Looking at the seven most common operations in the 18 and younger age group shows that rhinoplasty and otoplasty (ear surgery) are the most frequently performed, in about 8000 and 5000 patients respectively during one year (Table 3). The next most common interventions are for the treatment of acne and acne scarring with the use of topical retinoid and laser resurfacing of the facial skin. Male breast reduction is next, done in 1862 young men with gynecomastia. About 1800 breast augmentations are done in the under-19 female population; a large proportion of these are unilateral to treat asymmetric development. Suction assisted lipectomy to reduce fatty deposits on the trunck or under the chin was done in 1645 patients.