About This Treatment

One of the world’s leading specialists in breast surgery having held fellowships around the world, Elena Prousskaia is now available for congenital breast correction in Gloucester.

Ms Prousskaia has a level of experience in the treatment of congenital breast that sets her apart not just in Gloucester and the south west but for the whole of the UK, her CV is simply unsurpassed.

She held the Fellowship in Microsurgical Breast Reconstruction at London’s Guys and St Thomas’, other Fellowships in cities including Milan, Barcelona and Tokyo and specialised in the north Bristol trust, working with patients who had suffered from breast cancer.

In this page, we will outline details relating to congenital breast, what it is and the nature of surgery but we will also show why Elena Prousskaia is so highly regarded.

Suitability for Congenital Breast Surgery

Suitability is always ascertained through a detailed consultation and it is of course impossible to say in a webpage whether anyone may or may not be a candidate for congenital breast correction.

What can be said is that for anyone who has concerns over the size, shape or symmetry of their breasts it could well be a superb option.

This can be breasts that are not even in size, or breasts that have not developed in what might be considered the usual way, this would include an issue such as tuberous breast.

Any issues often become apparent around puberty, although in many cases it will be years later that a woman is able to consider surgery – this often because of financial considerations.

One relatively common concern is the breasts are not symmetrical – it is likely that this is under reported as many women will simply live with the condition.It is quite usual for breasts not to be completely symmetrical, but when there is a larger disparity it can be a cause for concern. Surgery could certainly be suitable, reshaping and sizing one or both breasts as required to achieve the desired outcome.Tuberous breast is the condition where the breasts might be termed tube like, this often with a larger than usual space inbetween the breasts. With tuberous breast, it is also common for the lower portion of the breasts to be underdeveloped and there may be an areola that is large and dilated.Suitability also depends on the impact the condition is having and whether surgery can achieve the results a prospective patient desires. Any procedure has to truly be in a person’s best interests.The conditions that make up congenital breast concerns are not usually health risks of themselves, but they can have a huge impact on self confidence and self esteem and any woman’s identity. As a specialist in breast reconstruction and having helped women around the world to overcome concerns with their breasts, please be assured that Elena works with complete sensitivity and care for the patient.For those who do ultimately have surgery, the impact can be life enhancing and wonderful to see.

Ms Prousskaia sums up the impact beautifully.

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 can be the real benefit of treating congenital breast conditions, seeing it change someone’s life for the better.

Elena Prousskaia - Procedure Information
Elena Prousskaia - Procedure Information

Consultation for Surgery Suitability

A consultation is absolutely essential to ascertaining whether surgery is suitable in any individual case.

This consultation is the opportunity for the patient to talk and discuss their patient journey to this stage, their concerns with their breasts, why they want surgery and the results they hope for.

The surgeon will listen and then offer their recommendation and their suggested plan of best action. It goes without saying that the more experienced a surgeon, the greater their speciality in breast procedures, the greater likelihood they can deliver the results a patient craves.

An aim of consultation is to establish a partnership, a sense of ease between patient and surgeon. Regardless of a surgeon’s CV, please only entrust one to perform surgery when you feel completely comfortable in their care.

Follow-up consultations are usual, this allows time for the prospective patient to decide if surgery truly is for them.

The Process for Treating Congenital Breast

There is no singular treatment method as congenital breast is a term that covers a range of conditions and concerns.

Ultimately, the skill and experience of the surgeon are key, ensuring they can utilise the best approach in each case – you do not want a surgeon who has more of a one-size-fits-all approach to surgery.

One option will be implants, the implants could be to add shape or volume as required and this could create symmetry between the breasts if this is a concern,

In other instances, it may be that rearranging existing breast tissue can resolve the problems – or this could be used in combination with implants.

Fat transfer will be a wonderful option in some situations this is where fat is grafted from another part of the body and then used to reshape the breasts. A benefit of this procedure is that it can improve two areas at once, potentially removing far  from an area where this is desirable, and then also improving the appearance of the breasts.

Common areas for the fat to be grafted from include the abdomen, thighs and buttocks.

Which method would be best in any individual case cannot be said here, this would be discussed in consultation. The surgeon will use all information at their disposal, this including the patient’s full medical history.

The operation is likely to take between two and three hours.

