Microsurgery is the technique of joining very small vessels under microscope.

It allows us Elena to use soft tissue from any area of your body, raising it on nourishing vessels and connecting it to the vessels on the recipient area.

How is Microsurgery performed?

Once vessel connection is established, the tissue will survive. Tissue raised on nourishing vessels is called a free flap. Free flaps can be used for multiple purposes for posttraumatic and oncological reconstruction to replace defects when skin, fat, muscle or bone are missing.

Elena’s methodology takes microsurgery to the next level, by not only trying to repair the problem but to do it in the most cosmetic way possible. That means that she uses thinner flaps available on your body and attempts to restore the problem with minimal donor site morbidity and minimal scars. This is technically more challenging but provides better cosmetic results and higher satisfaction rates for the patients.

Sometimes soft tissue can be used for other purposes, such as replacement of encapsulated and painful breast implants, providing natural breast augmentation for life with no need of further implant replacement.

Why choose the Elena Prousskaia Clinic for Microsurgery?

Mrs Prousskaia and Mr Teo perform this surgery as a team, as usually it is a long operation and having two experienced consultants significantly reduces the duration and shortens your exposure to general anaesthetics.

For more information on Microsurgery please call 0800 8021 886 or [email protected].

Frequently Asked Questions

What Is The Recovery Time And Aftercare?

This will depend on the extent of surgery you are undertaking. Downtime can be 8 weeks to 6 months.

What Does Microsurgery Entail?

Common microsurgery procedures: • Breast reconstruction using free tissue transfer.
• Head and neck reconstruction using free tissue transfer.
• Functioning free muscle transfer for certain types of muscle paralysis.
• Vascularized bone flap transfer.
• Complex wound reconstruction.
• Nerve repair and grafting.
• Lymphatic reconstruction.

What Is The Cost Of This Procedure?

Scroll down the page and you’ll find our full current price list.

Is The Treatment Carried Out Under General Or Local Anaesthetic?

Microsurgery is typically performed in a hospital setting and will likely use general anesthesia.

Can I smoke or vape before my surgery?

Elena does not operate on patients that regularly smoke or vape. To be considered for this procedure you must refrain from smoking or vaping for 3 months before and after your surgery.

Treatment Cost

The total cost of the surgery will be confirmed after the first consultation.

The cost includes the hospital, surgeon and anaesthetic fees. It also covers all post-operative visits. The initial consultation fee will be invoiced separately. The prices apply only at the time of publication and are subject to changes without notification.

Initial Consultation...

£275 location dependent

Surgery Costs From...

£TBC at consultation


Treatment At A Glance

Surgical Time Dependant on treatment
Hospital Stay Dependant on treatment
Initial Recovery Time Dependant on treatment
Anaesthetic Dependant on treatment
Final Result Dependant on treatment
Follow Up Dependant on treatment
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Elena was recommended to me and as soon as I met her I felt entirely comfortable. Her explanations made sense in terms of expectations. Having made the big decision I did feel nervous but had absolute trust and confidence in Elena. I knew I was in the best hands. Elena's team is so supportive, my questions were answered with patience and understanding. My care at the McIndoe Centre was excellent. I am five weeks post op for abdominoplasty and liposuction and last week. Quite amazing to see the before and after pictures! I am so pleased that I was fortunate enough to meet Elena and have no hesitation in recommending her.

SM – Abdominoplasty & Liposuction

I have been both physically and mentally uncomfortable in my body since I was 12. I was born with ‘breast mutation’ and I first had surgery to correct this through the NHS at 16 years old. The surgery I have had with Elena, 17 years later, has removed the NHS implants, one of which had ruptured, and completely altered the shape of my chest. By doing this she has made me look and feel like a woman for the first time in my life. She is at all times quietly kind and fiercely adept. A true artist. She has surrounded herself with the most wonderful team and I cannot thank them all enough for the new lease of life that I have been given.

EG – Removal & Replacement of Implants

I have been self conscious for the whole of my adult life and I cannot express how much this surgery  has changed things for me. Both mentally and physically. I highly recommend Elena. She supported me throughout my journey from start to finish. Elena is very particular which for me is really important. Elena really took care of me from initial consultation right through to surgery and aftercare.My scaring is minimal and I am absolutely over the moon with my results. Thank you Elena!

JB – Breast Reduction

Elena is an OUTSTANDING surgeon. I had PIP implants and was looking to have them changed. I knew Elena was the surgeon to help, she put me at ease and explained my options. The lovely ladies in her office were helpful, I wanted to get sorted asap, when an alternative date was available contacted me straight away. I received outstanding care from start to finish from Elena, her team and the hospital. The aftercare is amazing, nothing is too much trouble, can call any time. I was so relaxed, I knew I was in great hands. The final results are fantastic. Elena has worked magic and I couldn’t be happier. I’m so glad I found her. I can’t thank her and her team enough.

LMS – implant Removal & Replacement

Had surgery with Elena in September, I was extremely anxious about the whole thing, but Elena and her whole team, from admin to the hospital staff were amazing with me and reassured me throughout my journey. I can not recommend Elena enough, and she has changed my life for the better! Already saving for my next operation with her!

SM – Abdominoplasty & Arm Lift

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