For women who’ve had a breast removed or partially removed, plastic surgery offers a chance to regain your natural figure.
It’s no longer necessary to live with unsightly scars or with an impacted self-image: state of the art breast reconstruction techniques offer surgeons the ability to completely restore your natural silhouette. Here at the Elena Prousskaia Clinic we offer a range of options for those seeking breast reconstruction after mastectomy or lumpectomy. Please come in for an informal discussion and we’ll be happy to talk you through how we might help.
In this page, we look at:
• Types Of Breast Reconstruction.
• Why Choose The Elena Prousskaia Clinic
• Advice On Breast Implants
Types of Breast Reconstruction Surgery
There are many different methods of breast reconstruction. The option considered a “gold standard of breast reconstruction” is known as Autologous Breast Reconstruction or DIEP (tissue from tummy) or TUG (tissue from thigh) flaps. Useing your own tissue from tummy, thighs or back can give you a softer and more natural looking breast.
Some patients can opt for an Implant or Tissue Expander which offers a faster recovery and a shorter stay in hospital. We offer both options. Elena will discuss with you, which makes sense for your body and situation. For those who choose the implant/expander option, it is important to choose the right type of implant for you and Elena will guide you in making that decision. Elena only uses high quality implants, considered the best in the market and has never used PIP implants in her practice.
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.
As one of the few female plastic surgeons in the UK, Elena brings a distinctly feminine empathy and skill to the process of helping rebuild a woman’s body after the stress of masectomy.
Trained by UK and international most renowned fellowships in Breast Reconstruction and Breast Oncology, Elena also brings a wealth of experience, a sense of artistry, and a calm professionalism to all her work. The Elena Prousskaia Clinic also prides itself on the quality of its aftercare: we will make every effort to ensure you’re informed, prepared and well looked after throughout the whole procedure.
Frequently Asked Questions
Breast Reconstruction Surgery Recovery Time?
The length of your hospital stay depends on the type of operation and how your recovery progresses. For example, if you’ve had implants, the average length of hospital stay will be one night, however flap procedures require a stay of five to six days. After you have seen Ms Prousskaia for your four week follow, up you can then start to discuss your recovery plan going forward.
What Is The Aftercare?
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. Elena will also advise you on a specialised garment bra, which will also help with your recovery.
How Much Does This Procedure Cost?
Please scroll down for more information on pricing.
Are There Any Risks With Having This 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, implant rupture and capsular contracture. 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 Surgery Take?
Generally speaking breast reconstruction surgery timings may take from 2-8 hours, as this varies depending on the nature and complexity of the procedure.
Is Breast Reconstruction Painful?
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.
Will I Be Able To Wear A Normal Bra Afterwards?
You will wear your support bra for up to three months after surgery – then you can look at purchasing your own ‘normal’ bras for everyday wear once fully healed.
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.
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.
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.
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!