Name of the Procedure:

Common Name(s): Breast Prosthesis Fitting, Mastectomy Sleeve Fitting
Technical or Medical Term: L8010 - Breast prosthesis, mastectomy sleeve

Summary

A breast prosthesis and mastectomy sleeve fitting involves the selection and fitting of a specially designed external breast form and sleeve. These aids help women who have undergone a mastectomy feel more comfortable and restore the natural appearance of their breast contour.

Purpose

Medical Conditions

• Post-mastectomy (breast removal surgery)

Goals

• To provide cosmetic and emotional comfort by restoring the natural breast shape.
• To manage and reduce post-surgical swelling and lymphedema in the upper arm.

Indications

• Women who have had a mastectomy.
• Patients experiencing lymphedema or swelling post-surgery.
• Women seeking a balanced appearance after breast surgery.

Preparation

• No special preparation is usually required.
• Patients should bring any bras or clothing they would like to ensure fit with the prosthesis.
• No fasting or medication adjustments are typically needed.

Procedure Description

1. Consultation: Initial discussion about patient’s needs and expectations.
2. Measurement: Accurate measurements of chest and breast area to ensure a proper fit.
3. Selection: Choosing the appropriate type and size of breast prosthesis and mastectomy sleeve.
4. Fitting: Trying on various prostheses to find the best fit and most comfortable option.
5. Education: Educating the patient on how to wear, care for, and maintain the prosthesis and sleeve.

Tools and Technology

• Measuring tape
• Various types of breast prostheses (silicone, foam, etc.)
• Mastectomy sleeves

Anesthesia or Sedation

• Not applicable

Duration

• 30 minutes to 1 hour

Setting

• Outpatient setting, often in a specialized fitting room.

Personnel

• Certified Mastectomy Fitter
• Sometimes a nurse or other healthcare professional

Risks and Complications

• Minimal risk, mainly related to discomfort or improper fit.
• Possible skin irritation or allergic reaction to materials.

Management

• Adjustments by the fitter.
• Switching materials if allergic reactions occur.

Benefits

• Improved self-esteem and confidence.
• Symmetrical body appearance, aiding in clothing fit.
• Reduced post-surgical swelling and lymphedema discomfort.

Recovery

• No recovery time needed.
• Patients can return to normal activities immediately.
• Regular follow-up fittings as body changes.

Alternatives

• Surgical breast reconstruction.
• Use of padding in regular bras.

Pros and Cons

• Prosthesis: Non-surgical, immediate result, adjustable, and removable.
• Surgery: Permanent, but involves surgical risks and longer recovery.

Patient Experience

During Procedure

• Comfortable, non-invasive.
• Mild pressure or adjustment during the fitting.

After Procedure

• Improved body image and comfort.
• Minimal discomfort.
• No pain management needed.
• Patients might need time to get used to the new prosthesis and sleeve.

Overall, the fitting of a breast prosthesis and mastectomy sleeve is a straightforward and highly beneficial procedure for post-mastectomy patients, contributing significantly to both physical comfort and emotional well-being with minimal associated risks.