Breast Enlargement & Augmentation Surgery (Mammaplasty)

By Elena Prousskaia MD, FRCS (Plast), FEBOPRAS

Breast enlargement or augmentation is the most common cosmetic surgery procedure in the UK and, these days, a relatively simple operation which make a huge difference to your confidence and quality of life.

The Elena Prousskaia Clinic offers effective, affordable breast enlargement using the finest quality implants in the world. Combined with Elena’s skill and experience you’ll be in the best possible hands. This procedure may be a purely cosmetic treatment or as a part of breast reconstruction surgery.

In this page, we look at:
• Choosing Your Breast Implants
• Breast Enlargement Procedure
• Advice On Breast Implants

Choosing Your Breast Implants

Choosing the correct size and shape for your breast implants plays an important part in the preliminary conversations you’ll have with Elena.

We want you feel completely informed about the process itself, so that you understand how the implant will push or help lift the breast tissue forward to give you the larger, fuller breasts. When you come to the clinic we will discuss the size which may suit your height, body shape and existing breast tissue, while explaining the process. We have never used PIP implants in our practice and consider the quality of the materials of paramount important for your health and well-being. We will plan your surgery together, following a long conversation and examination in the clinic during which time you’ll have all the opportunity you need to learn about your breast enlargement.

Breast Enlargement Procedure

Performed under a general anaesthetic, the breast augmentation procedure usually takes around one hour.

Elena will make a delicate incision either in the crease beneath the breast, under the arm or around the nipple (areola). The implant is inserted between the breast tissue and chest muscle or behind the chest wall muscle. The particular physiology and medical history of each patient determines the appropriate course of action, and this is something Elena will discuss with you during your consultation.

Advice On Breast Implants

Since December 2018, many regulatory bodies around the World have issued statements regarding their own position and some have limited the distribution of other textured devices. The advice does vary from country to country because the research data available is limited and not conclusive. None have called for the precautionary removal or replacement of textured devices that are already inside patients’ breasts.

Breast implants however are not lifelong devices and in general will need removal or replacement at some point. In an effort to have more robust data about both conditions, the Breast and Cosmetic Implant register (BCIR) collects breast implant data for patients in England and Scotland. The MHRA continues to collect and analyse UK information through a reporting system. It also has links with up to date information from international public health organisations. The most recent advice from MHRA on BIA-ALCL was updated on the 4th April 2019.

View the MHRA statement on Allergan

Download the BAAPS statement on ALCL

Breast Enlargement Surgery Around the UK

Elena works from several clinic locations around the UK.

In central Bristol, choose from either the Nuffield or Spire hospitals; in Sussex the McIndoe, and in London find Elena on Harley Street. Please see the ‘Our Locations’ tab in the menu for exact addresses or call us to discuss your closest location.

Frequently Asked Questions

What Is The Recovery Time for Breast Augmentation?

Normally, after a one-night stay, you would go home once the drains are removed. You may feel tightness of your breasts after this surgery. This is normal and it will improve gradually. You should avoid all sport activities, housework such as hovering, driving, dog walking for at least 4-6 weeks following surgery and any weight lifting or strenuous activities for up to 8-12 months following the surgery. The visibility of your scars will depend on the technique used and on the biological response of your body to surgery and healing. Generally the scars after this type of surgery are almost invisible by the end of the year. Patients can benefit from taking four weeks off work, and after you have seen Ms Prousskaia for your four weeks follow up you can discuss beginning a gym routine focused on lower body strength.

What Is The Aftercare for Breast Augmentation?

The Elena Prousskaia Clinic prides itself on the quality of its aftercare so we’ll make absolutely sure you know what to expect, and how much rest is needed. We’ll give you specific instructions that may include how to care for your breasts following surgery, medications to apply or take orally to aid healing and reduce the risk of infection, and when to follow-up with Elena.

How Much Does Breast Augmentation Cost?

Please scroll down for more information on pricing.

Are There Risks With The Procedure?

While complications with surgery are infrequent, no surgical procedure is without risks. Among the possible complications are scars, infection, haematoma, implant displacement, breast asymmetry and implant rupture. Elena will provide you with further information with the risks and provide you with a detailed consent form during your consultations. This will help you to minimise the risks.

How Long Does A Breast Augmentation Surgery Take?

Generally speaking this surgery takes around 60-90 minutes, although this varies depending on the nature of the procedure.

Is It Painful To get Breast Implants?

After surgery it is normal to experience some discomfort, the level of which varies widely amongst patients. There is rarely prolonged pain unless there is a complication and in all cases you will be prescribed pain medication

What Type Of Implants Are Used?

The shape of implants can be round or anatomical (teardrop). Both can provide an excellent result. The outer shell and the filling may vary depending on the manufacturer. Miss Prousskaia has never used PIP implants in her practice and she will offer you high quality implants from the best manufacturers. You will discuss with Miss Prousskaia which specific shape and size of implant would give you the optimal result. You should know that in the European Union (EU) 95% of implants used for breast augmentation are made of silicone gel and only 5% contains other type of fillings such as saline. Mentor Silicone Gel-Filled Breast Implants are devices with shells constructed from silicone elastomer. The shell is filled with MemoryGel®, Mentor’s proprietary formulation of silicone gel.

Why Choose Elena Prousskaia?

Ms Elena Prousskaia has been carrying out aesthetic and plastic surgery procedures for more than 20 years. Elena trained for eight years in Plastic and Reconstructive Surgery and since then has held leading Fellowships around the world and specialised in breast surgery procedures, whether a patient is having the procedure for purely aesthetic reasons or as part of breast reconstruction. As an NHS Consultant Plastic and Reconstructive Surgeon at Southmead Hospital, she dedicated several years to complex microsurgical reconstruction and general plastic surgery. During this time at North Bristol Trust, she particularly enjoyed rebuilding patients who suffered from breast cancer giving them their body and confidence back. At present, Ms Prousskaia runs her own successful private practice performing full range of plastic and aesthetic surgery for face, body and breast. Elena Prousskaia consults in several clinics around the South West. Please see the ‘Our Locations’ tab in the menu for exact addresses or call us to discuss your closest location.

What Would My Expected Results Be?

Elena prides herself on taking the time to truly understand a patient’s aims and discussing what result will work best given the patient’s body shape and size. Although good results are expected, the body is not symmetric and almost everyone has some degree of unevenness, which may not be recognized in advance. The more realistic your expectations as to results, the better your results will be in your eye. You will have at least two consultations with Elena where she ensures that she meets your expectations and she will always try to achieve your desired results.

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.

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Initial Consultation...

£150

Surgery Costs From...

£5800

Finance Your Treatment

See The Results For Yourself

Please browse other patients amazing results for this procedure.

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Treatment At A Glance

Surgical Time 2 – 3.5 hours
Hospital Stay Over night hospital stay
Initial Recovery Time 4 – 8 weeks
Anaesthetic General anaesthetic
Final Result 3 – 12 months
Follow Up 1, 4, 12 weeks & 1 year

Treatment Videos

As a useful resource please view these videos to help educate and explain this procedure in detail.

Treatment Downloads

Download more resources specific to this procedure.

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Breast Augmentation Brochure

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BBA RCS BAPRAS Guide to Breast Augmentation

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Joint Statement between ABS, BAAPS, BAPRAS & MHRA on BIA-ALCL

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Breast Implant Safety

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WHAT DO ELENA'S PATIENTS SAY...

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

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

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

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

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

Click below to view all reviews