Implants do not fill out bra cup

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DonnaAB
DonnaAB Member Posts: 33
edited July 2018 in Breast Reconstruction
Implants do not fill out bra cup
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  • DonnaAB
    DonnaAB Member Posts: 33
    edited October 2007

    Had my exchange 1 week ago with 780 cc Inamed saline implants.  My boobs look like two pancakes.  All along my PS said that he would probably not achieve much projection even though he used the largest expanders available, and according to him, the largest implants available.  The reason:  the way I am built; I have a large rib carriage and am wide across the shoulders, back and chest.  I am 5 ' 4" and 150 lbs.  It takes a 38 bra to fit around me and these implants look about a C/D cup.  But in a C/D cup, there is so much space and empty fabric left over in the cup. Yet it seems to fit the diameter.  If I put on a sports bra (or anything highly stretchy) then I really do have two pancakes.  I know there can be some settling and slight change of shape over the next several months but not enough to solve this problem.  Do any of you have any advice?  I suppose I could continue to put in little puff pads (as I did while being expanded) but to me, that was part of the whole reconstruction experience, to be made "whole" again.  Has any one had any experience with custom made bras?  I am such a crybaby right now when I need to really reflect on the most important thing of all, I am cancer free, did not have to have chemo/rads, nor any future treatment...just need to keep that thought in the forefront and forget about my vanity.

    Donna

  • KathyL
    KathyL Member Posts: 534
    edited October 2007

    Donna:

    Have you considered getting a professional bra fitting?  I know these are offered to cancer patients and it could help you determine what size you are now post-implants.  I was barely an A-cup before my left mastectomy and wore a band 36-38-- not easy to find! I was used to never filling a bra and often had to shop around a lot to find a good fitting bra that didn't have "gap" in the cup.  I had augmentation on the right and am doing fills currently on the left, total volume should be about 350cc and they are high projection implants.  It's been recommended to me to get a fitting done after my exchange and I'm healed to figure out what size I'll be now as implants give you cc amounts, not cup size.  My PS said I'll be a full B or C cup that's not filled out.  Also, most women do not wear the correct bra size anyway, so a professional fitting could be beneficial to anyone.

  • PetVet
    PetVet Member Posts: 32
    edited October 2007

    I had my exchange 10 days ago and am having the exact same problem.  Before double mastectomy I was a 38 nearly B, 5'6", 140 pounds.  Had my exchange with 450 ml high profile silicone implants.  I have very little projection and don't see how I will ever be able to find a bra that fits.  Right now, I think I'm a 38 A (guess I won't be shopping at Victoria's Secret...)

    I too spent the first several days after my exchange in tears.  I also feel guilty for complaining because other people have so many more problems.  Just highly disappointed...

    Julie 

  • abbadoodles
    abbadoodles Member Posts: 2,618
    edited October 2007

    This is a common problem.  I do know the silicone implants droop with time and even project a bit more to fill out the bra tips.  Also, there are shaped saline implants available which are probably a bit pointy-er than round.

    However, you might look into a number of different bras to help camoflage this problem.  We had a discussion recently and some bras that can work are VS Ipex (come with or without underwire), Warner's Elements of Bliss molded, JCPenney Ambrielle.  It's surprising how well they can fit.

    Good luck and don't give up hope!

    Tina

  • AnnieBird55
    AnnieBird55 Member Posts: 122
    edited October 2007

    Hey - there seems to be several of us with recent exchanges. And wow, how we all vary.

    I was a 34B b4 bilat mast&recon. I had my exchanged 1 week ago. I am 5'5", 140 lb. I received two 380cc implants. (Donna, your 780s are over 2x the size of mine, and we are almost same ht/wt!). Yes, mine too look like to flat pancakes.

    However, my PS said:

    - it will take 2 months until swelling etc settle down and we try to do any other adjusting.

    - wear a sports bra at least for 2 months

    I am still very swollen and there is a lot of black & blue in various places. In no way am I looking at these expecting them to fit in a NORMAL bra!

    On the brighter side, I sure like these softer things better than those coconut expanders.

