Wearing a breast prosthesis can help restore balance, comfort, and symmetry after surgery. You wear a breast prosthesis by placing it inside a well-fitting mastectomy bra or attaching it directly to your chest, ensuring it stays secure and feels natural during daily activities. The right fit and style depend on your body, your lifestyle, and the stage of your recovery.
You may choose from lightweight fabric forms for early healing or silicone options for a more natural weight and movement. Understanding the different types, how they fit, and the best ways to wear them will make the process easier and more comfortable.
With the right preparation and care, you can wear your prosthesis confidently in everyday life, during exercise, or even while swimming. This guide will walk you through choosing, fitting, wearing, and caring for your breast prosthesis so you can move forward with comfort and assurance.
What Are Breast Prostheses?
A breast prosthesis is an artificial breast form designed to replace the shape and weight of a natural breast after surgery. It can help restore body balance, improve clothing fit, and provide comfort during daily activities.
Types of Breast Prostheses
You can choose from several prosthesis types depending on your needs and lifestyle. Full prostheses replace the entire breast shape, often after a mastectomy. Partial prostheses, also called shapers, fill in missing tissue after a lumpectomy or reconstruction.
Some prostheses are pocketed, worn inside post-surgery bras designed with a secure compartment. Others are contact prostheses that adhere directly to your skin using medical-grade adhesive. Swim prostheses are made for water activities and resist chlorine or saltwater damage.
Lightweight foam or fiberfill options may be more comfortable for temporary wear, especially after surgery. Silicone types often feel more realistic in weight and texture. You may need different prostheses for everyday wear, exercise, or special occasions.
Materials and Construction
Most breast prostheses use medical-grade silicone for a natural look and feel. Silicone models often have a soft outer layer and a weighted core to mimic the movement of natural breast tissue.
Lightweight versions may use foam, fiberfill, or microbeads. These materials reduce strain on your shoulders and back, especially in warmer weather or for extended wear.
Some designs feature temperature-regulating technology to help manage body heat. Others include a textured backing for better airflow against the skin. Pocketed prostheses fit securely in bras with sewn-in compartments, while contact styles have adhesive surfaces for direct skin attachment.
Durability varies by material. Silicone prostheses can last several years with proper care, while foam options may need replacement sooner.
Benefits of Wearing a Prosthesis
A breast prosthesis can help restore body symmetry, reducing strain on your neck, shoulders, and spine. The balanced weight helps prevent posture changes that can occur after breast surgery.
It also improves how clothing fits, allowing tops and dresses to drape evenly. Many wearers find it increases comfort in social and professional settings.
Specialized prostheses, such as swim forms, allow you to participate in activities without compromising comfort or appearance. By choosing the right type and fit, you can maintain mobility, balance, and confidence in your daily life.
How to Select the Right Breast Prosthesis
Your choice of breast prosthesis depends on your surgery type, healing stage, body proportions, and daily activities. Comfort, secure fit, and appearance should guide your decision to ensure the prosthesis supports both physical balance and personal confidence.
Assessing Your Needs
Start by considering your stage of recovery. In the first weeks after surgery, a soft, lightweight foam prosthesis is often recommended to avoid strain while allowing your incision to heal.
Think about your lifestyle. If you are active or spend time outdoors, you may prefer a prosthesis with temperature-regulating materials or one designed for sports and swimming.
Your clothing choices also matter. Certain prostheses fit better with pocketed bras, while others are suitable for non-pocketed styles. Matching your prosthesis to your wardrobe can improve comfort and appearance.
Make note of any skin sensitivities. Some materials may irritate your skin, so hypoallergenic covers or breathable fabrics can help.
Professional Fitting Process
A professional fitting helps you find a prosthesis that aligns with your body shape and comfort needs. Fitters often work in specialty lingerie stores, hospital clinics, or through prosthesis manufacturers.
During the fitting, the specialist will:
- Measure your chest and remaining breast (if applicable)
- Assess your posture and shoulder alignment
- Recommend prosthesis types based on your surgery and preferences
You should wear a well-fitting bra during the fitting, ideally the one you plan to use with your prosthesis. The fitter may provide different styles to test how each feels and looks under clothing.
