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Breast Prosthesis Clinic

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"GET BACK YOUR LOST CONFIDENCE WITH BREAST PROSTHESIS" “BALANCE YOUR BODY WITH BREAST PROSTHESIS”

The Breast Cancer Awareness Month is every October in countries across the world. It helps to increase attention and support for the awareness, early detection and treatment as well as palliative and rehabilitative care of this disease. The Breast Cancer Awareness Month 2014 begins on Wednesday, October 1 and ends on Friday, October 31. Effort of our Happiness Counts Society is to bring to notice of breast cancer survivors about rehabilitation and regaining the cosmesis.
Activities in the Breast Cancer Awareness Month –
  • Awareness on breast cancer rehabilitation.
  • Do’s and Don’t s for mastectomy patients
  • Fund raising and helping less blessed patients.
  • Training on care and maintenance of breast prosthesis
  • Life after mastectomy – An overview

What is Breast Prosthesis?

Breast Prosthesis is an artificial breast form that can be worn after a woman's breast has been surgically altered or removed. It is also known as fake breast form or prosthetic breast form and is worn to simulate the natural breast and body shape. They are also known as breast equalizers, as they balance the weight and appearance of a woman.

Is it safe to wear prosthesis?

It is made of Silicone and is not absorbed by the skin and hence can be safely used.

Types of Breast Prosthesis -

Prosthesis is of various types depending on weight, shape, size, colour and type of material.

How to choose which prosthesis is best for you?

Your medical advisor is the first person to guide you in choosing your breast prosthesis. Selection of prosthesis depends on many factors –

1. Seriousness of surgery.
2. Psychological need of the patient.
3. Physical capabilities.
4. Lifestyle.
5. Dressing habit, age and personal choices.
Immediately after surgery Sponge breast prosthesis or light weight – LIGHTY BREAST prosthesis can be used.

What are the advantages of breast prosthesis?

1. It protects your chest and surgical scar.
2. Breast prosthesis help to balance the body.
3. Keep the bra on the side of the mastectomy from riding up or shifting.
4. It helps in preventing muscular pain in back and neck and shoulder drop.
5. Till the time of recovery sponge prosthesis maintains the remved shaped and contour of removed breast.
6. Women who want to undergo plastic surgery procedure can wear the prosthesis for time being.
7. Breast prosthesis gives warmth.
8. Mammary prosthesis also helps prevent problem with curvature of spine.

What should a cancer patient do before surgery?

Before the surgery of breast cancer you must ask your doctor about breast prosthesis and if it can be placed or implanted during surgery and also ask if you would need a prosthesis. Also ask for a breast prosthesis expert and visit the expert.

What happens after mastectomy surgery?

If you had an SLNB, you may see the blue dye in the skin for a while, but this is normal. Swelling and bruising after your operation is quite common.It usually improves after a few weeks, but if no improvement is achieved you must consult your doctor. Wearing a sports bra might feel more comfortable until the swelling settles.

What will you notice at the first sight after mastectomy?

First when you look at your breast area you feel a shock, trauma and a fear of facing the world with one breast. You feel that eyes are looking at you with query that you had breast cancer? You had mastectomy? When you look at your breast or chest area after your operation, you may prefer to be alone or have someone very close to you to be around. Feeling of sex life and reaction of partner also makes one worried. Coping with a changed appearance is a difficulty and a feeling of deprivation comes up in the mind. "Till now I was worried about my survival but now I feel hesitation and shame in moving out of the hospital". At first, the area will look swollen and bruised, but this will settle in the next few weeks. Usually this change in appearance affects the confidence and felings of a woman. You feel to have breast reconstruction and get back your previous look, confidence and feelings of femininity.

Is the scar visible after surgery?

After breast-conserving surgery the scar is usually small and in the area where the cancer was. Visibility is dependent on the incision site. A mastectomy scar is across the skin of the chest and into the armpit. After surgery to the lymph nodes, the scar is in the armpit and is usually not noticeable from the front. The scar appears red in white skinned people, and darker in dark skinned person. It will also be firm and slightly raised. Over time, it will flatten and fade. Everyone’s skin heals differently.

What care I should take after mastectomy surgery?

The wound is dressed and is advisable to be left undisturbed for the first few days. You should understand from the doctor or your nurse about cleaning before you leave the hospital and must care for your wound at home.

