iPhone app iPad app Android phone app Android tablet app More

Featuring fresh takes and real-time analysis from HuffPost's signature lineup of contributors
Vivian Diller, Ph.D.

GET UPDATES FROM Vivian Diller, Ph.D.
 

A Solution to Bullying: Where Do We Draw the Line?

Posted: 07/31/2012 4:10 pm

Bullying in on the minds of many and is a serious concern with lasting impact. We generally think of it as a psychological issue, but now it seems it has become a physical one, as well.

In an attempt to address this troublesome trend, the nonprofit organization Little Baby Face Foundation has gotten involved. Its mission is to provide free surgical repair to young children born with facial deformities (many of whom would otherwise be unable to afford these cosmetic procedures), giving them the "baby face" they deserve. Although it may have good intentions, what does it say when a charity like this offers its services to young teens seeking to avoid bullying? It seems to me that it fosters its own troublesome trend.

According to CNN reporter Sanjay Gupta, a young girl named Nadia Ilsa was called "Dumbo" for years growing up and was tired of being made fun of by her peers. She had what she described in her own words as "elephant ears" and, since the age of 10, had begged her mother for an operation to pin them back.

Her wish was granted by the Little Baby Face Foundation. Not only did the organization's founder, Dr. Thomas Romo, do work on her ears (otoplasty) but he suggested that her nose be reduced (rhinoplasty) and her chin be altered (mentoplasty) to achieve the best results. Nadia, although previously unaware that her other facial features needed correcting, eagerly followed Dr. Romo's recommendation and had all three procedures done. She just wanted to feel better about herself and was willing to do almost anything to avoid further emotional pain. Nadia, currently age 14, was shown her before-and-after photos and told CNN, "I look beautiful. This is exactly what I wanted. I love it." She felt that the post-surgical physical pain was well worth the transformation she experienced.

For that young girl, it was a dream come true; a little nip and tuck and an unhappy, awkward teen was magically transformed into a beautiful swan. But what are we really saying here? Should victims of teasing bear the brunt of their bullying peers by making the transformations needed to avoid being tormented? Do we encourage our children to seek "normalcy" by going under the knife to achieve culturally deemed acceptable features, rather than teach kids to love themselves?

If requests for pinned-back ears or reduced noses are met (whether by a foundation or a private surgeon), what happens when our young teens want other features altered: larger eyes, higher cheekbones, bigger breasts, smaller waists, or longer legs? It seems like a slippery slope that is all too familiar to older men and women lining up in their plastic surgeon's offices for anti-aging procedures sought to keep them from losing face in our youth-obsessed culture.

The number of American teens receiving surgery in general is on a steep rise. According to American Society of Plastic Surgeons (ASPS), nearly 219,000 cosmetic surgeries were performed on people age 13 to 19 in 2010. More and more are seeking procedures upon graduating from high school so that they begin their college years with a fresh "look." No one will know them in their new environment, so no explanations are required for their altered looks. They believe these back-to-school surgical procedures will give them a leg up on social success and improve their self-esteem. These are troubling statistics, but using this solution to help victims of bullying is even more so.

My thought is that charities like Little Baby Face need to be reserved for children with serious facial deformities -- those born with genetic defects, like cleft palates, or kids who endure facial disfigurement as a result of trauma. Giving these children the opportunity to start life with a greater chance to be woven into society is different from standardizing the heterogeneity that is inherent in being human. There's a line to be drawn, and to me it's a pretty clear one.

A solution to bullying that involves surgical procedures (which have their own set of physical risks that few talk about) is a terrible message to give both bullies and their victims. Do we really think that changing physical features undoes the emotional damage created by being teased? And aren't we validating the very message behind bullies' actions, that diversity and variation is bad? We need to be encouraging young people to admire and embrace differences -- and that starts from an early age.

What do you think about teenage cosmetic surgery? Is it a potential solution for bullied kids or a dangerous trend?

* * * * *

Vivian Diller, Ph.D., is a psychologist in private practice in New York City. She serves as a media expert on various psychological topics and as a consultant to companies promoting health, beauty, and cosmetic products. Her book Face It: What Women Really Feel As Their Looks Change (2010), edited by Michele Willens, is a psychological guide to help women deal with the emotions brought on by their changing appearances.