Ask about trial periods or return policies. This ensures you can exchange the prosthesis if it causes discomfort after extended wear.
Choosing the Correct Size and Shape
Size and shape selection affects both comfort and appearance. A prosthesis that is too heavy can strain your shoulder, while one that is too light may shift during movement.
Common shapes include:
| Shape Type | Best For | Notes |
|---|---|---|
| Full | Single mastectomy | Matches full breast contour |
| Partial/Shaper | Lumpectomy or uneven breast size | Fills out missing volume |
| Asymmetrical | Surgery affecting chest wall or underarm area | Extends into underarm for balance |
Match the prosthesis to your natural breast’s profile, whether rounded, teardrop, or shallow. This helps maintain symmetry under clothing and supports proper weight distribution.
If in doubt, bring several tops to the fitting to see how the prosthesis looks in different fabrics and cuts.
Read more: Post mastectomy clothing
Preparing to Wear a Breast Prosthesis
Proper preparation helps you achieve a secure fit, avoid skin irritation, and maintain balance in your posture. The right care, clothing, and adjustments can make your prosthesis feel more natural and comfortable throughout the day.
Skin Care and Preparation
Keep your skin clean and dry before wearing a prosthesis. Wash the chest area with mild, fragrance-free soap and rinse thoroughly to remove residue. Pat the skin dry with a soft towel instead of rubbing.
If you have surgical scars, check them daily for redness, swelling, or irritation. Avoid applying lotions or oils directly under the prosthesis, as these can affect adhesion or trap moisture.
For adhesive prostheses, ensure the skin is free of powders or creams. If you experience sweating, use a breathable bra lining or a prosthesis cover to reduce moisture buildup.
Inspect your skin regularly, especially in warmer weather. Early attention to irritation helps prevent discomfort and prolongs wear time.
Selecting Suitable Bras and Clothing
Choose a bra designed for breast prostheses, often called a mastectomy bra. These bras have sewn-in pockets to hold the prosthesis securely in place. Look for wide straps for better weight distribution and firm band support to prevent shifting.
When selecting size, ensure the band fits snugly but does not restrict breathing. The cup should fully contain the prosthesis without gaps or bulging.
Some women prefer front-closure bras for easier dressing. For sports or active use, consider a lightweight prosthesis and a high-support sports bra.
In clothing, patterns and slightly thicker fabrics can help create a smooth silhouette. Avoid very low necklines if you want to keep the prosthesis edge concealed.
Adjusting for Comfort
Start by wearing your prosthesis for short periods and gradually increase the time. This allows your body to adapt to the weight and feel.
If your prosthesis feels heavy, you can try a lightweight or ultra-lightweight version for activities like exercise or extended wear.
Check that the prosthesis sits level with your natural breast or chest contour. Uneven placement can strain your shoulders or back.
If you notice rubbing or pressure points, adjust the bra straps or band. In some cases, a different bra style or size may improve comfort and alignment.
How to Wear a Breast Prosthesis Safely
Wearing a breast prosthesis correctly helps maintain comfort, balance, and skin health. The right fit, secure placement, and proper daily care reduce irritation and ensure the prosthesis stays in place during normal activities.
Step-by-Step Application
Start with clean, dry skin to reduce the risk of irritation. If you use a skin adhesive, make sure the area is free from lotions or oils.
Select a bra or garment designed to hold a prosthesis. Pocketed bras or tops keep the breast form stable and prevent shifting. Place the prosthesis into the pocket or position it directly on the skin if using an adhesive type.
Align the top of the prosthesis with your natural chest contour. For oval or triangle shapes, ensure the narrow or pointed end is positioned upward as intended by the manufacturer. Adjust gently until both sides of your chest look balanced in shape and height.
Check comfort by moving your shoulders and bending slightly forward. If the prosthesis shifts or feels tight, reposition it before wearing it for extended periods.
Securing the Prosthesis
How you secure the prosthesis depends on its type. Non-adhesive forms fit best in a supportive, well-fitted pocketed bra. The bra band should sit level around your body, and straps should be adjusted to prevent slipping without digging into your shoulders.
