Name of the Procedure:

Mastectomy Bra (L8000)

Common names: Mastectomy Bra, Post-Mastectomy Bra
Technical/Medical terms: Breast prosthesis, mastectomy bra, without integrated breast prosthesis form, any size, any type

Summary

A mastectomy bra is a specially designed brassiere intended for use by people who have undergone a mastectomy, which is the surgical removal of one or both breasts, typically to treat or prevent breast cancer. The bra offers support and comfort, and is designed to hold external breast prostheses securely.

Purpose

The mastectomy bra addresses the physical and emotional needs of individuals who have had a mastectomy:

• Medical Conditions: Post-mastectomy, loss of breast tissue, asymmetry after a mastectomy.
• Goals/Expected Outcomes: To provide support and structure for external breast prostheses, improve body symmetry, enhance self-esteem, and ensure comfort during daily activities.

Indications

• Individuals who have undergone a mastectomy.
• Symptoms warranting the use include lack of chest symmetry, discomfort, or self-consciousness due to the absence of one or both breasts.
• Criteria: Any individual requiring the use of external breast prostheses post-mastectomy.

Preparation

• No specific pre-procedure instructions are necessary.
• Patients should ensure they have been fitted for an appropriate-sized prosthesis if their cosmetic needs include one.
• Patients may want to consult with their healthcare provider or a specialized mastectomy fitter.

Procedure Description

1. The patient selects a mastectomy bra suitable for their size and type preferences.
2. The external breast prostheses are fitted into pockets in the bra.
3. Adjustments are made for comfort and fit.
   • Tools: None specifically required, although fitting typically involves rulers, measuring tapes, and possibly specialized fitting guides.
   • No anesthesia or sedation is involved.

Duration

The fitting and selection process typically takes between 30 minutes to 1 hour, depending on the individual's needs and available choices.

Setting

The procedure is typically performed in lingerie or specialty stores, medical supply stores, or healthcare settings with professional fitters.

Personnel

Professionally trained mastectomy bra fitters, occasionally nurses or other healthcare providers trained in post-mastectomy care.

Risks and Complications

• Common Risks: Poor fit leading to discomfort or skin irritation.
• Rare Risks: Misalignment causing muscle strain or back pain.
• Management: Adjustments to the bra or prosthesis, use of skin protectants, or padding to reduce irritation.

Benefits

• Expected Benefits: Improved body symmetry, increased comfort, better fit of clothing, and enhanced self-esteem.
• Timeline: Benefits are generally immediate upon proper fitting and use.

Recovery

• Post-procedure Care: Patients should regularly clean the bra and inspect it for signs of wear. Regular follow-up fittings may be necessary as body shape changes over time.
• Expected Recovery Time: Immediate adjustment period.
• Restrictions/Follow-ups: Avoid strenuous activities that may cause extra wear on the prosthesis pockets. Regular follow-up for fitting adjustments.

Alternatives

• Other Options: Custom-made prostheses, breast reconstruction surgery, compression garments.
• Pros and Cons: Surgery offers a more permanent solution but involves higher risk and longer recovery; compression garments may not offer the same aesthetic benefits.

Patient Experience

• During Procedure: Patients may feel physically comfortable and psychologically reassured by the fit and support of the bra.
• After Procedure: Emotionally uplifted due to enhanced body image and physically comforted by proper support.
• Pain Management: Generally not required; however, fit adjustments can significantly impact comfort.

By ensuring a proper fit and addressing both physical and emotional aspects post-mastectomy, a mastectomy bra can significantly improve quality of life.