For more information, please visit her website at VivianDiller.com, and continue the conversation on Twitter: @DrVDiller.

 
 
 

Follow Vivian Diller, Ph.D. on Twitter: www.twitter.com/DrVDiller

FOLLOW EDUCATION
Bullying in on the minds of many and is a serious concern with lasting impact. We generally think of it as a psychological issue, but now it seems it has become a physical one, as well. In an attempt...
Bullying in on the minds of many and is a serious concern with lasting impact. We generally think of it as a psychological issue, but now it seems it has become a physical one, as well. In an attempt...
 
 
  • Comments
  • 78
  • Pending Comments
  • 0
  • View FAQ
Comments are closed for this entry
View All
Favorites
Recency  | 
Popularity
Page: 1 2  Next ›  Last »  (2 total)
08:55 AM on 08/01/2012
Having grown up with what is commonly called buck teeth due to Cherokee & German heritage, I heard it all in my childhood days. What made me stronger was that my sister 4yrs older, was born with a full clef pallet and double curvature of her spine. She went on to defy many of the negative prognoses from the surgeons she saw regularly; not only walking without crutches but roller skating & dancing, having children, working regularly at every day jobs. She endured several operations into her teens and I grew to love my buck teeth as a badge of imperfection. Youth is for learning empathy for others in this society as well as self esteem and we must make the endeavor in all aspects of our every day lives to teach them.
I kept them as they were till recently when I had a problem with two other teeth and a partial was called for anyway. We all should embrace our individuality in this time of marketing driven beauty. At 61 I am happy to have earned the lines that are starting to appear. I don't want to look 50 when I'm 80 but will continue to embrace life no matter how much longer.
photo
HUFFPOST BLOGGER
DrVivian
Clinical Psychologist and author of Face It
10:35 AM on 08/02/2012
We can only hope that more people will learn to wear their natural physical features as a "badge of imperfection" and as an expression of our humanity, rather than having people head in the other direction, seeking perfection through surgery.
05:54 AM on 08/01/2012
Thank you i thought it was sick, that girl looked fine. So her ears stuck out a little bit so do Obama's ears who cares.
photo
SolarPowerGuy
Ph.D., Immunology; Solar power @ home; Green Party
05:24 AM on 08/01/2012
Yes, I cringed when this story came out a few days ago.

And although I'm not proud of it, for I moment I entertained the thought that what REALLY should be offered is surgery to remove the bullies' tongues.
photo
HUFFPOST BLOGGER
DrVivian
Clinical Psychologist and author of Face It
09:30 AM on 08/01/2012
As I see this line of comments, it makes me realize that they address the "line" I am talking about. How far will people go using modern medicine to serve cosmetic needs. It devalues the important procedures that can be done for those who really need them. It's not plastic surgery that is bad, it's how our culture has usurped it for its narcissistic needs.
photo
Dedrick427
You can't raise yourself up by cutting others down
02:46 AM on 08/01/2012
-- I don't know the girl, but I'm happy that she's happy. Maybe we should surgically modify bullies to take on the attributes that they bully others on?
HUFFPOST SUPER USER
inapickle
01:32 AM on 08/01/2012
I agree with the author 100% and had many of the same comments (less eloquently stated) a few days ago when I first saw this story. We're teaching our children that if they don't meet a narrow ideal, it's kinda sort of their 'fault' and that the only way out is through surgically changing their appearance. It supports the bullies position to some degree and further supports the notion that happiness and friendship comes through one image of good looks not character or intelligence.

It's particularly disturbing that not only did a charity set up for disfigured children label her as such, but the doctor then found further flaws to correct.

