Congenital breast correction is available in Bristol through Elena Prousskaia, a world-renowned cosmetic surgeon who has held Fellowships at some of the world’s top hospitals.
There are many fine cosmetic surgeons in Bristol covering a wide range of treatments. However, in the field of breast surgery and issues such as tuberous breast and congenital breast asymmetry, Elena Prousskaia stands apart.
She undertook a three-year Fellowship in Microsurgical Breast Reconstruction and Breast Oncoplastic Surgery at Guys and St Thomas Hospitals in London, this in addition to fellowships in Tokyo, Italy, Spain and more.
Ms Prousskaia has also worked for the North Bristol Trust, working there with patients who suffered from breast cancer, again demonstrating her specialism in breast surgery.
This is a procedure that is potentially suitable for anyone who has concerns over their breasts and a sense that they have not developed as might be expected.
Often, issues become apparent from puberty, although many women are not in a position to consider surgery until later in life.
It may be that the breasts have not developed evenly in shape or size – this known as breast asymmetry.
There may also be tuberous breast, this where the breasts are somewhat tube shaped, with a large space in-between. With this condition, the breasts are often underdeveloped at the lower part and the areola may be large and dilated.
Congenital breast conditions are not uncommon and it is likely that they are hugely under reported as many women simply live with the condition as it is not one with health implications.
However, these conditions can have a major impact on self-esteem, confidence and sense of self. Negativity about one’s breasts can impact a person’s social life, relationships and even cross over into work and more.
Of the impact, Elena has written
Before surgery there is always a shadow on their faces that seems to say, “I know I am different, I do not like myself. Will it ever be over? Does it have a solution?”
It’s distressing for the young woman and her family. Fast forward to post-op, I can see a completely different expression on their faces. It is a relaxed and confident smile, like a huge weight has been lifted! It is very similar to what I see after I reconstruct breast cancer patients, they struggle to believe it can be over until it is done.
I particularly enjoy seeing these girls coming in with a new partner, before surgery many of them were single, so I feel I not only helped to change their body and mind but also had a positive impact on their personal life.
This is the real value of procedures such as this, changing someone’s life for the better.
Suitability would be assessed at a detailed consultation. Ms Prousskaia sees the consultations as vital, they are the chance for the prospective patient to outline the results they hope for and the surgeon to suggest the results they can achieve and the recommended method.
A second consultation is then usual, this giving time for a decision to be made and the person to decide if surgery is truly for them.
There is no singular approach that will be suitable in every instance, instead the skilled and experienced surgeon has a range of techniques at their disposal.
One option is implants, and there are sub divisions here as to whether saline or silicone implants are recommended. Implants would add volume and shape as required, helping to reshape the breasts and address issues such as asymmetry.
In other cases, it might be that rearranging existing breast tissue is a suitable approach – this obviously reliant on there being sufficient breast tissue but not in optimal position.
Fat transfer would be suitable for some patients, fat grafted from one area of the body, for instance the thighs or abdomen, and then used to help shape the breasts. For anyone who has some additional weight they would like to lose in a specific area, this can be a way to achieve both aims in one cosmetic procedure, thus saving expense and also reducing recovery time overall.
Fat transfer can also be used in combination with implants, enabling smaller implants to be used, and helping to add an extra degree of refinement to the process.
However, it is not possible here to say which option would be the best in any individual case, that would be the aim of a consultation,
The prospective patient also does not need to be an expert in the options, if they have a sense that a procedure would be beneficial they simply need to arrange a consultation and then have an open and honest conversation with a surgeon. The surgeon will use all the information, including medical history, to suggest a best course of action.
The operation itself is likely to take between two to three hours but, again, this will vary depending on the precise nature.
Post-surgery, physical activity should be avoided for 48 hours and exercises such as sport, dog walking and housework avoided for at least six weeks. It may be eight to 12 months until strenuous activities can be resumed and it may take this length of time for final results to be visible as swelling settles down.
It is an involved procedure and one where the skill and experience of the surgeon is vital – they have to factor in how the breast will adjust post surgery and the final share they will settle into.
The cost for the procedure covers the surgeon fee, anaesthetist and the fees inherent with using a private hospital.
In Bristol, this is the Bristol Spire hospital, a wonderful modern building that is equipped with the highest quality equipment. The hospital also has a reputation for wonderful levels of care, with feedback praising the staff and level of professionalism.
At the time of writing, prices would start from around £6,000 – however, the nature of this surgery, the wide range of specific cases it covers, means that in reality an accurate cost can only be provided at a detailed consultation.
If you choose to have a consultation with Ms Prousskaia, she would provide a full, detailed quote, this inclusive of all fees and after care.
Elena is cosmetic surgeon with approaching 20 years’ experience, she is known as one of the leading surgeons operating in the UK.
Starting her career at the North Bristol trust she dedicated several years to complex microsurgical reconstruction as well as general plastic surgery.
Elena has held Fellowships around the world, including prestigious posts with Guys and St Thomas in London and Fellowships in Italy, Barcelona, India and the University Hospital of Tokyo.
As befitting a leading surgeon she has won awards and written for numerous leading medical journals.
These credentials – and further details are outlined here – are not mentioned to boast but to show Elena’s standing as a cosmetic surgeon.
Credentials are of course important, but so too the ethos of the cosmetic surgeon and their ability to truly listen to anyone considering surgery.
Of her ethos, Elena says.
“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. I consider myself very lucky to be able to share my passion for what I do and hopefully bring a bit more happiness into my patients’ lives.”
The independent reviews back up Elena’s skill as a surgeon and ethos – universally five star reviews across multiple independent sites.
Bristol is a city in the south west of England with a population of 434,000 as of the 2011 Census.
The area around Bristol is seen as one of the most desirable areas of the UK in which to live – it was selected in 2009 as one of the world’s top 10 cities by international travel publishers Dorling Kindersley and it was named the best city in Britain to live in by the Sunday Times in every year from 20414 to 2017. The city also won the prestigious EU European Green Capital Award in 2015.
Bristol is now at the forefront of many newer industries and technologies, these including aerospace, defence, media, information technology, financial services and tourism industries. The city also has clinics and surgeries for many of the UK’s leading surgeons, becoming a centre every bit as in-demand as London’s Harley Street.
The actor Cary Grant was born in the city, while more recent Bristolians include comedian Russell Howard.
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.
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.
Please scroll down for more information on pricing.
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.
Generally speaking this surgery takes around 60-90 minutes, although this varies depending on the nature of the procedure.
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.
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.
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.
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.VIEW ALL PRICES
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As a useful resource please view these videos to help educate and explain this procedure in detail.
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