Using a prosthesis

Women who opt out of reconstructive surgery after mastectomy often use a prosthesis in place of the missing breast. The silicone-filled breast form comes in a variety of shapes, sizes, and degrees of firmness. A prefab model costs about $250 to $500; a custom-made prosthesis, which can be made to match your remaining breast, could cost up to $3,000. (Insurance generally will cover the cost of a prosthesis up to about $500.) The higher-priced models generally have a more normal feel and more comfortable fit.

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A Perma-Form bra, equipped with one or two built-in foam prostheses, is another option. While a silicone prosthesis looks and feels more natural, a Perma-Form bra is cooler on hot days. You should not attempt to purchase a prosthesis prior to surgery. Many hospitals will send a mastectomy patient home with a "puff," a small, breast-shaped pillow that can be slipped inside an undershirt. This can be used until you have healed from the surgery and are ready to shop for a prosthesis.