A breast prosthesis, often called a breast form, is an external device worn after a mastectomy or lumpectomy to restore the natural silhouette under clothing. Using a weighted prosthesis is important for physical well-being, as it restores the body’s natural symmetry. This symmetry helps prevent issues like shoulder drop and poor posture that result from a weight imbalance on one side of the chest. A prosthesis can significantly contribute to comfort and confidence in daily life.
Types of Acquisition Channels
Acquisition channels for a breast prosthesis range from personalized service to convenient online purchasing. Specialized mastectomy boutiques provide the most focused experience, featuring a private setting and staff trained in post-mastectomy care. These locations offer a wide selection of products and often handle complex insurance paperwork, simplifying the process for the consumer. Hospital-affiliated fitting centers also offer integration with the medical team and a high level of expertise, providing convenience during recovery.
General medical supply stores are another option, typically carrying a basic selection of prostheses and related garments. While easily accessible, the staff might not possess the specialized certification or in-depth knowledge of a dedicated fitter. Online retailers offer the greatest convenience and privacy, providing access to a broad catalog of styles and materials from home. However, purchasing online lacks the in-person guidance needed for a proper fit, which can lead to discomfort and potential issues with posture correction.
The decision of where to purchase should prioritize professional fitting, especially for a first-time user. Ready-to-wear prostheses are widely available, but the sizing and shape must be exact to match the remaining breast and restore balance. An improper fit may result in discomfort or the need for eventual replacement. The personalized service of a certified fitter in a boutique or clinic usually outweighs the initial convenience of a general retailer.
The Importance of Professional Fitting
Professional guidance is necessary because a breast prosthesis is considered a medical device, not merely a piece of apparel. A Certified Mastectomy Fitter (CMF) is an allied health professional trained to measure, fit, and dispense external breast prostheses and related supplies. This specialist evaluates the patient’s unique post-surgical shape, including any scarring or tissue changes, to ensure the chosen form fits precisely against the chest wall. The fitter assesses the body’s symmetry to select a prosthesis that correctly matches the size, weight, and contour of the natural breast.
Prostheses are available in several forms, including weighted silicone forms, which closely mimic the feel and movement of natural tissue, and lighter foam or fiber-fill leisure forms. Silicone options are designed for daily wear to maintain body balance, while lighter forms are used for exercise, swimming, or post-surgery. A fitter helps distinguish between these options, determining whether a full prosthesis or a partial shaper is needed after a lumpectomy. They also explain the difference between standard off-the-shelf forms and custom-made options, which are created from a three-dimensional scan of the chest wall for a personalized fit.
Navigating Insurance Coverage and Costs
Breast prostheses and related supplies are often covered by health insurance, but understanding the specific requirements is important. The Women’s Health and Cancer Rights Act (WHCRA) is a federal law requiring most group health plans that cover mastectomies to also cover prostheses and mastectomy bras. This mandate ensures coverage for external breast forms and related garments necessary to achieve a symmetrical appearance. Coverage is typically subject to the plan’s standard deductibles, copayments, and coinsurance, meaning the consumer may still have out-of-pocket costs.
To secure coverage, a prescription from a physician is almost always required, as a breast prosthesis is classified as Durable Medical Equipment (DME). The prescription must clearly state the need for the item, which the DME supplier or fitter uses to submit the claim. Medicare Part B covers external breast prostheses and mastectomy bras, generally allowing for a replacement silicone prosthesis every two years and fabric or foam forms every six months. If a prosthesis is lost, irreparably damaged, or if a change in medical condition necessitates a new size, replacement may be covered earlier than the standard schedule.
Care and Replacement Guidelines
Proper care of a breast prosthesis is necessary to maximize its lifespan and maintain hygiene. Silicone prostheses should be hand-washed regularly, ideally daily, using mild soap and lukewarm water. Harsh chemicals, perfumed soaps, and abrasive materials should be avoided as they can damage the silicone shell. After cleaning, the form should be gently patted dry with a soft towel and stored in its original box or a protective case to maintain its shape.
Silicone prostheses typically have a lifespan of about two years, which aligns with most insurance replacement schedules. Exposure to chlorine or saltwater requires immediate rinsing to prevent material degradation. It is important to protect the prosthesis from sharp objects, such as jewelry or pet claws, which can puncture the surface. If the prosthesis splits, cracks, or becomes sticky, it should be replaced, as these signs indicate material deterioration.