Don't after surgery?

Avoid lifting or carrying anything heavy for a few weeks.

When can I start driving after surgery?

Usually it is advised to avoid driving for four weeks and then after consulting the doctor you can start driving. You should only drive when you are confident to have full control while driving.

How do I know that I have an infection in my wound?

Round infection can be a complication of surgery. You may feel unwell with a fever. Signs of infection can include warmth, redness, swelling around the wound or discharge coming from it. If you get any of these symptoms, even after you go home consult your doctor immediately.

What is the purpose of attaching a tube at the surgery site to a bottle after surgery?

The tube is for drainage. It is usually left in until it stops draining, which may take a few days. You can go home with the drain. Sometimes it is needed to drain it off with a needle and syringe.

I am having pain around my wound and armpit. Is there something to worry?

If you had lymph nodes removed you will probably have some pain around the wound and it may last a few days. After mastectomy, you may need to take pain killers for a week or two. Your doctor will decide.

My shoulder feels sore and stiff. What to do?

After a mastectomy or having lymph nodes removed, your shoulder or arm may feel sore or stiff. So it is important to consult a physiotherapist and do the arm exercises. You must start the exercises from day one after your operation. This will help improve the movement in your shoulder and arm, and reduce the risk of long-term problems.

What can I do for numbness and tingling in the upper arm?

You may have this if nerves in your breast and armpit are injured during the operation. This is more likely if you had all the lymph nodes removed. It may slowly improve over several months but is sometimes permanent.

What to do when I get discharged from the hospital?

Recovery of a patient depends on the type of operation and individual feeling ability. Apart from plenty of rest and good food one must do some light exercise, such as walking, increase it gradually. Exercises that are given in the hospital must be done. Lifting or carrying anything heavy is not advisable for atleast 6 weeks.

What is cording?

Cording is a uncomfortable, tight cord like running from your armpit down the inner arm, sometimes to the palm of your hand. It can happen any time after surgery may be after few weeks or months and usually gets better over a few months.

When is physiotherapy important?

You may have a feeling of some tight cord running from your armpit down the inner arm, and may at times to the palm of your hand. This feeling may last for few weeks or months after surgery and usually gets better over a few months. It is better to go for physiotherapy and massage to get relief. Arm and shoulder movement and strength usually improve after surgery. If you have problems, you must seek the help of physiotherapist.

What is lymphoedema?

Surgery or radiotherapy to the lymph nodes in the armpit can sometimes lead to swelling of the arm (lymphoedema). The earlier treatment for lymphoedema begins, the more effective it can be.

What to do if you have lymphoedema?

Consult your doctor. The earlier you start the treatment for lymphoedema, the better it is.

What to do immediately after mastectomy?

If immediate breast reconstruction is not possible after mastectomy then one must go for Sponhy breast. it is a soft, lightweight prosthesis (false breast) to wear inside your bra. It’s often called a ‘cumfie’ or ‘softie’. You can start wearing it straight after your operation. After 4 to 6 weeks when your wound has healed, you can choose a permanent prosthesis. Your confidence will gradually improve as you get used to it.

When should I go for a breast prosthesis?

1. You should go for a sponge prosthesis immediately for first 4-6 weeks after surgery.
2. Usually complete healing of the chest after mastectomy occurs in 4 to 8 weeks. Once there are no longer any wound or stitching you can wear silicon full form prosthesis.

Where from should I take the breast prosthesis?

You should consult an expert who is specially trained to fit breast prosthesis.

Will people be able to identify that I am wearing breast prosthesis?

No, with proper fitting, it is not possible to notice the difference between the natural breast and the prosthetic breast.

What will a breast prosthesis expert do?

The consultant will guide you before you plan your breast cancer surgery. Our consultant is a female doctor who would guide you about the prosthesis. It is not advisable to buy a prosthesis without consulting a specialist or breast prosthesis expert

Our expert will guide you and make sure that the best fitting prosthesis is given to you in your budget. Our expert will give you enough of time to be sure that you are satisfied with your choice of breast prosthesis.

Is there any centre for prosthesis fitting or any prosthesis fitting consultation available in India?

Yes, Sumitra – S1 Prosthesis is a specialised centre for mastectomy patients. We have a prosthesis fitting consultant who can guide you about breast prosthesis and other where about of breast cancer and mastectomy. For APPOINTMENT Click Here

If I live outside INDIA can I get the prosthesis there?

