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Professional Fitters

Professional fitters are trained to properly measure and fit a woman for a bra and/or prosthesis. We have a wide selection of sizes, styles, and shapes to select from. Accente' carries popular designs by AMERICAN BREAST CARE, AMOENA, CLASSIQUE, and TRULIFE. A professional fitter can help by making the selection process a lot easier.

Insurance

Bring your doctor's prescription and insurance card with you.

We file your insurance! Medicare and private insurance companies will cover most of the cost of post surgical products such as a breast form, mastectomy bra, and featherweight form. Medicare and other private insurance companies will pay for one breast prosthesis (per side) every two years and 2 to 6 bras a year (depending on insurance type). Please contact your insurance company and ask them what is covered. We also recommend you find out what your out of pocket expenses will be.

Lymphedema

We require a doctor’s prescription before we custom fit your sleeve compression garments!

Cancer surgery frequently removes lymph nodes and cuts through lymph vessels underneath the arm.  Radiation therapy further damages the lymph nodes and vessels.  This means that the arm and upper body on the side of the treatment have a weak immune system and only part of their drainage channels.  That is why breast cancer patients are at increased risk for infection and swelling after the cancer treatment.  If you are experiencing swelling, your doctor may recommend an arm sleeve or hand compression garment to keep your swelling under control.

Venous Disease

We require a doctor’s prescription before we custom fit your sleeve compression garments!

The veins in your legs are one of the hardest working parts of your circulatory system.  They are responsible for feeding the tissues of your legs by supplying them with oxygenated blood.  Deoxygenated blood is then returned to your heart, where it is forced to fight gravity along the way.

Eighteen Steps to Prevention of Lymphedema

Upper Extremity

For the breast cancer or post-traumatic injury or infection (inflammatory process) patient who is at risk of lymphedema, and for the breast cancer or post-traumatic injury or infection patient who has developed lymphedema.

Who is At Risk?

At risk is anyone who has had either a simple mastectomy, lumpectomy or modified radical mastectomy in combination with axillary node dissection and often, radiation therapy. Lymphedema can occur immediately postoperatively, within a few months, a couple of years, or 20 years or more after cancer therapy. With proper education and care, lymphedema can be avoided or, if it develops, kept well under control. The following instructions should be reviewed carefully pre-operatively and discussed with your physician or therapist.

  1. Absolutely do not ignore any slight increase of swelling in the arm, hand, fingers, or chest wall (consult with your doctor immediately).
  2. Never allow an injection or blood drawing in the affected arm(s).
  3. Have blood pressure checked in the unaffected arm.
  4. Keep the edemic arm, or ”at-risk” arm, spotlessly clean. Use lotion (Eucerin, Nivea) after bathing. When drying it, be gentle, but thorough. Make sure it is dry in any creases and between the fingers.
  5. Avoid vigorous, repetitive movements against resistance with the affected arm (scrubbing, pushing, and pulling).
  6. Avoid heavy lifting with the affected arm. Never carry heavy handbags or bags with over -the-shoulder straps.
  7. Do not wear tight jewelry or elastic bands around affected fingers or arm(s).
  8. Avoid extreme temperature changes when bathing, washing dishes, or (no sauna or hot tub). Keep the arm protected from the sun.
  9. Avoid any type of trauma (bruising, cuts, sunburn or other burns, sports injuries, insect bites, cat scratches).
  10. Wear gloves while doing housework, gardening or any type of work that could result in even a minor injury.
  11. When manicuring your nails, avoid cutting your cuticles (inform your manicurist).
  12. Exercise is important, but consult with your therapist. Do not overtire an arm at risk; if it starts to ache, lie down and elevate it. Recommended exercises: Walking, swimming, light aerobics, bike riding, and specially designed ballet or yoga. (Do not lift more that 15 lbs.)
  13. When traveling by air, patients with lymphedema must wear a compression sleeve. Additional bandages may be required on a long flight.
  14. Patients with large breasts should wear light breast prosthesis (heavy prosthesis may put too much pressure on the lymph nodes above the collar bone). Soft pads may have to be worn under the bra strap. Wear a well-fitted bra: not too tight and w/no wire support.
  15. Use an electric razor to remove hair from axilla. Maintain electric razor properly, replacing heads as need.
  16. Patients who have lymphedema should war a well-fitted compression sleeve during all waking hours. At least every 4-6 months, see your therapist for follow-up. If the sleeve is too loose, most likely the arm circumference has reduced or the sleeve is worn.
  17. Warning: If you notice a rash, blistering, redness, increase of temperature or fever, see your physician immediately. An inflammation or infection in the affected arm could be the beginning or a worsening of lymphedema.
  18. Maintain your ideal weight through a well-balanced, low sodium, high fiber diet. Avoid smoking and alcoholic beverages. Lymphedema is a high protein edema, but eating too little protein will not reduce the protein element in the lymph fluid-rather, this will weaken the connective tissue and worsen the condition. The diet should contain protein that is easily digested, such as chicken, fish or tofu.

Unfortunately, prevention is not a cure. But, as a breast cancer patient, you are in control of your ongoing cancer checkups and the continued maintenance of your lymphedema.

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