It's also instructive to look up some pics of Kate Hudson (there are many other examples)- google Kate Hudson's ears if you want a surprise. There are also photos from her extreme youth which would lead no one to suppose that she would become an even mildly unattractive adult.
photo
HUFFPOST BLOGGER
DrVivian
Clinical Psychologist and author of Face It
07:02 AM on 08/01/2012
Many awkward adolescents grow into strong, confident, and yes, beautiful adults. Sadly, this girl will never know. She is not to blame, it's our culture that is -- placing so much focus on reaching one standard of beauty, so that we have little tolerance for differences. Your comments are appreciated.
foreverhippie
All your olive branches turned to spears
When yo
08:22 PM on 08/03/2012
One of my high school classmates was something of a frump; when I saw her 25 years later she had grown into a beautiful woman, and it was something of a miracle I recognized her. I had always liked her and was one of the few in my class who was willing to talk to her: I was a nerd with few friends.
HUFFPOST SUPER USER
Ty2010
12:35 AM on 08/01/2012
Maybe the govt needs to set a better example, it wasn't always about coercion and force..
wufdog
Liberal hope & change vs. the right's dopes & rage
10:43 PM on 07/31/2012
RE: We need to be encouraging young people to admire and embrace differences -- and that starts from an early age.

Until you accomplish that miracle, get off the girl's back. Again, the focus of blame needs to be on the bullies, not the girl.
photo
HUFFPOST BLOGGER
DrVivian
Clinical Psychologist and author of Face It
07:04 AM on 08/01/2012
You miss the point of the article. This young girl is the least to blame. She was a victim of bullying, as well as pressure by both doctors and our beauty obsessed culture.
wufdog
Liberal hope & change vs. the right's dopes & rage
10:27 PM on 07/31/2012
I see several comments here blaming the person who was bullied. I couldn't disagree more. Speaking of terrible messages. If the surgery made her happier, who are you to judge? If you want to blame someone, focus first on the bullies, then later devote a little time worrying about whether the girl handled everything in the ideal way...if you must.
photo
Dedrick427
You can't raise yourself up by cutting others down
02:35 AM on 08/01/2012
-- Well said. Blaming the bullied is just... that's just weird. It's almost like punching someone, then getting angry at that person when your hand hurts afterwards. Maybe not just like that-- but it makes just as much sense.
photo
HUFFPOST BLOGGER
DrVivian
Clinical Psychologist and author of Face It
07:10 AM on 08/01/2012
Surely, no one blames this bullied child. She is the victim in more ways than just being bullied. But this action taken by Little Baby Face takes the focus off of the bully -- and puts the onus on the bullied.
photo
HUFFPOST SUPER USER
Pussuchre
Kills red tape with red tape.
10:00 PM on 07/31/2012
I had a work friend when I was 18 that we all called "Ears." It was his most predominant physical characteristic. We never meant anything bad about it- I was called "Stubs" as I was short and stout. We liked "Ears" and we were not purposefully teasing him. Apparently it bothered him a great deal. It had been a lifelong issue for him. He had the ear surgery, and honestly, he was a new man. I immediately saw a significant self confidence that had not existed before.

I am sympathetic to the young woman. When I saw her "before" I saw an interesting "difference" that set her apart in what I believe was a charming way. But I did not have to live that difference. I defer to her feelings, and I am happy that she is happy.
photo
HUFFPOST SUPER USER
LadyXoc
09:07 PM on 07/31/2012
The reality is that in most societies, an attractive face has economic value - a wider choice of mates, enhanced social and professional opportunities. Maybe it shouldn't be that way, but until it is that way cosmetic surgery is a viable option available to those who can afford it. Why it should be criticized more than make-up and hair dye is beyond me.
photo
HUFFPOST SUPER USER
Gigi Jacobs
Devloper, small business owner, although recent st
01:52 AM on 08/01/2012
Thank you LadyXoc for finally bringing us a comment based on reality. Since I was 8 or 9 I noticed that the pretty kids got more in almost every shape and form. As I grew up, my observations confirm of what you just wrote. In fact, I wrote a hypothesis called "Beauty IS on the Outside"-my thoughts on the matter received much negative reaction all through the 70's, 80's, 90's, and only until recently have rational people such as yourself come forward with comments based on science and fact. It's a pleasure to see more and more being realistic about appearance.

