Breast Enhancement Scarless Technology® (B.E.S.T.®) also known as transumbilical breast augmentation (TUBA) is the latest exclusive surgical innovation offered at Beverly Hills 6750! This is performed using the latest in endoscopic technology to make one’s breasts fuller and enhance body shape.

Advantages. Traditional breast augmentation methods require an incision and a resulting scar — usually either at the bottom crease of the breast, around the nipple or in the armpit. During Breast Enhancement Scarless Technology® (B.E.S.T.®), the breast implants are inserted through a small incision at the upper rim of the belly button and tunneled beneath the skin of the abdomen, using endoscopic technique, up to the area of the breast. The result is a fuller breast and enhanced contour with no scars on the breasts, a quicker recovery and less risk of sensation changes in the nipples and breasts.

Technique. Breast Enhancement Scarless Technology® (B.E.S.T.®) is usually performed with local anesthesia and IV sedation. Numbing medication is administered so that patients can feel pressure, but no pain, in the area of surgery. Under sedation, patients remain conscious but are sedated to the point of a light sleep.

A starburst-shaped incision is made at the top rim of the belly button, leaving only a small scar inside the navel’s upper rim. The surgeon then uses an endoscope fitted with a surgical camera to create a channel from the incision to the tissues behind each breast. A tissue expander with a long fill tube is inserted through the channel, positioned over the chest muscle (subglandular) or partially under the chest muscle (subpectoral) and filled with either saline or air to expand the breast pocket. The expander is filled to approximately 1 1/2 times the volume of the permanent implant to create a pocket large enough for natural movement.

After the breast pocket is sufficiently expanded, the tissue expander is deflated and removed. The empty breast implant is rolled up, inserted in the same manner as the tissue expander and filled with saline water. The breast implants can be placed over the chest muscle (subglandular) or partially under the muscle (submuscular). Implants placed over the muscle create a more distinct cleavage and a more rounded appearance to the breasts. If the implants are placed under the muscle, the breasts are usually less rounded with the upper portion of the breasts having a more natural shape.

Once the implant is in place and filled, the surgeon uses the endoscope to examine the implant and check for bleeding. The incision is then closed and a small bandage applied. The entire surgery usually takes from 45 to 60 minutes.

This is an outpatient procedure.

Breast Implants. These are medical devices that are used during breast augmentation to enhance the size and shape of the breasts. Breast Enhancement Scarless Technology® (B.E.S.T.®) is performed using saline breast implants because they can be rolled up and inserted through the narrow channel created by the endoscope before being filled with saline water. This type of implant is approved by the U.S. Food and Drug Administration (FDA).

Saline breast implants are available in a variety of sizes, profiles, shapes and textures. The options as to which implants are to be used is best discussed with the surgical team so that size choice and breast implant style can be determined in order to meet one’s goals for breast augmentation.

Recovery. After BEST® breast augmentation, patients are able to return to the comfort of their home after spending time under medical supervision in the recovery room.

Though complications are rare, they can and do occur, as with any surgery. The biggest drawback is that the BEST® incision usually can’t be reused if an implant

must be revised or removed due to a complication, requiring an incision at the breast crease or around the nipple. There is also a risk of changes in sensation, though this risk is less than with other breast augmentation methods.

Click here for more general information about breast augmentation.

A study in the March/April 2009 issue of Aesthetic Surgery Journal titled, “Perioperative Risks and Benefits of Herbal Supplements in Aesthetic Surgery”, cautions that over 40% of cosmetic surgery patients take herbal supplements in the two weeks preceding a surgical procedure. While a number of herbal supplements may offer benefits during recuperation after plastic surgery, familiar herbal products such as ginseng, echinacea, valerian root, garlic, ginkgo biloba, ephedra and others can cause harmful effects if taken during preparations for surgery.

When going through cosmetic surgery, the most substantial and possibly hazardous effects of alternative medications crop up during the operative and immediate postoperative periods with the chief matters being: sedative effects, change of blood coagulation, cardiovascular effects, and reactions with other medications.