    So. my expectation at the moment (1 week post exchange) is NOTHING. I am waiting until my PS visit tomorrow and I am going with a long list of questions.

    -Anne

  • 2bubbas
    2bubbas Member Posts: 133
    edited October 2007

    Donna, it really does stink that you go through this surgery, just so you don't have to stuff.  And then you end up needing to stuff because it isn't the right shape.  I know.  I'm there too.  But give it time.  It really does change over the months.  Even when I was at 3 months out, I didn't think it could change any more, but it did by month 4.  I had my exchange in May. I don't know if the pointy part ever fills out, but give it time anyway.

    I remember those first few days and weeks after my exchange.  {{{hugs}}}

    I can't help with custom fittings since I haven't done it.  I wear stretchy sports type bras that are light, as in they fall into the sleepwear or loungewear category.  Not tight and binding.  So it flattens my other side out enough to sorta match the recon side.  When I need a "good" bra, I wear the Ambrielle from Penney's.  It stands out on it's own enough (even though it's empty air under there).

  • lvtwoqlt
    lvtwoqlt Member Posts: 6,162
    edited October 2007

    I am going for my bi lat exchange Friday and getting the mentor saline teardrop (not sure the size) because my surgeon said that the teardrop implants will look more natural than the round ones. He asked me Monday in my pre-op if I noticed a difference in the size from the left to the right, I laughed at him and said I was wearing the camisoles with the shelf support because no bra fit on my 'hamburger bun' boobs. I will let you know after Friday what they look like. He also said that I could shop for new bras 8 weeks after surgery to allow for settling.

    Sheila

  • DonnaAB
    DonnaAB Member Posts: 33
    edited October 2007

    Thanks for everyone's comments, advice and support.  This too shall pass .... I never had the patience of Jobe before BC but I'm working on being a model candidate now.  I do remember the posts about the JC Penney bra ... will take a look at it.  Anne:  Even though our height and weight are similar I am probably more wide through the rib cage so the larger size doesn't make me larger in projection just in diameter ... OK so I now have big, flat pancakes.  As many of you have said before, there are absolutely no two situations alike ... yet we are all connected.

    Donna

  • Beesie
    Beesie Member Posts: 12,240
    edited October 2007

    Because reconstruction implants are put in under the muscle and because there is no soft round mound of breast tissue in front of of the implant, implant reconstructed breasts pretty much always will be flatter than a normal breast, whether one has a tear drop implant or a round implant, whether one has high projection or not.  A tear drop and higher projection might improve the projection but the fact is that implant reconstructed breasts simply don't 'fill out' or project like normal breasts.  I have an extra high profile teardrop implant and I'm still flat.  I've learned to only buy bras that either have stretchy cups or firmer cups that don't collapse even though one side (I had a single mastectomy) isn't filled right to the tip. 

  • MinAZ
    MinAZ Member Posts: 368
    edited October 2007
    This is an idea I found a few years ago - before BC. I'm abut 5'11" and a bit heavy. I've had trouble with bra fit for quite a while. I found something on the web that said get cups that fit but with a smaller band size, then use a bra extender. They're just like the hooks on the bra, just make it longer; example:  http://www.amazon.com/Arabella-Bra-Extender/dp/B0002UE3EC. You can find them a sewing shops, good bra stores, probably also Target and Walmart. They have been most helpful for me. I have my exchange and a reduction/lift next week - and I expect to keep using them with whatever bra size I end up with.
  • LiveForToday
    LiveForToday Member Posts: 311
    edited October 2007

    Hi Girls,

    I think we all go into reconstruction with implants thinking we will have beautiful breasts again but in reality our breast tissue has been removed and we will become the shape of the implant, but the good news is.....give it time.  At least 3-4 months.  The swelling will be gone and gravity will cause the implants to settle and resemble more of a breast shape.  We will also have the flat area where the nipple was removed but nipple recon might appear to soften that problem.  

    Like the girls mentioned above, the molded bras work well for most of us.

