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Amoena Leisure Form Breast Form 126
Amoena Leisure Form Breast Form 126
Amoena Leisure Form Breast Form 126
Amoena Leisure Form Breast Form 126

Amoena Leisure Form Breast Form 126

Regular Price: $43.00
Our Price: $34.40, 2/$65.36

The Amoena Leisure Form 126 Breast Form is lightweight and ideal for casual wear. This latex breast form is covered with polyester and cotton for a smooth, soft, absorbent transition to the skin. Non irritating and comfortable, the Amoena 126 Leisureform Breast Form can be worn immediately after surgery, for sleep, or for hot climates where perspiration is an issue. Completely washable, this breast form can also be pinned into any bra or swimsuit to create a natural profile.

Save Even More: Two Breast Form Set Only $65.36
                            See Details tab for additional information.

Two Form Sets Ship for FREE!


NOTICE: This item is being discontinued. Only select sizes are available. Please refer to styles Amoena130, Amoena132, and Amoena216, for replacements.



  • Manufacturer: Amoena
  • Product Name: Non-Weight Foam Leisure Form
  • Style Number: 126
  • Available Colors: Ivory Only
  • Materials: Latex foam covered by smooth polyester on the front and a soft absorbent cotton-blend fabric on the back
  • Packaging: One Foam Form
  • Available Sizes: 1-12

Save Even More!
Two Breast Form Set Only $65.36

MetroMedicalOnline offers the Amoena Non-weighted Foam Leisure Breast Form #126 in a two form set. Enjoy additional savings off our already deeply discounted prices. The second breast prosthesis is only $30.96! To receive the two form set pricing, simply Add to Cart, change the quantity from "1" to "2" and press UPDATE.

Product Information:

The Amoena Leisureform 126 Breast Form is lightweight and ideal for casual wear. This latex breast form is covered with polyester and cotton for a smooth, soft, absorbent transition to the skin. Non irritating and comfortable, the Amoena 126 Leisureform Breast Form can be worn immediately after surgery, for sleep, or for hot climates where perspiration is an issue.

Completely washable, this breast form can also be pinned into any bra or swimsuit to create a natural profile.

Product Information:

We at MetroMedicalOnline.com feel that the more information our customers have, the better able they will be to make the best choices for themselves and their lifestyle. We are committed to providing you with the best resources that are available to us. Below is a .pdf file that will provide you with the most pertinent and important information.

To print or email the document below, simply click on the down arrow next to "iPaper" on the top toolbar.

If you have trouble viewing the PDF below, please click here.

Orders over $50 ship for FREE!

Please be certain to have been recently fitted for a mastectomy bra prior to ordering.

Overnight or 2nd Day shipping is available at an additional charge. View full Shipping and Delivery Policy.

This item will typically ship via USPS unless shipped with other, larger or heavier items. Please provide a shipping address that can accept deliveries from either USPS or UPS.

Returns and Exchanges: You may try on an item for fit, but it cannot be worn and the packaging must be its original condition as well as all tags still attached when returned. We will not accept returns or issue refunds on items that have been worn, washed, stained, have missing tags, smell of smoke, or are damaged in any way. Please make sure all tags and packaging are exactly how they were shipped to you. The items must be carefully packed to protect the product and the packaging. Items returned with damaged packaging will incur a 20% restocking fee to replace the damaged items.
View Return Policy

While we cannot administer medical advice, our Customer Service Team members are available to assist you with the ordering of any mastectomy garment or other medical supplies. We have trained mastectomy fitters available to help you with your order.Our toll-free number is 1-866-774-9513 Monday through Friday, 9:00 am to 5:00 pm CST (7:00 am to 3:00 pm PST / 10:00 am to 6:00 pm EST). If you prefer to correspond by email, our address is CustomerService@MetroMedicalOnline.com.

MetroMedicalOnline has partnered with Amoena to offer a wide selection of post-surgical camisoles, pocketed bras, soft foam breast forms, silicone prostheses, and swimwear. In fact, we carry Amoena's entire product line along with products from the other top manufacturers: Trulife, ABC, Jodee and Anita.

Lindi Skin care products were specially designed for people undergoing cancer treatment. Lindi Skin products are just as effective for people with sensitive or dry skin. Made with the finest ingredients, Lindi products provide ultimate hydration.

Every once in a while a product comes along that grabs the attention of Metro Medical's staff for its innovative solution to a common problem affecting breast cancer surgery patients. The problem: Finding a comfortable position for sleeping while surgical wounds are healing. The solution: The patented Rest Easy Pillow created by a mastectomy patient and breast cancer survivor. This product was specifically designed for women recovering from breast surgery, however, it was soon identified as a solution for men and women alike while recovering from shoulder or arm surgeries or with chronic shoulder pain.

Amoena Leisure Form Breast Form 126
$34.40
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