Today, my practice turns 13.

And while I may no longer be a teenager, it officially is.

There is something fitting about that. Because, much like in life, the early years are the most formative – and often the most demanding. The uncertainty, the long hours, the constant learning. Building something from the ground up is never a piece of cake – even if, on this occasion, there is one.

In fact, this year’s birthday cake – shaped as the number 13 – was made by Tamina Nacht, whose passion for baking is matched only by her dedication to our patients. It is a small, personal gesture that reflects something much larger: the care, precision and commitment that define our work.

The early years – not a piece of cake

Opening a private practice was the most significant decision of my professional life. It required perseverance, discipline and a willingness to take risks – including financial ones.

It also required confidence. Not only my own, but that of those around me – including my father. I owe my passion for this profession to him.

The first years were not easy. Establishing a practice, earning trust, building a reputation – these things take time. They cannot be rushed.
Looking back, I can say this: the most challenging phase is behind us. What resulted is a prospering practice built on experience, continuity and a clear philosophy.

Self-aware teenagers

Thirteen is an interesting age.
It marks the beginning of a phase in life where many things shift. It is also an age where perception begins to change. Teenagers become more aware – of themselves, of their bodies, of how they are perceived by others. Comparisons begin. Questions arise. Sometimes insecurities grow.

Cosmetic procedures in young patients are rare – and carefully selected

Cosmetic procedures in young patients are rare – and carefully selected

In my consultations, I occasionally meet very young patients – or their parents – seeking advice on aesthetic concerns. A nose that feels too prominent. Ears that attract unwanted attention. Breasts that develop asymmetrically, or perhaps not at all in the way expected.

These concerns are real. And they deserve to be taken seriously.

At the same time, they require careful medical judgement.

According to the latest international survey by the International Society of Aesthetic Plastic Surgery (ISAPS), patients aged 17 or younger account for only a very small proportion of all cosmetic procedures worldwide, with exceptions such as rhinoplasty (nose correction) among the more common in this age group.

What makes sense – and what does not

Not every wish for change should lead to a procedure. Especially not at a young age.

As a principle:

  • Rhinoplasty may be considered in selected cases – but never without careful evaluation and time for reflection.
  • Breast surgery should only be considered once physical development is complete.
  • Procedures such as ear correction can be appropriate earlier, particularly if there is significant psychological distress.
  • Treatments such as Botox or fillers have no place in teenagers.

Here, I take a clear position.

Aesthetic medicine is not about trends or social media. It is about responsibility. About timing. And about doing what is medically and ethically appropriate – not what is momentarily desired.

Experience, responsibility – and perspective

Perhaps this is where the parallel between a 13-year-old and a 13-year-old practice becomes meaningful.

With time comes perspective.

With experience comes clarity.

Today, my role is not simply to perform procedures. It is to guide. To advise. To say «yes» where it makes sense – and «no» where it does not.

Because good medicine is not defined by what can be done, but by what should be done.

A quiet moment of gratitude

Anniversaries are also a moment to pause.

To look back. And to say thank you.

To the patients who have placed their trust in me over the years.

To the many individuals, including partners such as anaPRAX, who have accompanied this journey.

And to Tamina Nacht – not only for the cake, but for her commitment, her warmth and her reliability.

Thirteen years is a milestone. But it is also just one step along the way.

The work continues. Carefully. Thoughtfully. My goal remains to offer each patient honest advice, precise craftsmanship, and results that feel right – not just today, but for years to come.

Dr. med. Borut Banič

Board-certified Specialist in Plastic, Reconstructive, and Aesthetic Surgery (FMH)

Fellow of The European Board of Plastic, Reconstructive and Aesthetic Surgery (FEBOPRAS)

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