Elena Prousskaia Peregudova, FRCS (Plast)

Where do I begin….I am currently 4 weeks post op. I was really unhappy with how my breasts looked after loosing so much volume from weight loss. I spent years of my life with fuller breasts, I developed breasts really quickly whilst hitting puberty and my breasts had been reduced from a G cup to a C cup after loosing weight. I also had a slight asymmetry which was a lot more noticeable after the weight loss.

I researched online for weeks and weeks and made the decision to book a consultation with Elena. I loved the fact that Elena is a woman and I couldn’t find one negative review about any of her work. I was extremely nervous but also so excited to meet and discuss with Elena. When I met Elena she explained that I had a lot of skin elasticity due to weight loss and we agreed that a lift with smaller implants rather than larger ones would suit me.

A few weeks later I decided to take the plunge and discuss booking in the surgery! I was able to secure a surgery date and pay the deposit shortly after. I am a person who suffers with bad anxiety and was quite frightened to go through with the surgery but knew that I really really wanted to improve my breasts. I was really unhappy everytime I had to remove my bra and avoided relationships due to my self esteem, it felt like my life was on pause.

During my second pre opp appointment I discussed in more detail the procedure that Elena had planned for me, we decided that 200CC - 250CC would be the best implant size for me depending on how things worked out during theatre.

Approximately 4 weeks later I turned up at 6:45am at the gorgeous North Bristol Private Hospital ready to go into surgery. I was nervous about being put under anaesthesia as this was my first ever surgical procedure, everyone I spoke to was reassuring me that everything would be fine and they were absolutely correct. My anaesthetist was very calming and friendly and made me feel so at ease. Walking into theatre was a little daunting but within a few minutes I was asleep. I woke up feeling so comfortable and was offered pain relief immediately.

Once I came around I was taken to my private en-suite room which was gorgeous, it was like a luxury hotel room! The nurses and staff who looked after me were delightful, very kind and helpful. Throughout my stay anytime I was experiencing discomfort I was offered pain relief. The pain was not half as bad as I had anticipated.

My Mom was then able to visit me an hour later and she couldn’t believe how well I looked, I was awake and alert. I was given tea and toast which felt like the best food ever after having to fast!

Elena then came to check on me a few hours later, she told me surgery went well which was really reassuring. Then I was able to rest for the rest of the evening and into the night, the nurses were amazing helping me to the loo whenever I needed a hand.

The next morning I was given the all clear. Elena also came to see me and she removed my surgical bra and showed me my new boobs! I actually still can’t believe how different and amazing my breasts look. I could never have imagined they could look this good. I still feel like I’m dreaming!

Day 3 was the worst day so far for me, swelling was a lot which was causing my chest to feel tight. Also getting a bit of a burning sensation in my left breast around the nipple area.

The only really discomfort that I experienced so far is constipation due to the pain relief medication. Other than this the healing process has been great.

I then had my checkup with nurse Rose at the hospital 7 days later. She was very kind and friendly, told me that my healing looked very good.

I have attached some before and after images to show the drastic changes.

I can’t honestly believe how minimal the pain has been for me. I really thought that this surgery would be a very painful recovery but it has been great.

I am due to have my 4 week check up this week which will be nice to have reassurance that I’m recovering well and everything looks fine.

I would highly recommend Elena. I am very happy that I chose a great surgeon :)

I was delighted to have found Elena so locally to where I live as It felt important to me to have my breast augmentation performed by a woman. Within moments of meeting her, I knew that she was the surgeon for me! What appealed especially was the fact that Elena takes care of the detail. So many surgeons send their clients home on the same day as surgery. Not Elena. She ensures you are cared for overnight in the hospital and insists on the insertion of drains to minimise swelling and to aid the recovery process. Whilst this should be standard within the industry, sadly it is not. Elena's integrity is also expressed in the size of implants she helps you choose. She will not allow anything that is not right for you, but respectfully listens to your requests. Her genuine care extends also to all her staff at North Bristol Private Hospital who could simply not have been more warm or caring. Furthermore, whilst I effusively thanked them at the time, it is a pleasure to do so again - thank you especially to Rose and Ross for your incredible post op care. Even in my weakened state it was an utter joy to meet you both and thank you again for everything you did to support my comfort and pain relief overnight. I am well into my third week post op and as the swelling and bruising has settled down, I am also delighted to claim a superb result. I have been given beautiful curves that are perfect for my frame. I wouldn’t change a thing!

Thank you Elena and team.

I wouldn’t hesitate to highly recommend you all.

This is my 2nd procedure with Eleana and she is definitely the person I trust wholeheartedly to do an excellent job. She is so lovely and caring and really listens to what you want to improve. She shares her knowledge and advice in a non judgemental way but is entirely professional and will explain the pros and cons of procedures and what can be achieved and is never pressuring to make a decision. I have only ever been delighted with the treatment and results and absolutely recommend her and her team. I've been treated at 2 locations, most recently at her North Bristol Private Hospital which is spotlessly clean with lovely staff.

