Sarwer","year":"1998","unstructured":"Sarwer DB, et al. The psychology of cosmetic surgery: A review and reconceptualization. Clin Psychol Rev. 1998;18(1):1\u201322.","journal-title":"Clin Psychol Rev"},{"issue":"3","key":"5859_CR22","doi-asserted-by":"publisher","first-page":"105","DOI":"10.1016\/S1083-3188(00)00042-5","volume":"13","author":"MH McGrath","year":"2000","unstructured":"McGrath MH, Mukerji S. Plastic surgery and the teenage patient. J Pediatr Adolesc Gynecol. 2000;13(3):105\u201318.","journal-title":"J Pediatr Adolesc Gynecol"},{"issue":"1","key":"5859_CR23","doi-asserted-by":"publisher","first-page":"72","DOI":"10.1055\/s-0033-1343999","volume":"27","author":"CE Crerand","year":"2013","unstructured":"Crerand CE, Magee L. Cosmetic and reconstructive breast surgery in adolescents: psychological, ethical, and legal considerations. Semin Plast Surg. 2013;27(1):72\u20138. https:\/\/doi.org\/10.1055\/s-0033-1343999.","journal-title":"Semin Plast Surg"},{"issue":"2","key":"5859_CR24","doi-asserted-by":"publisher","first-page":"345","DOI":"10.1097\/PRS.0b013e3181aee807","volume":"124","author":"AL Pusic","year":"2009","unstructured":"Pusic AL, Klassen AF, Scott AM, Klok JA, Cordeiro PG, Cano SJ. Development of a new patient-reported outcome measure for breast surgery: the BREAST-Q. Plast Reconstr Surg. 2009;124(2):345\u201353. https:\/\/doi.org\/10.1097\/PRS.0b013e3181aee807.","journal-title":"Plast Reconstr Surg"},{"issue":"2","key":"5859_CR25","doi-asserted-by":"publisher","first-page":"149","DOI":"10.1016\/j.bjps.2015.11.013","volume":"69","author":"WA Cohen","year":"2016","unstructured":"Cohen WA, Mundy LR, Ballard TN, et al. The BREAST-Q in surgical research: a review of the literature 2009-2015. J Plast Reconstr Aesthet Surg. 2016;69(2):149\u201362. https:\/\/doi.org\/10.1016\/j.bjps.2015.11.013.","journal-title":"J Plast Reconstr Aesthet Surg"},{"issue":"2","key":"5859_CR26","doi-asserted-by":"publisher","first-page":"245","DOI":"10.1177\/1090820X12472980","volume":"33","author":"M Coriddi","year":"2013","unstructured":"Coriddi M, Angelos T, Nadeau M, Bennett M, Taylor A. Analysis of satisfaction and well-being in the short follow-up from breast augmentation using the BREAST-Q, a validated survey instrument. Aesthet Surg J. 2013;33(2):245\u201351. https:\/\/doi.org\/10.1177\/1090820X12472980.","journal-title":"Aesthet Surg J"},{"issue":"6","key":"5859_CR27","doi-asserted-by":"publisher","first-page":"1062e","DOI":"10.1097\/PRS.0000000000009089","volume":"149","author":"CT McNamara","year":"2022","unstructured":"McNamara CT, Nuzzi LC, Firriolo JM, et al. Complications and quality of life following gynecomastia correction in adolescents and young men. Plast Reconstr Surg. 2022;149(6):1062e\u201370e. https:\/\/doi.org\/10.1097\/PRS.0000000000009089.","journal-title":"Plast Reconstr Surg"},{"issue":"6","key":"5859_CR28","doi-asserted-by":"publisher","first-page":"1116","DOI":"10.1097\/PRS.0000000000000736","volume":"134","author":"LC Nuzzi","year":"2014","unstructured":"Nuzzi LC, Cerrato FE, Webb ML, et al. Psychological impact of breast asymmetry on adolescents: a prospective cohort study. Plast Reconstr Surg. 2014;134(6):1116\u201323. https:\/\/doi.org\/10.1097\/PRS.0000000000000736.","journal-title":"Plast Reconstr Surg"},{"issue":"3","key":"5859_CR29","doi-asserted-by":"publisher","first-page":"572","DOI":"10.1097\/PRS.0000000000005907","volume":"144","author":"LC Nuzzi","year":"2019","unstructured":"Nuzzi LC, Firriolo JM, Pike CM, DiVasta AD, Labow BI. Complications and quality of life following