A to tal of 150 healthy women were studied to determine normal values
for breast sensibility and to investigate the influence of breast size
and ptosis on breast sensation. Cutaneous pressure thresholds were ev
aluated bilaterally in six areas including the nipple, the areola, and
the skin of the breast using the Semmes-Weinstein monofilaments. We f
ound that the skin of the superior quadrant was the most sensitive par
t of the breast, the areola was less sensitive, and the nipple was the
least sensitive part. The cutaneous sensibility of all tested areas d
ecreased significantly with increasing breast size and increasing brea
st ptosis. The nipple was less sensitive in women who had a previous p
regnancy. Age, smoking history, or hormonal contraception had no signi
ficant influence on breast sensation. The study shows that the Semmes-
Weinstein test is an adequate method for assessing sensation in the br
east.