Comprehensive Guide to Mastectomy Products and Care

Explore a detailed guide covering essential aspects of mastectomy products and care, including medical terminology, various products like bras and breast forms, different companies providing these products, history of the brassiere, bra components, types and styles, terminology options, recovery care tips, and post-operative bras recommendations. Enhance your understanding to support individuals undergoing mastectomy procedures effectively.

• Mastectomy products
• Breast forms
• Bra terminology
• Recovery care
• Post-operative bras

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1. Mastectomy Fitter Course Mastectomy Products Mastectomy Fitter Course

2. Objectives 1. Define medical terminology as it relates to mastectomy. 2. Describe the various mastectomy products available including prosthetic breast forms, care, maintenance and warranty. Mastectomy Fitter Course

3. Products Bras Breast Forms Silicone Non-Silicone Partial/Lumpectomy Custom Accessories Swimwear Head Covers Cleansers/Lotions Mastectomy Fitter Course

4. Companies Jodee Jodee American Breast Care Nearly Me Amoena Trulife Mastectomy Fitter Course

5. THE BRAS Mastectomy Fitter Course

6. The Brassiere Women have been wearing breast supportive undergarments since as long ago as the Grecian Era, (pictured right). They were called Mastodesmos meaning breast-band . The French term brassiere was first introduced in the late 1800 s and shortened to bra in the 1930 s. The first U.S. patent for a brassiere was issued to Mary Phelps Jacob in 1914. Mastectomy Fitter Course

7. Bra Components Mastectomy bras hold the breast form in a pocket. Mastectomy Fitter Course

8. Bra Types and Styles Post-Operative/Gentle Compression Fashion/Modern/Everyday Exercise/Active Mastectomy Fitter Course

9. Bra Terminology and Options Each company will have their own vernacular and trademark names Front Closure vs. Back Closure Racerback Underwire vs. Wireless Mastectomy Fitter Course

10. Recovery Care- Post-Op Lightweight Seamless Gentle compression Wireless Easy to Don/Doff Comfortable Patient may wish to sleep in Mastectomy Fitter Course

11. Post-Operative Bras American Breast Care Style 119 Velcro Front Compression, fits average profile. Amoena 2128 wire-free bra, high cotton content. American Breast Care Style 519 Compression Bra, zipper front, Velcro straps, fits average profile. Amoena Compression Belt 2776N for reconstructions to hold implants in place. Suggested use with Patricia 2863 compression bra. Mastectomy Fitter Course

12. Post-Operative Bras, continued Contour Compression Vest Style 6, zipper front. Wear Ease Dawn Breast Surgery Camisole with removable drain pouches. Nearly Me #520 After-Surgery Camisole, hidden drainage pouch. JUZO 800NS06 Compression Bra 15 to 20 mmHg of compression. Mastectomy Fitter Course

13. Post-Operative/Lightweight Breast Forms American Breast Forms First Form 916, memory foam, seamless and non-irritating. Amoena Priform extremely soft fiberfill, can adjust fullness by adding or removing fiberfill. American Breast Care Triangle Puff Form 910, fiber fill, adjustable. Trulife Featherweight 615, teardrop shape, non-weighted foam. Mastectomy Fitter Course

14. Post-Operative/Lightweight Breast Forms, continued NearlyMe #410 Non-Weighted Foam Classic, lightest weight foam, full profile with security tab. Amoena PurFit Adjustable Enhancer made for tissue expansion process during reconstruction. Amoena PurFit Shell, provides extra cover for washing/hygiene. Mastectomy Fitter Course

15. Fashion/Modern/Everyday Bras Mastectomy bras have come a long way from the perception that they look like medical bras. Fashionable/variety of styles Designed to hold the weight of breast prostheses Mastectomy Fitter Course

16. Amoena Examples Karla elegant lace, comes in underwire or wireless. Janina Floral Print, comes in underwire or wireless or camisole. Mona underwire bra. Jasmin wire-free bra soft cup. Link to Source of Information Mastectomy Fitter Course

17. American Breast Care Examples 112 Seamless Strapless Bra, straps are included. 508 Lace Enchantment Bra with cami insert. 118 Basic M Frame, full-figured design. 525 Massage Bra, unique fabric gently massages body, soft padded straps. Link to Source of Information Mastectomy Fitter Course

18. Trulife Examples Emily 4007US, fits average to full bust, seamless camisole T-Shirt soft cup. Sydney 4004US, fits shallow to average bust, microfiber soft cup. Chelsea 98, lace long- line soft cup, fits average to full bust. Elizabeth 422, fits average to full bust, floral satin fabric, padded rigid straps, reduces bounce. Link to Source of Information Mastectomy Fitter Course

19. Jodee Examples Soft N Lacy Lounge Bra, front closure, lightweight. Heavenly Pink Bra, molded and seamless for under T-Shirts. Soft & Smooth Bra, molded, seamless, microfiber fabric. Comfort Plus Bra, super cushioned strap for full and heavy breasts. Link to Source of Information Mastectomy Fitter Course

