Breast Reduction Surgery London

By Elena Prousskaia MD, FRCS (Plast), FEBOPRAS

Breast reduction surgery is available in London through Elena Prousskaia, a world-renowned female cosmetic surgeon with a specialism in breast procedures.

The procedure is also known as a mammaplasty. The surgery is relatively common and it is an option that many fine surgeons in and around London are capable of performing.

However, few can match Elena Prousskaia’s level of experience, nor have they held Fellowships that match up to her status.

In this page we will provide information about breast reduction surgery and look to answer all the common questions.

We will also speak a little about Elena Prousskaia and why anyone considering this surgery should contact her for a consultation.

Mammaplasty London

Elena Prousskaia has close to 20 years’ experience and completed eight years training in Plastic and reconstructive surgery. She has a hugely successful private practice but prior to this held world-leading Fellowships, including those pertinent to breast surgery, including breast reduction.

Here in London, she held the Fellowship in Microsurgical Breast Reconstruction and Breast Oncoplastic Surgery at Guys and St Thomas’. Other Fellowships have been held in Milan, Barcelona, Madrid, India and the University Hospital in Tokyo.

Elena also holds numerous certificates, has won awards and been published in leading medical journals, with further details available on the About Her page.

Just as important are the independent, verified reviews of a surgeon, what do former patients say when giving honest feedback?

On both Google and, she has universal five star ratings, with many of the comments talking in detail about her ethos and understanding – many of the comments relate to breast reduction surgery.

Reviews on I Want Great Care site

Google reviews

Elena’s ethos is summed up in this quote

“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.

Breast Reduction Process

As with any procedure, the process actually begins with a detailed initial consultation. This is your opportunity to talk and for Elena to listen and use her experience to recommend a best course of action.

This consultation allows you as a patient to come to a truly informed decision, you can also make a decision free of any pressure.

If a mammaplasty is booked in, it would be held at London’s wonderful Welbeck Hospital.

Typically, Elena would remove breast and fatty tissue as required and also re-shape and position the breasts to the optimal position and definition. It might be that the procedure also addresses any imbalance between the breasts.

The nipples will be repositioned, with an overall outcome of smaller, more youthful appearing breasts, breasts that are more in tune with your body shape and size.

The mammaplasty is carried out under general anaesthetic and usually takes between 90 minutes and three hours. Post surgery, a short period of recuperation is required including a couple of weeks of reduced activity.

You can get more detailed information and see a gallery of before and after images via some of the links below.

Brochure (opens as a pdf)

Guide to breast reduction prices

Before and after gallery

Benefits of Breast Reduction

For those with breasts that are too large, the benefits are profound.

There is, of course, the physical change, the change to appearance. The breasts will be firmer, better proportioned, more desirable even.

Reduced breasts can also be far more comfortable. This is true in sport and exercise, but also in preventing back ache – over-sized breasts can be a constant source of strain, leading to ongoing pain.

However, the benefits can also extend far beyond this to mental health too, confidence and self-esteem. Addressing this aspect of appearance can make a woman feel happier in herself; as a leading female surgeon Elena Prousskaia realises just how important this aspect of the surgery is.

The change to attitude, confidence and happiness is one of the wonderful aspects of cosmetic surgery, seeing someone struggling with an aspect of appearance transformed into the best version of themselves.

Next Steps

If you need any further advice or would like to book in for an initial consultation with a surgeon with true specialist knowledge and an unmatched reputation, please contact us by calling 0800 8021 886 or  book a consultation online.

About London

London, the capital city of England, is renowned for medical expertise.

Harley Street, located in Marylebone and named after former Lord Mayor Thomas Harley, is perhaps the most famous location relating to the medical profession in the UK.

Many leading practitioners across a wide range of medical specialisms have clinics in Harley Street.

Location wise, it is highly accessible, with close proximity to Regent’s Park, Oxford Circus and Great Portland Street tube stations and also mainline stations including Euston and Kings Cross.

As you would expect of a street of such influence it has featured in many cultural works and had many famous residents.

Agatha Christie regularly used Harley Street as a locations it features in, among other stories, And Then There Were None, Crooked House and Death on the Clouds.

Jane Austen’s Sense and Sensibility has many chapters based in London and specifically Harley Street.

Real life residents have included artist JMW Turner, Labour MP Harriet Harman and also Lionel Logue – the speech therapist who helped King George VI and is represented in the King’s Speech

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.

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...



See The Results For Yourself

Please browse other patients amazing results for this procedure.

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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 Downloads

Download more resources specific to this procedure.

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Breast Reduction Brochure

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Book a Consultation


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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