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Bra fitting with pectus excavatum
This is a WIP. I want to gather information for bra fitting with pectus excavatum, because it's been hard to find. This is mainly information from around the 'net with some of my own observations. It likely affects fit very differently, but I'll start with what works for me. I'd be happy for any feedback that could result in a more general fitting guide. (Including feedback on how to present this because I'm still learning and it's a mess in my head.)
First, so we know what we talk about, pectus excavatum is a condition where the sternum is directed inwards, resulting in a sunk in chest and lower ribs that stick out. In my case it's clearly visible but not a medical concern.
How to determine the fit of the cup: It's essential to gently press the underwire against the chest wall when trying out a new bra, to make sure the cup really does hold all of the breast tissue. Often a too small cup will look like it fits but leaves the boob hanging underneath the wire. If the cup overflows when pressed in, it will be uncomfortable and make it feel too tight to breath, or it will poke the breast tissue in the centre when moving around. If you have yet to decide if you want to keep the bra, it has to be pressed carefully of course, but it shouldn't be a problem. I've never ruined a bra this way.
The next step is to bend the underwire so that it lies as flat as possible against the ribcage. I've never managed to bend the underwire well enough that all of it touches my body, so the bras will end up looking roomy in the middle and that's fine. Contrary to what's often said, I find that I can get the gores to lie somewhat flat. If underwires have been bent and the top of them touches the ribcage, then all should be well.
The band: With a ribcage that curves sharply in many directions it's hard to find a consistent underbust measurement. For that reason I prefer methods where the ribcage is measured with a bra on, so that there is a band to follow. A common way to determine band fit is to put the bra on backwards, but with the lower ribs sticking out, that's not a reliable method. I need to make more observations before I can explain how I choose a band size, so more on this later.
Bra models: It's often recommended to use plunges. In my experience that does not give sufficient support, because the centre gore ends up where my ribcage is at its deepest. I've personally had the best luck with fullcups. I don't know exactly why that is yet, it could of course come down to the breasts. I mention it because my experience is contrary to the popular advice.
Other stuff: Because the chest is sunk in, the volume of the breasts could be underestimated when using the overbust measurement. What took me even longer to realise was how it makes me underestimate the projection.
I've posted this on my profile future reference.
Filed under Bra sizing and fit
5 comments
Interesting data here. I'll look forward to your future posts on the subject. Good luck with it!
Thanks!
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