By Deborah Jeanne Sergeant
Most American women wouldn’t dream of leaving home without wearing a bra, but they unhook — if not remove them — once they’re home for the evening. Most feel culturally obligated to align to the “proper” silhouette and make sure they’re covered up.
Aesthetics and modesty aside, what health benefit do bras provide, if any?
Very little, according to Nicole Chaffee, physical therapist with Regain Physical Therapy in Pittsford.
“They have fair to little tension support for the back muscles and muscles of the chest,” she said.
Racer-back and crisscross styles can help users improve posture and provide support for larger breasts; however, they can’t prevent sagging.
For more support and greater comfort, she recommends bras with separate cups and wider straps.
Some people theorize that wearing a bra weakens ligaments that support the breasts, but that’s not the case, according to Emese Kalnoki, a new surgeon practicing at Quatela Center in Rochester. She specializes in aesthetic and reconstructive breast surgery and body contouring procedures.
But it’s also not true that a bra will prevent natural sagging once they’re removed.
“So, go ahead and wear your favorite bra — or don’t,” Kalnoki said.
She listed pregnancy, breastfeeding, weight loss and gain, and aging as contributory causes of sagging breasts, not whether or not a woman wears a brassiere.
“The type of collagen that you inherit from your parents also affects the perkiness of your breasts throughout life,” she added.
Many women keep wearing the same sized bra despite changes in their breasts. Others don’t have their brassieres adjusted correctly or wear the wrong size. Kalnoki recommends an annual bra fitting.
Hand washing and air drying brassieres helps them retain the proper shape and last longer.
While proper bra fitting can increase comfort for many women, breast reduction surgery can help women with uncomfortably large breasts.
“A number of women complain of back pain, shoulder pain, and headaches after a long day,” Kalnoki said.
Excessive breast tissue can cause their posture to suffer.
For those with larger breasts “breast reduction is very beneficial and most women are extremely pleased to have the procedure done,” Kalnoki said.
In the mid-90s, a rumor circulated that underwire bras raise women’s risk of breast cancer because they supposedly hamper the body’s lymphatic system and cause toxins to build up, eventually leading to breast cancer.
“The problem with this hypothesis is that there is no scientific evidence to support it,” Kalnoki said. “The largest culprits affecting women’s breast health is not about the bra you wear but rather about the lifestyle you live.”
Eschewing smoking and avoiding weight gain represent the best ways to reduce risk of breast cancer.
Abdominal weight gain “has been found to be more active in producing chemicals and hormones that cause the growth of breast cancer cells,” Kalnoki said.
She added that women who smoke 10 or more cigarettes a day for 20 or more years raise their risk of developing breast cancer and those who started smoking before age 15 raise their risk by nearly 50 percent.