Custom Areola/Nipple Prostheses

Custom Prostheses

Comparison Photo

Comparison Photo

Order YOUR Set of Custom Areola/Nipple Prostheses – $835

When you order, you will receive a set of prostheses that should last about 5 years and a bottle of adhesive that will last 2-3 years. Shipping is FREE in the USA. Our product is very unique and is much more durable than any other product made elsewhere. This is a “smart” order form. It will add or subtract options as you determine the specifications of your order. If you do not see an option you want, it may not be necessary. Fabrication of your custom order takes approximately one week. You should receive your order in 2-3 weeks.

Name or ID *

Email *

This is NOT used for SPAM. You will be emailed a copy of your order. We are a medical supply company and comply with HIPAA regulations and do not share your email or any other identifying information. This is will be used to send you an invoice.

Phone *

Acquired absence of which breast and nipple: *

This information is entered on the receipt and is necessary to submit an insurance claim.

Which Service? *

Do you need an impression kit?

Yes, please send me one
No, I have one and I’m sending it to you

Before you can place your order, you will need an impression of your areola/nipple. An impression is a silicone mold.

Set of custom areola/nipple prostheses for single mastectomy *

Nipple prosthesis and nipple cover
In-person painting appointment (~90 minutes)

ORDER SPECIFICATIONS

Were you able to obtain pre-mastectomy photographs?

PRE-mastectomy photographs

Drag & Drop Files, Choose Files to Upload You can upload up to 3 files.

Maximum upload size is 5000 KB or 5 MB for each photograph (if you do not know the size of your photo, right click and scroll down to “properties”). Acceptable formats are: .gif, .jpg, .png, .bmp, .eps, .tif, .pict, .psd, .txt, .rtf, .pdf, .doc, .docx, .ppt, .pptx. You may submit up to three photos.

Photographs of areola/nipple for color matching

Drag & Drop Files, Choose Files to Upload You can upload up to 3 files.

Maximum upload size is 5000 KB or 5 MB for each photograph (if you do not know the size of your photo, right click and scroll down to “properties”). Acceptable formats are: .gif, .jpg, .png, .bmp, .eps, .tif, .pict, .psd, .txt, .rtf, .pdf, .doc, .docx, .ppt, .pptx. You may submit up to three photos.

Click on your skin type/color

Skin Type 1
Skin Type 2
Skin Type 3
Skin Type 4
Skin Type 5
Skin Type 6

(You may choose two if you are unsure.)

Will we use an impression of your areola/nipple for your order?

(An impression is a silicone mold of your areola/nipple.)

Pre-mastectomy breast cup size

The pre-mastectomy breast cup size informs us of a change in size. If you submit pre-mastectomy photographs, we scale the areola/nipple proportionately.

Breast cup size

(This determines the curvature of the prostheses.)

Further customize my order?

No, please use average measurements according to my breast size and skin color
Yes, please

Areola width in millimeters

Selected Value: 38

(1″ = 25.4mm) Average sizes: A cups = 35mm. B cups = 40mm. C cups = 45mm. D cups = 52mm. DD cups = 65mm. DDD cups = 75mm.

Areola length in millimeters

Selected Value: 40

(1″ = 25.4mm) Average sizes: A cups = 35mm. B cups = 40mm. C cups = 45mm. D cups = 52mm. DD cups = 65mm. DDD cups = 75mm.

Nipple projection

Selected Value: 5.5

You should know that the prosthetic nipple collapses just like a real nipple when you wear tight clothing such as a tanktop or sports bra. The nipple will not collapse with light clothing such as lingerie. If you send us an impression, we will match the projection. If you do not submit an impression, you should know that average nipple projection is 5.5mm. Most women prefer a prosthesis with a projection of 4mm.

Nipple width

Selected Value: 10

If you send an impression, we will match the size and shape of the nipple and scale it proportionally. If you do not send an impression, you should know that average nipple size: A cup = 9 x 11mm, B cup = 10 x 12mm, C cup is 11 x 13mm, D cup = 12 x 14mm, DDD cup = 14 x 17mm.

Nipple length

Selected Value: 12

If you send an impression, we will match the size and shape of the nipple and scale it proportionally. If you do not send an impression, you should know that average nipple size: A cup = 9 x 11mm, B cup = 10 x 12mm, C cup is 11 x 13mm, D cup = 12 x 14mm, DDD cup = 14 x 17mm.

Nipple orientation

On center
Slightly off center

Areolar Glands?

None
A few (5-10)
Many (10-20)

Texture lines in the areola around the nipple?

No texture lines
Just of few round the base of the nipple
Lots of texture lines in the areola

Areola color

Nipple color

Comment or Message

Mailing Address *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

PayPal Commerce *

Card Number

Expiration Date

Security Code

Card Holder Name

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© Custom DME, LLC (801) 997-0545