{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,25]],"date-time":"2026-08-25T12:25:56Z","timestamp":1787660756066,"version":"build-2736575974"},"reference-count":10,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2026,8,19]],"date-time":"2026-08-19T00:00:00Z","timestamp":1787097600000},"content-version":"vor","delay-in-days":18,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,8,1]],"date-time":"2026-08-01T00:00:00Z","timestamp":1785542400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Skin Research and Technology"],"published-print":{"date-parts":[[2026,8]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>The prevalence of appearance\u2010enhancing dermatology procedures among adolescents has increased markedly, raising ethical concerns regarding body image, developmental suitability, and psychosocial risk. Individuals 19 and under experienced a 75% increase in neuromodulator injections and a 71% increase in hyaluronic acid fillers between 2019 and 2022. Social and commercial forces\u2014including social media and targeted marketing\u2014promote cosmetic intervention as routine self\u2010optimization, despite adolescents\u2019 ongoing cognitive, emotional, and identity development.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and Methods<\/jats:title>\n                    <jats:p>We focus on elective, nonmedically necessary procedures such as neuromodulators and fillers in individuals aged 13\u201319. We review ethical principles (autonomy, beneficence, non\u2010maleficence, justice), psychosocial vulnerabilities (including body dysmorphic disorder [BDD]), social media influence, commercial pressures, and longitudinal mental health outcomes. Current regulatory guidance and professional society recommendations are assessed for gaps.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Adolescents\u2019 emerging autonomy is developmentally incomplete, and appearance\u2010based motivations are often transient and externally influenced. Longitudinal data link cosmetic procedures with higher depression, anxiety, and lower self\u2010esteem. BDD affects \u223c2% of adolescents, who rarely improve after intervention and may worsen. Social media exposure doubles the likelihood of considering cosmetic procedures, and commercial marketing further normalizes aesthetic ideals. Existing professional guidelines rarely mandate validated psychosocial screening, structured counseling, or cooling\u2010off periods, leaving adolescents vulnerable to premature intervention.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>A standardized, multi\u2010component ethical framework is necessary to guide clinicians caring for adolescents seeking elective aesthetic procedures. Recommendations include medical\u2010necessity assessment, structured counseling, strengthened parental consent, validated BDD screening, and careful documentation with follow\u2010up. Clear, evidence\u2010informed ethical standards are essential to safeguard adolescent well\u2010being and prioritize patient welfare over commercial interest.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/srt.70373","type":"journal-article","created":{"date-parts":[[2026,8,19]],"date-time":"2026-08-19T13:55:08Z","timestamp":1787147708000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Call for Ethical Guidelines in Cosmetic Dermatology for Adolescents"],"prefix":"10.1111","volume":"32","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5756-6609","authenticated-orcid":false,"given":"Isabella J.","family":"Tan","sequence":"first","affiliation":[{"name":"Rutgers Robert Wood Johnson Medical School  New Brunswick New Jersey USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Julia L.","family":"DiOrio","sequence":"additional","affiliation":[{"name":"Rutgers Robert Wood Johnson Medical School  New Brunswick New Jersey USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bernard A.","family":"Cohen","sequence":"additional","affiliation":[{"name":"Department of Dermatology The Johns Hopkins Hospital  Baltimore Maryland USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,8,19]]},"reference":[{"key":"e_1_2_12_2_1","doi-asserted-by":"publisher","DOI":"10.1097\/prs.0000000000011235"},{"key":"e_1_2_12_3_1","unstructured":"T.Kugler \u201cAmerican Academy of Facial Plastic and Reconstructive Surgery \u201d (American Academy of Facial Plastic and Reconstructive Surgery February 13 2023) https:\/\/www.aafprs.org\/Media\/Press_Releases\/New\u2010Trends\u2010in\u2010Facial\u2010Plastic\u2010Surgery.aspx."},{"key":"e_1_2_12_4_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11199\u2010014\u20100412\u20106"},{"key":"e_1_2_12_5_1","doi-asserted-by":"publisher","DOI":"10.4103\/ijpd.ijpd_53_20"},{"key":"e_1_2_12_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.bodyim.2016.07.003"},{"key":"e_1_2_12_7_1","doi-asserted-by":"publisher","DOI":"10.1111\/1469\u20107610.00762"},{"key":"e_1_2_12_8_1","doi-asserted-by":"publisher","DOI":"10.1097\/PRS.0b013e31822213f0"},{"key":"e_1_2_12_9_1","doi-asserted-by":"publisher","DOI":"10.1177\/2167702612471660"},{"key":"e_1_2_12_10_1","doi-asserted-by":"publisher","DOI":"10.1080\/15374416.2017.1390755"},{"key":"e_1_2_12_11_1","doi-asserted-by":"publisher","DOI":"10.1097\/PRS.0000000000003252"}],"container-title":["Skin Research and Technology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/srt.70373","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/srt.70373","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/srt.70373","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,25]],"date-time":"2026-08-25T11:56:55Z","timestamp":1787659015000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/srt.70373"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,8]]},"references-count":10,"journal-issue":{"issue":"8","published-print":{"date-parts":[[2026,8]]}},"alternative-id":["10.1111\/srt.70373"],"URL":"https:\/\/doi.org\/10.1111\/srt.70373","archive":["Portico"],"relation":{},"ISSN":["0909-752X","1600-0846"],"issn-type":[{"value":"0909-752X","type":"print"},{"value":"1600-0846","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,8]]},"assertion":[{"value":"2025-01-27","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-06-15","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-08-19","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e70373"}}