A new trend has teenagers going under the knife to fix what they call "minor imperfections," even children as young as 10.

Last year, $10.5 billion was spent on plastic surgery in the United States.

From Botox, laser treatments, and skin peels to breast augmentation, one California surgeon and his daughters call it a family affair.

Dr. Michael Niccole, founder of the CosmetiCare Plastic Surgery Center in Newport Beach, Calif., gave his daughter Brittani, now 22, breast implants when she was 18.

Niccole told ABC News he also operated on his daughter Charm, now also 22, when she was 10 to turn her "outtie" belly button into an "innie."

Both girls receive regular Botox injections to prevent wrinkles and undergo other cosmetic procedures.

But some beauty experts aren't on board with this type of surgery. They say the major factor to consider is the fact that the patient is still growing, both physically and emotionally.

Medical experts say the decision to undergo any procedure requires input and agreement from both the child and the parent.

According to American Society of Plastic Surgeons statistics, nearly 219,000 cosmetic plastic surgery procedures were performed on people age 13-19 in 2010.