How to choose a breast prosthesis. What are breast exoprostheses? How to use a breast prosthesis correctly

Women's breasts are unique and differ not only in the volume of the cup, but also in its shape. To achieve perfect selection and fit, most manufacturers offer three different shapes of the exoprosthesis cup – for mature, medium and full breasts.

Each of the three forms are in most cases displayed on the packaging of the breast prosthesis. For your convenience, the description of the goods presented in our online store must indicate the completeness of the exoform.

Once you have selected the adequate size of the breast prosthesis, you can begin to determine the shape of the cup. Then compare the picture ( indicated next to the name)on the packaging sticker with the profile of the preserved breast of a woman wearing a bra, and find the greatest similarity. A tight top can serve as proof of a perfect fit , which allows you to determine the symmetry of the silhouette and the conformity of the shape.

Women with small underbust volume tend to have full breasts, while women with large underbust volume tend to have mature breasts.

How to choose the right exoprosthesis size

First measure your bust size and determine the appropriate cup.

Then, determine the appropriate breast prosthesis size by moving down the column from the intersection of the measurement values.

The size chart is a guide to help you in the selection process. In any case, you must rely on your feelings.

Cup size Volume under bust
A.A. 65 70 75 80 85 90 95 100 105 110 115 120
A 60 65 70 75 80 85 90 95 100 105 110 115 120
B 65 70 75 80 85 90 95 100 105 110 115 120
C 65 70 75 80 85 90 95 100 105 110 115 120
D 65 70 75 80 85 90 95 100 105 110 115 120
E 65 70 75 80 85 90 95 100 105 110 115 120
F 65 70 75 80 85 90 95 100 105 110 115 120
G 75 80 85 90 95 100 105 110 115
Exoprostheses Exoprosthesis size
Amoena 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15* 16* 17*
Trulife - 2 3 4 5 6 7 8 9 10 11 12 13 14 15* 16* 17*
Maxima 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15* 16* 17*
Reutov 0 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15* 16* 17*
*Available only in some exoprosthetic models
Postoperative care Exoprosthesis size
Trulife, Reutov - 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17
Corrective pads Overlays Sizes
Amoena 1 2 3 4 5 6 7 8 9 10 11 12 13 14 - - - -
Trulife 1 2 3 4 5 6 7 8 9 10 11 12 13 14 - - - -
Trulife - S - M - L - XL - - - - - - - -

Outdated orthopedic views about the need to eliminate weight imbalance after mastectomy by primitively selecting an exoprosthesis with the same weight are now recognized as one of the reasons for the development of postmastectomy syndrome due to increased load on the vessels of the shoulder.

In the early 90s, the first publications appeared on the therapeutic effects of silicone gel plates. These studies show that silicone coating alone (without pressure dressings) reduces excess scarring and is completely non-toxic and non-irritating to the tissue.

In the early 2000s, the latest technology was developed, including the use of adhesive silicone on the surface of the exoprosthesis, ensuring reliable fixation of the exoprosthesis directly to the body, the so-called “adhesive exoform”.

Adhesive exoprostheses

The adhesive exoform is fixed directly on the skin and perfectly imitates the breast in color, shape and movement. It has invaluable benefits of rapid breast recovery.

A properly selected adhesive exoform is not only a cosmetic product, but is also used as a therapeutic and prophylactic agent that prevents the processes of fibrosis and the formation of keloid scars.

The results of clinical trials of adhesive exoforms indicate not only the absence of any allergic manifestations, but also a significant acceleration of epithelization, a decrease in pain (43%), and a decrease in the incidence of lymphedema (60%).

It has been demonstrated that the silicone coating of the exoprosthesis reduces the processes of dermal atrophy and excessive scar formation. In 80% of patients, the adhesive exoform is felt as part of their own body.

In European countries, for women who have undergone a mastectomy, adhesive exoprosthetics are used as an alternative to plastic surgery or in cases where it is not possible for medical reasons.

The main requirement for the use of an adhesive exoform is to maintain the cleanliness of the adhesive surface and the area of ​​skin on which it is applied. Wearing an exoform is indicated 6 months after surgery. The optimal period of wearing the exoform is 12 hours a day.

Exoprostheses without polyurethane film

The new invention of the Irish company is the unique impressions exoprosthesis, the only one at the moment, created without the use of polyurethane film. Ideal for all types of surgery. The main advantage of the exoprosthesis is the absence of a film that contributes to heating of the body surface in contact with the exoprosthesis. The prosthesis consists entirely of 100% medical silicone, which does not cause allergies or skin irritation, and also promotes scar healing and smoothing. The exoprosthesis perfectly follows the contours of the body, filling in irregularities and missing tissue. Due to natural adhesion, this prosthesis adheres directly to the skin. It is very durable and if it is damaged, the silicone does not leak, and the prosthesis itself does not lose its properties.

