I think reputable plastic surgeons recommend waiting until the bones are fully grown (usually around age 20 or even a bit older); obviously, they'll start on someone very young with severe deformities, but that usually involves ongoing correction into young adulthood.
Rush is talking about this and played much of President Bush's remarks. He's talking about how President Bush can be nice all day long and it won't make the dems be nice to him. (I don't believe he called for any other conduct by President Bush, though--just made the point)
He says that he knows without fail Bill and Hillary both will go forth and rip Bush personally in the future, on the campaign trail. Rush has decided his tactic will be to play their slams and then play President Bush's gracious comments about them, in order to compare and contrast.
Very good.