Therapeutic role of the bra
Countering the aging process?
Anatomically, the breasts are non-rigid organs, with few support structures, such as connective tissue. Breasts are composed of the mammary glands, which remain relatively constant throughout life, as well as the adipose tissue or fat tissue that surrounds the mammary glands. It is the amount and distribution of adipose tissue that leads to variations in breast size. In addition, the breasts contain internal ligaments, although their exact function as related to breast support is controversial. These ligaments, and the overlying skin (referred to as the dermal brassiere). [24] help determine the resulting breast shape.
As the breasts mature, they fold over the lower attachment to the chest wall (infra-mammary fold), and their lower (inferior) surface lies against the chest wall when vertical. In popular culture, this maturation is referred to as "sagging" or "drooping", although plastic surgeons refer to it as ptosis, and recommend mastopexy (breast lift) for correction. [25][26]
Although the exact mechanisms that determine breast shape and size remain largely unknown, [27] it has long been claimed that this occurs because the normal anatomical support is inadequate, especially in older women and those with larger breasts. [28] Hence the bra is often proposed as a means of providing artificial support, based on the presumption that the breasts cannot support themselves. [29] Health professionals have, however, found no evidence to suggest that the bra changes the natural process of aging of the breasts.[30] Bra manufacturers have also stated that bras only affect the shape of breasts while they are being worn.[31]
"There is no medical reason to wear a bra... The decision is yours, based on your own personal comfort and aesthetics. And even though, as little girls, we were told that bras save us from hanging breasts,... whether you have always worn a bra or always gone bra-less, age and breastfeeding will naturally cause your breasts to sag." Dr. Niels Lauersen[32]
"Breasts were fine before the invention of the brassiere... This is similar to the myth that women supposedly need corsets to support their stomach muscles... wearing a bra... has no medical necessity whatsoever... Except for the women who find bras especially comfortable or uncomfortable, the decision to wear or not wear one is purely aesthetic — or emotional... If you don't enjoy it, and job or social pressures don't force you into it, don't bother... A mistaken popular belief maintains that wearing a bra strengthens your breasts and prevents their eventual sagging. But you sag because of the proportion of fat and tissue in your breasts, and no bra changes that... If you don't like wearing a bra, don't wear one." Dr Susan Love[3]
Indeed, there are indications that wearing a bra may have an effect opposite to that which was intended. In a Japanese study, 11 women were measured wearing a standardised fitted bra for three months. They found that breasts became larger and lower, with the underbust measurement decreasing and the overbust increasing, while the lowest point of the breast moved downwards and outwards. The effect was more pronounced in larger-breasted women. The authors of this study, along with other researchers, [10] described the bra as an instrument of torture, comparing them to the Chinese tradition of foot binding, because they found the breasts were squeezed out of the chest wall and, therefore, hung even lower. This may be related to the particular bra chosen for the experiment. There was some improvement after changing to a different model. [33] These findings were confirmed in a much larger French study of 250 women who exercised regularly and were followed by questionnaires and biometric measurements for a year after agreeing not to wear a bra. While there was some initial discomfort at the first evaluation, this gradually disappeared and by the end of the year nearly all the women had improved comfort compared to before the study. The measurements showed firmer, and more elevated and youthful breasts. One example of a woman who had breasts that were uncomfortably large, and who had improvement after two years of being without a bra is given. [34] [35]
While some may dispute the reasons why breasts change in shape with age and argue over whether or not the process can be delayed or reversed by wearing a bra, it is a natural process of bodily change. Health ethicists are concerned that plastic surgery and implants have altered our concept of what is "normal" and medicalised women's bodies by making a normal process a "disease." [36]
Pain relief and comfort
Wearing a bra can offer relief of breast pain (mastodynia, mastalgia), particularly when women are performing strenuous physical activity or exercise. Indeed, the sports bra is an example of a bra which has been specifically designed for this purpose. [37] [11] An underwire bra can also help support breasts and keep them from bouncing (for example, during running), which is painful whether the breasts are large or small. Recently the requirement for a bra during exercise at all has been questioned following extensive studies on athletes and sportswomen. [34]
In the specific case of larger breasts, the bra lifts the breasts away from the chest and can prevent two skin surfaces from rubbing together. Without the bra, maceration (loss of skin), intertrigo (rash) and fungal infections are possible. This does, however, depend upon a correctly fitted bra that performs as intended. [11]
Source from : http://en.wikipedia.org/wiki
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