Breast Cancer and Breast Surgery

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Question Answer
After breast surgery am I at risk for lymphedema? You may be at risk if lymph node dissection or radiation is involved. Preventative tips are available. Contact Women’s Health Boutique.
Are external silicone breast enhancers safe? External silicone is safe. You simply tuck the enhancer into your bra to increase your overall cup size or maximize cleavage. You’ll love wearing them with clingy sweaters, low-cut dresses and even your swimsuit! They look and feel like real breast tissue — even taking on your body temperature.
Are prostheses and mastectomy bras covered by insurance? Generally, yes. In fact, Medicare allows two prostheses per breast every two years based on medical necessity, or a lightweight form every six months. Medicare also allows the purchase of six bras each year, but no more than four bras at one time. We suggest you contact your insurance company and ask what is allowed by your policy, especially if you are insured in a managed care plan.
Can I wear a regular fashion bra with a weighted breast prosthesis? Yes, but it is important to be measured and fitted by a professional breast prosthesis fitter. Specialty pocketed bras are available to help hold a breast form in place.
Could I develop breast cancer? All women can develop breast cancer. The risks increase with age. Breast cancer is the most common cancer in women. Although rare, some men can develop it too.
Does hormone replacement therapy (HRT) increase the risk of breast cancer? Unless you have a strong family history of breast cancer, the risk of breast cancer is outweighed by the decreased risk of heart disease. Although women are more frightened of developing breast cancer, the truth is that women are much more likely to die of heart disease (such as heart attacks and strokes). HRT may decrease this risk.
How can I find breast cancer early?

For women with no symptoms:
   • Starting at age 20, do a breast self-exam (BSE)
     every month after your period is over. If you have
     reached menopause and no longer have a period,
     do a BSE every month.
   •
Have your doctor do a breast exam every three
     years between the ages of 20 and 40.
   •
After age 40, get a mammogram every year.
     Call 800-ACS-2345 to find out where you can get
     a mammogram.

For women with symptoms or a strong family history:
   • Consult your doctor to see if a more aggressive
    
program for detection is appropriate. For more
     FAQs, visit the American Cancer Society Breast
     Cancer FAQ and the National Alliance of Breast
     Cancer Organizations Fact Sheets.

How soon after surgery should I be fitted with a permanent external prosthesis? Your doctor will tell you when you are ready to be fitted. The chest wall has to heal and your soreness decrease, which usually takes between two and eight weeks. In the mean time, you can wear a soft cotton garment that will not hurt your incisions and will hold your drains.
I have large breasts and my bra straps dig into my shoulders. What can I do? An improperly fitted bra can cause the weight of your breasts to fall on your shoulders. This is often the result when the bandeau of the bra fits too loose. Look for a bra with wider straps (an inch to an inch and a half). Wider straps help handle the weight of your breasts without digging into your skin. Another tip: select a bra with padded shoulders or purchase bra strap pads. The extra padding gives you extra support. Contact the Women’s Health Boutique nearest you for a fitting appointment.
I just had a mastectomy. What can I wear until my chest wall heals enough to wear a post-mastectomy bra? Women’s Health Boutique offers a 100% cotton, post-surgical garment designed specifically to provide maximum comfort and protection against your incision area. This garment includes a foam prosthesis that gives you shape and holds the surgical drain.
If I am small breasted or have had partial surgery such as a lumpectomy, do I still need a weighted breast prosthesis? Yes. Even if you are small-breasted, you should replace the weight. You will also need the weighted breast prosthesis to help hold your bra in place around the rib cage.
I’ve recently had a mastectomy. How often should I replace my prosthesis? Women’s Health Boutique offers a free evaluation of your current bra and prosthesis. Weight gain or loss of 10 pounds or more usually requires a new fit. You may want to replace your current prosthesis with a newer, lighter weight form or an attachable style. Most silicone prostheses are guaranteed by the manufacturer for two years from the date of purchase. If air bubbles appear in the silicone or the skin of the form begins to separate from the silicone, it is time for a replacement.
What are my options after breast surgery? You have three alternatives: wearing an external breast form, external breast reconstruction, or surgical breast reconstruction. Contact Women’s Health Boutique for free brochures on external breast reconstruction.
What are the chances of survival from breast cancer?

A patien’s chances for survival are better if the cancer is found early. According to the American Cancer Society, the five-year survival rate for breast cancer is:
   • 94 percent if the cancer has not spread
   • 73 percent if it has spread to nearby organs
   • 18 percent if it has spread throughout the body

What do I wear when I swim? Mastectomy swimsuits have pockets to hold the breast forms. Foam and silicone swim forms are designed to be worn in the hot tub, pool or ocean.
What factors would make me at higher risk for breast cancer? You would be at higher risk if one or more of these factors describes you:
   • If you have family members who have had
     breast cancer (“family history”)
   • If you are a smoker
   • If you are overweight
   • If you have never had children
   • If you had your first child after you were
     30 years old
   • If you had your first period before age 12
   • If you did not go through menopause
     before age 55
   • If you were on the birth control pill more than
     10 years
   • If you had radiation therapy for Hodgkin’s Disease
 
What is a breast form? A breast form is a breast prosthesis worn inside a bra to closely simulate the natural contours of your own breast. Forms are made from silicone, foam or fiberfill.
Why do I need a weighted breast form after breast surgery? A properly fitted breast prosthesis helps replace the weight lost after breast surgery. When a natural breast is removed, the body is no longer in balance and will compensate with a slight curving of the spine and “shoulder drop.” Both conditions may lead to chronic lower back and neck pain.
Why do I need to be custom-fitted for a breast form? Every woman, every surgery and every breast is different, so the fitting is very individualized. There are hundreds of shapes and sizes available. Our certified mastectomy fitters are specially trained to help you find just the right form.
Will my skin need special attention after breast surgery? Yes, your skin needs deep moisturizing to prevent dryness and sensitivity, and to promote healing, especially if you undergo radiation or chemotherapy treatment.

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