I recently had a breast lift, arm lift and tummy tuck under Elena’s exceptional care following significant weight loss. Elena is an incredibly gifted surgeon - her attention to detail and pride in her work are unmatched. Her extensive experience was clear from the outset. She made me feel at ease, understood my concerns, discussed my options at length and advised how I could best achieve my desired look. The whole team at North Bristol Private Hospital is friendly, knowledgeable, professional and very caring. The hospital itself is immaculate and I have been very well looked after every single step of the way. I can’t thank you enough or put into words how much you have all changed my life - I am still early days in my recovery, but I am already looking and feeling better in my own body than I could’ve ever dreamed of! I highly recommend Elena and North Bristol Private Hospital.

I had a bilateral breast reduction procedure with Elena in december 2021and I am so happy with the results. I really wish I had done this surgery when I was younger, I now have the boobs I've always wanted!

I had consultations with several surgeons before I met Elena but from our first meeting I had a really good feeling and the examples she showed me of her previous work were beautiful.

I used to have to wear 2 bras to exercise, training for a marathon I would get so much painful chafing around the edges of my bra and I couldn't find a solution to stop my boobs bouncing when I was running without having so much compression from the bras that I then couldn't breathe!

I never liked having bigger boobs or the attention I used to get for them. Now I love my boobs. When I get out the shower and see them in the mirror I feel great about them, I no longer need to wear 2 bras to run, I can wear a 'normal' bra to work and not always need the support of a sports bra. And this year for the first time in my life I could wear a string bikini top, and it was actually comfortable. Only ladies who had big boobs will understand how amazing and lighter it feels to be rid of them!

My operation with Elena went really smoothly and my recovery too. I had very little pain, no issues at all and the scars are hardly visable. I think Elena really takes that extra time and care to make the results so beautiful. I had the anchor shape incisions and now (2 years post op) it is impossible to see the scars underneath my boobs or the vertical ones. They have faded completely without any extra care or effort, I bought all the silicone patches and gels to reduce the scars but actually never used them because they healed so well. The only real sign that I had the operation is that my nipples are now almost too perfect and symmetrical!

I didn't think about writing a review before, but being on the beach on holiday feeling confident in my bikini for the first time in my life, I started to think about how much of a difference this decision has made for me. I found Elena through realself and I'm so happy that I did, so I wanted to share my experience for anyone else who is reading through hundreds of reviews right now, feeling nervous about taking the next step like I know I did! I only wish I'd done it sooner!

Hi, my surgery is scheduled for 2nd October 2023 with Dr Elena Prousskaia in Bristol UK. You can see from my before pics how droopy my breasts are after pregnancy, breastfeeding and 3 stone weight loss. I used to be a 32E and now I'm an empty 32D/DD. I was a 34G when first breastfeeding, they were huge!

I hate looking at my boobs, I avoid being topless even when I'm alone after a shower, I will cover up. I also feel embarrassed about the way they look and move during sex, which is distracting! My partner loves me the way I am and doesn't think I need to have surgery, but he is extremely supportive after I explained the way I feel about my boobs. I am very lucky as I could never afford to pay for this on my own and take time off work.

I've decided on a full anchor Bilateral Breast Uplift with Round Moderate+ Implants dual plane placement. I can't wait, I'm quite nervous as I've never had any surgery before and I'm scared of the pain and how it will look afterwards with scars, but I totally trust my surgeon. She is amazing at what she does and such a kind and lovely person. I am also very lucky to have a wonderful partner who works from home and will be there to look after me everyday. I've been advised not to drive or do any housework for 4 weeks (yay!)

I want them to look natural, I don't want full projection at the top. I know my body looks good with large breasts as I've always had them so I will be interested to see what size implant my surgeon recommends. I have my pre op on 6th September so will update again then!

Updated on 6 Sep 2023:
I had my pre op appointment today. This involved a blood test and MRSA swab with the nurse and then an appointment with Elena.

This was my first visit to the North Bristol Private Hospital, where I will be having my surgery next month. It is a beautiful hospital. Very clean and the staff are all lovely and very friendly. Unfortunately I fainted when having my blood taken (I’m a fainter, so not totally unexpected) it was a shame as I felt so sick afterwards I wasn’t able to fully enjoy my appointment with Elena and ask all the questions I had written down. The nurse that took my blood was fabulous, she really took care of me when I felt unwell but she joked with me too, which always helps!

I bought 2 post surgery bras whilst there, then Elena measured my breasts and advised 200cc implants. She thinks this will give me a slightly bigger bra size that I am after. Im a 32DD now and would like to be a 32E, which was my bra size pre children. I trust her judgement as I have no idea what is right for me.

