“I went in for a massage a little while ago and it was brutal. I wish the massage table had two holes cut out where my breasts are.” Those were the first words from a new patient after we introduced ourselves. She was nervous—not because she was trying a new massage therapist (A doctor she respects recommended me)—but because she did not want to endure any pain or discomfort while lying on her stomach due to the size of her breasts.     
Most women with large breasts experience pain and discomfort in the chest area when they are lying in the prone position; however, few, if any, verbalize their discomfort during treatment. Massage to the back increases this already undesired pressure, which often causes the patient to wriggle or squirm in order to find a more comfortable position.   

A breast pad specifically addresses this issue and may be used during treatment to facilitate greater comfort. Many patients favor the breast pad because it restores comfort and enhances the massage and bodywork experience. The cushion is firm enough to offer support, yet soft enough to promote comfort; it is about 2 inches thick and spans across the rib cage for total support. If you feel that you could benefit from using a breast pad, notify your massage therapist. If you are not relaxed, you are not receiving the benefit of the entire treatment. If your therapist does not have a breast pad, he or she can use pillows for support and to help facilitate your comfort. 

Women with breast implants face similar issues while lying face down on the massage table. A patient of mine introduced a solution to this problem by way of a rolled hand towel placed between the breasts. It offers support, eases pressure and also facilitates comfort.  

Do you have any other suggestions? Please share them.