Name of the Procedure:

Breast prosthesis, mastectomy bra, with integrated breast prosthesis form, bilateral, any size, any type.
Common name: Mastectomy bra with breast form
Technical/Medical term: HCPCS Procedure Code L8002

Summary

The procedure involves providing a mastectomy bra that has an integrated breast prosthesis. It is used by individuals who have undergone bilateral mastectomy, offering them a comfortable and aesthetically pleasing solution to improve appearance and boost confidence.

Purpose

This mastectomy bra addresses the absence of breasts following a mastectomy, a common surgical intervention for breast cancer patients. The goal is to offer physical balance, enhance body image, and improve emotional comfort by providing natural-looking breast forms.

Indications

• Patients who have undergone bilateral mastectomy.
• Individuals seeking a non-surgical option to restore breast shape.
• Patients desiring a comfortable, supportive, and aesthetically appealing solution.

Preparation

• No special fasting or medication adjustments needed.
• Proper fitting by a certified mastectomy fitter is essential to ensure comfort and functionality.

Procedure Description

1. Assessment: The patient’s chest area is measured to determine the appropriate size and type of prosthesis.
2. Fitting: The mastectomy bra with integrated prosthesis is tried on, adjustments are made for optimal fit.
3. Customization: Various styles and types (material, size) are available to match the patient's needs and preferences.
4. Education: Patients are instructed on how to wear and care for the bra and prosthesis.

Tools/Equipment:

• Measuring tape
• Fitting samples
• Mastectomy bras with integrated prosthesis forms

Anesthesia: Not applicable.

Duration

The fitting and selection process typically takes about 30 minutes to 1 hour.

Setting

This procedure is generally performed in an outpatient clinic or medical supply store specializing in post-mastectomy products.

Personnel

• Certified mastectomy fitter (a specialized healthcare professional)
• Nurses or medical assistants may be involved for initial consultations.

Risks and Complications

• Common Risks: Discomfort or improper fit.
• Rare Risks: Skin irritation or allergic reaction to the materials used.
• Management: Adjustments can be made to improve fit; hypoallergenic options are available.

Benefits

• Restored body symmetry and balance.
• Enhanced body image and self-esteem.
• Immediate improvement upon wearing the fitted mastectomy bra and prosthesis.

Recovery

• No actual recovery required since it is a non-invasive procedure.
• It may take a short period of adjustment to get used to wearing the prosthesis.
• Regular follow-up fittings may be necessary for continued comfort and effectiveness.

Alternatives

• External Prosthesis: Separate breast forms that can be placed into a standard bra.
  • Pros: Can be used with any bra.
  • Cons: May shift or move around, requiring more frequent adjustments.
• Reconstructive Surgery: Surgical option to rebuild breast shape.
  • Pros: Permanent solution.
  • Cons: Involves surgical risks and a longer recovery period.

Patient Experience

During fitting, patients may experience a brief period of adjustment as the fitter determines the best size and type of prosthesis. Post-fitting, the patient should feel physically and emotionally supported, with minimal discomfort. Pain is not typically associated with this procedure, and any discomfort due to fit can be promptly addressed with adjustments.