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Breast Forms And Breast Prostheses

What they are and how they work:

What are they?

Breast form and breast prostheses are two names for the same thing – a product designed to mimic the shape of a breast for women who’ve had a mastectomy or lumpectomy.

How do Breast Forms work?

Breast forms are inserted into special pockets in bras to give the appearance of a breast(s). Many women choose to wear them to help clothes fit better, boost confidence in their new body, and to avoid feeling a weight imbalance if they have had a single mastectomy/lumpectomy. Some breasts forms even have a similar feel to a natural breast.

When to use Breast Forms

There is nothing wrong with wanting to feel like yourself. If you’ve been medically cleared to wear breast forms, then you should wear one whenever you choose to.

Some women use breast forms while waiting for reconstruction

Wearing a breast form may help minimize shoulder droop for some people

They can be worn all the time, just on certain days or during certain activities

Others opt not to have reconstructive surgery and use forms as a long-term option

Lots of other people choose to not wear one at all and “live flat”

Keep in mind…

There are many different options, but no universal ‘right’ choice. Defer to what works best for YOU and your needs!

Types of Breast Forms

Should you choose to wear a breast form, there are lots of different options out there. They vary in weight, material, size and shape. Take the time to explore your options and find the best one for you. Some are even made specially for exercising and swimming. 

Custom made breast forms are also available if you aren’t able to find a shape that works for you.   

Breast form varieties include:

Various weights that can be very lightweight or match natural breast weight

Some companies offer forms in different shades to better match skin tones

Partial forms available for lumpectomy

Symmetrical or Asymmetrical to match your natural shape

Special forms for swimming or sports

Different materials including silicone, gel, fiber fill, foam

After Surgery

During the 6-week healing period, you won’t want to add weight or compression to the area. Initial breast forms, which are made of a lightweight, loose fibre, are a good option. Some women like the lightweight fibre of an initial breast form and choose this option as their standard breast form after the recovery period has passed.  

Others prefer the weight of a standard breast form as it can feel more what they are used to.  

Some women refer to the “hug test” – or what makes them feel most comfortable when hugging another person. Knowing what will work for you will depend on your needs and what makes you comfortable.

Partial Forms

Partial forms or protheses are used after a lumpectomy or lymph node removal. They can also be used several years after a reconstruction to match changes in your other breast due to changes in weight and natural changes over time. 

They help balance shape and create symmetry. There are lots of options for every shape and size to match the other breast.

Preparing for a Breast Form Fitting

  • Most fittings are more than an hour – call and book an appointment

  • Schedule 6+ weeks after surgery

  • Ensure you don’t have any swelling to find a proper fit

  • Wait until there’s no drainage at site

  • You should be completely healed: no wounds or bandages

  • Bring a fitted t-shirt to test how your bra looks underneath it

Nervous about going into a retail breast form shop?

Consider asking for recommendations from your cancer care centre, friends or family members, or search online. You can also reference Anita Canada’s list of certified retailers to find one near you.

Call ahead and ask some of these questions:

Do they carry a full range of products?

Will they explain the differences in products to you?

Do they offer private fitting rooms?

How busy will they be at the time of your appointment?

Is the retailer knowledgeable of various surgery types and treatments?

Still have questions?

Get advice and support in our Bras & Prostheses Workshop.

Let’s navigate this together

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Is Areola Restoration (a.k.a. Nipple Tattooing) right for you? 

Nipple tattooing uses ink and shading techniques like traditional tattooing; this gives the illusion of 3D nipples where none exist. After breast cancer surgery, some people choose in areola restoration because it provides them a sense of confidence, empowerment, and comfort. 

Whether you choose to include this in your post-cancer journey is entirely up to you. Here are some of the things to consider if you choose to explore this option. 

Is there a ‘Right Type’ of Breast Tissue?

The first important thing to know is that nipple tattoos can be done on any type of tissue:

Reconstructed breast, with or without implants

Reconstructed nipples

Chest wall after a mastectomy

Speak with Professionals

Check with your surgeon to ensure you are a good candidate for tattooing. Tattooing may not be a good option if you have a history of keloids.

Wait at least one year after all your treatments are completed before getting a tattoo.

This allows enough time for your medical team to decide if you need any follow up procedures that could impact the tattoo.

“Is a mastectomy tattoo the same thing as a nipple tattoo / areola restoration?”

No! Areola restoration are realistic tattoos done to look like an areola and 3D nipple. Decorative Tattoos, also known as mastectomy tattoos, are a form of body art that can be used to cover or camouflage scars. These types of tattoos can be any type of design or image. Many patients find it to be an empowering form of self-expression and an opportunity to redefine one’s experience after breast cancer surgery.

