How to Choose the Best Tubular Breast Surgeon in Bristol

Tubular (tuberous) breast correction is widely recognised as one of the more technically demanding procedures within aesthetic and reconstructive breast surgery. Unlike standard breast augmentation, correction of tubular breasts involves careful release of constricted tissue, reshaping of the breast mound, and precise planning to achieve balanced, natural-looking results.

For this reason, the experience and judgement of your surgeon are far more important than the choice of implant alone. Selecting a Consultant Plastic Surgeon with specific expertise in tubular breast correction is one of the most important decisions you will make.

Click on one of the links to jump to that section

Why You Need a Specialist (Not Just a Breast Augmentation Surgeon) Standard breast augmentation and tuberous breast correction are fundamentally different procedures.
The Risk of the ‘Double Bubble’ The ‘double bubble’ deformity is the most common complication
The Importance of aftercare and follow up appointment Practical post-operative care considerations are important
What Your Consultation with Elena Will Cover Your consultation with Elena is a detailed, collaborative process

Why You Need a Tubular Breast Specialist (Not Just a Breast Augmentation Surgeon)

Standard breast augmentation and tuberous breast correction are fundamentally different procedures.

Standard augmentation adds volume to well-formed breasts. Tuberous correction requires tissue remodelling which includes releasing the fibrous ring, redistributing tissue, and often combining mastopexy, areola reduction, and strategic implant placement. A surgeon who regularly performs standard augmentation may lack tuberous breast expertise.

The Risk of the ‘Double Bubble’

The ‘double bubble’ deformity is the most common complication when tuberous breasts are treated by surgeons without specialist training. This occurs when the fibrous tissue ring isn’t adequately released, causing implants to sit below constricted tissue rather than within a proper breast pocket.

This can result in two distinct bulges: the original constricted tissue above and implant below. Correction requires complex revision surgery. A specialist surgeon like Elena Prousskaia with specific experience in tuberous breast correction is best placed to properly release constriction and prevent this outcome.

A woman in a vest supporting her full new breasts with her hands

The Importance of Aftercare

Whilst surgeon skill is paramount, practical post-operative care considerations are also important and shouldn’t be overlooked.

Safe recovery from tuberous breast correction requires easy surgeon access for regular post-operative checks, particularly during the first few weeks when monitoring is crucial.

With Elena, you’ll have follow-up appointments at 1 week, 4 weeks, 12 weeks, and 1 year post-surgery to assess healing, check implant positioning, and address any concerns. Travelling long distances whilst recovering is uncomfortable and potentially risky if urgent assessment is needed.

What Your Consultation with Elena Will Cover

Your consultation with Elena is a detailed, collaborative process designed to determine the safest and most effective way to restore breast shape, volume, and symmetry based on your individual anatomy and goals.

During your appointment, Elena will carry out a thorough clinical examination and discuss your concerns, expectations, and desired outcome. She will explain the full range of surgical techniques that may be appropriate for you, which can include the use of your own breast tissue, fat transfer, implants, tissue expanders, and/or remodeling of the breast tissue. In many cases, a combination of techniques is used to achieve the best possible result.

The choice of approach is not predetermined. It depends on several factors, including the degree of constriction, existing breast volume, skin quality, and the shape you would like to achieve. Elena will talk you through the rationale behind each option, outlining the benefits, limitations, and potential risks so that you can make a fully informed decision together.

Technical aspects of the procedure are also discussed in depth, such as how constricted tissue is released, how shape is rebuilt, and how common complications specific to tubular breast correction are minimised. You will have the opportunity to review relevant before-and-after results and to understand how healing and settling can affect final shape.

It is entirely normal, and often recommended, to have a second consultation. This allows you time to reflect on the information provided, consider the different surgical options, and return with any further questions.

Once a clear plan is agreed, the team will carefully prepare with you for surgery to ensure you feel informed, confident, and supported at every stage.

Credentials to Look For

FRCS (Plast) and GMC Specialist Register

In the UK, anyone can legally call themselves a ‘cosmetic surgeon’, but only surgeons completing rigorous specialist training can use ‘Consultant Plastic Surgeon’ or hold FRCS (Plast) qualifications. FRCS (Plast) indicates 12+ years surgical training, with Elena herself completing 8 years of dedicated training in Plastic and Reconstructive Surgery.

Before booking your consultation, verify your surgeon appears on the GMC Specialist Register for Plastic Surgery. This confirms legitimate specialist qualifications. Also look for BAPRAS and BAAPS membership, which require high ethical and clinical standards.

You may only need an areola reduction surgery for mild cases of the condition where nipple-areola herniation is the only feature – we call this type 0. To fix a mild case of tuberous breasts, you may want to consider implant-free options such as breast reconstruction (tissue remodelling), breast lift or breast reduction.

Signs to Reconsider a Specialist

Recognising warning signs can protect you from poor outcomes. Trust your instincts. Here are some suggested signs that you may want to reconsider the service or clinic that you have chosen:

Surgeons offering a ‘quick fix’ via simple breast enlargement: If a surgeon suggests standard augmentation alone will correct tuberous breasts without discussing tissue release or the fibrous ring, they misunderstand the condition, leading to potential risk of deformity. A competent specialist will be able to explain the necessity of releasing constricted tissue, and talk through the procedure in intrinsic detail,

Clinics pressuring limited-time offers: High street chains often employ sales tactics. Legitimate surgeons don’t pressure patients. Complex surgery requires careful consideration and should never feel rushed. Reputable surgeons encourage taking time and seeking second opinions, which is why a consultation with Elena always covers any questions, options, and support available to you.

Inability to show relevant photos: Experienced specialists maintain result portfolios and a wide range of before and after photos that illustrate their expertise.

Patient before-and-after results illustrating treatment of tuberous breasts

If a surgeon cannot show corrected tuberous breasts similar to yours, they likely lack the Experience and trust you need to make the best decision possible. .

Book a consultation with a specialist in tuberous breasts correction

Start Your Journey with Specialist Help

Choosing the right surgeon is your most important decision. Elena Prousskaia is a Consultant Plastic Surgeon with FRCS (Plast) qualifications and extensive tuberous breast correction experience.

Elena Prousskaia - Cosmetic Surgery Accreditation

Elena has successfully treated patients across all tuberous breast types, achieving natural, symmetrical results. With a convenient private hospital set in the heart of North Bristol, you can access specialist care without extensive travel.

Book your consultation today to discuss your case and receive a personalised treatment plan from a recognised specialist.