Plastic surgery among teenagers is reportedly on the rise with an estimated 64,000 teens per year going under the knife, and doctors performing these operations tell ET that self-esteem issues are at the root of the trend.
When 17-year-old Modern Family star Ariel Winter had a breast reduction down from a 32F, she was treated by Dr. Kevin Brenner, who told ET, "For teens with excessively large breast tissues, bullying and now cyber bullying is a real problem."
Young celebrities in the limelight might be the most susceptible to struggles with body image.
"My lips are just an insecurity of mine, so it makes me feel a little uncomfortable," Kylie said on an episode Keeping Up With the Kardashians earlier this year.
When she was 17, Kylie Jenner, now 18, had her lips altered to be fuller.
"If you want to get plastic surgery for yourself, go for it," Kylie's big sister Kim Kardashian, 34, told ET.
Kim and Kylie's mom Kris Jenner, 59, argued the other side.
"I don't really think that young people should do anything," Kris told ET. "I never did anything before I was 48 or 50 years old."
For non-celebrity teens seeking cosmetic procedures, like 18-year-old Erika and 14-year-old Jenny, the time to schedule them is on summer break.
"Nobody wants to go into high school with a different nose, and then in the middle of the year, change," Jenny told ET. "Everyone would know!"
And while celebs may be concerned about their appearance in photoshoots or on red carpets, for 15-year-old Yasmine, it was her selfies that had a major influence on her decision to get a nose job.
"Every time I would have to take a picture, I would have to be like, 'Wait, is this my nose angle?' and if I didn't like my nose I would have to delete it," she told ET.
"2014 was dubbed 'The Year of the Selfie,' so I think we're all pretty self-absorbed," plastic surgeon Dr. Ramtin Kassir told ET.