Tattoo Artists

Decorative Tattoos may be done alone or in addition to areola restoration tattooing. Some technicians do both decorative and restoration tattoos, other specialize in one or the other.

How do I find a Nipple Tattoo technician?

Choosing the right technician for a nipple tattoo is important.

You are investing both time and money into the procedure so you should be comfortable with the person doing the work

  • The tattoos are permanent, so you want to be confident in your choice.
  • If you are feeling overwhelmed, ask a trusted friend to help you make calls and pre-screen with you.
  • You might also want to speak to your doctor, medical team, or other women for references too.
  • Before deciding on a technician, ask to see photos of the technician’s work. You can also request to call, email, or meet with a former client and ask about their experience.
A close-up of hands using a small tool to prepare skin-tone colored tattoo inks from a palette of circular wells in various shades.

Consider these things when choosing a technician:

Safety

Choose a place registered with your local public health unit

Tattooing is not regulated under Federal or Provincial governments. Establishments, however, can register with public health and will be inspected and regulated

Public health regulations will include standards on things like hand washing, sterilization, single-use needles, and bagging of machines to prevent the risk of infection

Artistry & Technique

Ensure that the colour, design and shading is skillfully planned and executed. This will help create a realistic areola tattoo. These factors should be customized for you to match an existing nipple, replicate what you are used to or align with your personal preferences. Colour, shape, size is unique to each woman.

Like with art, colour theory is a vital component of tattooing. It’s extremely important that the technician you select is experienced and knowledgeable on the role of skin tones and undertones as well as how they will impact the way colour pigments show up on you.

Before finalizing an areola design on your body, ensure the technician can draw it on paper first. This will show whether they have the artistic skills to deliver on the design you have selected.

Proper technique will ensure the colour pigment stays vibrant as the skin heals and tattoo develops. Stretching of the skin as the needle is tattooing will also help achieve this and ensure the ink does not fade.

Other things to look for include: no patchiness, clean line work, and smooth shading.

Colour and Camouflaging Scars

Tattooing can cover a scar that is light by making it darker, but it is very difficult to make a dark scar lighter

Laser therapy may help in lightning scars and should be considered if lighting is needed before embarking on tattooing

Empathy

Your needs are important during this experience. Ensure you feel comfortable with your technician

A technician should be patient throughout the process from deciding on a design to respecting your needs for breaks while getting the tattoo

Asking questions and speaking up if you are uncomfortable provides a better experience for you, and also ensures the technician is attuned to your needs

Cost

The cost of areola restoration can vary from $500-$1500 depending on whether it is unilateral or bilateral

Some provinces offer coverage through public health insurance

Though costs may increase with the use of proper PPE and medical grade pigment, you should insist on these

Is areola tattooing right for you?

Get your questions answered in our Areola Tattooing Workshop.

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Breast Forms: Fittings and Retailers

Find a Retailer in your Community

There are many retailers across Canada which carry breast care products. Medical specialist shops are one option and they often carry a large variety of products. Larger departments stores and lingerie stores can carry some mastectomy bras and breast forms too. 

Consider asking for recommendations from your cancer care centre, friends or family members, or search online. You can also reference Anita Canada’s list of certified retailers to find one near you. Remember to call ahead to book an appointment and ask questions.  

Preparing for a Breast Form Fitting:

Most fittings are more than an hour – call and book an appointment

Schedule 6+ weeks after surgery

Ensure you don’t have any swelling to find a proper fit

Wait until there’s no drainage at site

You should be completely healed: no wounds or bandages

Bring a fitted t-shirt to test how your bra looks underneath it

Nervous about going into a retail breast form shop?

Call ahead and ask some of these questions:

Do they carry a full range of products?

Can you try all of the products on?

Will they explain the differences in products to you?

Do they offer a private fitting room with a full-length mirror?

How busy will they be at the time of your appointment?

Is the retailer knowledgeable of various surgery types and treatments?

Bra Fitting Tips

Did you know that many women are not wearing the right size bra? Poorly fitting bras can ride up in the back, bulge under arms, straps can dig into shoulders, and lead people to feel self-conscious in their clothes.

If the back of your bra is riding up go down a band size.

The bra band in the most important measurement because it provides 80% of the support. It should be parallel to the ground all the way around.

If your breast is spilling out over the top of the cup, go up a cup size.

If the bra is digging into your breast, go up a cup size.

If there is extra cup fabric, go down a cup size.

