Okay, Linda R., here's mine: when teaching manual expression of breast milk, I have the mother make a loose fist to simulate her breast, then I 'express milk' from her fist, pressing back, then rolling the fingers and thumb toward each other and the 'areola', pointing out that my fingers are not rubbing over the skin, but rather pushing the skin forward. Since the skin on the hand is loose like the skin of the breast, this works well. Using their hand gives them kinesthetic as well as visual stimuli, and no one is embarrassed. They then try it on their real breast. Catherine Watson Genna, IBCLC