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Prehab™ and Rehab Programs
Follow an 8-week pre- and post-surgery program on the BLOOM⁴³ app, to guide you before, during, and after your procedure.
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Evidence-based
Supraphysiological reconditioning™, has been shown to be effective in two proof-of-concept clinical trials.
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Drug-free, painless and non-invasive
Worn inside a bra for just three hours on the night before surgery, the BLOOM⁴³ device works by gently heating the breast skin to 43°C (108°F).
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Wearable technology
Designed to be lightweight, comfortable, and portable, the BLOOM⁴³ device enables normal daily activities to continue without disruption.
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Suitable for cup sizes B to E
Make sure the device is compatible with your cup size before placing your order
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Payment options available
If your clinic offers BLOOM⁴³, the device can be ordered through them, or alternatively, you can self-pay or use HSA/FSA funds.
Every patient asks, “What can I do to prepare for my surgery?”
BLOOM⁴³ is a drug-free wearable medical device for home use that allows patients to precondition the skin before their breast surgery.
Preconditioning the skin preoperatively has been shown to reduce wound complications, keeping treatment plans on track and helping patients return to what matters sooner.
How BLOOM⁴³ helped other patients
The key to preventing complications
The BLOOM⁴³ device delivers ultra-precise supraphysiological preconditioning™ to boost blood flow and prime the skin, helping lower the risk of post-op complications.
Using a sensor-controlled, patented intermittent thermal algorithm, BLOOM⁴³ stimulates the release of protective heat shock proteins (HSPs), including HSP-32.
This induces the local release of carbon monoxide, which is a potent vasodilator that enhances tissue blood flow.
Better blood flow means better healing.
*Sources: “Local Heat Preconditioning in Skin Sparing Mastectomy: A Pilot Study”, Mehta S, Rolph R, Cornelius V et al., 2013; “A Randomised Controlled Feasibility Trial to Evaluate Local Heat Preconditioning on Wound Healing After Reconstructive Breast Surgery: The preHEAT Trial.”, Mehta S, Cro SC, Coomber B et al., 2019.**Source: Mehta et al, 2019.
How to order and use BLOOM⁴³
BLOOM⁴³ device is made available for your prehabilitation treatment and then returned to our facility so that other patients can benefit too - supporting a more sustainable, circular healthcare model.
For this reason, at checkout you will also be asked to pay a refundable deposit. Following your surgery, simply return the device(s) to our facility, and we will process your deposit refund. Please ensure that all information provided at checkout is accurate and up to date.
FAQ
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BLOOM⁴³ is designed to be worn for 3 hours the night before surgery, pre-emptively priming your skin to get ready to heal. In clinical trials the effects of supraphysiological preconditioning™ have been shown to last many hours, with increased blood flow still seen hours after surgery.
It is intended to be placed within a bra, positioned against the skin (ideally centered over the nipple-areola complex) of the breast(s) that will be operated on.
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To use BLOOM⁴³, you’ll need a prescription from your doctor. Here’s a prescription template your doctor can use. Once the prescription is completed, you can place your order directly through the BLOOM⁴³ app. If your doctor would like more information about BLOOM⁴³, please ask them to contact our clinical team at support@bloom43.com
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BLOOM⁴³ is drug-free and non-invasive, ensuring no side effects or interference with treatment plans. This means additional procedures or treatments can proceed without delay. BLOOM⁴³ is even suitable for use by those who've had pre-operative radiotherapy. Ultra-precise, sensor-controlled, and a certified medical device BLOOM⁴³ gently preconditions the skin, without the risk of burns, offering safe and effective supraphysiological preconditioning™.
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BLOOM⁴³ is a FDA registered, Class II medical device, having undergone the necessary certification processes meeting the standards required of medical devices. This certification ensures its safety and suitability for use in the context of preparation for surgery. The benefits of supraphysiological preconditioning™ have been shown in two clinical trials.
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Preparing for surgery is a powerful way of preventing complications that might cause prolonged healing times, additional outpatient appointments or possibly even more surgery. BLOOM⁴³ works in harmony with your body, boosting its natural ability to respond to interventions, using the power of supraphysiological preconditioning™. This works by causing the release of naturally occurring heat-shock proteins, which protect our skin from the effects of surgery. They do this by improving the blood flow to the skin through the release of carbon monoxide, a potent vasodilator. The effect of better blood flow means more oxygen gets delivered to your skin. And better blood flow means better healing.
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Below is a breakdown of the cost:
$750 for one device (unilateral surgery)
$900 for two devices
(Each device supports one breast, so bilateral surgery requires two.)
A refundable deposit is also required:
$200 for one device
$300 for two devices
The deposit is refunded once the device(s) are returned after surgery.
BLOOM⁴³ is also HSA/FSA eligible, which may help with payment if the patient has access to one of those accounts.
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After your surgery, we ask you to return your BLOOM⁴³ device(s). By doing so, you help support a more sustainable, circular healthcare system - allowing other to benefit from BLOOM⁴³ too.
The deposit simply ensures the safe return of the device. Once it’s received back in good condition, your full deposit will be refunded. It’s one small step that makes a big impact - for both enviroment and future patients.
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Shipping is typically quick—devices usually arrive up to 5 days before surgery. If your surgery date is approaching soon, please contact our customer service team directly and let us know when it is scheduled, and we will personally manage the delivery to ensure the devices arrives on time.
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BLOOM⁴³ is currently available for breast surgery patients in the U.S. market.
Our team is working hard to make it available in other countries around the world.
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Here’s the complete BLOOM⁴³ ‘Instruction for use manual’