Bra Straps

Don’t try to make up for a poorly fit band or the wrong cup size by adjusting the straps – you’ll end up with less support and may hurt your shoulders. The straps should sit comfortably and not create any red marks.

You’re not in this alone.

Get fitting support at our Bras & Prostheses Workshop.

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Caring for Scaring

Healing from cancer surgeries involves both physical and emotional challenges. Managing scar tissue is an important part of your recovery journey.

BEFORE SURGERY:

  • If you are prone to keloids, ask your surgeon how this can be best managed with medication, topical treatments or strategic scar placement.
  • It is okay to be concerned about scarring and to advocate for yourself!

AFTER SURGERY:

  • Follow care instructions from your surgeon to keeping the surgical site clean.
  • Once approved by your surgeon (approximately one month after surgery), you can start massaging the scar using either a beauty oil or scar reducing oil.
  • Silicone scar sheets can help improve healing.
  • Don’t wear clothing that compresses the scar for at least 4-6 weeks after surgery. If that makes wearing a regular bra difficult, try a tube top, tank top, or leisure bra to provide support if needed.
  • Wait at least one year after all treatments are done before getting any nipple or decorative tattoos.

Click Here to learn about Areola Tattooing >

Physical Discomfort

It can be discouraging to still feel pain, swelling, tightness, sensitivity or a restricted range of motion after completing cancer treatment. For some people, discomfort may last far past their expected recovery time from surgery or radiation.

Communicate with your care team

If you have done the exercises your doctor recommended and still don’t feel comfortable, make sure you tell your care team.

Prolonged Discomfort

Prolonged discomfort may be a build-up of scar tissue inside the body, typically around the breast, chest or shoulder area.

Scaring can cause the surrounding tissue to become denser and less elastic and result in restricted movement and/or pain. Some patients describe it as feeling “sticky” or “like Velcro” when they try moving the affected area.

Easing Discomfort

You may want to consider adding a physiotherapist or massage therapist who specializes in caring for breast cancer patients to your care team.

Talk to your primary care team about your concerns and mention this possibility. If you find your medical team resistance to these suggestions, don’t be afraid to advocate for yourself. 

Physiotherapy or massage therapy is done on the chest, breast and/or shoulders to loosen and soften tissue.

Your provider may suggest techniques such as:

Myofascial release

Deep friction massage

Cupping therapy

When these techniques are applied and followed by stretches…

they can help break up rigid tissue and relax tension that can cause pain and restrict movement.

Remember to…

Talk to your surgeon or oncologist to ensure that enough recovery time has passed before booking an appointment with a physio or massage therapist.

What healthcare professionals provide care for scar tissue?

Typically, it will be a physiotherapist or massage therapist who will have specialized expertise and experience working with breast cancer patients.

Refer to the Society for Oncology Massage and Canadian Physiotherapy Association to learn more and access a directory.

Your provincial Lymphedema Association can also be a great resource for therapists familiar with breast-cancer related side effects.

Some healthcare professionals use the term Cancer Rehabilitation to refer to their services that help manage the common side effects of cancer and cancer treatment. This can be a great search term when looking for professionals in your area.

Lymphedema

Treatment of lymphedema requires a qualified and certified practitioner. Look for Certified Lymphedema Therapists (CLT) or LANA Certified Therapist (CLT-LANA) with experience treating fibrosis. These therapits utilize techniques like manual lymphatic drainage (MLD), specialized short-stretch compression bandaging, and exercises.

Questions to ask Professionals:

Are you a licensed Healthcare provider registered with the provincial college?

Are you experienced in treating breast cancer patients?

Do you provide techniques I can do at home?

Are these services covered by provincial healthcare?

Are they covered by private medical insurance?

You’re not in this alone.

Find a supportive community and get expert advice in our workshops.

Let’s navigate this together

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Under $100

The average cost of a post-mastectomy bra is under $100.00.

$200 to $500

Prostheses costs can range between $200.00 – $500.00.

Health Care Plan

Depending on where you live, your provincial healthcare plan may reimburse some costs of breast prostheses.

Private Health Insurance

Depending on the plan, they often will cover prostheses as well as post-operative bras once per year.

Just ask

Talk to your team at your cancer centre for more free resources.

We’re here for you.

Find resources and community in our Bras & Prostheses Workshop.

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What to Wear During Radiation and/or After Breast Surgery

It’s possible you’re feeling a mix of different emotions during treatment or after a mastectomy or lumpectomy. As your body continues to change, your relationship with your body may as well.

Right After Breast Cancer Surgery & During Radiation Treatment

For the first four to six weeks, it is best to opt for: compression-free & wire-free bras and camisoles.