20. Nearly Me Examples #610 Lace Wide Band Bra, full coverage, underwire, comfortable supportive elastic band under bust. #690 Zebra Soft Cup, wide underarm panels for increased support. #650 Front & Back Closure Bra, great for limited range of motion #510 Molded Cup, average to full bust with seamless molded cup. Link to Source of Information Mastectomy Fitter Course

21. Exercise/Active Bras Designed for Maximum Support Usually Moisture Wicking Designed to Look Like Sports Bras Mastectomy Fitter Course

22. Exercise/Active Bras, continued Jodee Cool Cotton Bra, cool max material, back hooks. Trulife Activity Softcup, cotton/lycra material with cool max pockets. Amoena Tank Top 13, integrated pocketed bra, absorbs, stores, and releases heat for temperature control. Amoena Jennifer Sports bra, net panels for breathability. Mastectomy Fitter Course

23. Leisure Wear Most companies now also offer leisure wear or lounge wear Gives the comfort of camisoles, pajamas, etc. with built-in pocketed bras Link to Source of Information Mastectomy Fitter Course

24. THE BREAST FORMS Mastectomy Fitter Course

25. Breast Forms The many factors of choosing breast forms: Silicone Non-Silicone/Foam/Fiber Fill Custom Weighted vs. Non-Weighted Various Shapes Partials/Shapers/Lumpectomy Pocketed or Adhesive Back Skin Tone Mastectomy Fitter Course

26. Breast Form Shapes Each company will call the different shapes differently. Liberator Medical categorizes breast forms into the following shapes: Symmetrical, can be worn left or right, suits most recent modified radical surgical techniques Symmetrical teardrop, suits surgeries that remove some tissue from the under arm, can be angled for best fit Symmetrical, fills the cup without unnecessary bulk Asymmetrical, reaches under the arm, suits more radical surgical techniques Mastectomy Fitter Course

27. Breast forms (and bras) can also be categorized based on the fullness of the breast Shallow Average Full Mastectomy Fitter Course

28. Silicone Forms Weighted, not recommended until patient is well healed Made to have the look, feel and texture of natural breasts Can be pocketed or adhesive or contact directly against skin Many now have cooling channels, gel, or even massage features to make them cooler and more comfortable than in the past Mastectomy Fitter Course

29. Silicone Forms- American Breast Care Ultra Lightweight Silicone, 45% lighter than standard silicone. Gel backed forms, ideal for irregular chest walls. Lightweight Silicone, a lighter weight option for those desiring silicone instead of foam or fiber fill. Massage Form, channels designed to keep you cool and reduce perspiration. Link to Source of Information Mastectomy Fitter Course

30. Silicone Forms- Amoena Individual, designed for uneven chest wall or newer surgery sites, molds gently to chest wall with body movement. Contact, adheres to chest wall, gentle on skin, temperature equalizing technology. Energy, ultimate temperature regulating technology with air flow channels and a more natural feeling silicone. Essential Deluxe is Amoena s lighter weight silicone, extra gentle on scar tissue. Link to Source of Information Mastectomy Fitter Course

31. Silicone Forms- Trulife Bodicool Triangle, advanced cooling technology, raised contact points to promote airflow. A Supreme Traditional, asymmetrical shape, concave back to accommodate excess tissue. Bodicool Wave Triangle, full coverage, removable Coolmax breast form cover, lightweight silicone. Silk Xtend Plus, conformable back for customized fit, tapered extension for missing tissue underarm or upper chest. Link to Source of Information Mastectomy Fitter Course

32. Silicone Forms- Nearly Me Lightweight Tapered Oval, 25% lighter, symmetrical. Standard weight with nipple, symmetrical, slightly concave back. Extra Lightweight Butterfly with Flowable Back, 35% lighter, gel back fits uneven chest wall, symmetrical. Ultra Light Weight Semi Full Triangle, 40% lighter, great for back pain or chest sensitivity. Link to Source of Information Mastectomy Fitter Course

33. Silicone Forms- Jodee Ultra Light Silicone, comes with a CoolMax cover, triangular shape. Adjusts to you, gel back for uneven chest walls, adjusts to body temperature, comes with a fitted cover. Caress, triangular shape with rounded base for bi-lateral and modified radical surgeries as it moderately fills in upper chest wall. Cool Comfort, lightweight silicone, dual gel promotes cooling effect, wave design promotes air flow. Link To Source of Information Mastectomy Fitter Course

34. Lumpectomy Partials/Shapers Provide symmetry and balance after lumpectomies and other breast-conserving surgeries. These types of surgeries are becoming more common and therefore this type of prosthesis will be more common as well. Mastectomy Fitter Course

35. Lumpectomy Partials/Shapers Examples Delta Oval Varia Amoena s Line of partial shapers: Link to Amoena s website Mastectomy Fitter Course

36. Lumpectomy Partials/Shapers- ABC Triangle Shaper, allows tissue to extend to base and complete curvature. ABC offers a fit kit. Elliptical Shaper, lightweight silicone, hollow with seamless transition. Mastectomy Fitter Course

