I think one of my hips is higher than the other, which always ends up making my busk a little lopsided. I've heard getting adjusted by a chiropractor can help with more minor issues, but for bigger problems or spine curvature custom pattern is definitely the way to go. I'm lucky that my pear is super small, only a few inches difference top to bottom, so o.t.r. corsets will do for me. I'm too cheap for a custom one at the moment.
Random side note...anyone thought of adapting a corset for mermaiding? Definitely plastic bones, but could it be feasible?
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