MC*


Foam breast forms


Hand wash. Made in USA. See size chart below. Less expensive, lighter weight alternatives to Silicone.


A


MC * A. Flat-Back Form Use when more tissue is lost. Choose unweighted for double surgeries or weighted for single surgeries. Sizes 0-14.


Unweighted 3036 $24 each Weighted


3035 $26 each


MC * B. Molded Triangle Form


Seamless for added comfort. Choose unweighted for double surgeries or weighted for single surgeries. Sizes 1-12. (Below in RED.) Unweighted 7937 $30 each Weighted 7916 $48 each


B


C


MC * C. Molded Asymmetrical Form Seamless for added comfort. Choose unweighted for double surgeries or weighted for single surgeries. Sizes 3-10. (Below in RED.) Unweighted 7938 $30 each Weighted 7917 $48 each Specify Left or Right side.


D


MC * D. Molded Hollow-Back Triangle Shell


Use after a lumpectomy or reconstruction to even out your silhouette. Sizes 0-16. 8080 $17 2 or more, $15 each


MC * E. Molded Soft-Back


Teardrop Form Choose unweighted for double surgeries; weighted for single surgeries. Sizes 0-12. Unweighted 8079 $24 each Weighted 8078 $26 each


E


F


MC * F. Molded Triangle Form Choose unweighted for double surgeries or weighted for single surgeries. Upper extension replaces missing tissue in the upper chest wall. Sizes 0-16. Unweighted 8071 $24 each Weighted 8072 $26 each


Foam Breast Form Size Chart


Choose RED sizes for #7937, #7916, #7938, #7917. Other styles: choose sizes in BLACK. Cup and Bra size


32 D DD


A 0, 1 B 1, 2 C 2, 3 4, 4


5 34


1, 2 2, 3 4, 4 6, 5


8, 6 36


2, 3 4, 4 6, 5 8, 6


10, 7 38


4, 4 6, 5 8, 6


10, 7 12, 8


40


6, 5 8, 6


14, 9 42 8, 6 10, 7


10, 7 12, 8 12, 8 14, 9


15, 10


Call one of our trained Customer Service Representatives at 1-800-850-9445 for additional help.


MC * Special! Silicone Swim/Exercise Form in Triangle or Teardrop Shape


Totally waterproof. Wear on either side. Imported. Colorless to blend with all complexions. Sizes 1-13. Chart on opposite page. G. Teardrop Swim Form 6045 $120 Now $99 H. Triangle Swim Form


7840 $120 Now $99 G 42 Specify Softer or Firmer drape *Weight Gain/Loss? Medicare covers additional breast forms/bras. H 15 16, 11


15 16


12 44 46


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