37. Lumpectomy Partials/Shapers, continued Trulife Teardrop Partial. Trulife Impressions Shell. Trulife Triangle Plus Partial. Mastectomy Fitter Course

38. Swim Forms Most companies also make swim forms, designed to be worn in water and not bothered by salt or chlorine. Regular forms of all kinds are not recommended to be worn in water unless otherwise specified. Jodee Jodee Swim Form. American Breast Care Swim Form Triangle. Nearly Me Freestyle. Trulife Aquaflow. Mastectomy Fitter Course

39. Custom A woman may choose a custom form for a variety of reasons, for example, their chest wall or scar tissue may require a custom fit to avoid skin irritation and conform more appropriately. An impression of the patient is taken and a breast form is created to specifically fit the unique contours of the patient and match the contralateral side. Link to Source of Information Mastectomy Fitter Course

40. Custom Image Capture- Scan Images courtesy of Radiant Impressions Link to Radiant Impressions website Mastectomy Fitter Course

41. Custom Image Capture- Cast Takes approximately 2 hours, 2 casts One casting over the properly fitted bra and prosthesis One casting of bare chest wall Can be considered messy and too intimate for some Mastectomy Fitter Course

42. Custom Breast Forms For more information regarding custom breast forms, feel free to peruse the different manufacturers: Radiant Impressions (a Trulife Company) Link to Radiant Impressions website ContourMed Link to ContourMed website Mastectomy Fitter Course

43. Accessories Cleansers Bra Extenders Adhesives Scarves Strap Cushions Breast Form Covers Mastectomy Fitter Course

44. CARE AND MAINTENANCE Mastectomy Fitter Course

45. Care and Maintenance Each breast form will have its own care instructions; you should include this with your patient education materials upon delivery. Generally, wash in lukewarm water with mild soap, rinse thoroughly, and air dry in its container to maintain shape. Adhesive back forms may require special cleansers. Do not twist, ring out, or put in the dryer. Mastectomy Fitter Course

46. WARRANTY Mastectomy Fitter Course

47. Warranties Most warranties are for two years. Most companies have a warranty card you must fill out at the time of delivery. Swim Forms generally have a shorter warranty due to pool chemical exposure. Be sure to contact and comply with each manufacturer s warranty policy and procedures! Mastectomy Fitter Course

48. Summary Please feel free to review this PowerPoint and its references as many times as you feel necessary. Please take the quiz related to this portion of the course and then continue on with the next presentation. Mastectomy Fitter Course

49. References Netter, F.H. Atlas of Human Anatomy. 5th Edition. Saunders/Elsevier. 2011. Mayo Clinic. Mastectomy. 2011. Retrieved from website on December 17th 2013. Link to Mayo Clinic website. National Breast Cancer Foundation, Inc. Link to National Breast Cancer website. Breast Cancer.org Link to Breast Cancer website. Trulife. Link to Truelife website. Amoena. Link to Amoena website. American Breast Care. Link to American Breast Care website. The American Board for Certification in Orthotics, Prosthetics & Pedorthics. Link to ABC website. MedlinePlus. U.S. National Library of Medicine. Breast Cancer. Retrieved from website on December 18th 2013. Link to MedlinePlus website. 10. Centers for Disease Control and Prevention. Breast Cancer. Retrieved from website on December 18th 2013. Link to CDC website. 11. American Cancer Society. Link to American Cancer Society. 12. National Library of Medicine. ADAM Medical Encyclopedia. 2013. Retrieved from website on January 2nd 2014. Link to National Library of Medicine website. 1. 2. 3. 4. 5. 6. 7. 8. 9.

50. References, 2 13. Pictures of Mastectomy. Dr. Oz. Retrieved from website on January 10th, 2014. Link to Dr. Oz website. 14. Breast Cancer Surgical Treatment Complications and Lymphedema. Women s Health and Education Center. Retrieved from website on January 11th, 2014. Link to Women s Health and Education Center. 15. Prevalence and Psychosocial Factors of Anxiety and Depression in Breast Cancer Patients. 2007. Retrieved from website January 3rd, 2014. Link to National Center for Biotechnology Information (NCBI) website. 16. Psychological and Sexual Disorders in Long-Term Breast Cancer Survivors. Retrieved from website on January 17th, 2014. Link to Dove Press website. 17. External Breast Prostheses: Misinformation and False Beliefs. Retrieved from Website on January 17th, 2014. Link to Medscape website. 18. Body Posture of Women After breast Cancer Treatment. 2010. Retrieved from Website on January 17th, 2014. Link to NCBI website. 19. Body Image After Prophylactic Bilateral Mastectomy: An Integrative Literature Review. 2006. Link to NCBI website. 20. Sex After Surgery: Intimacy After Mastectomy. 2008. Retrieved from website on January 17th 2014. Link to Health Central website. 21. Post-Mastectomy FAQs. Link to OandPCare website. 22. BOC Board of Certification/Accreditation. Link to BOC USA.

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