There is a recovery period post-surgery  and strenuous physical activity should be avoided for a period of weeks. Final results may not be fully apparent until some months after surgery – your surgeon would detail the full recovery process.

Elena Prousskaia - Procedure Information
Elena Prousskaia - Procedure Information

The Cost of Congenital Breast Correction

The cost for the procedure covers the surgeon fee, anaesthetist and the fees inherent with using a private hospital.

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.

About Elena Prousskaia

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.

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Elena Prousskaia - Procedure Information
Elena Prousskaia - Procedure Information

About Gloucester:

Gloucester is a cathedral city with a population close to 150,000 as of the 2011 census.

The city’s economy is dominated by the service industries, with finance, R&D and light industry all key. There are also historic associations with the aerospace industry and a sculpture in the city celebrates Gloucester’s aviation history and its involvement in the jet engine.

Gloucester is famed for its cathedral, a building that has also appeared in the film versions of the Harry Potter films. The museum and school of art and science are other notable buildings.

Among those to have been born or lived in Gloucester are the former England cricketer and captain Alastair Cook, the comedian and writer Simon Pegg and John Stafford Smith, the composer of the American National Anthem.

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Frequently Asked Questions

What Does Breast Asymmetry Mean?

Congenital breast asymmetry means the development of different size and shape breast. The difference in size and shape may be mild or very significant. It normally affects patient confidence and quality of life, that is why these patients are normally seeking surgery at relatively young age.

What Are The Risks For Breast Asymmetry Surgery?

While complications with surgery are infrequent, no surgical procedure is without risks. Among the possible complications are scars, infection, haematoma, implant displacement 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.

What Is The After Care For Breast Asymmetry Surgery?

The Elena Prousskaia Clinic prides itself on the quality of its aftercare so we will make absolutely sure you know what to expect, and how much rest is needed. We will 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.

Who Is A Good Candidate?

Correction of breast asymmetry is surgery which aims to correct difference in the size and shape of your breasts and to improve your body image. The possible reasons for you to seek surgery are:

  • To correct difference in shape or volume between the two breasts where there is asymmetry.
  • To improve the shape of the breasts.
  • To correct lack volume and also excess breast volume.
  • As a reconstructive technique in certain situations.
Will I Be Able To Wear A Normal Bra?

You would wear special garment bra 24 hours a day for the 4-8 weeks. You can remove it only for the duration of taking a shower. After that you may be able to wear a normal bra.

How Do You Fix Asymmetry?

Fixing breast asymmetry is normally achieved by reducing the largest breast to the size of the smaller breast in order to get same amount of skin and breast tissue on both sides, in most of cases breast implants are used to improve on volume and shape as a part of the same procedure. Ideally, to restore complete symmetry, the surgeon aims to achieve same volume of skin and tissue enhanced by same volume implants on both sides.

What Is The Cost Of This Procedure?

Please visit our fees page for more information.

What Is The Recovery Time?

The final result can take up to 12 months after surgery, once swelling has settled down. You should rest and avoid any physical activity in the first 48 hours after surgery. 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.

What Type Of Implant Is The Best?

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.

How Long With The Surgery Take?

Generally speaking this surgery takes around 2-3 hours, although this varies depending on the nature of the procedure.

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 Videos

As a useful resource please view these videos to help educate and explain this procedure in detail.

Related Downloads

Helpful downloadable resources specific to this procedure.

PDF Download

Guide To Breast Augmentation

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Elena Prousskaia - Fees & Financing

Fees & Financing

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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Getting in Touch
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[email protected]

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Plastic Surgery Accreditations
Expertise & Experience

Elena Prousskaia - Plastic Surgery Accreditations

Elena Prousskaia is a Board Certified UK Consultant Plastic Surgeon, with memberships in:

  • British Association of Plastic Surgeons (BAPRAS)
  • Royal College of Surgeons, London (FRCS Plast)
  • European Board of Plastic Surgeons (EBOPRAS)

She is also listed on the UK GMC Specialist Register for Plastic Surgery and holds a Certificate of Completion of Training in Plastic Surgery.

  • ISAPS
  • British Association of Plastic Surgeons
  • Royal College of Surgeons, London
  • General Medical Council
  • European Board of Plastic Surgeons
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