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can’t imagine how one could use the brakes and not lose balance.
At least one competitor in the paralympic road time trial did it with one arm and no prosthetic, so it's clearly possible
https://en.m.wikipedia.org/wiki/Joseph_Berenyi
Even relatively new ones are not completely immune to catastrophic failure if their short life has consisted of resisting a Ukrainian kilo rider's starting pulls 😀
https://www.youtube.com/watch?v=jp0AtxFWHWM