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My custom breast form is as individual as I am.

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survivor-model Ursula (Uschi) wears an Amoena Custom breast form

Feel good, enjoy life, and do what you like to do! We have developed an innovative breast prosthesis -- the Amoena Custom breast form -- so that women can be carefree again after being treated for breast cancer. It's a breast form that fits only you, restores your natural silhouette, and can bring your body back into balance, along with your well-being. Whether you had a mastectomy, breast-conserving surgery or as an alternative to reconstruction -- if you need a custom breast prosthesis, we have this option and can give you security, self-confidence and comfort again. A made-to-measure breast form can be prescribed by your doctor if medically necessary.

Every custom breast prosthesis is made to your measurements -- and one of a kind

With over 45 years of experience in making breast forms, we know exactly what is important.

  • Individual fit: the contour, back and cup form are precisely created to your individual body
  • Color: Choose between a light (Ivory) or darker (Tawny) skin tone
  • Nipples: Choose the ideal nipple from our collection of adhesive nipples in various colors and sizes
  •  Innovations: Choose the special features that suit your needs, like temperature control or volume adjustment



Only 3 steps to your Amoena Custom breast form

The custom form is unique to your body -- an individual, made-to-your-specifications product, designed using a combination of 3D technology and handwork. Each one is made from extra soft and supple silicone that is very comfortable to wear. We want your custom form to feel completely natural.

1. The consultation

Your specially-trained Amoena Custom fitter will take the time to advise you in a detailed initial consultation. In this appointment, you'll first find a well-fitting bra that meets your needs. This is important so that the breast form can be measured for properly.

2. The 3D scan appointment

At this appointment, two upper body scans are taken using an innovative 3D scanner -- quickly and easily. The required information is transmitted to Amoena in compliance with data protection regulations, and the manual production of your custom breast prosthesis can begin.

3. Try on, ask questions, feel great

As soon as your Custom breast form has arrived at your medical supply store, the final appointment can take place. The fitting takes place in the bra in which the scan was carried out.

Your fitter will make sure you feel good in the new form, give you some care tips, and answer all your questions. Your Amoena Custom breast form is as individual as you are. You're ready to get back to living on your terms.


Find a Custom retailer near you!

Scroll down to see all Amoena Custom retailers; alphabetical by state.

The Pink Alternative
3000 Hartford Hwy.
Dothan, AL 36305
(334) 446-3337

Sheer Pleasure
171 E. College St.
Covina, CA 91723
(626) 967-6256

San Diego Homecare
7846 Broadway 
Lemon Grove, CA 91945
(619) 667-3700

Willie's Specialty Shop
392 S Tustin St.
Orange, CA 92866
(714) 771-4310

Late Bloomers
50 Ben Franklin Ct.
San Mateo, CA 94401
(650) 343-7000

Intimate Image
22941 Ventura Blvd Suite M
Woodland Hills, CA 91364

Adaptive Prosthetics & Orthotics llc
Glastonbury, CT,  Norwich, CT, Hartford, CT, Waterford, CT, and Providence, RI by appointment:

In the Pink / Jacksonville
522 North Third St.
Jacksonville Beach, FL 32250
(904) 372-0029

In the Pink / Sarasota
1727 Fruitville Rd.
Sarasota, FL 34236
(941) 953-7465

Never the Same Boutique
1497 Kennedy Rd.
Tifton, GA 31794
(229) 382-3322

Confidentially Yours
1808 B, Round Barn Rd.
Champaign, IL 61821
(217) 366-0244

The Plaid Daisy
3641 N Meadowbrook Rd.
Peoria, IL 61604
(309) 682-1900

Designs By Darris
1319 W 52nd South
Wichita KS 67217
(316) 529-2727

401 Bolivar St.
Owensboro, KY 42303
(270) 926-2252

Bluegrass Family Pharmacy
2187 Lexington Rd #1
Richmond, KY 40475
(859) 624-9797

Women's Health Boutique at Mercy Hospital
227 St Paul Pl.
Baltimore, MD 21202
(410) 332-9859

A Special Place
1189 Congress St.
Portland, ME 04102
(207) 775-4048

Heide's Mastectomy 
701 North 6th Ave E.
Duluth, MN 55805
(218) 722-7860

Heide's Mastectomy
3400 W 66th Street Suite 245
Edina, MN 55437
(952) 925-7837

Underneath It All
7942 Mitchell Road, Suite 102
Eden Prairie, MN 55344
(952) 937-9252

Pink Door Boutique
Inside Freeman Women's Center
1532 W. 32nd St., First Floor 
Joplin, MO 64804
(417) 347-7465

Cancer Partners of Nebraska
3901 Pine Lake Rd Suite 111
Lincoln, NE 68516
(402) 420-7000

Prosthetics Center of Excellence
2047 W Charleston Blvd #100
Las Vegas, NV 89102
(702) 384-1410

Unique Boutique
2021 E. 7th St.
Charlotte, NC 28204
(704) 377-4356

Second to Nature - Greensboro
500 State St., Unit A
Greensboro, NC 27405
(336) 274-2003

Wellness Source
125 Commerce Park Rd, Suite 105
Mooresville, NC 28117
(704) 799-2873

Dianne’s Selections
Six Forks Office Center
8364 Six Forks Rd #103
Raleigh, NC 27615
(919) 845-0234

Pretty Essentials
661 Tiffany Blvd
Rocky Mount, NC 27804
(252) 904-2581

Aultman Home Medical Supply
5220 W Tuscarawas St NW
Canton, OH 44708
(330) 278-0623

The Ritz 
825 W Market St.
Lima, OH 45805
(419) 224-6100

Complete Image
6555 Wilson Mills Rd.
Suite 105
Mayfield Village, OH 44143
(440) 461-4247

The Fitting Room
1322 E 15th St.
Tulsa, OK 74120
(918) 582-1975

Remember the Moon
347 Main St.
Springfield, OR 97477
(541) 345-9204

The Exquisite Fit
20421 US-19
Cranberry Township, PA 16066
(724) 591-5326

That Special Woman
108 Gateway Shopping Center
Edwardsville, PA 18704
(570) 288-6688

Perfect Balance Boutique
170 S 3rd St.
Lehighton, PA 18235
(610) 379-4577

K&Js Complete Woman
3901 Washington Rd., Suite 302
McMurray, PA 15317
(412) 835-5093

A Fitting Place Inc.
6150 Poplar Ave
Memphis, TN 38119
(901) 683-0210

Hendrick Medical Supply
1318 North 8th Street
Abilene, TX 79601
(325) 673-3711

Women’s Health Boutique
14048 Memorial Dr.
Houston, TX 77079
(281) 531-6582

Bexar Care, The Pink Boutique
7410 John Smith Drive, Suite 210
San Antonio, TX 78229
(210) 614-3800

Feminine Forms
345 S 500 E.
American Fork, UT 84003
(801) 770-0600

Carol's Mastectomy Shoppe
3165 S Main St. 
Salt Lake City, UT 84115
(801) 483-1262

3104 Squalicum Pkwy #103
Bellingham, WA 98225
(360) 676-7363