Is Cosmetic Surgery “Right” For Teens?

I perform cosmetic surgery on teens in my Indianapolis plastic surgery practice. They are always focused on "quality of life" issues, such as rhinoplasty for teens with noses that are outside the normal appearance, like a big hump or a nose that's off-center, etc. I also do breast reductions for teenage girls who are teased or who have discomfort because of overly large breasts, as well as breast reductions in teenaged boys suffering from gynecomastia. I routinely do ear-pinning on kids of all ages, including teenagers, for children whose ears stick out. On a rare instance, I also perform a breast augmentation on a teenaged girl whose breasts are very asymmetrical, ie, one breast is much different in size than the other one, as this can be very embarrassing in a swimsuit or even in a t-shirt.
The media often makes us believe that many teens are undergoing cosmetic procedures, inasmuch as Bristol Palin, who isn't yet 20, has just undergone "reconstructive" (her words) cosmetic surgery–in actuality, it looks like she had a chin implant and some lipo of the cheek area which is probably not essential but I have to admit, she does look better.
The American Society for Aesthetic Plastic Surgery released their statistics of all kinds of cosmetic procedures for 2010, as they do annually. This is what they had to say about the most popular procedures performed on our teens:

• Laser hair removal (51,000 procedures last year)
• Skin treatments (including 16,200 chemical peels and 10,400 microdermabrasion treatments)
• Ear surgery (10,700 procedures)
• Nose jobs (9,100 procedures)
• The study also showed that teenage cosmetic surgery is actually down from previous years–in fact, over 300,000 cosmetic procedures were performed on the under-20 crowd 10 years ago, but last year only about 125,000 were done. Whether that's just a reflection on 2010′s dismal economy, I don't know, but one hopes it might be due to some discernment on the part of parents.

I'd be very interested in your opinion about cosmetic surgery for teens. What do you think? Is it always something the kids should learn to live with, ie, big noses and some of the above items I mentioned, or should parents relent and give cosmetic surgery to their children? I know of one surgeon in the NYC area who advocates a breast augmentation for girls graduating from high school, as a "graduation gift." What do you think of this?
To your health & beauty,
Gregory Chernoff, MD