BREASTS
?Previous breast conditions: ?
?Previous breast operations: ?
?Hx/Fhx Breast conditions: ?
?Smoking:?
?Hormonal Medication: ?
?
?
?
Breast implants: ?
?
Right breast ?
?Nipple: ?
?Areola: ?
?Breast: ?
?Axilla:?
?
Left breast ?
?Nipple: ?
?Areola: ?
?Breast: ?
?Axilla:?