Name of the Procedure:

Breast Prosthesis, Silicone or Equal, Without Integral Adhesive (HCPCS Code L8030)

• Common Names: Breast Form, External Breast Prosthesis
• Technical/Medical Term: Silicone Breast Prosthesis

Summary

A silicone breast prosthesis is a removable breast form made from silicone or similar materials. It is designed for individuals who have undergone a mastectomy or lumpectomy. The prosthesis is worn inside a bra and is not attached to the skin, providing a natural appearance and feel to the breast area.

Purpose

• Medical Conditions/Problems Addressed: Typically used for post-mastectomy or post-lumpectomy patients to restore symmetry and confidence.
• Goals/Expected Outcomes:
  • Restores the natural appearance and balance of the chest
  • Enhances self-esteem and body image
  • Provides comfort and support during rehabilitation and daily activities

Indications

• Specific Symptoms/Conditions:
  • Absence of breast tissue due to mastectomy or lumpectomy
  • Uneven or asymmetrical breasts
  • Cosmetic preference for a balanced appearance
• Patient Criteria:
  • Individuals seeking non-surgical options for breast reconstruction
  • Patients with allergies or sensitivities to adhesive products

Preparation

• Pre-procedure Instructions:
  • No specific fasting or medication adjustments required.
  • Ensure proper fitting by consulting with a certified fitter for breast prostheses.
• Diagnostic Tests/Assessments:
  • None typically required apart from post-surgical consultations to determine readiness.

Procedure Description

• Step-by-Step Explanation:
  1. Consultation: Meet with a certified fitter to choose the right size and shape of the prosthesis.
  2. Fitting: The prosthesis is fitted inside a specialized bra that can securely hold the form in place.
  3. Adjustments: Minor adjustments can be made for comfort and aesthetics.
• Tools/Equipment/Technology Used:
  • Silicone breast form, specialized mastectomy bra
• Anesthesia/Sedation:
  • None required

Duration

• Typical Duration: The fitting session typically lasts about 30 minutes to an hour.

Setting

• Where Performed:
  • Outpatient clinic, specialized lingerie store, or hospital outpatient service

Personnel

• Healthcare Professionals Involved:
  • Certified mastectomy fitter
  • Occasionally, a plastic surgeon or oncologist may provide initial consultation

Risks and Complications

• Common Risks:
  • Skin irritation or discomfort
• Rare Risks:
  • Allergic reactions to silicone (very rare)
• Possible Complications:
  • Improper fit leading to discomfort or issues with clothing

Benefits

• Expected Benefits:
  • Immediate restoration of breast appearance
  • Psychological comfort and boosted self-esteem
  • Natural look and feel
• Realization of Benefits:
  • Benefits are typically realized immediately upon proper fitting

Recovery

• Post-Procedure Care and Instructions:
  • Maintain regular hygiene of the prosthesis and mastectomy bra as per manufacturer's guidelines.
  • Follow-up consultations for adjustments if necessary.
• Expected Recovery Time:
  • No recovery time required; patients can resume normal activities immediately.
• Restrictions/Follow-Up:
  • Regular checks to ensure fit and comfort

Alternatives

• Other Treatment Options:
  • Surgical breast reconstruction
  • Use of adhesive-attached prostheses
• Pros and Cons:
  • Surgical reconstruction involves longer recovery but provides a permanent solution.
  • Adhesive prostheses offer a different mode of attachment, which might be preferred by some but can cause skin irritation.

Patient Experience

• During Procedure:
  • Generally painless, fitting may involve trying multiple sizes and shapes.
• After Procedure:
  • Initial period of adjustment to the feel of the prosthesis.
• Pain Management/Comfort Measures:
  • Should not require pain management; discomfort usually arises from improper fit and can be adjusted.