Introduction: Breast cancer is the most common type of cancer in women, and despite
advances in diagnostics and treatment, it remains a global health issue. Surgical treatment
often includes mastectomy, which has significant physical and psychosocial consequences.
For women who choose not to undergo reconstruction, external breast prostheses provide a
rehabilitation option that restores breast shape and positively influences body image, self-
confidence, and quality of life. Purpose: The purpose of the thesis is to present prosthetic
care options after unilateral mastectomy, with emphasis on external breast prostheses, and
to examine their impact on the psychosocial, functional and physical adjustment of
patients. It highlights the importance of proper prosthesis selection in improving the
quality of life, body image, and general well-being while addressing individual needs of
patients, the role of healthcare professionals and the value of a multidisciplinary approach
in rehabilitation following mastectomy. Methods: The thesis is based on a review of
domestic and international professional and scientific literature on breast cancer,
mastectomy, and external breast prostheses, complemented by a case study of a patient
after unilateral mastectomy without reconstruction. The study presents her experience with
an external breast prosthesis. Results: The results show that external breast prostheses can
significantly help maintain posture, body image, and psychological well-being. The case
study confirmed that correct prosthesis selection, professional counseling, and support
have a positive effect on satisfaction with a non-invasive prosthetic solution. Although the
patient experienced minor discomfort during warmer months, she reported high acceptance
and daily functionality. Discussion and conclusion: The use of external breast prostheses
after mastectomy are an effective, safe, and psychologically acceptable alternative to
reconstruction. The case study shows that proper prosthesis selection, together with
professional and emotional support, greatly contributes to recovery. Individual decision-
making based on personal values, experiences, and trust in the healthcare team plays an
important role. Challenges such as discomfort and sweating suggest opportunities for
material improvements and tailored solutions. The importance of a multidisciplinary
approach including psychological support and counseling was also emphasized. External
breast prostheses are thus not merely aesthetic aids but an important part of holistic
rehabilitation, enabling women after mastectomy to achieve better physical well-being,
self-image, and quality of life.
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