Yes, we all know it would be more fair if appearance didn't matter-but the fact remains it does. And if plastic surgery can change that outcome for someone, I'm all for it. If I had the money, I'd be the first in line. I almost did but then had some injuries that preventing me from doing my "feminizing make-over". And I too have argued, "Why is it okay for someone to work out to lose weight and look better, or buy pretty cloths to appear attractive, or, yes, even make-up which essentially is trying to achieve what plastic surgery does but permanently-but it's not okay to do it if involves surgery? All these things you and I have mentioned try to achieve the same effect-to improve one's appearance so we have more choice in life and get better responses from those around us.
photo
HUFFPOST BLOGGER
DrVivian
Clinical Psychologist and author of Face It
07:13 AM on 08/01/2012
But what does it say to those who can't afford to change the way they look through surgery? Isn't it just another way to encourage a difference between the haves and have nots? And a sad way to teach young children how to cope with the challenges that can be dealt with more fairly?
photo
HUFFPOST SUPER USER
LadyXoc
08:37 AM on 08/01/2012
There is a world of differences between the haves and the have nots. More reality, unfortunately.

Fortunately, many excellent hospitals have low cost programs in which plastic surgery residents do cosmetic surgery under the supervision of attending physicians, some of whom are quite eminent in the field.

I think that young children who learn to cope with a challenge by fixing the problem have learned a valuable lesson.
photo
banana republican
Next in line for crumbs from the King's Table
08:18 PM on 07/31/2012
To address bullying, you need to directly confront the parents of those kids whose learn disrespect, intolerance, hate, and bullying at home. You can do this by sifting through the comments under any HP article on Sarah Palin. Nothing assembles more of them in one spot more quickly than a piece onSarah.
This user has chosen to opt out of the Badges program
photo
11:58 PM on 07/31/2012
Sarah's also pretty good at bullying. Like making rape victims pay for their own rape kits.
photo
HUFFPOST SUPER USER
Gigi Jacobs
Devloper, small business owner, although recent st
01:58 AM on 08/01/2012
Unfortunately, science is on the verge of showing that the tendency to bully is more likely to have roots in brain structure and is noticeable by the age of 18 months. I'm not saying one who is on the fence might not shift their behavior a bit-but the change is really minuscule and those with strong characteristics don't seem to respond at all to any attempt to teach them to have "empathy" for others.

A friend of mine is a teacher and is one of the only people I know that is aware that this problem occurs in those without empathy for others. She's been trying for years to instill it in her students. But the last I spoke with her, she reluctantly said she wasn't really having any success in trying to so.
06:27 PM on 08/01/2012
I have grave reservations about the conclusions that may be drawn from research of this nature, coming as it does, from within our inherently hierarchical society, where the power relationships that give rise to bullying behaviour are endemic. We typically hand over our children, at a very young age to brutalising institutions where they are routinely bullied by those who in power and then we wonder that many of them the lesson so well? The law of the jungle is only lesson that we consistently and effectively teach our children through our institutions. Bullying continues, to varying degrees and many covert ways, into almost all workplaces. The beginning of the solution is to consciously eschew power relationships, most importantly, between adults and children.
photo
banana republican
Next in line for crumbs from the King's Table
10:23 PM on 08/02/2012
Interesting.
07:55 PM on 07/31/2012
"Where do we draw the line?" says the title of this article.

Well for starters, "we" have no legitimate right to draw any lines that limit the voluntary choices of individuals.

Where minors are concerned the community does assert some authority to prevent crimes being committed by the parent against the child. But in most respects the state defers to the judgment of the parents on important choices in the child's life. Why should this change?

