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Abstract
Reduction mammaplasty is rationed in NHS plastic surgery provision, despite abundant
evidence that most women who undergo this operation obtain significant improvement
in their physical health and quality of life. We suspected that women seeking reduction
mammaplasty often wear ill-fitting bras, which may exacerbate some of their symptoms.
Therefore, we studied 103 women who attended a nurse-run pre-assessment clinic, asking
them what size bra they currently wore and then measuring them to see whether their
bra size was correct. We also questioned bra manufacturers, designers and shop bra
fitters about bra manufacture, sizing and fitting techniques, and we reviewed these
findings. Of the 102 women suitable for inclusion in the study, all wore the wrong
size bra. Their mean 'claimed' back measurement was 36 inches (range: 30-42 in.) and
their mean cup size was F (range: C-J). We found that all but one underestimated their
back measurement (by a mean of 4 in.; range: -2-10 in.) and overestimated their cup
size (by a mean of three sizes; range: one size smaller to seven sizes larger) when
compared with manufacturers' fitting guidelines. Multiple regression analysis used
to assess the relationships of various factors to incorrect bra sizing showed a strong
link (Pearson correlation=0.54; P<0.001) between obesity and inaccurate back measurement.
The reasons why women with breast hypertrophy wear incorrectly fitting bras are discussed.
We conclude that obesity, breast hypertrophy, fashion and bra-fitting practices combine
to make those women who most need supportive bras the least likely to get accurately
fitted bras, so exacerbating the symptoms for which they seek surgery.