Adhesive prostheses attach directly to the skin. Apply even pressure across the surface to ensure full contact. Avoid stretching the skin during application, as this can cause discomfort over time.
In warm weather, consider lightweight or breathable prostheses. Some designs use temperature-regulating materials to reduce heat buildup. If you sweat heavily, a prosthesis cover or fabric pocket can help absorb moisture and prevent skin irritation.
Test security by raising your arms and turning your torso. If the prosthesis shifts, adjust your bra fit or adhesive placement before leaving home.
Daily Wear and Removal
Limit wear time at first to allow your skin to adjust. Gradually increase to full-day use as long as you remain comfortable.
At the end of the day, remove the prosthesis gently. For adhesive types, follow the manufacturer’s instructions to avoid pulling on the skin. Clean the prosthesis with mild soap and water, then pat it dry before storing.
Inspect your skin daily for redness, chafing, or pressure marks. If irritation occurs, take a break from wearing the prosthesis and check your fit. Keeping both your skin and the prosthesis clean will help maintain comfort and extend its lifespan.
Read more: How long should you wear a mastectomy bra
Caring for Your Breast Prosthesis
Proper care keeps your breast prosthesis clean, comfortable, and in good condition for longer use. Daily cleaning, correct storage, and timely replacement help maintain its shape, appearance, and hygiene.
Cleaning and Maintenance
Wash your prosthesis daily using lukewarm water and a mild, fragrance-free soap. Avoid harsh detergents, alcohol-based cleaners, or abrasive sponges, as these can damage the surface.
Gently rinse off all soap to prevent residue buildup. Pat it dry with a soft towel. Do not wring, twist, or squeeze the prosthesis, as this can cause shape distortion.
If you wear it inside a pocketed bra, clean both the bra and prosthesis regularly to reduce sweat and bacteria buildup. For travel, carry a small cleaning kit with soap and a towel.
| Do | Avoid |
|---|---|
| Use warm soapy water | Hot water |
| Pat dry with soft towel | Hairdryers or heaters |
| Wash daily | Skipping cleaning days |
Storage Recommendations
Store your prosthesis in its original box or a dedicated storage case when not in use. This helps it keep its shape and prevents accidental damage.
Keep it in a cool, dry place, away from direct sunlight or heat sources, as high temperatures can weaken the silicone. Avoid leaving it in a car during hot weather.
If you need to air-dry it after washing, place it upright on a clean, soft cloth. For long-term storage, ensure it is completely dry before putting it away to prevent moisture damage.
You may also use a small mound of folded washcloth to support the shape when storing outside its case.
When to Replace Your Prosthesis
Most silicone breast prostheses last about two years with proper care, but replacement needs vary based on wear frequency and maintenance.
Replace it sooner if you notice changes in shape, tears, leaks, or surface damage. A worn prosthesis may not fit comfortably or look natural under clothing.
If your body changes due to weight fluctuation, surgery, or swelling, you may also need a new size or style. Keep an extra prosthesis on hand if possible, so you have a backup during cleaning or in case of damage.
Lifestyle Tips for Prosthesis Wearers
Daily routines can affect how your breast prosthesis feels and functions. Comfort, stability, and skin health depend on how you move, the environments you spend time in, and the way you care for the prosthesis throughout the day.
Physical Activities and Exercise
You can continue many forms of exercise with a breast prosthesis if you choose the right support. A well-fitted sports bra or mastectomy bra with secure pockets helps keep the prosthesis in place during movement.
For swimming, use a swim prosthesis made from quick-drying, water-resistant materials. These are lighter than standard silicone forms and designed to stay secure in swimwear.
Avoid high-impact activities without proper support, as movement can cause shifting or discomfort. Test your bra and prosthesis combination before starting a new activity.
If you sweat heavily during workouts, consider a lightweight foam prosthesis. It allows better airflow and dries faster than silicone. This can reduce skin irritation and make post-exercise cleaning easier.
Travel Considerations
When traveling, pack your prosthesis in a protective case to prevent damage. For flights, you can wear the prosthesis through security; most are not affected by scanners, but you may choose to inform staff if you prefer.