I have a hard time imagining any scenario where the community could legitimately claim a right to prevent a surgery intended to improve the life of the recipient. Maybe if somebody was going absolutely over the top with serial surgery on their child to transform them into a celebrity? Ok, I can see that maybe calling for an intervention, but not much less than that.
photo
HUFFPOST BLOGGER
DrVivian
Clinical Psychologist and author of Face It
07:21 AM on 08/01/2012
Where one draws the line, to me, is a question addressing a different issue than you bring up in your comment. To me it's a line that seems to be blurred by offering surgery as a solution, the line that got crossed between the victim or the perpetrator. No one is suggesting forbidding a child to pursue a potential solution to her happiness, but I would question a society that encourages that the solution requires a surgical alteration instead of altering attitudes. These are not mutually exclusive, but an important difference to be delineated.
photo
HUFFPOST SUPER USER
kmeccat
life is just a series of adaptations
07:32 PM on 07/31/2012
this story was out a few days ago...with many more comments---where did they go?
jdave1
Mind like parachute: works best when open.
07:29 PM on 07/31/2012
I think this part and parcel with the current obsession with the physical in our society. Comfortable cars, TV shows "on demand", fast food, you either look like a movie star or you're ugly. I never became friends with anyone because of their appearance, girls included. Everyone has something to offer; help your kids find what that something is and value it. Teach them that it's ok if some people don't like you; in fact, no matter what you do or are or look like, there's going to be people that don't like you. Deal with it. Teach them that you can't "make" anyone like you; if you kiss their butts they'll like what you do, but they won't like you any more than they ever did.
If you're bullied with words; fight back with words. If you're bullied with violence, make them rue the day they ever touched you. You can't make anyone like you, but you can teach them to respect you.
photo
HUFFPOST BLOGGER
DrVivian
Clinical Psychologist and author of Face It
07:23 AM on 08/01/2012
"You can't make anyone like you, but you can teach them to respect you." If we could surgically insert that attitude into all of our teens -- bullies and the bullied -- I think we, as a society, would be encouraging a much better solution to this problem.
jdave1
Mind like parachute: works best when open.
07:52 AM on 08/01/2012
No, instead we give them plastic surgery and pills to make them "happy". Sometimes I wish we had more room here, my Mom told me an excellent story about a young man she dated in high school who only had one hand. Thanks for the support.
photo
HUFFPOST SUPER USER
JewishPhysician
fraternity, trust, discourse
07:29 PM on 07/31/2012
I agree. I thought her ears were cute of course. So they bullied you. Get a grip on your situation and learn that you were created as you were. So if you get the surgery, great, but did you really go that far? Either way, I guess as long as you like the future you have condensed for yourself so be it. But really, noone should have to undergo surgery for bullying but rather for their own personal displeasures.
photo
HUFFPOST SUPER USER
Gigi Jacobs
Devloper, small business owner, although recent st
02:07 AM on 08/01/2012
Since so many doubt the effect of appearance on the way people treat us or in your own words: "but did you really go that far?" ....just google "Cindy Jackson". Cindy was a pioneer and as a homely looking woman, she studied all the features that people would respond to and has done many surgeries. Just how far did that really get her? Instead of being a homely looking woman living in Ohio who would have had a very hard time even getting a date, she is now living in London and dating royalty, making a quarter million a year and living a life she would have never lived had she not done the surgeries. I've personally spoken to her on the phone as I was going to do the same before I had even heard of her. She's a member of mensa and is extremely bright and knowledgeable. I think you all should do some research before making remarks based on how you'd like life to be, rather that how it really is.
photo
HUFFPOST SUPER USER
JewishPhysician
fraternity, trust, discourse
03:15 AM on 08/01/2012
I didn't say you should never get plastic surgery. I was saying that we are created as we are and that is not a sin on G-ds part. But if you want surgery and it enhances your life and that is the world you seek, great! It is a blessing too in many ways I would think. But to say you did it solely because you were bullied? I think you lose your own dignity at that level. Either or, I am sure this girl will have a great outcome. I saw her on the news.
photo
HUFFPOST SUPER USER
Gigi Jacobs
Devloper, small business owner, although recent st
10:16 AM on 08/08/2012
I personally have never been bullied. If someone tries, I get back in their face with all my might till I scare them off as they think I may go berserk on them. So for me it has nothing to do with bullying. I would have done plastic surgery just as someone goes to the gym to get in shape for summer. I'm just saying in the girls case, as much as everyone says her ears were cute, no one would have asked her out and certainly not seriously. Maybe as a friend. So, she will have a better life. No harm in that. 
photo
HUFFPOST SUPER USER
JewishPhysician
fraternity, trust, discourse
02:42 PM on 08/08/2012
Maybe the "RIGHT" person would have asked her out. Might save her time too.