Tuberous breast can be best treated in London by Elena Prousskaia, a world-renowned female cosmetic surgeon who has held Fellowships at leading hospitals and specialises in breast surgery.

Also known as constricted breasts or tubular breast, tuberous breast does not pose a health risk yet the impact of this condition can be profound.

Surgery via a skilled specialist like Elena will correct the balance and shape of the breasts, boosting confidence and self-esteem.

In this page, we will outline key details relating to tuberous breast and why Elena Prousskaia stands apart as one of the finest specialist surgeons in London.

What is Tuberous Breast?

Tuberous breasts are breasts that have not developed as normal. A genetic condition, it leads to breasts that typically have a tube-like shape, hence the term tubular breast, and a larger space in-between them.

The breasts are often underdeveloped at the lower part and there can also be larger and dilated areola.

It is likely to be a condition that is under-reported as, depending on the severity, many women will not have sought expert opinion as it is not a health risk of itself.

However, the underdevelopment, which is typically visible from puberty, can have a great impact on self-esteem and mental health and so have a major overall impact on health.

The severity therefore is dependent on how the individual with tuberous breasts perceives the issue.

Suitability of Tuberous Breast treatment in London

Because there are no direct health risks linked to tuberous breast, it is not a procedure that someone with the condition needs to have.

The benefits must therefore be judged against the impact the condition is having on someone’s life.

For those whom their breasts are a concern, tuberous breast treatment is suitable for asymmetrical breasts, breasts with a large gap between them and breasts that have failed to develop fully – in shape, volume or both.

Suitability can only truly be assessed at a detailed consultation, this also the opportunity for the prospective patient to talk, discuss their hopes for surgery and the surgeon to listen and then suggest potential options.

Surgery Procedures

If surgery is suitable and beneficial, there are a number of treatment options and the best approach will vary by patient.

One option is to have implants inserted, these could be silicone or saline and would be inserted so as to minimise visible scarring.

If there is enough breast tissue, but it is not in optimal position, then remodelling of the breast tissue may be suitable, or the use of expanders might create the desired look and shape.

Another option is to utilise fat transfer, this potentially from an area such as the hips or thighs – an added benefit of this method is that if there is a desire to tone these specific areas both goals can be achieved at once.

Often, the best approach is a combination of a number of the above – implants with additional fat transfer for example.

The best approach will depend on the desired final breast shape and volume, the available breast tissue and whether an option such as liposuction for fat transfer is both desirable and beneficial.


As we have outlined in this page, for those who seek tuberous breast treatment, there are a range of options, but it is impossible to suggest which approach is best without recourse to a thorough consultation.

The consultation is absolutely key, cosmetic surgery is a major procedure and so it is important to find a surgeon you have confidence in and who has a patient-focussed ethos.

We cannot talk of other surgeons in this page, but we can detail why Elena Prousskaia is so highly regarded.

Elena has the advantage of having a female perspective, but she is also one of the UK’s leading cosmetic surgeons – male or female.

Elena specialises in breast surgery and has held leading Fellowships in this field. In her 20 year career, she has held Fellowships in Italy, Spain, Japan, India, Belgium and also London, where she held the Fellowship in microsurgical breast reconstruction.

Elena has won numerous awards and is a Board Certified UK Consultant Plastic Surgeon.

On this site, you can read more about Elena’s experience.

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.”

Of course, promising a patient-focussed approach has to be backed up by independent reviews.

On the site, Elena has 100% five-star reviews and glowing testimonials.

If you believe a tuberous breast correction procedure might be applicable please contact us to arrange a consultation.

We also have further information about tuberous breast correction surgery on site, this covering common FAQs.

Contact Elena

If you do think tuberous breast treatment would be beneficial, please do get in touch – call 0800 8021 886 or book a consultation online. Elena has a clinic on London’s world-renowned Harley Street.

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

Are You Considering A Tuberous Breast Correction?

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.

Is Tuberous Breast Surgery Right 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.

What Are The Risks Of Tuberous Breast Surgery?

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.

What Is The After Care For Tuberous Breast Surgery?

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.

Will I Be Able To Wear A Normal Bra?

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.

How Do You Fix Tuberous Breast?

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.

What Does This Procedure Cost?

Please scroll down for more information on pricing.

What Is The Recovery Time For Tuberous Breast Surgery?

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.

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...



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Treatment At A Glance

Surgical Time 2 - 3.5 hours
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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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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