Although the media likes to harp on a “disturbing trend,” of high school aged kids getting breast augmentation, this is probably more of a trend in the seedier, non Plastic Surgery Board certified “cosmetic” surgeons. Any responsible plastic surgeon knows full well that results are far more predictable after a breast augmentation performed in a patient who has reached her mature breast size. There are exceptions, of course, the two most common ones are women who have almost no breast tissue to begin with, significant growth is not expected, women with tubular breast deformity, and patient’s with Poland’s syndrome.