Anatomy

Authors Mia Demant, MD, Magnus Balslev Avnstorp, MD, Mia Steffensen, MD, Tine Damsgaard, MD, PhD, Professor

The breast consists of a milk-producing mammary gland (green), enclosed by a skin envelope (yellow), resting on its breast footprint (blue). The footprint rests on the pectoral muscles and anterior thoracic wall. The mammary gland consists of adipose tissue (fat), milk-producing lobules and milk ducts leading the milk to the nipple-areola complex.

Figure 1 | Muscles of the cheast

The normal breast

Formed like af bell or a tear drop. Lesser fullness in the top, heavier in the bottom. The areola complex with nipples point forward and a little to the sides.

Figure 3 | Left: Bell formed normal breast, Middle: Nipples pointing to sides, Right: Breast Asymmetry (side difference)

The standard breast measures

On a young woman with a medium sized breast (300-500 ml) the measures should be:

  • Jugulum (sternal notch) – Nipple Distance: 19-21 cm
  • Medio clavicular point – Nipple Distance: 19-21 cm
  • Nipple – Inframammary fold Distance: 5-6 cm
  • Nipple – sternal bone distance: 9-11 cm
Figure 4 | Standard breast measure

Pathophysiology

The patient may suffer from a congenital disease resulting in macromastia, micromastia or asymmetry of the breast or thorax.

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