{"id":1242,"date":"2026-05-07T10:45:30","date_gmt":"2026-05-07T10:45:30","guid":{"rendered":"https:\/\/siliconvalleymovingpost.com\/?p=1242"},"modified":"2026-05-07T10:45:30","modified_gmt":"2026-05-07T10:45:30","slug":"cosmetic-interventions-are-booming-many-say-ethical-conversations-are-lagging-2","status":"publish","type":"post","link":"https:\/\/siliconvalleymovingpost.com\/?p=1242","title":{"rendered":"Cosmetic interventions are booming. Many say ethical conversations are lagging"},"content":{"rendered":"
\n

By KRYSTA FAURIA<\/strong><\/p>\n

LOS ANGELES (AP) \u2014 Shula Jassell is insecure about the size of her chin and has periodically considered getting filler to make it bigger.<\/p>\n

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But when the 25-year-old from Southern California gives serious thought to the idea of repeatedly having to get the cosmetic procedure \u2014 it only lasts about a year \u2014 she wonders if a surgical implant would be more practical, even though the prospect of surgery scares her.<\/p>\n

\u201cI just try to remember self-love, you know? Beauty is in the eye of the beholder,\u201d she says as she verbally processes her internal struggle and talks herself out of getting any work done for now.<\/p>\n

Technological advancements over recent decades have made various forms of body modification increasingly accessible \u2014 and inescapable on many social media algorithms.<\/p>\n

As injectables like Botox, cosmetic plastic surgeries and GLP-1 medications such as Ozempic become more pervasive, people \u2014 often but not exclusively women \u2014 are grappling with the philosophical and ethical implications of turning to these interventions in a ceaseless quest for beauty, youth and conformity.<\/p>\n

\u201cWe need to have a wider conversation about how to think about this in a way where we\u2019re not putting the burden squarely on women, while also not taking away their moral agency,\u201d said Natalie Carnes, a feminist theologian at Duke Divinity School. \u201cBeauty is something that\u2019s good. And beauty is something that is good to pursue. Botox and Ozempic and face-lifts, they\u2019re all ways of really narrowing the cultural ideals of beauty.\u201d<\/p>\n

There has been little in the way of official guidance or explicit prohibitions from major religions. But a growing chorus of theologians, philosophers and bioethicists are calling for more conversations surrounding these procedures and treatments.<\/p>\n

\n<\/div>\n

In March, the Vatican released a document on Christian anthropology decrying the \u201ccult of the body.\u201d \u201cOnce modified, often with relentless frenzy, the body becomes a body-object in which the person-subject mirrors themselves, creating a relationship in which the person is no longer his or her body but \u2018owns\u2019 a body,\u201d it said.<\/p>\n

Increased \u2014 and younger \u2014 demand for intervention<\/h4>\n

Demand for cosmetic surgery in the United States has increased in recent years across all age demographics and ethnic backgrounds, says Dr. C. Bob Basu, president of the American Society of Plastic Surgeons. \u201cForty years ago, perhaps people would think, \u2018Cosmetic surgery is for the superrich or the celebrity elite. It\u2019s not for regular folk.\u2019 That\u2019s not the case anymore.\u201d<\/p>\n

One of the biggest changes he\u2019s seen is more young people opting for interventions.<\/p>\n

\u201cThey\u2019re being proactive and thinking about preventive measures, whether it be baby Botox at a younger age to prevent wrinkles from starting or maybe considering a deep plane face-and-neck-lift in the late 30s or early 40s, rather than waiting until you\u2019re in your 60s,\u201d he said.<\/p>\n

\n<\/div>\n

But despite its increasing ubiquity, many bioethicists say plastic surgery is not prioritized in their training.<\/p>\n

\u201cIf you\u2019re getting into bioethics and you rotate to learn about medicine, you go to the ICU, you go to places where the palliative care is for dying people, you\u2019re looking at transplants. Nobody rotates to plastic surgery,\u201d said Arthur Caplan, founding head of the Division of Medical Ethics at New York University Grossman School of Medicine.<\/p>\n

As a result, plastic surgeons often must set their own boundaries for what they will and won\u2019t do, without much specialized ethical training.<\/p>\n

Faith in the operating room<\/h4>\n

Many religions condemn vanity and praise modesty, which can inform attitudes toward cosmetic work.<\/p>\n