During movement, the prosthesis is always formed in a new way; in the quiet phase, it retains stable shapes. The soft, elastic material remains constantly pleasant to the body – without putting pressure on the sensitive scar area.

Exoprostheses with thermoregulation

The latest development of exoprosthesis manufacturers - thermoregulating technology - reduces sweating and equalizes the temperature between the body and the prosthesis.

The latest development of technology with thermoregulation. The thermoregulation system of the prosthesis is based on the integration of a special gel layer from the inner surface of the prosthesis, which allows it to absorb heat, thereby creating a temperature balance between the prosthesis and the operated surface, as well as maximum comfort when wearing it. It is used in both early and late postoperative periods.

Indispensable for women during menopause and during the summer.

Modern breast exoprostheses, used every day, have a number of properties similar to those of real breasts. They have a soft and delicate structure, quickly adapt to body temperature, are reliable and durable.

With an accurately selected size and correct use of the exoprosthesis, side effects are usually not observed, however, you should not wear the exoprosthesis for more than 12 hours a day.

How Patented Thermoregulation Technology Works

Breast implants with thermoregulatory technology maintain an even and comfortable temperature, allowing a woman to stay fresh and feel protected throughout the day.

The initial temperature environment for both prostheses is 20 o C;

As the environment warms up, exoprostheses with thermoregulation technology remain noticeably cooler and therefore more comfortable for the woman;

Exoprostheses with thermoregulation maintain a much more uniform and comfortable temperature;

After the heating period is complete, both dentures finally reach the same temperature;

When the natural cooling process begins, the thermoregulatory exoprosthesis promotes a more gradual decrease in temperature;

Once the environment has cooled, a breast prosthesis with thermoregulatory technology retains heat longer, providing a smoother transition so that the woman does not feel the presence of the prosthesis.

Without thermoregulation With thermoregulation

After a mastectomy, it is difficult to do without a breast prosthesis. It is installed both surgically and non-surgically in the form of onlays. Imitation of breasts allows you to hide the consequences of surgery, look attractive even in open clothes and feel confident.

How is an endoprosthesis useful after a mastectomy?

Endoprosthetics is a type of reconstructive mammoplasty that can be used to create ideal shapes. The operation is performed under anesthesia, so there are some contraindications:

  • Intolerance to the components of anesthesia;
  • Blood clotting disorders, diseases of the circulatory system;
  • Disorders of the psyche, nervous system and psycho-emotional state;
  • Diseases of blood vessels, heart, heart failure;
  • Diabetes mellitus, metabolic and endocrine system dysfunctions.

Endoprostheses during mastectomy are inserted with a special endoscope and filled with saline solution. The doctor may place a temporary expander or a permanent implant, depending on the patient’s wishes and medical indications.

How to choose a breast prosthesis after a mastectomy

In order not to undergo another surgical intervention, it is recommended to use external breast prostheses. The choice of a suitable model depends on its properties and characteristics:


What are the advantages of overlays after mastectomy?

Silicone pads are a practical and useful device. They are inserted into a bra or glued to the skin, simulating breasts. Overhead silicone inserts have many advantages:

  • Does not require surgery or anesthesia;
  • Completely repeat the shape of the bust;
  • Reliably fastened, eliminating deformation;
  • Easy to use, easy to remove;
  • Allows you to wear a deep neckline.

If you are in doubt about what type of prosthetics you need, consult a specialist. Call the number listed on the website and make an appointment with a doctor.

Women experience psychological trauma caused by the loss of an organ. To return to normal life, prostheses are used, among which breast exoprostheses are very popular. They are highly aesthetic and can return a woman to a normal life.

Types of prosthetics

There are two types of prosthetics used in medicine: exoprosthetics and endoprosthetics. Each type has its own characteristics.

Breast exoprostheses are usually made from environmentally friendly materials, namely silicone. The outside is covered with a polyurethane shell. The prosthesis has varying degrees of softness, size, weight, and appearance.

Exoprostheses are used externally. Its main goal is to hide existing defects from the eyes of others. Exoprostheses also have a number of medical indications. They are indicated for lymphostasis, to distribute the load on the muscular system when one gland is removed.

Advantage of using

Breast exoprostheses have a number of advantages over other types of prosthetics. They are able to hide a breast defect from others, and also help distribute the load on the spine and muscular system. If weight distribution after mastectomy occurs unevenly, this will lead to serious changes in the musculoskeletal system.

When using an exoprosthesis, a woman can remove it at any time. This type of prosthetics allows the skin to breathe and there is no re-emergence of cancer cells, as often happens with endoprosthetics.

