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To perform a breast self-exam, look at your breasts in a mirror, first with your arms at your sides, then with your hands on your waist and bending forward slightly. Finally with your arms raised over your head,look for asymmetries of the breast, dimpling or redness of the skin, retraction of a nipple, nipple discharge or a lump in the armpit area. Discovery of any of these abnormalities demands prompt attention by a physician.
Then, lie down, examine your breasts for any bumps, lumps, or thickening. Place one arm behind your head and, with your opposite hand holding fingers flat, examine all areas of the breast. Move in a circular fashion, move up and down each breast, making sure no part is overlooked. First press lightly, then a bit more firmly and then very firmly in each area (the three-layer cake technique). You should then drop the arm, place the opposite arm behind your head, and examine your other breast in the same way.
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