>Tanner 4: Nipple and areola form a mound atop underlying breast tissue >Tanner 5: adult configuration with areola and breast having smooth >contour Tanner's breast stages are based on English women. Many other populations in the world (including African) do not ever "progress" to stage 5, in that the nipple and areola continue to form a "mound" atop the underlying breast tissue. Yet these "stage 4" breasts belong to women who have been pregnant and lactating most of their adult lives. You cannot assess the internal structural development of the breast merely by observing them from the outside. ---------------------------------------------------------------------------- ------- Katherine A. Dettwyler, Ph.D. email: [log in to unmask] Anthropology Department phone: (409) 845-5256 Texas A&M University fax: (409) 845-4070 College Station, TX 77843-4352 http://www.prairienet.org/laleche/dettwyler.html