reduction mammaplasty in adolescents and young women. Plast Reconstr Surg. 2019;144(3):572\u201381. https:\/\/doi.org\/10.1097\/PRS.0000000000005907.","journal-title":"Plast Reconstr Surg"},{"issue":"6","key":"5859_CR30","doi-asserted-by":"publisher","first-page":"1213","DOI":"10.1097\/PRS.0000000000007325","volume":"146","author":"LC Nuzzi","year":"2020","unstructured":"Nuzzi LC, Pramanick T, Walsh LR, et al. Optimal timing for reduction mammaplasty in adolescents. Plast Reconstr Surg. 2020;146(6):1213\u201320. https:\/\/doi.org\/10.1097\/PRS.0000000000007325.","journal-title":"Plast Reconstr Surg"},{"issue":"4","key":"5859_CR31","doi-asserted-by":"publisher","first-page":"400e","DOI":"10.1097\/PRS.0000000000007149","volume":"146","author":"LC Nuzzi","year":"2020","unstructured":"Nuzzi LC, Firriolo JM, Pike CM, Cerrato FE, DiVasta AD, Labow BI. The effect of surgical treatment on the quality of life of young women with breast asymmetry: a longitudinal, cohort study. Plast Reconstr Surg. 2020;146(4):400e\u20138e. https:\/\/doi.org\/10.1097\/PRS.0000000000007149.","journal-title":"Plast Reconstr Surg"},{"key":"5859_CR32","doi-asserted-by":"publisher","first-page":"937","DOI":"10.1016\/j.bjps.2013.03.021","volume":"66","author":"E Swanson","year":"2013","unstructured":"Swanson E. Prospective outcome study of 106 cases of vertical mastopexy, augmentation\/mastopexy, and breast reduction. J Plast Reconstr Aesthet Surg. 2013;66:937\u201349.","journal-title":"J Plast Reconstr Aesthet Surg"},{"issue":"1","key":"5859_CR33","doi-asserted-by":"publisher","first-page":"48","DOI":"10.1097\/00006534-197301000-00009","volume":"51","author":"BE Simon","year":"1973","unstructured":"Simon BE, Hoffman S, Kahn S. Classification and surgical correction of gynecomastia. Plast Reconstr Surg. 1973;51(1):48\u201352. https:\/\/doi.org\/10.1097\/00006534-197301000-00009. (PMID: 4687568.).","journal-title":"Plast Reconstr Surg"},{"issue":"1","key":"5859_CR34","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1016\/j.bodyim.2012.09.001","volume":"10","author":"MM Bucchianeri","year":"2013","unstructured":"Bucchianeri MM, Arikian AJ, Hannan PJ, Eisenberg ME, Neumark-Sztainer D. Body dissatisfaction from adolescence to young adulthood: Findings from a 10-year longitudinal study. Body Image. 2013;10(1):1\u20137. https:\/\/doi.org\/10.1016\/j.bodyim.2012.09.001. (PMID: 23084464; PMCID: PMC3814026.).","journal-title":"Body Image"},{"issue":"1","key":"5859_CR35","doi-asserted-by":"publisher","first-page":"80","DOI":"10.1177\/1359105313499198","volume":"20","author":"A Dakanalis","year":"2015","unstructured":"Dakanalis A, Zanetti AM, Riva G, Colmegna F, Volpato C, Madeddu F, et al. Male body dissatisfaction and eating disorder symptomatology: moderating variables among men. J Health Psychol. 2015;20(1):80\u201390.","journal-title":"J Health Psychol"},{"issue":"3","key":"5859_CR36","doi-asserted-by":"publisher","first-page":"177","DOI":"10.1007\/s00737-014-0416-9","volume":"17","author":"KL Jackson","year":"2014","unstructured":"Jackson KL, Janssen I, Appelhans BM, Kazlauskaite R, Karavolos K, Dugan SA, et al. Body image satisfaction and depression in midlife women: the Study of Women\u2019s Health Across the Nation (SWAN). Arch Womens Ment Health. 2014;17(3):177\u201387.","journal-title":"Arch Womens Ment Health"},{"issue":"3","key":"5859_CR37","doi-asserted-by":"publisher","first-page":"245","DOI":"10.1037\/hea0000283","volume":"35","author":"AB Goldschmidt","year":"2016","unstructured":"Goldschmidt AB, Wall M, Choo THJ, Becker C, Neumark-Sztainer D. Shared risk factors for mood-, eating-, and weight-related health outcomes. Health Psychol. 