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Jun 29, 2010 11:40PM
Otter I think you make a good point! Without a breast to tightly press against as in the case of mastectomy I think an underwire becomes less of an issue. The primary concern in that case would be the tightness of the bra band around the trunk and the straps on the shoulders. If the bra band is tight that could certainly cause increased pressure across the chest. Underwires are probably more an issue for women with remaining breasts.
The concern is aways any highly compressive areas around a body part that is preventing the natural flow of lymph. Whether that body part is a finger, an arm, a breast or a truncal circumference. General overall compression of the truncal area such as applied by a compression vest or shaping camisole can be beneficial to LE as opposed to garments that apply pinpoint areas of pressure. So yes I would agree with you that the underwire itself is probably less risky for women who have had bilateral mastectomy without reconstruction.
One clothing area sometimes overlooked is a tight elastic waistband on underwear, slacks or skirts. If a waistband leaves a reddened indentation in the skin, that is probably sufficient pressure to impede the flow of lymph down the sides of the trunk and into the groin area for proper drainage.
Life is not measured by how many breaths we take...but by the moments that take our breath away! ...I am a 14/9 yr survivor of 2 Primary BCs, 23/23 Positive Nodes (Zometa x 5 years) Started Paloma-3 Clinical Trial 4-14-14
11/21/2005, ILC, 5cm, Stage IIIc, Grade 1, 23/23 nodes, ER+/PR-, HER2-
7/14/2000, IDC, 1cm, Stage IIa, Grade 1, 2/7 nodes, ER+/PR+, HER2-
3/21/2014, ILC, Stage IV, mets, ER+/PR-, HER2-
08/11/2000 Lumpectomy (Right); Lymph Node Removal: Sentinel Lymph Node Dissection (Right)
08/30/2000 Adriamycin, Cytoxan, Taxol
12/05/2005 Mastectomy (Both); Lymph Node Removal: Axillary Lymph Node Dissection (Left)
12/23/2005 Taxotere, Xeloda