Surgery that improves your self-esteem and mental health is not vain or even, truly, elective.

You can love yourself and still want to fix a part of your body. The only thing I have ever said about breast jobs is I have told young people to wait until at least 21 before considering implants because your breasts may not have reached full size yet and you may discover that they get to the point you want without going through surgery, and surgery sucks.