About UsArticlesQ & ACatalog RequestMedicare/InsuranceCustomer ServiceSize ChartContact UsHome
American Cancer Society
Search
ShippingReturnsMy AccountMy Cart
PRODUCTS FOR HAIR LOSS MASTECTOMY PRODUCTS CANCER SUPPORT SALE ITEMS Quick Order

Home > Mastectomy Products > Asymmetrical Silicone Breast Form - Right

 


Order left or right. Cover included.

Asymmetrical Silicone Breast Form - Right
Imported in a top quality Silicone, with the look and feel of a real breast. Fills in tissue lost at the top and the side of the chest. Waterproof, with a fitted cotton/spandex cover and 2-year manufacturers warranty.

Please click here to order our Left Side Form #6196

See Size Chart Below




*MC Indicates product is covered by Medicare.


Product #6197A
 
 

      $180.00

Sale Price: $159.00

Shipping Info

Return Policy

Weights for Silicone Forms

Size Asymetrical
7291/7292/7306/6196/6197
1  
2 6 oz
3 7 oz
4 8 oz
5 9 oz
6 10 1/4 oz
7 11 1/4 oz
8 13 1/4 oz
9 15 1/4 oz
10 1 lb 1/4 oz
11 1 lb 3 1/4 oz
12 1 lb 4 1/4 oz
13  
14  

Silicone Prosthetic Size Chart

Cup Size Bra Size
32 34 36 38 40 42 44 46 48
A- - 2 4 5 7 9 11 - -
A+ 1 3 5 6 8 10 12 - -
B- 2 5 6 7 9 11 12 13 14
B+ 3 6 7 8 10 12 13 - -
C- 4 7 8 10 11 12 13 14 15
C+ 5 8 9 11 12 13 14 - -
D- 6 9 11 13 13 14 - - -
D+ 7 10 12 - - - - - -
Items of Interest

Reusable Self-Adhesive Silicone Support Strips



Mastectomy Camisoles



Stainless Steel Medical Alert Bracelet



Sew-In Bra Pockets


Call Toll-Free Any Time
1-800-850-9445