Understanding your body is a fundamental part of maintaining long-term wellness. At Melanie Seah Breast Specialist, we believe that when you are familiar with what is normal for you, you are better equipped to notice even the subtle changes that might require professional attention. A breast self-exam (BSE) is a proactive, monthly habit that allows you to monitor your health in the comfort of your own home.
While most changes or irregularities found during a self-check are often benign, consistency is key. By performing these checks regularly, you ensure that any unusual developments are identified early and can be discussed with a healthcare professional for a clinical assessment.
Finding Your Monthly Routine
Consistency is more important than perfection. For those with a regular menstrual cycle, we recommend performing your exam about a week after your period starts, as this is when breast tissue is generally the least tender or swollen. If you are no longer menstruating, simply pick a date, such as the first of every month, to ensure you stay on track.
Step 1: The Visual Check
Start your exam by standing in front of a mirror in a well-lit area. With your arms resting at your sides, look closely at your breasts. You are looking for any visible differences in size, shape, or symmetry. Pay attention to the skin’s surface for any signs of puckering, dimpling, or redness that wasn’t there before.
Next, raise your arms high above your head and observe the same areas, including the underside of your breasts. Finally, place your hands firmly on your hips and press down to engage your chest muscles; this can help highlight any changes in the contour of the skin.
Step 2: The Physical Check While Standing
Many of our patients find it helpful to perform the physical portion of the exam in the shower. The combination of water and soap allows your fingers to move smoothly over the skin, making it easier to feel the texture of the tissue underneath.
Use the flat pads of your three middle fingers to move in small, circular motions. Use a light touch for the surface, medium pressure for the middle, and firmer pressure to feel the tissue deeper toward the ribs. We suggest following a vertical “up and down” pattern, starting from your underarm and moving across the entire breast toward your cleavage. Be sure to include the area leading up to your collarbone and the “tail” of the breast near the armpit.
Step 3: The Physical Check While Lying Down
When you lie flat, your breast tissue flattens out against the chest wall, which can make it easier to detect deeper irregularities. Place a small pillow under your right shoulder and put your right hand behind your head. Use your left hand to check your right breast using the same circular motions and varying pressure levels. Repeat the process on the opposite side.
To conclude, gently check your nipples for any unusual discharge or changes in direction (such as sudden inversion) that are not normal for you.
What Should You Note?
The goal is to identify anything that feels “new” or “different.” This might include:
- A distinct, firm lump or thickening.
- Persistent skin irritation or texture changes.
- A change in the nipple’s appearance.
- Swelling that affects only one side.
Comprehensive Support at Our Clinic
At Melanie Seah Breast Specialist in Singapore, we provide a dedicated space for women to address their health concerns with professional guidance. Dr. Melanie Seah and Dr. Timothy Shim bring together years of clinical experience to offer a patient-focused approach to breast care. We believe in providing clear, factual information so you can make informed decisions about your health.
Our clinic is equipped to assist you through every stage of care, from routine clinical examinations and the detailed review of mammogram and ultrasound images to specialized surgical consultations. We utilize oncoplastic techniques for those requiring surgery, aiming to combine medical necessity with the preservation of natural form. Additionally, we collaborate with experienced physiotherapists to support recovery and manage post-operative concerns such as lymphedema.
If you notice a change that persists or causes concern, we encourage you to seek a clinical evaluation. Our team is here to provide the thorough assessment and support necessary for your peace of mind. Contact Us for a Consultation to discuss any observations from your self-examination.
