Please note that completing this form is not an obligation to purchase, it is intended only to assist you with finding the right product so that you can complete the on-line order process should you choose. 

Name
Name
Phone
Phone
Please answer the following questions to help us determine the best product, shape and size to fit your needs
Do you currently wear a breast form *
Please provide any information that may be helpful in choosing your new or replacement form. For example, size/type of current Amoena form if applicable, what if anything you would like to change about your current form, reason for purchasing a new, different or replacement form
Have you had breast surgery? *
For which side do you require a breast form *
Which type of breast form are you most interested in *
Select the option that best describes the fullness of the cup you require
(See image at the bottom of this page)
Select the option that best describes the shape of the cup you require
(See image at the bottom of this page)
See sizing guide at the bottom of this page
See sizing guide at the bottom of this page

 

Bra Sizing Guide

Step 1: Find Your Band Size

  • Measure the rib cage just below the breast. If the number is 33 or less add 5 inches to that number, over 33 inches add 3 inches to get you bra size. Round odd numbers up to even. This is your band size.

Step 2: Find Your Bust Measurement

  • Measure around the fullest part of your chest at nipple level. The tape measure should be pressing loosely against your body.
  • Round up to the nearest whole number. This is your bust measurement.

    Step 3: Calculate Your Cup Size

    • Subtract your band size (step 1) from your bust measurement (step 2).
    • If the difference between the measurements is:

    0" - cup size is AA
    1" - cup size A
    2" - cup size is B
    3" - cup size is C
    4" - cup size is D
    5" - DD or E
    6" - cup size is DDD or F
    7" - G

     

    Form Shape Guide

    scan0017 (2).jpg