Regrettably, as many as 70% of patients may not divulge the intake of herbal medications to their physician or health care provider, sometimes because they feel these cosmetic surgeons have not much understanding or interest in “natural” drugs, or they feel physicians may frown on such supplements. Some patients simply refuse to acknowledge the bearing of supplement intake to their present medical or cosmetic surgical treatment. Patients must be informed that complete disclosure of all medications – both those that are obtained over-the-counter and those that are prescribed – is exceptionally critical to their well-being and safety. They should also realize that conflicting and unregulated manufacturing criterions and deficiency in regulation for several herbal medications suggests that quality and dosage may differ greatly among treatments.

The proponents of the study recommend that in order to avoid potential plastic surgery complications, patients must be educated and given a complete list of medications that must be avoided prior to the operative period.

To read an abstract of the article, click here.

Being beautiful is an aspiration of choice, and there are certain commitments people are willing to make to achieve that goal. Aesthetic surgery may be one of them.

Putting one’s hopes on cosmetic procedures as an instant answer to insecurities may on one hand boost one’s self esteem, but may also on the other hand lead to disappointment. However, if one has a solid sense of identity and wishes to improve their appearance, then aesthetic surgery can be a constructive means for creating or affirming a person’s confidence.

The outcome of aesthetic surgery may differ from person to person, but whether understated or striking, that change is often virtually permanent. With a viewpoint of self-improvement, aesthetic surgery can be a channel for change not just in looks, but also in life.

As patients should avoid doctors who make unrealistic promises of perfection, it would do doctors good as well to avoid patients who seek it. A cosmetic surgeon would benefit from spending some time to gauge a patient’s psychological and emotional motives for undergoing aesthetic surgery. If a patient is not in the suitable frame of mind and, in the surgeon’s opinion, unprepared for the procedure, he should decline to perform the surgery.

If a patient is discontented with the results of the procedure due to unreasonable expectations, then the surgeon’s reputation may be at risk if the patient decides to carry out his or her frustrations by damaging his practice by word of mouth.

Aesthetic surgery is not the best choice for everyone. Some turn up their noses at the idea, dismissing it as a superficial quest for perfection. However, some embrace it as a chance for change and an opportunity to look good and feel confident about how they look.

The bottom-line is this — aesthetic surgery should not focus merely on resolving physical flaws, but endeavor to uplift the spirit and enhance life as one perceives it.

To learn more about different cosmetic procedures, visit Beverly Hills 6750 Multi-Specialty Aesthetic Institute at 11th Floor, 6750 Ayala Building, Ayala Avenue, Makati City, Philippines.

There is a collectively mounting stress upon physical appearances in society today, and cosmetic surgery may be the answer. But what should be the correct outlook to undergoing a surgical makeover?

The present social order adulates celebrity, good looks, and youth both on-screen and in print. A never-ending barrage of image-conscious messages from television, the internet, and magazines creates social pressure to be beautiful. The effect is a worldwide boom in the prominence of cosmetic surgery across demographics. People want to look spectacular, and with aesthetic surgery the dream isn’t so far off.

The option to go through aesthetic surgery, however, is not one to be taken flippantly.

The patient’s psychological and emotional condition is a vital factor in determining whether or not a person is a fitting candidate for plastic surgery. The more psychologically and emotionally primed a patient is, the more satisfied they will be with the result and ultimately, the more successful the procedure will be as well.

Aesthetic surgery is mostly voluntary and is initiated by a patient’s wish to change some facet of their physical look. Commitment is crucial, both with the patient and the surgeon. The surgeon commits to administering the procedure to the best of their skill, while the patient commits to both the surgical transformation and the period of recuperation it entails.

Doctors who make fantastic promises of flawlessness are to be steered clear of, as much as possible. Though this is doubtless what a great margin of patients will want to hear and choose to believe, such pretense to perfection is impracticable and does nothing more than wrongly reassure those who are uncertain of their choice or are undergoing surgery for unclear reasons.

Thus, it is important that a patient asks for a realistically accurate picture of surgical outcomes, including post-operative bruising, inflammation and other possible complications. It is tremendously important for anyone contemplating cosmetic surgery to be candid and honest during consultation, and learn precisely what to anticipate about the procedure.

For further information about different cosmetic procedures – rhinoplasty, tummy tuck, or cosmetic dentistry among many others -  visit Beverly Hills 6750 Multi-Specialty Aesthetic Institute at 11th Floor, 6750 Ayala Building, Ayala Avenue, Makati City, Philippines.