A garment with a single piece of enhanced and contoured foam padding with integral breast mound prostheses and incorporated pectoral and sternal padding for the bilateral mastectomy patient is disclosed. This said piece of enhanced padding is sewn into the said garment to restore a natural looking breast mound appearance in clothing while offering padded comfort over the sensitive pectoral and sternal areas caused by a mastectomy. This said padding within the said garment is intended to be sewn onto a cropped, middle layer of material within the said garment. This said middle layer of material with attached padding is then sewn between the inside of the front, inner layer and the inside of the back, inner layer of the said garment with mound prostheses facing the inside of the front layer of the said garment thus giving a natural breast mound appearance on the outside of the front layer of the said garment. The said garment with said enhanced padding is intended for the bilateral mastectomy patient but also available to anyone else desiring to have a natural breast mound appearance in clothing. This invention is unique in its design from anything currently available on the market today in that it offers a single, fully padded piece of lightweight, contoured and enhanced foam padding with two, integral breast mound prostheses which is sewn directly, appropriately and permanently into a garment. There is no shelf bra, no pocket, no broad band elastic, no constriction and no heaviness within this invention. This invention is extremely convenient, lightweight, machine washable and machine dryable thus making it an instant, comfortable and complementary solution for the desire to restore or gain a natural breast mound appearance in clothing. No other breast prostheses are needed to have a complete and natural looking breast mound appearance when wearing this invention. This invention is available in different sizes to accommodate all individuals.