Yes, we can send you prosthesis all over the world.

Why Sumitra S-1 Prosthesis?

1. Sumitra S-1 Prosthesis is a sister concern of Artificial Eye Co. at our centre we are expert in the field of prosthesis since 2006.
2. Our expert Dr Sumitra is the Director of this company and is an expert fitter of breast prosthesis, eye prosthesis, ear prosthesis, Artificial nose, Cranial prosthesis, artificial finger. Sumitra S-1 Prosthesis is a confident choice for breast cancer patient for best fitted and comfortable breast prosthesis and mastectomy bras.

What will a breast prosthesis expert do?

The consultant will guide you before you plan your breast cancer surgery. Our consultant is a female doctor who would guide you about the prosthesis. It is not advisable to buy a prosthesis without consulting a specialist or breast prosthesis expert. Our expert will guide you and make sure that the best fitting prosthesis is given to you in your budget. Our expert will give you enough of time to be sure, that you are satisfied with your choice of breast prosthesis.

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What are the criteria for best fitted breast prosthesis?

Breast prosthesis that fits you best is the one which is comfortable, gives a natural look, maintains a good shape matching your natural breast and to some extent matches your skin color. Our expert takes proper care in setting and fitting the prosthesis.

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What type of bra should be appropriate immediately after surgery?

Your doctor will suggest you if you need to wear a compression bra or wear a soft cup bra or sports bra. But it is advisable to wear a front closure bra rather than traditional bras with back hook.

What is a mastectomy bra?

A mastectomy bra is a prosthetic device worn by women specially designed bra with pockets to hold breast prosthesis. It is termed mastectomy bra essentially because it is worn after mastectomy.

What makes a mastectomy bra different from a normal bra?

A mastectomy bra is made with a specially designed pocket in each cup to fit breast prosthesis.

Is mastectomy bra essential?

If you or your closed one is suffering from breast cancer and have undergone mastectomy then yes mastectomy bra is essential at various conditions and occasions. After mastectomy is done a women who has either got one of her breasts removed or both the breasts removed needs a new inner wear(bra) to accommodate sunken or asymmetrical chest. Prosthesis would now be an essential companion for you to overcome your emotional trauma and help you look beautiful and feel comfortable. Prosthesis alone can’t be of great help to you. Here mastectomy bra is equally important. The pocket in the mastectomy bra holds the breast form.

What should I know about the shape, size and weight of the breast prosthesis?

As far as shape, size and weight is concerned there are wide range of shape, sizes and weight. Only thing that is the key to select the breast prostheses after mastectomy is that it should be comfortable. Best shape for you is the shape that looks and feels right for you. In case of weight there are 2 school of thoughts – one that full weight silicone breast prosthesis will help you to balance better but another school of thought is that incase of bulky breast, a large sized silicone breast prosthesis would make it more uncomfortable and result in pain in shoulder and back. So, for bulky breast it is usually advisable to go for ‘LIGHTY BREAST’ Prosthesis. Its advanced technology makes it lighter and more comfortable.

When should one go for a ‘LIGHTY BREAST’ prosthesis?

1. Bulky breast cancer patients who had undergone mastectomy must go for ‘LIGHTY BREAST’ prosthesis.
2. Breast cancer patients with lymphoedema.
3. Elderly patients who have less breast tissue.
4. Patients who cannot carry the weight of heavy breast prosthesis.

How to clean, care and store breast prosthesis?

1. Sponge prosthesis is easily washable. Wash with gentle, mild detergent or soap. Don’t squeeze it. Let the water drain out on its own and air dry it.
2. Silicone breast prosthesis needs more care than sponge prosthesis. You should wash it daily in warm soapy water and dry it with a soft towel. It can be worn in swimming pool or water parks, but it should be rinsed in clean water as soon as possible. Caution must be taken to avoid puncturing of the silicone prosthesis.
3. Storage of prosthesis – store in the storage bag in a safe and clean place away from children.

Replacement of silicone breast prosthesis?

It is usually advisable to replace in 3 to 4 yrs. It would need to be replaced if you have a weight gain or weight loss to the extent that perceptible difference is visible between the two breasts. You need to replace if bubbles are seen in the silicone or if the skin of the form begins to separate from the silicone. Usually it is advisable to have a checkup once a year.

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