Sarah-Kate Templeton, Health Correspondent
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THE National Health Service is being urged to provide trained bra-fitters to cut the number of unnecessary breast reductions demanded by women whose lingerie is several sizes too small.
A motion to the annual meeting of the British Medical Association (BMA) suggests that if bra-fitters measured the patient and then recommended the correct size of underwear, hospitals could save money on cosmetic surgery.
The motion states: “This meeting believes many women requesting breast reduction surgery are wearing bra sizes several sizes too small and that the services of bra-fitters should be made available on the NHS as the first step in the referral for breast reduction surgery.
“We therefore call on the BMA to lobby for these services to be provided.” Breast reduction is one of the most common forms of cosmetic surgery in Britain. A large NHS hospital carries out about 100 breast reductions a year, costing about £4,500 each. Bringing this number down could result in big savings.
Cosmetic surgeons said last week they were frequently consulted by women who believed they needed surgery when a properly fitted bra could alleviate their discomfort.
Professor Kefah Mokbel, a consultant breast surgeon at St George’s and the Princess Grace hospitals in London, said most women his clinics saw were wearing the wrong size bra. “In one study we found 100% were wearing the wrong bra. They tend to underestimate the back size and overestimate the cup,” he said.
“This leads to discomfort in the breast, neck and shoulders. These symptoms are interpreted as physical symptoms which indicate the need for breast reduction.”
Although Mokbel is not one of those proposing the motion, he said: “I strongly believe that setting up a proper bra-fitting service would reduce the symptoms these women suffer and reduce the number of women who are referred requesting breast reduction.” Patrick Mallucci, a consultant plastic surgeon at the Royal Free hospital, London, added: “A number of large-breasted women have not been wearing the right bras and experience extra discomfort. If you get them wearing the right bra and fit them properly you can probably relieve some of that discomfort without them necessarily needing surgery.”
Numerous surveys by lingerie stores have shown that most women do not wear the correct size of bra.
Emma Chapman, a bra expert with Fayreform, an underwear label, said she had experience of preventing surgery through bras that fit.
“I have fitted women who had been wearing bras that were too small and causing pain and discomfort due to the wires digging in and the fabric chafing,” she said.
“By fitting them into a larger size all discomfort was alleviated and their shape and appearance were much improved.”
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This assumption that proper fitting bra's will accumilate in to less breast reductions is ridiculous!! I am a 38hh and always have a fitting before buying any bra, and yet, though i wear the right bra ( as much as £40!!) i still feel uncomfortable, in pain and disgusting. the op is a way forward.
Abi, Bridgend, Wales
When having found a perfectly fitting bra, the problem will keep coming back as the favourite bras are worn out. Figurous (http://www.figurous.com) is a start-up company that will let women collectively (and anonymously) manifest their common need to find their favourite bras again. Effectively turning most bras into classical ones, that keep being available year after year. Online and at the local bra retailer.
Peter, Gothenburg, Sweden
I have deep grooves in my shoulders,from the weight of my breasts.I have a small chest and very large breasts.I have been to dozens of "expert and specialised fitters",often travelling 60 or 70 miles to find them.They all tell me,after hours of trying"I am sorry,but I do not have anything to fit you"The assumption in the article,that everyone can be fit with the correct size bra is totally false.I think that bra designers do not know enough,or research enough,breast sizes and shapes,especially post menopause women,whose breast shape changes radically at this time.No bra manufacturers,to my knowledge,have any solutions for this problem.
M.Margerrison, Bradford,
i have been fitted by two high street shop and both of them cannot find me the perfect bra,this is because i am 36kk.i am always in pain and discomfort,the nhs has refuse brest reduction on me because of lack of funds.i find it quite streesful,especially at work and have recently cut down my hoursas a qualified nurse.i really need help.
annette, slough, berkshire
Have to wonder with a finite Health Budget where to draw the line.
Anything to help someone in pain though: Could Lingerie shops be recruited rather than a raft of new civil servants!
Charles, London, UK
M&S have come out with DD-G cup bras at very reasonable prices, and a number of attractive styles. I need a 32G, and I'm really glad to have this option.
Wendy, Oxford, UK
I have been fitted by two high street stores... The fact of the matter is whether I'm a 34G or a 34H, I CANT NOT AFFORD £21+ bra's. I am 25 and my boobs haven't stopped growing. I want a reduction so as I can be comfortable once my bra is off and so that a bra lasts longer than 4 weeks.
Miss Young, Kent,
On average less than one in ten people are in the correctly fitted bra. When the bra is fitted, invariably they enjoy better posture, less pain and (most enjoyably) the comments of their freinds and partner!
Debonelle, Culcheth,
I have had a large bra size from 13yrs. onward. I , like a lot of people ,believed I was a 36 DD I went to bravissimo and discovered that I am actually a 32G. What a difference!! So I would agree,we are prone to imagine we have wider backs and smaller cups. However, I don't think people realise how unhappy you can be with large bra size. I can understand why people would have a reduction done. Personally I am too much of a coward
maggie, glasgow, scotland
all personally fitted.
Bras are like shoes, different styles and different manufacturers do not all fit the same. We have fitted a customer in 3 different sizes in different styles at one fitting.
For further information please visit my website.
Sadie Ayton aka Sadie the bra Lady
Mrs. S. Ayton, Consett, Co Durham, England
Greetings
You claim that Professor Kefah Mokbel, a consultant breast surgeon at St Georges and the Princess Grace hospitals in London, said most women his clinics saw were wearing the wrong size bra. In one study we found 100% were wearing the wrong bra. They tend to underestimate the back size and overestimate the cup, he said.
Surely your journalists have this the wrong way around? The opposite is the case, with most women in bras much too broad around the back and too small on the cup.
Think about it. If they really were wearing bras too large in the cup there would be no chafing or pain, would there.
All the best
Ghislaine Hubbard
Director of Aphrodisia/trained bra fitter
Ghislaine Hubbard, Tunbridge Wells,
My dear late wife had been wearing a 36C for most of her adult life until she was properly measured, and her correct size was 32F.
Brontus Horace, Truro, UK
That may help I agree - firms like Bravissimo cater for the fuller figured woman but the cost of the fitted bras is a lot greater than the ones smaller breasted women can buy "off the shelf". I have had a breast reduction which I paid for privately at a cost of just under £6K. I had waited on the NHS for so long that my surgeon retired, and then because I had just had another child was told I would have to go to the back of the queue. It is the best money I have ever spent. No more frozen shoulders in a morning, no more agonising pains in my back and neck, no more complete strangers thinking they can comment on how big they are, and in some cases even touching them and asking if they are real. I now have an average sized bust, minimal scarring, and am more than willing to show other women them if it helps with their decision. Just make sure you do your research and decide if it really is the best option for you.
Eileen Smith, Bolton , UK