    Please don't get discouraged.  It just takes time, I too was disappointed with pancakes last December.  Now the implants have settled and look great in a bra but will never look like the originals.  I have accepted it and who knows what the future holds for reconstruction.  We may all be getting another exchange soon!!!

       huggs,  Sherry
     

  • annme
    annme Member Posts: 117
    edited October 2007

    I was going to say what MinAZ said. I found with mastectomy bras that the larger around the band, the larger the cups would be, even if the cups were supposedly the same size as with the smaller band (this just makes absolutely no sense to me). I ended up having to get a 34 inch band and then using two bra extenders....that was the only way I could get a larger band and have everything fit.  

  • DonnaAB
    DonnaAB Member Posts: 33
    edited October 2007

    What a great idea to use the extenders!!!! I didn't know such a thing exisited but that may very well be the solution to keeping the cup size smaller so the pancakes/hamburger bun/etc. will fit yet you can increase the band size with the extender.  For those of you who have tried the molded bras, did you find a brand where the top half didn't gape?  I tried a Bali and it fit nicely on the sides and bottom but since I didn't fill in the top very well there was still quite a bit of open space.  I guess some might be "molded" with heavier fabric and would probably hold their shape better. 

  • AnnieBird55
    AnnieBird55 Member Posts: 122
    edited October 2007

    Thank you all for your suggestions (Sherry, MinAZ). And, Donna, thank you for starting this thread.

    The extenders does indeed sound like a good idea. And, patience is always prudent. What is wonderful abou this website is the care of so many ladies here to offer suggestions and share their experiences.

    I will share my glass half-full:
    - no more headlights (any bra I wore b4 bc showed my hard nipples which were always hard!)
    - no more mammograms! (bilat mast)
    - going braless really looks much better than it ever did (things are firmer)

    -Anne

  • cc01
    cc01 Member Posts: 101
    edited November 2007

    Girls you may find this bra chart for implants helpful:

    http://www.breastimplants4you.com/forum/forum_entry.php?id=290439

    This one works the best for implants. You measure from implant edge to edge across the fullest part of one breast.

  • spar2
    spar2 Member Posts: 6,827
    edited November 2007

    since my implant the only bras that fit are sports bras, i did get a professional fitting and would wear a 44 small A which is almost impossible to find.  My implants were the biggest they had.  Would hope someday to wear real bra again.  Did not know you get a bra custom made.  Don't know a company to contact.  Does anyone know the name of a company to custom make bras? Thanks

  • Beesie
    Beesie Member Posts: 12,240
    edited November 2007

    I don't think the breastimplants4you chart works for someone who's had reconstruction - it's made for women who've had breast augmentation.  If I'm working the chart correctly, it says that with the size of my implant, I should be a Full DDD.  In fact, I'm a Full B.

    As someone with breast cancer, I also find the pictures to be pretty offensive.

  • SandyinSoCal
    SandyinSoCal Member Posts: 2,034
    edited November 2007

    annme, I own a bridal website and we sell a ton of bras or bustiers.  Strange as it seems, it is correct that the same cup becomes a different size as the band size changes.  For instance, the cup of a 34C is the same size as the cup of a 36B.  

  • cc01
    cc01 Member Posts: 101
    edited November 2007

    Please do not be offended by the breastimplants4you website. The women there are awesome and very supportive. If you have implants that chart is usually very accurate. The cup size changes depending on the band size. You need to measure from implant edge to edge across one breast and then find your band size.

  • iodine
    iodine Member Posts: 4,289
    edited November 2007

    I'm 5 years out and for 3 of those years wore a leisure bra (I'm plus size) and also went with out a bra.  Did fine.

    I tried some Penny's bras but was never really comfortable.  I was also fitted with a few VERY expensive bras.  Never really happy. 

    I' d try on bra after bra and even after 3-4 years, I'd leave and get in the car with tears in my  eyes.  This is after havin done TWO recons and having a pretty good outcome with the second one.

    I finally found a bra after a lady at the Legg's outlet of all places, knew her stock, and took the time to fit ME.  The bra fabric is streachy and conforms to each breast, so it fits each one differently but supports each breast, even tho they are different.

    It has a side support and comfy underwire. 

    At Last!