If checking luggage, keep a spare prosthesis in your carry-on in case of delays or loss. Foam forms are useful for travel because they are lighter and more compact.
Bring at least one extra mastectomy bra to allow for washing and drying during your trip. In hot or humid climates, lighter-weight prostheses may be more comfortable.
If you plan to swim or engage in outdoor activities, pack a swim prosthesis and suitable swimwear. This ensures you can participate without damaging your everyday prosthesis.
Managing Temperature and Moisture
Heat and moisture can cause skin irritation under a prosthesis. Wearing it inside a bra pocket instead of directly on the skin allows more ventilation and helps evaporate perspiration.
Choose bras with breathable fabrics such as cotton or moisture-wicking blends. These materials help reduce sweat buildup and keep the skin cooler.
Some prostheses have temperature-regulating features or a textured back to improve airflow. If you live in a warm climate or sweat easily, these designs can help maintain comfort.
Regularly check your skin for redness or irritation, especially in hot weather. If you notice discomfort, switch to a lighter prosthesis or take short breaks from wearing it when possible.
Emotional Well-Being and Support
Adjusting to a breast prosthesis involves more than finding the right fit. You may also need to address changes in self-image and find reliable sources of emotional support to help you adapt over time.
Adjusting to Body Image
After surgery, you might notice changes in how you see your body. These changes can affect how you feel about clothing, intimacy, and daily activities.
Wearing a prosthesis can help restore body symmetry, which may improve posture and balance. It can also make clothing fit more comfortably, reducing physical reminders of surgery.
Some people find it helpful to try different clothing styles to see what feels most natural. You may prefer certain necklines, fabrics, or bra designs that work best with your prosthesis.
If you feel uncertain about your appearance, consider taking gradual steps to reintroduce activities you enjoyed before surgery. This can help you rebuild confidence in both private and social settings.
Keeping a realistic perspective is important. Your body has changed, but it still allows you to participate in the activities and connections that matter to you.
Seeking Support Networks
Talking with others who have gone through similar experiences can reduce feelings of isolation. Support can come from in-person groups, online communities, or one-on-one peer programs.
Healthcare providers, such as oncology nurses or prosthesis fitters, can connect you with local or national resources. They may also recommend counseling if you want professional guidance.
When choosing a support group, look for one that matches your needs—whether that’s emotional sharing, practical tips, or both.
You can also involve friends and family by explaining what kind of help is most useful. Clear communication can prevent misunderstandings and make support more effective.
Maintaining regular contact with supportive people can help you adapt more smoothly and feel less alone in your recovery.
Frequently Asked Questions
You can choose from different prosthesis types designed for daily comfort, active use, or special occasions. The right fit, care routine, and cost considerations will affect how well it works for you and how long it lasts.
What types of breast prosthesis are best for everyday wear?
Silicone breast prostheses are popular for daily wear because they closely match the weight, movement, and feel of natural breast tissue.
Lightweight silicone or foam prostheses can be more comfortable if you prefer less weight or have sensitive skin.
How do I choose the right size and shape of a breast prosthesis?
You should match the prosthesis to your remaining breast in both size and shape for symmetry.
A professional fitter can measure you and recommend a form that works with your body shape and clothing style.
Can breast prostheses be worn while swimming, and if so, what kind is recommended?
Yes, you can wear a prosthesis while swimming if it is made for water use.
Swim prostheses are usually made from lightweight, water-resistant silicone that dries quickly and maintains its shape in water.
What is the average cost of a quality breast prosthesis and does insurance cover it?
A quality silicone prosthesis often costs between $150 and $400.
Many health insurance plans, including Medicare in the U.S., cover part or all of the cost with a prescription from your doctor.
How should a breast prosthesis be cared for to ensure its longevity?
Wash it daily with mild soap and lukewarm water, then pat it dry with a soft towel.
Store it in its case when not in use to protect it from damage or deformation.
Are there any organizations that provide breast prostheses for free or at a reduced cost?
Yes, several non-profit organizations and cancer support groups provide free or low-cost prostheses to women after mastectomy.
Some hospitals and local cancer centers also offer donation programs or fitting clinics at reduced prices.