Breast Changes To Be Aware Of:

  • Size – if one breast becomes larger or lower

  • Nipples – if a nipple becomes inverted (pulled in) or changes in postion or shape

  • Rashes – on or around the nipple

  • Discharge – from one or both nipples

  • Skin Changes – puckering or dimpling

  • Swelling – under the armpit or around the collarbone (where the lymph nodes are)

  • Pain – continuous, in one part of the breast or armpit

  • Lump or Thickening – a mass or firmness different from the rest of the breast tissue


Self Breast Exam 

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Step 1: Begin by looking at your breasts in the mirror with your shoulders straight and your arms on your hips.

Here’s what you should look for:

  • breasts that are their usual size, shape, and color

  • breasts that are evenly shaped without visible distortion or swelling


If you see any of the following changes, bring them to your doctor’s attention:

  • dimpling, puckering, or bulging of the skin

  • a nipple that has changed position or an inverted nipple (pushed inward instead of sticking out)

  • redness, soreness, rash, or swelling

Step 2: Now, raise your arms and look for the same changes.


Breast Self Exam – Steps 2 and 3

Step 3: While you’re at the mirror, gently squeeze each nipple between your finger and thumb and check for nipple discharge (this could be a milky or yellow fluid or blood).

Step 4: Next, feel your breasts while lying down, using your right hand to feel your left breast and then your left hand to feel your right breast. Use a firm, smooth touch with the first few fingers of your hand, keeping the fingers flat and together.

Cover the entire breast from top to bottom, side to side—from your collarbone to the top of your abdomen, and from your armpit to your cleavage.


Breast Self Exam – Step 4

Follow a pattern to be sure that you cover the whole breast. You can begin at the nipple, moving in larger and larger circles until you reach the outer edge of the breast. You can also move your fingers up and down vertically, in rows, as if you were mowing a lawn. Be sure to feel all the breast tissue: just beneath your skin with a soft touch and down deeper with a firmer touch. Begin examining each area with a very soft touch, and then increase pressure so that you can feel the deeper tissue, down to your rib cage.


Breast Exam- Steps 2 and 3
Breast Exam- Step 4
Breast Self Exam- Step 1

Step 5: Finally, feel your breasts while you are standing or sitting. Many women find that the easiest way to feel their breasts is when their skin is wet and slippery, so they like to do this step in the shower. Cover your entire breast, using the same hand movements described in Step 4.

Be sure to contact your physician should you have any questions or concerns.

Breast Self Exam- Step 5
* Breast Exam Images From