Breast Reduction (Mammoplasty) Surgery

By Elena Prousskaia MD, FRCS (Plast), FEBOPRAS

For many women, outsized breasts or breasts which are not in proportion with the rest of the body can be the source of postural issues and physical discomfort.

Others find the condition, which may be determined by genetic or hormonal factors, can cause tremendous self-consciousness and psychological distress. Fortunately, the procedure known as reduction mammaplasty is now both relatively simple as well as affordable, resulting in a life-changing opportunity.

In this page, we look at:
• Why Choose The Elena Prousskaia Clinic For Your Aesthetic Surgery Procedure
• Should I Have Breast Reduction Surgery
• How Can Elena Help With Your Breast Reduction

Why choose the Elena Prousskaia Clinic for your cosmetic surgery procedure

Ms Elena Prousskaia has been carrying out plastic and aesthetic 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.

Should I have Breast Reduction Surgery

Breast reduction is surgery which aims to reduce the volume and uplift your breast. The possible reasons for you to seek surgery are:

  • To correct excess of breast volume.
  • To improve the shape of the breast.
  • To reduce neck and shoulder pain, which often is a result of excessive breast tissue.
  • To correct difference in shape or volume between the two breasts where there is asymmetry.
  • As a reconstructive technique in certain situations.

How can Elena help with your Breast Reduction

Following a thorough conversation and examination in the clinic, Elena will give you her recommendations and time to consider the different surgical options.

You would then have a second consultation to discuss the preferred option and for you to ask any further questions before we begin planning your surgery. Elena will talk you through all the necessary pre-surgery investigations, as well as the after-care required. She will also fully explain the risks associated with the procedure, only going ahead with the breast reduction operation once you are completely ready and happy with the choice you have made together.

Frequently Asked Questions

What Is Breast Reduction Surgery?

This commonly performed operation involves reducing the amount of breast and fatty tissue, as well reshaping and positioning the breasts to an optimum shape. Some people choose the procedure to correct an imbalance or asymmetry between the breasts.

What's The Breast Reduction Surgery Process?

Carried out under general anaesthetic, the procedure requires a hospital stay of one night, generally taking around 3 hours complete. During the procedure itself, the breasts are reshaped, and the nipples are repositioned to form smaller and younger looking breasts. The scars will be placed around the nipple-areola complex, vertically and sometimes in the lower breast (inframammary) folds. The placement of scars will depend on your preference and the recommendation of your surgeon, Elena Prousskaia.

What's Involved In Breast Reduction Surgery Recuperation And Aftercare?

A short period of recuperation is required after undertaking a breast reduction procedure, generally of between one and two weeks of reduced activity. The Elena Prousskaia Clinic prides itself on the quality of both its pre and post operative care so we’ll make sure you’re completely informed, relaxed and comfortable at all stages of the process. Once you’ve gone home we’re always on call for advice as things begin to heal.

What Is The Cost Of This Surgery?

Please scroll down for more information on pricing.

Are There Any Risks To Breast Reduction?

While complications with breast surgery are infrequent, no surgical procedure is without risks. Among the possible complications are bleeding, infection, scarring and an adverse reaction to anaesthesia. 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, this surgery takes around 2.5-3 hours, although this varies depending on the nature of the procedure.

Is Breast Reduction 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 4-6 weeks after surgery – then you can look at purchasing your own ‘normal’ bras for everyday wear once fully healed.

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.

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.

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See The Results For Yourself

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Treatment At A Glance

Surgical Time 3 - 3.5 hours
Hospital Stay 1 - 2 days
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

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Breast Reduction Brochure

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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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