Compression and wire-free bras are often made from soft fabrics and known as ‘leisure bras.’ When shopping for a leisure bra online or in-person, look for something that closes in the front rather than the back. 

After a mastectomy your body is still in recovery, and it can be difficult to pull anything over your head or reach behind to clasp the bra. If it is possible to try the garment on, ensure that the bra fits comfortably on the loosest hook. This is so it can be worn looser to begin with and gradually tightened as the swelling goes down.

General Recommendation

Wait six to eight weeks before you start shopping for new bras or breast forms, as swelling can affect the fit and comfort. Always check with your medical team for advice specific to your circumstances.

Men's Breast Surgery

Talk with your team.

Men who have had breast cancer surgery will be advised by their treatment team on how they can make the area treated by surgery more comfortable.

Drainage Tubes After Surgery

Some people also require drainage tubes following surgery.

There are special camisoles with pouches or pockets or special bras you can attach pouches to keep the tubes in place. You can also sew pockets inside a shirt.

A stretchy and comfortable tube top can also be comfortable, just make sure you can get it on by pulling it up over your hips rather than over your head.

When to Introduce Breast Forms

A light, fiberfill breast form (also called an initial breast form) can be worn in a bra or camisole if you so choose.

Some initial breast forms allow you to adjust the amount of fill inside to match the size of your other breast if you had a single mastectomy.

It’s your choice…

While garments with a pocket specifically to hold breast forms will be the most secure, the choice of what you wear is up to you.

"I am having a Lumpectomy."

Follow the information above, however it is good to keep in mind that your medical team may advise you to wear a bra for 24-hours a day for the first week or two after surgery.  Like with a mastectomy, look for a bra with:

Soft fabric

No compression

Underwire free

Easy to put on

"Radiation is part of my Care Plan."

Skin and tissue can be sensitive and tender during radiation, so when searching for bras or other garments, look for:

Soft fabric

Underwire free

No compression

Ideally fastens in the front

Avoid

Anything with seams that may rub against your radiation site.

Other things to consider:

Fitted, but not tight, tank tops made from bamboo cotton offer support and are a great option for many women

While others prefer loose-fitting button up shirts and go without a bra or camisole.

What works best for you might come with some trial and error but having a few different options will be helpful.

You may need to wash the garments often because of regular use of creams and ointments on the treatment site.

"I've had Reconstruction."

Compression bras will be your friend after reconstruction! A compression bra helps to maintain shape and holds the breast(s) in place, preventing pressure points and tissue irritation from forming.

Look for a compression bra made from:

Strong fabric

No seams on the skin

A longer line for comfort

A front closure so you don’t have to stretch to reach a back closure or pull Anything over your head

Lymphedema

People who are treated for cancer are at risk for lymphedema if they have lymph nodes or vessels removed or damaged during treatment. Speak with your doctor about treatment options and visit canadalymph.ca for more information.

Post-Recovery “Everyday Bras”

Recovery time can vary greatly. People can be ready to move into an everyday bra anywhere from two months to one year after treatment is complete. 

Mastectomy bras are available in many styles including lingerie, sport and everyday bras. These are specific for post-mastectomy or post- lumpectomy because they come with pockets to hold breast forms.  Many have a higher neckline for support and to help cover scars.

If you sew, or know someone who can, you can have pockets sewn into any bra as well – but you may need to experiment a bit to get the right design to hold the breast form. 

Remember that your size and shape may have changed post-treatment and post-surgery.  A specialized bra retailer can help you find the right size – or check out our bra-fitting tips on our Breast Form Fitting and Bra Tips page.

Click here for Bra Tips!

Hands placing a beige breast prosthesis into a mauve lace bra, with extra inserts and a Look Good Feel Better poster nearby.

Still have questions?

Get practical advice and connect with people who understand in our Bras & Prostheses Workshop.

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What Breast Form is Right for You?

Here’s what to consider based on your unique journey:

Had a mastectomy? Soft, wire-free bras or camisoles with front closures can be gentler on healing skin. Some come with built-in pockets for drainage tubes or breast forms.

Had a lumpectomy? Your medical team may recommend wearing a bra 24/7 for the first week or two. Look for soft, seamless, and wire-free options that offer gentle support without compression.

Going through radiation? Skin sensitivity is common, so breathable, seamless fabrics are key. Bamboo cotton tanks or front-closing wire-free bras help minimize irritation.

Had reconstruction? Compression bras provide support, reduce swelling, and help maintain breast shape during recovery. Look for strong, seamless fabrics with a longer band for added comfort.

Considering a breast form? Some women use breast forms while waiting for reconstruction, as a long-term option, or just for certain occasions.

