Breast cancer affects one in eight women in North America. If you have had treatment for breast cancer you might be wondering what is the best type of bra to wear. Based on our field experience, we came up with some features that your bra should possess. Specifically, having a proper fit will encourage lymph flow and avoid the strangulation or tourniquet effects of elastics. Below are our five tips for choosing a bra.
1. Wide bra straps
The breast and the arm flow into the same lymph nodes. As such, removing and radiating lymph nodes may cause lymphedema of the arm, breast/chest or torso. The arm however has a separate pathway that bypasses the armpit where the nodes were removed. This pathway can provide some drainage for the arm. If the bra strap is too tight or too narrow it can cause a restriction in this flow. It is best to choose a strap that is wide and comfortable.
2. High in the armpit
Choose a bra that comes high up into the armpit. After surgery, it is common to have a pocket of fluid buildup under the armpit. This might be lymphoedema or another condition called a seroma. Proper treatment of this condition necessitates compression that comes up high into the armpit. If the material is too low, it can cause congestion of fluid in this area or an exacerbation of the existing condition.
3. Consistent material
Avoid bras that insert elastic into the materials. It is best to find a bra with one type of material that is flexible. The fit should be snug but not digging in in any areas. If you take the bra off and see lines or indentations this can indicate an improper fit or material.
4. Avoid underwires and boning
These constructions can restrict lymph flow and may contribute to exacerbation or triggering lymphedema.
5. Go seamless
Fewer seams the better. They may rub or irritate scars or delicate radiated skin. It is recommended to use a compression bra for an existing lymphedema if the chest/torso or underarm, as well as, directly after surgery. An everyday bra that fits with these principles in mind may be used once you are healed from surgery.
At FLOW we recommend the Prairie Wear products that can be purchased from our clinic. See chart below on which compression bra is right for you. Contact our compression garment fitters Leslie or Melissa for more information.
Leslie Williams is a registered massage therapist, and compression garment fitter at FLOW Lymphatic Health Services.