Comparative Study of Satisfaction and Body Image Confidence in Breast Cancer Patients for a New Lightweight Polymer Gel Breast Prosthesis and Their Previous Breast Prosthesis

Main Article Content

Paradee Prechawittayakul
Wisut Kaewsakul
Ekwipoo Kalkornsurapranee
Worrawit Wanitsuwan


This study aims to compare breast cancer patients’ satisfaction and their body image confidence between a new realistic lightweight breast prosthesis invented from polymer gel and natural rubber and their previous breast prosthesis in 60 breast cancer patients who had undergone a mastectomy was performed for a new lightweight polymer gel breast prosthesis and their previous breast prosthesis. The statistical methods used in data analysis included percentage, mean, standard deviation and paired t-test.

The results show that the patients expressed a high level of satisfaction with the new breast prosthesis. Problems with using it and adverse effects were at the low and lowest levels. The patients’ satisfaction and confidence of body image were significantly higher after use of the new breast prosthesis.

This innovative lightweight breast prosthesis invented from polymer gel and natural rubber may be a new realistic breast prosthesis for helping improve the body image confidence and quality of life in breast cancer patients after mastectomy.


Download data is not yet available.

Article Details

How to Cite
Prechawittayakul, P., Kaewsakul, W., Kalkornsurapranee, E., & Wanitsuwan, W. (2019). Comparative Study of Satisfaction and Body Image Confidence in Breast Cancer Patients for a New Lightweight Polymer Gel Breast Prosthesis and Their Previous Breast Prosthesis. Journal of Research in Nursing-Midwifery and Health Sciences, 39(4), 40–51. Retrieved from
Research Articles


Imsamran W, Chaiwerawattana A, Wiangnon S, et al, editors. Cancer in Thailand: Vol. VIII 2010-2012. Bangkok: Ministry of Public Health; 2015.

Chaiwerawattana A, Sukarayodhin S, Rinsurongkawong S, et al. Clinical practice guidelines for breast cancer. Bangkok: National Cancer Institute, Department of Medical Services, Ministry of Public Health; 2012. Thai.

Rosenberg SM, Tamimi RM, Gelber S, et al. Body image in recently diagnosed young women with early breast cancer. Psychooncology. 2013; 22(8): 1849–55. doi:10.1002/pon.3221.

Akça M, Ata A, Nayır E, et al. Impact of surgery type on quality of life in breast cancer patients. J Breast Health. 2014; 10: 222-8.

Supaattagorn P. The result of breast cancer treatment with breast–conserving surgery plus post operative radiation in Ubonratchathai cancer center. J Thai Assoc of Radiat Oncol. 2008; 14(1): 13-18. Thai.

Huang N, Liu M, Chen J, et al. Surgical management of breast cancer in China. A 15-year single-center retrospective study of 18,502 patients. Medicine. 2016; 5(45): e4201.

Gu J, Groot G, Holtslander L, et al. Understanding women’s choice of mastectomy versus breast conserving therapy in early-stage breast cancer. Clin Med Insights Oncol. 2017; 11: 1-7. doi: 10.1177/1179554917691266.

Peerawong T, Phenwan T, Supanitwatthana S, et al. Breast conserving therapy and quality of life in Thai females: A mixed methods study. Asian Pac J Cancer Prev. 2016; 17(6): 2917-21.

Akkaya N, Atalay NS, Selcuk ST, et al. Impact of body image on quality of life and mood in mastectomized patients and amputees in Turkey. Asian Pacific J Cancer Prev. 2011; 12: 2669-73.

Glaus SW, Carlson GW. Long-term role of external breast prostheses. Breast J. 2009; 15 (4): 385–93.

Jetha Z, Gul R, Lalani S. Women experiences of using external breast prosthesis after mastectomy. Asia-Pacific J Oncol Nurs. 2017; 4(3): 250-58.

Liang Y, Xu B. Factors influencing utilization and satisfaction with external breast prosthesis in patients with mastectomy: A systematic review. Int J of Nurs Sci. 2015; 2(2): 218-24. Costs and financial assistance for breast prosthesis [homepage on the Internet]. New South Wales: Cancer Council NSW; 2015 [cited 2017 Oct 19]. Available from: and-financial-assistance Breast prosthesis cost [homepage on the Internet]. California: CostHelper, Inc; 2017 [cited 2017 Oct 19]. Available from: Estimated age-standardized rates (World) of incidence cases, females, breast cancer, worldwide in 2012 [homepage on the Internet]. Lyon: International Agency for Research on Cancer; 2017 [cited 2017 Nov 2]. Available from:

Ramu D, Ramesh RS, Manjunath S, et al. Pattern of external breast prosthesis use by post mastectomy breast cancer patients in India: Descriptive study from tertiary care centre. Indian J Surg Oncol. 2015; 6(4): 374–77.

Livingston P, Roberts S, White V, et al. Do women have equitable access to quality breast prosthesis services?. Aust N Z J Public Health. 2000; 24(4): 452-53. The 2018 Household Socio-Economic Survey [homepage on the Internet]. Bangkok; 2018 [cited 2019 Jan 20]. Available from: Summary_61.pdf

Healey I. External breast prostheses: Misinfor mation and false beliefs [Internet]. 2017 [cited 2016 May 9]. Available from:

Gallagher P, Buckmaster A, carroll SO, et al. External breast prostheses in post-mastectomy care: Women’s qualitative accounts. Eur J Cancer Care. 2010; 19: 61–71. Breast prostheses [homepage on the Internet]. Ontario: Canadian Cancer Society; 2017 [cited 2017 Oct 19]. Available from: Breast prosthesis [homepage on the Internet]. London; 2017 [cited 2017 Oct 19]. Available from:

Hopwood P, Fletcher I, Lee A, et al. A body image scale for use with cancer patients. Eur J Cancer. 2001; 37: 189-97.

Prechawittayakul P. Hospital-based tumor registry, Songklanagarind hospital annual report 2015 [Internet]. 2017 [cited 2017 Oct 19]. Available from:

Hojan K., Manikowska F. Can the weight of an external breast prosthesis Influence trunk biomechanics during functional movement in postmastectomy women. Biomed Res Int. 2017: 1-9. doi:10.1155/2017/9867694.

Hackethal A, Münstedt K. Shoulder strain caused by mammary prostheses an experimental comparison of different forms of epicutaneous prostheses. Breast Care. 2009; 4: 107–8.