2016;35(3):245\u201352.","journal-title":"Health Psychol"},{"issue":"6","key":"5859_CR38","doi-asserted-by":"publisher","first-page":"573","DOI":"10.1016\/j.jpsychores.2010.05.001","volume":"69","author":"AR Gavin","year":"2010","unstructured":"Gavin AR, Simon GE, Ludman EJ. The association between obesity, depression, and educational attainment in women: the mediating role of body image dissatisfaction. J Psychosom Res. 2010;69(6):573\u201381.","journal-title":"J Psychosom Res"},{"issue":"6","key":"5859_CR39","doi-asserted-by":"publisher","first-page":"158e","DOI":"10.1097\/PRS.0b013e3182131ae4","volume":"127","author":"PF Koltz","year":"2011","unstructured":"Koltz PF, Myers RP, Shaw RB, Wasicek P, Girotto JA. Adolescent breast reduction: indications, techniques, and outcomes. Plast Reconstr Surg. 2011;127(6):158e\u20139e. https:\/\/doi.org\/10.1097\/PRS.0b013e3182131ae4. (PMID: 21617437).","journal-title":"Plast Reconstr Surg"},{"issue":"5","key":"5859_CR40","doi-asserted-by":"publisher","first-page":"691","DOI":"10.1097\/00001665-200309000-00016","volume":"14","author":"MC Lee","year":"2003","unstructured":"Lee MC, Lehman JA Jr, Tantri MD, Parker MG, Wagner DS. Bilateral reduction mammoplasty in an adolescent population: adolescent bilateral reduction mammoplasty. J Craniofac Surg. 2003;14(5):691\u20135. https:\/\/doi.org\/10.1097\/00001665-200309000-00016. (PMID: 14501330).","journal-title":"J Craniofac Surg"},{"issue":"9","key":"5859_CR41","doi-asserted-by":"publisher","first-page":"1051","DOI":"10.1093\/asj\/sjx061","volume":"37","author":"M Yeslev","year":"2017","unstructured":"Yeslev M, Gupta V, Winocour J, Shack RB, Grotting JC, Higdon KK. Safety of cosmetic surgery in adolescent patients. Aesthet Surg J. 2017;37(9):1051\u20139. https:\/\/doi.org\/10.1093\/asj\/sjx061. (PMID: 28398472).","journal-title":"Aesthet Surg J"},{"issue":"3","key":"5859_CR42","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2017-2151","volume":"140","author":"AP Hardin","year":"2017","unstructured":"Hardin AP, Hackell JM, Committee on Practice and Ambulatory Medicine. Age limit of pediatrics. Pediatrics. 2017;140(3):e20172151. https:\/\/doi.org\/10.1542\/peds.2017-2151.","journal-title":"Pediatrics"},{"key":"5859_CR43","unstructured":"US Department of Health and Human Services; Food and Drug Administration. Guidance for Industry and FDA Staff. Pediatric expertise for advisory panels. Rockville, MD: US Department of Health and Human Services, Food and Drug Administration, Center for Devices and Radiological Health; 2003. Available at: www.fda.gov\/downloads\/MedicalDevices\/DeviceRegulationandGuidance\/GuidanceDocuments\/ucm082188.pdf. Accessed September 21, 2016"},{"issue":"10036","key":"5859_CR44","doi-asserted-by":"publisher","first-page":"2423","DOI":"10.1016\/S0140-6736(16)00579-1","volume":"387","author":"GC Patton","year":"2016","unstructured":"Patton GC, Sawyer SM, Santelli JS, Ross DA, Afifi R, Allen NB, et al. Our future: a Lancet commission on adolescent health and wellbeing. Lancet. 2016;387(10036):2423\u201378. https:\/\/doi.org\/10.1016\/S0140-6736(16)00579-1.","journal-title":"Lancet"},{"key":"5859_CR45","unstructured":"National Academies of Sciences, Engineering, and Medicine; Health and Medicine Division; Division of Behavioral and Social Sciences and Education; Board on Children, Youth, and Families; Committee on the Neurobiological and Socio-behavioral Science of Adolescent Development and Its Applications. The promise of adolescence: realizing opportunity for all youth. Backes EP, Bonnie RJ, editors. Washington, DC: National Academies Press (US); 2019."