What are my options after breast surgery?

There are four options available; wearing an external prosthesis, external breast reconstruction, surgical implant reconstruction or doing nothing.  The decision on which option is best for you should be discussed with your doctor.

What is a breast prosthesis or breast form?

Prostheses/breast forms are designed to replicate the natural appearance, feel and weight of a breast.  Breast forms restore feminine shape, self confidence and can improve your quality of life.  Breast forms are important to restore your body’s natural balance and prevent the development of spinal curvature, neck and back pain and shoulder drop.

Is a prosthesis safe to wear?

The primary material used in breast forms is silicone gel which cannot be absorbed by the skin.  It is similar to silicone used in breast implant reconstruction surgery, but in a different chemical state.

Are there different prosthesis to choose from?

There are several major manufacturers that produce prosthesis, each having between 200 and 500 different items.

Prostheses come in a variety of shapes, weights, sizes and colors and are made with several different types of materials.

How do I choose which prosthesis is best for me?

Your first prosthesis should be with the recommendation of your doctor and with the advice of a BOC or ABC certified fitter.  Several factors such as the seriousness of the surgery, your physical capabilities and psychological needs and your lifestyle all should be taken into consideration. Ultra lightweight, non-silicone gel products are normally recommended for use immediately after surgery.

How soon can I wear a prosthesis after surgery?

Non-weighted prosthesis can be fitted for the first 4-6 weeks after surgery.  Your doctor should determine when you are ready to be fitted for a weighted prosthesis, however, permanent silicone prosthesis usually ready in 6-8 weeks after surgery.  A weighted form is recommended for many reasons, primarily to return the body’s weight balance to

prevent curving of the spine and “shoulder drop” which may lead to chronic lower back and neck pain.

Do I need a weighted prosthesis?

Properly fitted prostheses helps replace the weight lost by surgery. Surgery affects the normal body balance and needs to be compensated after surgery.  Weighted prostheses are not only for cosmetic or psychological reasons but are necessary to reduce the risk of spine curvature and shoulder drop, which can lead to chronic back and neck pain.

How do I care for a prosthesis?

Follow the manufacturer’s care and cleaning instructions.  Most silicone prostheses require simple hand washing with warm soapy water and air dry.

How long will a prosthesis last?

Most prosthesis manufacturers have a 2 year warranty from the date of purchase, however, treated gently and with proper care, most prosthesis should hold their shape and continue to perform for many years.  It is recommended that prosthesis are cared for just as you would care for your own skin, including daily cleansing, avoiding sharp objects, storing in a

protected place when not in use and avoiding excessive heat and moisture.

How often should I replace a prosthesis?

You can continue to wear your prosthesis as long as you do not experience weight gains or losses of more than 10 pounds.  Additionally, if bubbles appear in the silicone or if the skin of the form begins to separate from the silicone, then it is time for a replacement.  Most medical professionals recommend a “check-up” with your fitter at least once per year.

Will my activities be restricted by a prosthesis?

A prosthesis should not restrict any normal activity.  Lighter weight products are recommended for light activity.  Special fabric backed items are recommended for use in warmer climates or if there is a propensity for body temperature changes and body moisture.   Special transparent prosthesis are available and recommended for water activities such as swimming.

BRAS

Can I wear a regular fashion bra with a prosthesis?

Yes, however it is very important that you a measured by a professional, certified breast prosthesis fitter.  Specially pocketed mastectomy bras are also available to help hold the prosthesis in place.

REIMBURSEMENT

Are prostheses and mastectomy  bras covered by insurance?

Usually, yes.  Medicare allows one prosthesis every two years based on medical necessity and four bras per year.  Most private insurance programs also allow for some reimbursement of post-mastectomy products.  We recommend that you discuss reimbursement with your fitter or contact your insurance company for complete details.

How are reimbursement claims filed?

Usually, the boutique or health care dealer that you purchased from is able to handle all reimbursement claims for you.

How much will I be reimbursed?

Medicare reimbursement rates vary by state.  Also, private insurance reimbursement rates will depend on the type of insurance coverage you have and may also be affected by co-pay provisions of your health care policy.