Exoprostheses

Modern exoprostheses of the mammary glands are simulators of the mammary glands, which are very convenient to use. The use of external products allows you to put them on and take them off at any time. Properly selected models help disguise cosmetic defects.

Exoprosthetics, unlike endoprosthetics, has no contraindications. Such prostheses are made by different manufacturers, from which the consumer only has to choose a model.

Breast exoprostheses are mainly made from silicone. On the outside, the product is a case with silicone gel inside. Externally, it has all the characteristics of the mammary glands: consistency, shape, elasticity, shade. When worn, the prosthesis does not cause friction, since the models have minimal contact with the breast tissue.

Silicone exoprostheses come in a variety of shapes. They can be round or oval, or have a teardrop shape. There are asymmetrical, sectoral or symmetrical options. The first type helps eliminate breast defects after radical mastectomy. If organ-preserving operations were performed, then sectoral prostheses are used.

Application of a prosthesis

As you can see in the photo, breast exoprostheses look natural. They allow a woman to play sports and wear any clothes. Silicone is a material that can be easily processed. Its use allows you to achieve natural

To wear a prosthesis, you need a special bra. It provides reliable fixation of the exoprosthesis. The difference between special bras and ordinary ones is that they are sewn taking into account the need to hide the exoprosthesis from prying eyes.

Every woman wants to have it. If she is struck by a misfortune, as a result of which part or all of her breasts are lost, then the woman begins to feel great discomfort. A silicone exoprosthesis helps you return to normal life; it is invisible under clothing and does not cause any inconvenience.

Lyudmila. Hello, tell me, can a skin allergy to an exoprosthesis (redness of the skin) occur after mastectimia?

Hello, Lyudmila! The classic definition of mastectomy is surgery to remove the breast.

Mastectomy is used in very extreme cases when it comes to saving a person’s life. For any woman, this is a very cruel operation, which subsequently requires a great concentration of vitality and stamina. However, modern medicine and scientific and technological progress make it possible to alleviate a woman’s moral suffering.

Plastic surgery can rid a woman of her inferiority complex through reconstructive mammoplasty. We are talking about breast reconstruction using silicone implants. This is a rather painstaking and expensive process of cosmetic restoration of the female breast.

An exoprosthesis allows you to restore female forms and hide these imperfections from others.

It is recommended to wear an exoprosthesis without fail, as it helps to redistribute the load on the muscles of the chest and shoulder joints, and also helps to get rid of possible curvature of the spinal column.

A properly selected silicone prosthesis ensures normal functioning and tissue healing in the postoperative period. Naturally, contact of a foreign body with the skin can cause a certain allergic reaction.

To avoid this, you should approach the issue of exoprosthetics more carefully.

Based on the individual characteristics of the female body, the attending physician should suggest the design features of the exoprosthesis, as well as possible uncomfortable wearing conditions and their elimination.

The most correct approach to selecting a silicone exoprosthesis can be determined by the following characteristics:

  • To eliminate the imbalance, the weight of the exoprosthesis should be as identical as possible to the weight of the healthy breast.
  • The exoprosthesis must correspond to the shape of a healthy mammary gland.
  • The silicone substitute should ideally compensate for the postmastectomy deficiency of tissue fibers.

If the exoprosthesis is chosen correctly, it will not cause discomfort for the woman. However, you should know that you should wear such a female breast substitute no more than twelve hours a day.

Women who have had to undergo a mastectomy not only face severe physical pain, but also experience psychological trauma. The patient loses partially or completely the mammary gland, which is the personification of attractiveness and femininity. As a result of this, the fairer sex develops complexes.

One of the main stages of rehabilitation after surgery is breast reconstruction. Today this problem can be solved in two ways: using exoprostheses or undergoing plastic surgery using implants.

Some women refuse to undergo restorative procedures. But this is fundamentally wrong, since breast reconstruction after mastectomy not only plays an aesthetic role, but also avoids many complications. Firstly, dentures or reconstruction allow the patient to continue to feel feminine and attractive. And this plays an important role in a woman’s family and social life. Secondly, the absence of breasts on one side can cause curvature of the spine, changes in posture, back pain, and so on. The use of an exoprosthesis or implants will restore the balance between the weight of the mammary glands.

Breast reconstruction involves a series of actions aimed at restoring the shape and volume of the breast, as well as the nipple and areola. Depending on the period of implementation, such surgical interventions are divided into:

  • one-stage (carried out together with mastectomy);
  • delayed (carried out some time after breast removal).

One-time reconstruction is considered the best option because the woman does not experience the psychological trauma associated with the absence of a breast. But due to contraindications, most of which are associated with the likelihood of complications, reconstruction has to be postponed for a while.

If a one-stage reconstruction is carried out, the operation is often performed by two teams:

  • oncologists;
  • plastic surgeons.