    Hey it took a while, but it was worth the wait and I ordered several.  If I ever want more they will naturally no longer be made, but at least I will know that I did have them for a while.

    Good luck on your searches !!!  It does take a while!

  • abbadoodles
    abbadoodles Member Posts: 2,618
    edited November 2007

    Donna, I did find that, although they are the most expensive of the options I mentioned, the VS Ipex molded bra fits better at the tip than the others.  This is because the molding material is a bit thicker at the tip and also at the bottom sides.  The molding stuffing is uniform in thickness in the other bras.

    The other option is to go with a stretchy fabric bra if you're not too big for the tiny bit of support they give.  I've worn another Warner's style like this Fit to be Tried http://www.barenecessities.com/Warners-Fit-To-Be-Tried-Bra_product_Warners1035_,search,.htm for many years but I'm not big. 34B.  Of course, there will be that difference between the breasts if one is natural and one is recon. 

    Tina

  • mbordo
    mbordo Member Posts: 253
    edited November 2007

    I guess I wonder what factors come into play that give women vastly different outcomes when expanded to similar amounts...Body shape/type probably only accounts for part of it...

    Do you think muscle development/strength is a factor?  I have a very small frame - even if I worked out *excessively* I would never build much muscle mass.  Perhaps those with developed pecs have a harder time achieving good projection?  If so - it would be nice to have that disclosed so women could factor "likely outcome based on body build" into their decisions!

    I am switching my saline for silicone next month.  My PS gives *everyone* saline first, then if you opt for silicone, it is an additional procedure.  I was leaning towards silicone from the beginning, and having "test driven" saline, I really want something softer...I asked how the change in shape will affect my cosmetic result (which is really excellent @ this point - I want softer - but not if I have to sacrifice appearance!).  I currently have teardrop saline, and will be switching to round silicone.  My PS said it is the shape of the breast "pocket" that determines the shape of the "breast mound" (don't you hate that term?) - *not* the shape of the implant.  The implant is pliable, and merely fills in the space.  He prefers the firmness of saline for the first exchange so he can shape and countour the breast, then if swapping for silicone, he says the breast should look the same - but be softer because of the materials involved.

    Working with my PS I realize this whole process is more an *art* than a *science* and there is a not "one size fits all" chart.  I guess it would be nice if they had a computer program (like those housepaint color-choosing ones) where you could input your relevant stats and get an approximation of what implants would look like on *you*!

    Pardon my ramblings - just some thoughts banging around in my head!

    Mary

  • annme
    annme Member Posts: 117
    edited November 2007

    Wow, I'm with Beesie regarding breastimplants4u...I wasn't counting on an eyeful of soft porn today.

  • Beesie
    Beesie Member Posts: 12,240
    edited November 2007

    Yes, breastimplants4you does have good info on the types of breast implants that are available and it may very well be a great site for women who've had augmentation surgery, but it hits on a raw nerve for women (or some women, at least) who've had their breasts removed due to cancer.   

    cco1, the reason that the chart doesn't work for us here is because there's a huge difference between having an implant inserted into a breast that has breast tissue vs. having an implant as your whole breast.  There's simply no comparison and the sizing that results from using an implant for augmentation would be quite different than the sizing that results from using an implant for reconstruction.   I know this from experience.  I have one breast that's been augmented (to help with symmetry following reconstruction) and another breast that's been reconstructed.  Although my breasts are pretty much the same size, the size of implant that was used in each breast was hugely different.  And my natural breast looks and feels natural, while my reconstructed breast is much firmer and more flat.   The same bra does not work equally well on both, which is why finding a bra is such a struggle.

  • Rebecca
    Rebecca Member Posts: 971
    edited November 2007

    Mary, I think that some of the variation might be due to the way that different PS's configure the 'pocket'.  As someone above noted, the shape of the reconstructed breast is defined more by the setup than by the shape of the implant itself.