},{"issue":"3","key":"5859_CR46","doi-asserted-by":"publisher","first-page":"223","DOI":"10.1016\/S2352-4642(18)30022-1","volume":"2","author":"SM Sawyer","year":"2018","unstructured":"Sawyer SM, Azzopardi PS, Wickremarathne D, Patton GC. The age of adolescence. Lancet Child Adolesc Health. 2018;2(3):223\u20138. https:\/\/doi.org\/10.1016\/S2352-4642(18)30022-1.","journal-title":"Lancet Child Adolesc Health"},{"issue":"4","key":"5859_CR47","doi-asserted-by":"publisher","first-page":"228","DOI":"10.1016\/j.jpag.2013.03.005","volume":"26","author":"AS Xue","year":"2013","unstructured":"Xue AS, Wolfswinkel EM, Weathers WM, Chike-Obi C, Heller L. Breast reduction in adolescents: indication, timing, and a review of the literature. J Pediatr Adolesc Gynecol. 2013;26(4):228\u201333. https:\/\/doi.org\/10.1016\/j.jpag.2013.03.005.","journal-title":"J Pediatr Adolesc Gynecol"},{"issue":"8","key":"5859_CR48","doi-asserted-by":"publisher","first-page":"4736","DOI":"10.4103\/jfmpc.jfmpc_2170_21","volume":"11","author":"SV Esfarjani","year":"2022","unstructured":"Esfarjani SV, Jamalzade NG, Hakim A, Hesam S. Puberty signs and its relationship with lifestyle in 8-to-10-year-old girls: A descriptive-analytical study. J Fam Med Prim Care. 2022;11(8):4736\u201342. https:\/\/doi.org\/10.4103\/jfmpc.jfmpc_2170_21.","journal-title":"J Fam Med Prim Care"},{"issue":"3","key":"5859_CR49","doi-asserted-by":"publisher","first-page":"538","DOI":"10.1016\/j.jpedsurg.2021.06.008","volume":"57","author":"MJ Davis","year":"2022","unstructured":"Davis MJ, Roy MG, Monson LA. Analysis of adolescent patient satisfaction and well-being following reduction mammaplasty using the BREAST-Q survey. J Pediatr Surg. 2022;57(3):538\u201343. https:\/\/doi.org\/10.1016\/j.jpedsurg.2021.06.008.","journal-title":"J Pediatr Surg"}],"container-title":["Aesthetic Plastic Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00266-026-05859-3.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s00266-026-05859-3","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00266-026-05859-3.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,3]],"date-time":"2026-08-03T19:11:34Z","timestamp":1785784294000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1007\/s00266-026-05859-3"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,6,2]]},"references-count":49,"journal-issue":{"issue":"13","published-print":{"date-parts":[[2026,7]]}},"alternative-id":["5859"],"URL":"https:\/\/doi.org\/10.1007\/s00266-026-05859-3","relation":{},"ISSN":["0364-216X","1432-5241"],"issn-type":[{"value":"0364-216X","type":"print"},{"value":"1432-5241","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,6,2]]},"assertion":[{"value":"11 April 2025","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"7 April 2026","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"2 June 2026","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"The authors have no commercial associations or financial disclosures that might pose or create a conflict of interest with any of the information presented in the article.","order":1,"name":"Ethics","label":"Conflict of interest","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"The authors declare conforming to the Declaration of Helsinki. Local Institutional Review Board No. TLV-0512-21.","order":2,"name":"Ethics","label":"Ethical Approval","group":{"name":"EthicsHeading","label":"Declarations"}}]}}