I do not have a small chest, but found it strange to see the square outline of my insulin pump between the girls or in other bra places. I usually clip my pump on the back of my dress, which is highly noticeable, but only from the back. I use the thigh pouch only when I don't wear a form fitting dress. The thigh seems to be the only place where I can completely conceal it. You could DIY a comfy garter - stretchy/thin/wide lace/other material band, hot glue gun, low profile Velcro.
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