Dr. Jerry Chidester, a member of The Church of Jesus Christ of Latter-day Saints, said he sees a broad spectrum of stances on plastic surgery within the church. Although some stricter interpretations of the faith may discourage interventions, Chidester said that attitude contrasts with the broader cultural landscape of Salt Lake City, where he\u2019s based. Several studies suggest the area has a high number of plastic surgeons and procedures performed per capita.<\/p>\n

When patients wrestle with whether to have an operation, Chidester tells them to not worry about what others will think.<\/p>\n

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\u201cI\u2019m like, \u2018Look, if you want to do this or not, it\u2019s up to you,\u2019\u201d he said. \u201cIt\u2019s literally your body. Who cares if they think you\u2019re doing it for vanity or for function or whatever? It is none of their business.\u201d<\/p>\n

Dr. Sheila Nazarian, a Jewish board-certified plastic surgeon, incorporates her interpretations of parts of the Torah for guidance on thinking about when it is appropriate to modify one\u2019s body.<\/p>\n

\u201cIf it\u2019s bringing distress, then it\u2019s OK,\u201d she said. \u201cMy patient population, they\u2019re all pretty well adjusted, happy, successful, intelligent people. But they need help with one little thing that they\u2019d just rather not think about anymore.\u201d<\/p>\n

Dr. Michael Obeng, a Christian, has seen a dramatic shift in acceptance of cosmetic procedures in the nearly 20 years he\u2019s been practicing.<\/p>\n

\u201cNow people are not even hiding it. They show their plastic surgery as a badge of honor, like somebody wearing their expensive bag,\u201d he said. \u201cWe are aging slower and of course we are working much longer than our moms and grandmothers worked. In the marketplace, we have to look presentable.\u201d<\/p>\n

Obeng, a board-certified surgeon in Beverly Hills, specializes in a wide range of procedures from tummy tucks and Brazilian butt lifts to rib removal surgeries. He says he rarely feels tension between his faith and his work. It wasn\u2019t until he came to a \u201ccrossroads\u201d in 2018, when he began thinking through his willingness to perform certain gender transition surgeries.<\/p>\n

He sought the advice of several pastors and religious leaders about what to do. \u201cNobody could give me an answer,\u201d he recalled.<\/p>\n

He said his faith ultimately led him to limit his practice to some gender-related procedures like breast augmentation, stopping short of genital gender-affirming surgeries, which he sees as harder to reverse.<\/p>\n

Agency versus constraint<\/h4>\n

Ivory Kellogg, a 29-year-old actor in Los Angeles, has been grappling with the tension she feels as a woman while pondering cosmetic interventions.<\/p>\n

\u201cThere\u2019s this expectation that once you hit 35, you think about doing a mini face-lift. That\u2019s a lot of pressure,\u201d she said. \u201cAt the same time, I do want women to feel like they\u2019re allowed to do whatever they want. Like if you want to have a face-lift, that\u2019s your prerogative.\u201d<\/p>\n

Though opting for these interventions is often framed as a personal decision, many experts say it\u2019s hardly that simple.<\/p>\n

\u201cIt\u2019s important to think about how those choices are constrained and to think about the social pressures,\u201d said Abigail Saguy, a sociologist at the University of California, Los Angeles. \u201cThis is a social issue. It is a collective problem. But it\u2019s continually treated as an individual issue and what individual people should do.\u201d<\/p>\n

In some cases, as with drugs like Ozempic, these interventions can offer real health benefits. But as their use expands beyond medical need, questions arise about how medical resources are used.<\/p>\n

Dr. Aasim Padela, who studies bioethics and Islamic thought at the Medical College of Wisconsin, thinks a broader conversation is needed. His primary issues are the ways in which the field of medicine suffers as a result and what resources are poorly distributed when cosmetic surgery is prioritized within a society.<\/p>\n

\u201cThe profession is supposed to be about restoring health or preventing loss of health,\u201d he said. \u201cCertain types of procedures, body modifications, interventions \u2014 whatever you want to call them \u2014 may not meet those goals or even be aimed at those goals.\u201d<\/p>\n

Associated Press religion coverage receives support through the AP\u2019s collaboration with The Conversation US, with funding from Lilly Endowment Inc. The AP is solely responsible for this content.<\/em><\/p>\n

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