Common Post Surgery Concerns
Following surgery, why is the wearing of a breast prosthesis suggested?
Not wearing a breast prosthesis, or wearing one that is either lighter or heavier than the remaining breast may cause both physical and emotional compensations …
• Lowered self confidence
• Poor posture
• Wearing of inappropriate clothing
• Spinal curvature
• Shoulder drop
• Muscle contractures and stretching with accompanying discomfort
• Clothing to present poorly
• Balance problems
Will I be able to still wear my favorite clothes?
Following surgery and during treatment, loose fitting clothing that are easy to put on without much reaching or stretching may become the “favorite articles of clothing.” Following healing and recovery, clothing that displays the individual personality may again be worn comfortably.
A pocketed mastectomy bra designed to hold the prosthesis securely in place is recommended. The prosthesis is held inside the pocketed cup lining of a “pocketed bra.”
When should a fitting begin?
Fiber filled forms, sleep bras, leisure garments and compression garments that support the remaining breast and provide a feminine profile can be worn as soon as surgery sensitivity allows.
Although everyone has an individual healing schedule, having tolerance to wear either a weighted or non-weighed foam form within 4 weeks following surgery, is frequently possible.
A silicone prosthesis, worn in a supportive, pocketed bra, is commonly tolerated 6-8 weeks after surgery. This time allows swelling to reduce, sizing to stabilize, and any infection to clear.
If a lumpectomy is performed, will a prosthesis still be needed?
Not always, but when needed, lightweight shells and enhancers are available to even out the shape of the breast, fill tissue voids and offer symmetry to either the involved or non-involved breast.
If reconstruction is considered, will a prosthesis still be needed?
Since decisions related to reconstruction need not be made at the time of the initial surgery, patients can choose to bridge the time with a prosthesis that maintains body alignment and provides shape to the individual profile.
A foam or silicone prosthesis is lightweight, cool, provides feminine shape, and helps to maintain body alignment during healing and any decision to undergo additional surgery.
Like any surgery, surgical reconstruction is not the answer for all women. Also, reconstruction is an attempt to recreate the breast as it presented at a particular moment. The reconstruction does not keep pace with changes the body undergoes with time. The fit of a silicone prosthesis can be reviewed and modified as needed to assure a symmetrical presentation as the body gains or loses weight and as muscles and ligaments change.
Can a silicone breast prosthesis be used in the swimming pool or hot tub?
Many manufacturers indicate their products can be used in either a swimming pool or hot tub, but will suggest either a specifically designed swim form or a fiber-filled form be used if the prosthesis is frequently exposed to heat or chlorine.
When a silicone form is used in a pool or hot tub, washing it well with a mild soap and drying it thoroughly with a soft towel is recommended. Always treat the prosthesis with the same care and respect any other part of the body should receive.
How often should fittings be repeated?
It is suggested, new measurements be taken as often as every 6 months until the body has stabilized. Also, weight changes of approximately 7-10 pounds may alter the profile of the breast.
Will insurance pay for the prosthesis and bras?
Many private insurance plans as well as Medicare, have an allowable reimbursement rate for these services. It is suggested prospective patients contact their insurance provider to determine general benefits, restrictions and patient responsibilities.
Peters Orthopedics will process Medicare and other private insurance claims according to our office policy.
“ A quote of insurance benefits is not a guarantee of payments”
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