It’s feeling a bit more real now. I think I will be really scared when going into theatre but I just have to keep thinking of the beautiful boobies I will have at the end of it all!

Updated on 3 Oct 2023:
I can't believe I went through with it and had my breast lift! I was so nervous, excited and worried about fainting, but I had the procedure and didn't faint!

The day of surgery was yesterday Monday 2nd October 2023. I arrived at 7am. I saw Elena at around 9am and she did all her drawings on me and took social media videos and pictures. I asked her to go slightly larger on the implant if she thought it would look better and give me the full E cup I want so she said possibly 225cc but I don't actually know what size she used, I'll ask her next week.

I was taken to theatre at around 2:30pm (second on the list for that day). It was so surreal walking into the theatre and lying down on the table, I said it feels like I'm in a dream! They put in the cannula and then the anaesthetic. It feels like you have a really dead hand and arm and then you close your eyes and when you open them again you're in recovery. Feels like seconds, amazing! I didn't feel sick at all (which I was quite worried about). I just had the shakes for about half an hour, but that's very normal apparently. Surgery as about 3.5 hours.

Once back in my room I was given drinks and food and was able to sit with my partner for a while. My pain was about 3/10 at this point. More just uncomfortable than pain. My partner left at 8pm and they gave me liquid morphine as my pain was going up, probably to a 5/10.

I had drains in each breast. They are uncomfortable and you have to carry them to the toilet but you can't feel them specifically, they just make your ribs feel sore. The lovely night nurse Rekha gave me antibiotics through my cannula and regular pain relief through the night. She helped me to the toilet and was such a lovely caring lady. I had the leg pumps on for DVT so I really didn't sleep much at all as it's so noisy! The pain at its worst for me was about a 7/10 during the night a couple of times, but nothing I felt was really terrible. Just sore across the whole chest and hurting when breathing too deeply.

I had my drains removed at about 6am by Rekha. She knew I was worried about fainting so I just lay flat and took a deep breath in when she pulled it out. It didn't hurt that much and I didn't really feel the cannula being taken out either. I was really worried during the night about them being removed (pain can cause me to faint) but it was totally fine.

I saw Elena, my surgeon, before I left. She came in and undid my bra to check everything and let me touch and see my new boobies, they felt really full and firm, so weird!! They look so perky and so different to the saggy, empty breasts I'm so used to seeing. She took a photo for me which I will post here.

I was discharged at 7:30am and I have to say my experience with Elena and her team had been excellent. The nurses and doctors are all really friendly and take care to listen to your worries (mainly fainting for me!!) everything is triple checked by different people and all the staff are caring and excited for you and are always there if you need them. The hospital is beautiful and very clean. I would highly recommend her and her team if you're considering surgery.

I will keep updating as I found it so helpful when I was planning my operation.

Updated on 3 Oct 2023:


Updated on 9 Oct 2023:
Recovering well. I stopped taking co-codamol on day 4 as it definitely constipates you! Now just taking paracetamol and antibiotics, but I don’t take paracetamol much as I’m feeling ok most of the time. I have been icing throughout the day as I found my swelling got worse on day 6. I got some small round ice packs from Amazon and they are great.

I am so bloated but things are starting to return to normal after 7 days.

I can’t feel my nipples at all, hoping the feeling will return over the next few months. I have feeling in the rest of my breasts so it’s just the nipples. Boobs are bruised but nothing major.

Morning boob is real. I had read about it on real self. I do wake up at 5/6am and everything feels really tight and I can feel a lot of pressure under my breasts where the incisions are. It does ease off after getting up and moving but it’s annoying as I’m not getting as much sleep as I’d like.

Managed to get dressed yesterday, put some makeup on and go out for lunch which was nice.

I have my 1 week check up in 2 days so will update after that.

Updated on 12 Oct 2023:
Saw the nurse yesterday. Everything is healing well, the incisions are very neat and nipples look good. My right breast is much more bruised and a bit odd looking but will settle over the next few weeks. She removed all the tape, which didn’t hurt, surprisingly. I can now shower, hurrah!! I still have to wear my Macom bra 24/7 and sleep on my back.

She recommended using bio oil on my breasts (not the scars yet) to prevent stretch marks.

It feels really weird when I take the bra off. Feels like my boobs are going to fall off my chest! They are quite hard, swollen and bruised and sitting high. I’m looking forward to seeing them change over the next few months. I have no sensation in my nipples at the moment. Hoping it will return as the heal.

Implants were 200cc in both sides.

Seeing my surgeon next week so will update again then.

Updated on 28 Oct 2023:
I’m now 3 weeks post op and have started using silicon scar gel today, morning and night. Stubborn bruise is slowly going away on right breast, bought some arnica cream and that’s definitely helped. I’m also using bio oil to help prevent stretch marks on my boobs as I had a lot from puberty, hence the sagging!

