Breast Cancer Health Center
Breast Cancer Clothing: Bras, Scarves, Accessories, and More
When you're first diagnosed with breast cancer, all you can think about is "Am I going to die?" But as you begin to learn to live with your cancer diagnosis, you start to think about other things, like "What am I going to look like bald?" It may sound frivolous, but ask any breast cancer survivor and she'll tell you that she thought a lot about whether to splurge on that real human hair wig or what she'd look like in a swimsuit.
Feeling good about how you look is an important part of feeling good about yourself in general. And no one deserves to feel good about herself more than a woman who's surviving breast cancer. Fortunately, women with breast cancer today have a mind-boggling array of options, from wigs and scarves to specialty bras and swimsuits, designed with their needs in mind.
Not Your Grandmother's Mastectomy Bra
When Theresa McLeod started fitting mastectomy bras in the 1970s, there were three bras and two breast forms. Today, in the boutique she manages at the Evelyn Lauder Breast Center of Memorial Sloan-Kettering Cancer Center in New York, McLeod stocks a running inventory of about 3,500 bras in 30 to 40 styles. They range in sizes from 32A and AA up to 52DD. "You can really get anything you want," McLeod tells WebMD. "Within the last three to five years, options have really expanded. You can get microfibers, V-cut bras, lace appliques, and a huge selection of seamless styles."
Kate Rubien, manager of Underneath It All, the boutique at the Clinical Cancer Center at New York University Cancer Institute, agrees. "Not long ago, we were excited to get black," she says. "Now we have all kinds of colors -- one bra comes in mint green, blue, burgundy, and pink. We stock some bras that look just like expensive Wacoal bras."
Mastectomy bras still look a bit different than regular bras. Because they include pockets for breast prostheses, they often cover much more of the breast than do regular bras. But you can also ask to have a pocket sewn into your own bra to accommodate a breast form. The department store Nordstrom will do this to any bra they sell, or you can ask at the hospital where you're being treated.
You should be fitted for a mastectomy bra by a certified fitter. Most cancer programs either have boutiques that do fittings or provide referrals. But once you've gotten a good fit, you can buy beautiful mastectomy bras online. Nordstrom and JC Penney also carry mastectomy bras. Most insurers will pay for at least one mastectomy bra per year (along with coverage for prostheses). Check with your carrier about coverage.
If you've had a lumpectomy and don't need a full breast prosthesis, you may still want to get a small breast form for symmetry. "It's like filling in a missing piece to the puzzle," Rubien tells WebMD. "I have eight different styles of partial breast forms -- different shapes and thicknesses -- in a full range of sizes." Or you may prefer a "molded cup" bra that is pre-shaped and easily filled out.
Other options available include a soft camisole that women can wear during their post-surgical period with pockets to hold drainage tubing and bottles. Many insurers also pay for one of these, says McLeod. There is also an array of self-adhering nipples and nipple covers for women in various stages of reconstruction.
VIVELLE-DOT (estradiol transdermal system) IS AVAILABLE BY PRESCRPTION ONLY.
INDICATION
Vivelle-Dot is used after menopause to: reduce moderate to severe hot flashes; treat moderate to severe dryness, itching and burning in or around the vagina; help reduce your chances of getting osteoporosis (thin weak bones); and treat certain conditions in which a young woman's ovaries do not produce enough estrogens naturally. Vivelle-Dot 0.025 mg/day is only used to prevent osteoporosis from menopause. If you use Vivelle-Dot only to treat your dryness, itching, and burning in and around your vagina or if you use Vivelle-Dot only to prevent osteoporosis from menopause, talk with your healthcare professional about whether a different treatment or medicine without estrogens might be better for you.
IMPORTANT SAFETY INFORMATION
Estrogens increase the chances of getting cancer of the uterus (womb). Report any unusual vaginal bleeding right away while you are taking estrogens. Vaginal bleeding after menopause may be a warning sign of cancer of the uterus (womb).
Do not use estrogens with or without progestins to prevent heart disease, heart attacks, or strokes. Using estrogens with or without progestins may increase your chances of getting heart attacks, strokes, breast cancer, and blood clots. Using estrogens with progestins may increase your risk of dementia (decline in memory and thinking skills).
Vivelle-Dot should not be used if you have unusual vaginal bleeding; currently have or have had certain cancers, including cancer of the breast or uterus; had a stroke or heart attack in the recent past (for example, in the past year); currently have or have had blood clots; currently have or have had liver problems; or think you may be, or know that you are, pregnant.
The most common side effects that may occur with Vivelle-Dot are headache, breast tenderness, and back pain.
You and your healthcare professional should talk regularly about whether you still need treatment with Vivelle-Dot.
You are encouraged to report negative side effects of prescription drugs to the FDA. Visit www.fda.gov/medwatch or call 1-800-FDA-1088.
Please see Full Prescribing Information for Vivelle-Dot.