Delayed reconstructive operations are performed only by plastic surgeons.

Breast reconstruction after mastectomy can be carried out in one of the following ways:

  • using implants;
  • using tissue from the patient himself.

Breast reconstruction with implants

The most popular method of breast reconstruction after mastectomy is the use of implants. This reconstruction method has many advantages:

  • the possibility of restoring both small and large breasts;
  • slight blood loss;
  • minor risks during the operation;
  • simple operating technique;
  • quick recovery after surgery.

Implants can be used for both immediate and delayed reconstruction.

Types of implants

Today, several types of implants are used for breast reconstruction:

  • silicone;
  • permanent;
  • fabric.

Prosthesis, filled with silicone gel, allows you to quickly restore a small mammary gland. For large breasts, it is recommended to use a permanent prosthesis, which consists of two chambers. The first chamber is filled with silicone, and the second is gradually filled with sterile saline solution, which makes it possible to completely restore the shape and volume of the breast. Using this technique allows the soft tissue to gradually stretch.

Breast reconstruction using a tissue implant occurs in two stages. The implantation of the prosthesis occurs immediately after removal of the mammary gland. It is then filled with saline solution for several months after surgery. The last step is to replace the tissue implant with a silicone version.

Autotransplantation

Breast reconstruction using human tissue is considered more traumatic. Such operations are very complex, and the patient requires more time for rehabilitation. But the main advantages of such reconstruction are the minimal risk of rejection of the transplanted tissue by the body and the achievement of aesthetics.

The following autotransplantation techniques are considered the most common:

  • LDM-flap technique;
  • TRAM-flap technique.

When using the LDM flap technique, tissue for breast reconstruction is taken from the widest dorsal muscle. Using the technique allows you to recreate the natural shape of the mammary gland. But at the same time, the technique also has its drawbacks. It is possible to restore small breasts, but a large noticeable scar remains on the back.

The TRAM flap technique involves taking tissue from the lower abdomen. This method has more advantages:

  • allows you to restore larger breasts;
  • the scar on the stomach is easily hidden by clothing;
  • the presence of subcutaneous fat makes it possible to change the shape of the reconstructed breast in case of weight fluctuations.

Breast reconstruction procedures are carried out in several stages. At the first stage, an implant or tissue transplant is carried out, and then the shape of the second breast is corrected, excess fatty tissue is removed, and so on.

Exoprosthetics

If a woman is afraid of breast reconstruction after a mastectomy, then an alternative solution to the problem may be the use of exoprostheses. Well-chosen exoprostheses not only perform an aesthetic role and allow a woman to feel attractive, but also have a therapeutic and preventive effect. Thanks to them, the balance between the weight of the mammary glands is restored, which prevents curvature of the spine, drooping shoulders and other complications.

An experienced consultant will help a woman select symmetrical or asymmetrical prostheses (for the left or right side). Nowadays, exoprostheses are manufactured that have a round or oval shape, as well as a drop shape. In addition, they may differ in size.

Exoprostheses are soft to the touch, so they imitate real breasts as closely as possible. To attach modern models, an adhesive method is used, thanks to which the prosthesis is attached directly to the skin. This allows you to evenly distribute the load on the fabric and bra.

Types of exoprostheses

In addition to the fact that breast prostheses are symmetrical and asymmetrical (designed for the left or right side), they also differ in purpose. In this regard, they are divided into the following types:

  • Postoperative. Used in the first two months after mastectomy. Their main feature is that they do not injure the skin and do not interfere with the healing of sutures.
  • For daily wear. Used two months after surgery. They can be worn daily, but wearing them for more than 12 hours is not recommended.
  • Lightweight. Well suited for patients with large breasts, and also allow them to lead an active lifestyle and play sports. Recommended for use in case of lymphostasis.
  • Special. Used for swimming or gymnastics.
  • Contoured. Used in case of partial breast removal.

How to choose the right exoprosthesis?

When choosing a breast prosthesis, you need to pay attention to several factors:

  • the exoprosthesis should have the same weight as a healthy breast;
  • its shape should follow the shape of the other mammary gland;
  • the volume of the exoprosthesis must fully correspond to the volume of the bra cup.

When a woman tries on a prosthesis for the first time, it is not recommended that she pick it up. During the absence of a mammary gland, it may seem too heavy to her.

Exoprosthesis care

After each removal, the denture must be washed with warm water and baby soap. It must be stored at night in a special box. When handling the prosthesis, you need to be careful and avoid contact with sharp objects that could pierce it.

If the patient has chosen to wear an exoprosthesis, then she also needs to purchase special underwear that will support it. A regular bra will not cope with this task. It is important that the underwear is the correct size. A large bra will not perform the necessary function, and a small one will put pressure on real and artificial breasts.