Considering “Living Flat?” Many people choose not to wear forms or have reconstructive surgery. They feel comfortable with their body after surgery and decide to live as they are. Talk it through with your healthcare team, friends, family, or other participants in our workshop.

Remember to Breathe:

There’s no single right choice—only the one that feels right for you.

Want to talk with the pros?

Get personalized guidance and support in our Bras & Prostheses Workshop.

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How to Choose?

Choosing a wig takes some time and effort, but it will be worth it to find the wig that feels right.

A wig feels different than your natural hair and will take some getting used to. Commit to giving yourself time to adjust to this change. Over time, it can become as familiar as any other accessory in your wardrobe.

The first question that many women consider is what fibre or material to choose. Both can be cut and styled by a hairdresser with wig experience. 

When Making the Decision:

Most people choose a wig that matches their colour, texture, and style as closely as possible

Both synthetic and human hair wigs can look natural—fit and placement are key

Consider maintenance and comfort—synthetic wigs are easier to care for, while human hair wigs offer more styling options

Synthetic Wigs

A brief overview of the pros and cons:

Pros

– Resembles natural hair, light, and breathable.

– Low maintenance and easier to care for.

– Wash and wear.

– Colours stay true over time.

– Less expensive than human-hair wigs.

– Available in many styles.

Cons

– Synthetic wigs are heat sensitive. Heat will frizz and melt the fibres so be careful when styling with curling irons or straightening wands.

– Heat can also impact synthetic wigs when opening the oven, leaning over a steamy dishwasher, or using a BBQ or fireplace, etc.

– Synthetic hair fibres are not as durable against friction – which might be more of an issue if you would like a longer hair wig.

Human-Hair Wigs

A brief overview of the pros and cons:

Pros:

– Looks and feels like natural hair.

– More versatile for styling and colouring.

– Durable and long-lasting.

– Fibres are durable against friction – a consideration for longer styles.

Cons:

– More expensive than synthetic wigs.

– Colour can fade over time.

– More care and styling are needed to maintain them.

Need more guidance?

Learn how to choose the right wig in our Wigs & Scarves Workshop.

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Buying Tips

Make an appointment – it can take 45 minutes to an hour to discuss options, choose the right wig, and get fitted

Ask if the salon provides clients with nylon caps to wear when trying on wigs, which is important for hygienic reasons

Take a friend or family member for support and second opinions

Bring a photo of yourself with your favourite hairstyle and colour for reference

Keep hair short to ensure the best wig fit. Experts suggest that your own hair should only be ¼ inch or shorter

Try a variety of styles and colours – having choices is really empowering

Take your time making decisions

Don’t feel pressured to buy a wig immediately.

It may take multiple visits to find a wig that you will feel comfortable wearing during the duration of your hair loss.

Get advice from wig experts.

Join our Wigs & Scarves Workshop.

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Wig Care: What do you need?

A wire stand that allows air to circulate through the wig

If your wig is synthetic, special cleansers and leave-in conditioners (available at all wig salons), and a wide-tooth comb

If your wig is human hair, salon-quality shampoo and conditioner for chemically treated hair

About an hour for your first wig-cleaning experience

It will eventually take less time as you practice and gain experience caring for your wig

Cleaning Your Wig

Synthetic-Hair Wig:

  1. With a wide-tooth comb, gently but thoroughly brush or comb your wig before washing.
  2. Fill sink with cold water and thoroughly mix in 1 to 2 tbsp. (15–30 ml) of appropriate shampoo.
  3. Turn wig inside out, swish through water, and submerge a few times.
  4. Drain sink and refill with fresh cold water, then immerse wig a few times to rinse.
  5. Gently shake water from wig over the sink – do not squeeze or twist.
  6. Place on wire stand to dry – about eight to 12 hours.
  7. Never comb or brush a wig when it’s wet; wait until it’s completely dry.
Illustration of hands submerging a wig in water inside a sink for cleaning.

Human-Hair Wig:

  1. Run wig under warm water.
  2. Place a small amount of shampoo on fingers and gently work into the hair, stroking downward from the weft (base) to the ends.
  3. Rinse thoroughly under warm running water until water runs clear.
  4. Place a small amount of conditioner in your hand; gently work into hair and let sit for three to five minutes.
  5. Rinse thoroughly in warm water.
  6. Gently comb wet hair with a wide-tooth comb from weft to ends.
  7. Place on wire stand to dry.
Illustration of a person rinsing another person’s wig under running water at a sink.

Talk with the pros.

Get wig tips and support in our Wigs & Scarves Workshop.

Let’s navigate this together

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