The surgery shouldn't be allowed with the rare exceptions of those being necessary. "Self esteem" is not a reason:
Plastic surgeon Miles Berry defended the surgery, saying it could improve women's lives.
"It can change people fundamentally, the feelings they have about themselves, their confidence and self-esteem.
"I have seen patients aged between 16 and 21 who have never had a boyfriend because they are so concerned about this."
Translation: Naive and ignorant girls are a perfect market to make money.