1. palpating the breast: looking at the breast while standing
Stand in front of a mirror in good lighting and let your arms hang loosely at your sides. Take a close look at your breasts and pay attention to any changes. A few questions may be helpful:
Has the size or shape of one breast changed noticeably since the last time? Are both breasts at the same height as when you last looked at them? Has the color of the nipple changed, for example, is there any redness on the areola?
2. viewing the breast in motion
Raise your arms and move them slowly up and down. Observe how your breasts and nipples move in the mirror. Repeat the movement several times and change the angle of view. Look out for new skin folds, retractions or protrusions. These questions can help you with the assessment:
Do both breasts move evenly upwards and downwards? Are both nipples at the same height? Is there a change in shape when raising/lowering the arms, e.g. a fold or protrusion of the skin?
A) Circular palpation of the chest while standing
To ensure that all areas of the breast are covered, a certain pattern should be followed for each palpation. The following method has proven successful: Start by examining the breast in decreasing circles from the outside inwards towards the nipple.
B) Linear palpation of the breast while standing
The next step is to palpate the breast in lines from top to bottom and from outside to inside.
3. squeezing the nipple
Gently squeeze each nipple between your thumb and index finger. When doing so colored secretions or a liquid you should see your gynecologist.
4. palpation of the breast while lying down
Lie on your back. Repeat the palpation of the chest while lying down. Pay particular attention to the lower chest area.