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stage 1
pre-adolescent; elevation of papilla only
stage 2
breast bud stage; elevation of breast and papilla as small mound, enlargement of areola diameter
stage 3
further enlargement and elevation of breast and areola, with no separation of their contours
stage 4
projection of areola and papilla to form a secondary mound about the level of the breast
stage 5
mature stage: projection of papilla only, due to recession of the areola to the general contour of the breast