Dear Grandparenting: Look at her now! See how my granddaughter has grown! Let’s just say Dina is full-figured, especially on top. She started up wearing tight fitting things like tube tops, the better to show off what she’s got.

Who wants to be average when you can really stand out? Dina got her Mom to cough up $3,500 for breast augmentation surgery right after her 16th birthday. It wasn’t a tough sell. Momma had hers done after she divorced my son.

Now Dina won’t leave the house without putting on a ton of make-up. Her hair has to be perfect. I’m at a loss for what to say and pretend not to notice when I see her.

She looks like a cheap date. The good news is it costs a lot less to remove those implants. Don’t you agree she’s too young for this nonsense? Ellen Roark, Richmond, Virgina

Dear Lois: An epidemic of ugliness must be upon America’s granddaughters, because so very many — 78% of 17-year-olds according to one study — are convinced they aren’t nearly pretty enough.

Numerous national surveys report the same findings. It’s not just the economy or terrorism that keeps these young girls awake at night. A bad self-image is the problem.

A little nip and tuck is often the solution of choice. Cosmetic surgeries most frequently performed on America’s youth include breast augmentation, breast reduction (for both sexes), rhinoplasty (nose job), otoplasty (flattening back protruding ears), along with tummy tucks and liposuction to remove fatty tissue.

Except in cases of disfigurement, many medical professionals advise youth to hold off on elective surgeries. But waiting isn’t on the agenda of a generation of grandchildren raised in an age of instant gratification, a generation oft-labeled the most narcissistic and entitled ever. In plastic surgery they believe.

Grand remark of the week

Lefty Miller from Marshall, Michigan likes to think he is “battle tested. The twins are five. I have discovered a new extreme workout routine. It’s called grandparenting.”