Rhinoplasty Bristol

Many of Elena’s tuberous breast patients have felt self-conscious about the issue since puberty, which is when this issue manifests. If you are concerned that your breasts are either not developing normally, or have never reached their shape, we suggest you book a confidential discussion with Elena to discuss whether this surgery might be appropriate for you.

If any of the following characteristics feel true, then it is likely this is the correct surgical procedure. Of course, this can be confirmed following a detailed discussion with Elena: • Elongated or coned Breasts
• Narrower breast base
• The fold beneath your breast (inframammary crease) is high
• Prominent enlarged areola.

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.

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.

Tuberous breast correction ensures that patient gains missing volume especially in the lower pole of the breasts, which tend to be short of skin and breast tissue. Once the lower pole of the breast becomes rounder and fuller a bra would normally fit well.

The procedure is carried out under general anaesthetic. The length of surgery is between 2-3 hours however this is dependent on the complexity of surgery. The placement of scars will depend on your preference and the recommendation. The missing volume is restored with implants after breast remodelling is completed, normally as part of the same procedure. Areola reduction can be performed through periareolar approach, with a scar around the nipple areola complex. The Implant often can be introduced through the scar using a Keller funnel resulting in minimal scaring.  Very rarely in severe grade of tuberosity a two stage surgery may be needed. In these rare cases, tissue expanders would be placed first to stretch the tissue and at the second stage it would be replaced with implants.

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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 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.

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.