    I also find that my reconstructed breast is blunted and flat appearing.  I have compensated for it by putting a shaped foam insert into my bra cup...this gives me the projection I need for it to be even with the other side.  More disturbing to me, however, is the bulge up by my neckline....I feel like I have been baywatch-ized Laughing.  It always looks like by breast is crawling up out of my bra...but only on the one side.  I have found that I have to be very careful in my wardrobe choices or I look like a porn star from one side (not exactly the effect I was hoping for with my recon).  When I decided to go for the recon, I did so that I would not have to worry about the special undergarments required to deal with an external prosthesis, and instead I found that not only is my best bra a mastectomy bra (I put my insert into the pocket), but I still have to be as concious of what I wear as I would have had I chosed to go with an external prosthetic. 

    I do hope that the bulge in the top settles down a bit...anyone have any experience with that?  I had my exchange in August.

  • cc01
    cc01 Member Posts: 101
    edited November 2007

    Beesie, This is such a scary thought. You would think a HP or Very HP and much larger implant would work. I was small before augmentation so it's not like I have a llot of natural tissue. I am mostly implant now; so I was hoping that if reconstructed with a larger implant I would look similar. Mine are under the muscle now too. I have a hard time understanding how with the small amount of natural tissue I have it could possibly be that much different if a larger HP implant is used. Does it not make a difference how much natural tissue you start with?

  • gracejon
    gracejon Member Posts: 972
    edited November 2007

    I drew a picture pre operatively to one of my plastic surgeon consults I had.  The doctor said you can NEVER get that with implants and if you expect that result, you will surely fail.  It was one of many articles of documentation I used to plead my case for autologous reconstruction and specifically DIEP.  Having said this, I was informed even with autogolous reconstruction a cone shaped reconstruction is impossible.  Again clearly a good bra fitter is the key to finding something that is good.  I made it one of my missions and saw almost evry store that employs bra fitters including Victoria Secret and yes even one of their models works but clearly is not one of my favorites.  I also think over the past year of reconstruction my breasts have changed a bit and look even better in some respects.  I do think all of this is a work in progress and I expect the future holds even better reconstruction or even perhaps a cure so this need not be done at all.  I also hope that the prothesis companies may find a new profitable market in developing bras for reconstructed women and a perfect fit will be easier to find.

  • rubytuesday
    rubytuesday Member Posts: 2,248
    edited November 2007

    I tried the breastimplants4you chart and I came out a 34 full C.  I wear (and was measured as) a 34D.  Go to one of the better department stores and get measured.  Wearing the right size can make all the difference in the world.  I second the IPEX by VS and also Sweet Nothings (by Maidenform).  The only bras I have found that I can't wear and it's because they are too pointy and I feel ridiculous in them are Vasarette (sp?).  They remind me of a bra that my aunt wore (think Madonna) when we were kids that was stitched around and around and around and came out to this hideous point.  I think I forgot where I was going with this................

  • kerrygalincalifornia
    kerrygalincalifornia Member Posts: 2
    edited November 2010

    To Mbordo.   I am very small too. 5 ' 5"  and 111 pounds.  Had a Mastectomy on one side and reduction on the other, with a saline implant on the mast. side.  I am still very uncomfortable and have a large dimple in the implant.  My PS says he can take it out and recommend replacing it with silicone.  My question for you is:  How painful will it be to have this implant redone?  Please let me know how you do.  Then perhaps I can made a decision.  It will be almost a year since my mastectomy.   

  • brendaclee3
    brendaclee3 Member Posts: 119
    edited November 2010

    Donna, I know exactly how you feel.  Don't feel like a cry baby.  Breasts are important and you deserve to have the best.  I had implants after my mastectomy and was very disappointed.  You'd think after implants, we shouldn't have to use a prosthesis, right?  I had another surgery to help with the symmetry and a new kind of implant that is supposed to be shaped more like a breast, but I can't tell much difference.  I bought some of those ol' matronly bras at the cancer shop, but they are awful.  Last week I found a GREAT bra at Belks.  It's the Platex Side-Support bra.  It looks sexy and has a little inside rim that holds my prothesis perfectly.  I actually feel and look normal in it.  Still, I am planning to have the DIEP procedure though.  I hope I am making the right decision.  Check out that Platex bra.

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