Name of the Procedure:

Breast Prosthesis, Mastectomy Form
Common Name: Breast Form
Technical Term: HCPCS Code L8020

Summary

A breast prosthesis, mastectomy form, is an artificial breast form used after mastectomy surgery to provide the appearance of a natural breast. It is worn inside a bra or attached to the chest wall and aims to restore balance and symmetry to the chest area.

Purpose

This procedure addresses the aesthetic and psychological impacts of losing a breast due to mastectomy. The goal is to help individuals regain confidence, restore body symmetry, and improve quality of life.

Indications

• Post-mastectomy patients
• Individuals with breast deformities or asymmetry
• Patients not eligible or opting out of breast reconstruction surgery

Preparation

Patients are encouraged to:

• Consult a certified mastectomy fitter for proper sizing
• Discuss their options and preferences with their healthcare provider
• Bring a supportive, well-fitted bra to fittings

Procedure Description

1. Consultation: Meeting with a certified mastectomy fitter to discuss options.
2. Fitting: Placing the breast prosthesis inside the bra to ensure proper fit and comfort.
3. Adjustment: Customization of the prosthesis for size, shape, and skin tone if necessary.
4. Education: Instructions on how to wear, care for, and maintain the breast form.

Tools: Soft measuring tape, assortment of breast forms. Technology: None required. Anesthesia: Not applicable.

Duration

The fitting session typically lasts about 30 minutes to 1 hour.

Setting

• Outpatient clinic
• Specialty prosthesis shop

Personnel

• Certified mastectomy fitters
• Breast care specialists

Risks and Complications

Common Risks:

• Skin irritation or allergic reaction
• Discomfort or improper fit Rare Risks:
• No surgical or procedural risks as it is a non-invasive solution

Benefits

• Restored body symmetry
• Improved self-esteem and body image
• Enhanced clothing fit and comfort Benefits may be realized immediately after fitting.

Recovery

There's no recovery period since the prosthesis fitting is non-invasive. Patients are advised to:

• Follow care instructions to maintain the prosthesis
• Schedule regular follow-up fittings if necessary

Alternatives

• Breast Reconstruction Surgery:
  • Pros: Permanent solution, natural look and feel.
  • Cons: Surgical risks, longer recovery, higher costs.
• Padding or lightweight forms:
  • Pros: Less expensive, easy to use.
  • Cons: May not provide the same level of realism or comfort.

Patient Experience

Most patients report a sense of relief and increased confidence after receiving their prosthesis. Comfort is generally high, with minimal discomfort. Pain management is typically unnecessary as this is a non-surgical procedure. Comfort measures include choosing a well-fitted bra and gradually getting accustomed to wearing the prosthesis.