Breast Reconstruction Bristol

By Elena Prousskaia MD, FRCS (Plast), FEBOPRAS

With an unmatched reputation across independent review sites and close to 20 years’ experience, Elena Prousskaia is a leading provider of breast reconstruction in Bristol.

Prior to starting her own highly successful private practice, Elena held Fellowships around the world and among these was the prestigious Fellowship in Microsurgical Breast Reconstruction and Breast Oncoplastic Surgery at Guys and St Thomas in London.

This demonstrates that rather than simply being one aspect of her work as a cosmetic surgeon, breast reconstruction is a true specialism of Elena’s. As well as the London Fellowship, she has held similar positions in Italy, Barcelona, India and Tokyo, this on top of winning numerous awards, holding professional qualifications and certificates and having research published in medical journals.

Coupled with this is Elena’s attitude, to use her own words:

“The one thing that matters most to me when I am with a patient is empathy.

“It is only when you are able to identify and understand your patients problems that you can begin to help resolve them satisfactorily. A good surgical outcome is not the only thing that matters. Everything that you do and say to a patient has to come from your heart.”

This is never more true than with breast reconstruction. The prospective patient considering this surgery in Bristol might have had a breast or breasts removed or partially removed and so it is essential that the surgeon is sensitive and understanding at all times.

Breast Reconstruction Consultations in Bristol

Elena always offers lengthy, detailed consultations, this allowing for a full conversation and so she can fully understand the aims of the patient and their hopes from the surgery. Elena can then talk through the available options, outlining the results and also talk through after care and the operation itself.

A second consultation is then common, this allowing the patient time to consider and truly decide if they wish to pursue breast reconstructive surgery.

Of course, it is easy to speak of a surgeon’s ethos and manner, but what do independent reviews state? In Elena’s case, they are universally positive, please take the time to read some of the reviews via the links below.

Reviews on I Want Great Care site

Google reviews

The facilities used in Bristol are also state of the art, at Bristol Spire, a modern well-equipped modern hospital.

For the breast reconstruction surgery itself, there are a number of different methods available, these of course would be discussed at the consultation.

Considered the gold standard is Autologous Breast Reconstruction or DIEP (tummy from tissue) or TUG (tissue from thigh) flaps. This method leads to a softer and more natural look.

Another option is an implant or Tissue Expander, these offer a faster revery period and shorter stay in hospital.

It is impossible to say which method would be the most suitable without a consultation, this is where the expertise and experience of the surgeon is key, so too their willingness to take the time to truly work with the patient.

Highest Quality Breast Implants Used

It is worth noting that Elena only uses high quality implants – Allergan and Mentor, these considered the best on the market. She has never used PIP implants in her practice.

The length of recovery and recuperation following breast reconstruction surgery will vary – for implants the hospital stay is likely to be one or two days, while for flap procedures five or six days is more common. Full recovery then takes around six to eight weeks.

The after care will include follow-up checks and Elena and her team are always available to answer questions – as one of the few female plastic surgeons operating in the UK, Elena is uniquely placed to consider the impact of surgery of this nature, both physically and also in helping to restore self confidence and self esteem.

We have included some key links at the bottom of this page, including to a brochure, pricing information and before and after image gallery.

If you would like to arrange for an initial consultation to discuss breast reconstruction surgery in Bristol, please contact us by calling 0800 8021 886 or using our Contact Form.

Breast Reconstruction – Key links


See the main breast reconstruction surgery page for Key Information

Before and after gallery

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.

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...

£200 - £250 location dependent

Surgery Costs From...

£TBC at consultation


Treatment At A Glance

Surgical Time TBC at consultation
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 Downloads

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Breast Reconstruction 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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