Still have to sleep on my back for another 3 weeks, which is not great but worth it! I am waking up in the night feeling like someone had punched me in the back, which I think is from lying in the same position for hours. But I have noticed that morning boob has gone away now, thankfully. My breasts are till tight, firm and tender if I am not gentle with them but I have no pain in general and forget I’ve had it done when I busy at work in the office.

I am loving the results more every day as they drop and fluff. My right breast is the bruised one and it was a funny shape but seems to be settling well. The nipple on that side is also not completely round like my left (which is perfect) however my surgeon said that could change as the internal stitches dissolve and everything stretches and settles. I will see what it looks like at 3 months and discuss with her then, but compared to how I looked and felt before a slightly odd shaped nipple is ok with me!!

Still in my post op bra day and night but I’m expecting to be told I can wear normal bras during the day when I see the nurse at 4 weeks. Then just the Macom bra at night.

Overall I am thrilled with how they are looking and I still can’t believe these are my boobs now!

Updated on 15 Nov 2023:
6 weeks post op and everything is healing well. My boobs are really soft now and feel much more natural. They’ve dropped a bit and the shape is perfect, I wanted a natural tear drop shape and that’s exactly what they look like. I really love the way they look and my partner loves them too!

I can sleep on my side now, which is amazing. I wear a normal bra if I’m going out but I still find the Macom bra more comfortable as underwires can irritate the scars under the breast after a few hours. Scars are getting better slowly. I’m using the silicon gel every morning and bio oil once that has dried.

Unfortunately I still don’t have any nipple sensation yet. Maybe that will change but it’s a risk I was willing to take.



Updated on 26 Apr 2024:
7 months since my op. Everything is still going well.

Updated on 27 Jan 2025:
Loving my boobs, I feel great. They are firm and feel so natural. I love wearing low cut dresses and tops that I would never have worn before. My partner loves my confidence and loves my boobs, he always loved them but now he gets to touch and look at them a lot more lol! I use fake tan and that definitely helps to hide the scars somewhat.

My scars are still fading. My right nipple scar is a bit thicker at the top than the other scars. Not sure why as I used the silicon gel on all scars. It doesn’t bother me at all. The scars around my areola used to be sensitive and a bit sore to touch but that’s nearly gone now. I still don’t have much feeling in my nipples unfortunately, but I would still have chosen the surgery regardless, and that could still come back according to some reviews and doctors.

Updated on 27 Jan 2025:

Elena was really the best choice for my bilateral breast reduction and uplift. I would recommend her work to anyone who is considering collaborating with her. There is so much I want to say but will keep it brief. She is kind and values her patients. She listens, is very professional, confident and skilled at what she does and she is able to help you achieve the results you are hoping for. There were times where I panicked as i was recovering (just over small things) and not once was I made to feel embarrassed for my questions or concerns. Her team are always there, quick to reply and were willing to walk me through the whole process lovingly. It was so reassuring. I have wanted to do this for 25 years and am so glad it's finally over and was so well done and by such a wonderful team. The nurses in hospital as well...just lovely! It was an all around great experience and I have absolutely no regrets. So...what are you waiting for?
Thank you so much Elena!

I had thought about having a breast lift and augmentation for years. Unfortunately my anxiety about the procedure, risks and recovery had made me reluctant to go through with it. Dr Elena was amazing at alleviating all my anxieties. I had a million question before surgery, and Dr Elena always explained things with such clarity and honesty. Even after my surgery, when I felt anxious about every minute change, Dr Elena would always provide a response to my queries and made time to see me. She's a fantastic doctor and has given me fantastic breasts.

From my early teens, I realised my boobs were not like everyone else’s. Anyone that has been in my position knows exactly what I’m talking about. They weren’t the same shape, the areolae were puffy. I had to wear a bra ALL the time, including when I was asleep, and because I was so ashamed, in the shower.

As soon as I learnt what tuberous breasts were, I knew that was what I was dealing with. I studied surgeons all over for those that were specialists in this particular condition, and Elena is THE ONE.

I’m not someone with money, so this wasn’t a decision made lightly, but Elena has changed my life and I’m so grateful for her :)

I can finally fill out a bra. I have boob-shaped boobs, which is all I’ve ever wanted!

I am 25, just had my first cosmetic procedure. I lost 4 stone and a lot of my weight unfortunately came off my breasts which had left the upper pole of my breasts non existent, quite a bit of loose skin and sitting quite low. When researching surgeons for breast lifts there was always something I didn't like and I had felt so unsure of. When I had found elena I had felt a huge relief that I had found someone as skilled, talented and understanding of issues. I felt that her consultations are very dignified. I met her that she was going to be my surgeon. She has managed to restore the upper pole of my breasts with my breast tissue alone, reduce my areola size in proportion with my breast and I feel so much more confident in myself.