Breasts: Structure, Function, Development and Anatomy Explained
Breasts are an essential anatomical and functional part of the human body, present in both men and women. While male breasts remain underdeveloped throughout life, female breasts undergo considerable changes, especially during puberty, pregnancy, and lactation. Understanding breast structure and function is important for anatomy students, medical learners, and anyone interested in human biology.
What Are Breasts?
Breasts (mammary glands) are specialized organs located on the chest. They consist of glandular tissue, fibrous tissue, and fatty tissue. Their primary biological function is milk production and secretion during lactation.
Both men and women have breasts, but:
- In men: breasts stay in a rudimentary state.
- In women: they grow and develop during puberty and significantly during pregnancy and breastfeeding.
Female Breast Anatomy
1. Location and Shape
In young women, breasts are hemispherical structures situated on the anterior chest wall.
They vertically extend from the 2nd to 6th rib, and horizontally from the lateral border of the sternum to the mid-axillary line.
Axillary Tail
A superolateral extension called the axillary tail of Spence moves into the armpit area and is closely associated with axillary lymph nodes.
2. Retromammary Space
A loose areolar space behind the breast allows it to glide freely over chest muscles such as:
- Pectoralis major
- Serratus anterior
- External oblique
This space separates the breast from the deep fascia.
External Features of the Breast
1. Nipple
The nipple is a small conical projection usually located at the fourth intercostal space.
It contains:
- 15–20 lactiferous duct openings
- Smooth muscle fibers that cause nipple erection or retraction
Retraction of the nipple during development may create difficulty in breastfeeding.
2. Areola
The pigmented area surrounding the nipple is called the areola.
Color changes:
- Pink/light in virgins
- Darkens during pregnancy
- Lightens after lactation
Areolar glands enlarge during pregnancy and secrete an oily substance that protects the skin during breastfeeding.
Internal Structure of the Breast
The breast is composed of three main components:
1. Glandular Tissue
- Contains 15–20 lobes
- Lobes contain smaller lobules
- Lobules contain alveoli (milk-secreting structures)
Each lobe drains into a lactiferous duct, which widens into a lactiferous sinus—a temporary milk reservoir.
2. Fibrous Tissue
Connective tissue forms ligaments of Cooper, which support the breast.
In breast cancer, these ligaments may contract, causing skin dimpling.
3. Fatty Tissue
Surrounds the glandular tissue and largely determines breast size and shape.
Breast Development (Mammogenesis)
Before Puberty
- Only ducts exist
- No alveoli
- Growth mainly due to fat accumulation
At Puberty
Estrogen stimulates:
- Branching of ducts
- Formation of terminal buds
- Development of early alveoli
During Pregnancy
Hormones involved: estrogen, progesterone, prolactin, growth hormone
Changes include:
- Formation of true milk-secreting alveoli
- Increased duct branching
- Production of colostrum (yellowish, nutrient-rich fluid)
Lactation
Begins 4–5 days after childbirth.
Myoepithelial cells contract to push milk through ducts when stimulated by the infant’s suckling.
After Lactation
- Milk stops
- Alveoli shrink
- Glandular tissue reduces
After Menopause
- Glandular tissue atrophies
- Breast becomes smaller and fatty
Male Breast
Male breasts remain rudimentary, containing:
- Basic ducts (few in number)
- Some fibrous tissue
- Fat
They usually do not develop functioning alveoli.
Blood Supply, Lymphatic Drainage and Nerves
Blood Supply
Breasts receive blood from:
- Axillary artery branches
- Internal thoracic artery
- Intercostal arteries
Venous Drainage
Veins form a network around the nipple called the venous circle, draining into:
- Axillary vein
- Internal thoracic vein
Nerve Supply
From the 4th–6th thoracic nerves, providing:
- Sensory supply
- Sympathetic fibers
Hormonal control is responsible for milk secretion, not nerves.
Conclusion
Breasts are complex organs with significant structural, functional, and hormonal importance, especially in women. From puberty to pregnancy to menopause, breast tissues undergo remarkable changes governed by hormones. Understanding the anatomy and physiology of breasts is essential for medical students, healthcare professionals, and educational content creators.
FAQs About Breast Anatomy, Structure, and Function
Breasts are made of glandular tissue, fibrous connective tissue, and fatty tissue. The glandular part produces milk, while the fatty part determines size and shape.
The primary function of the female breast is milk production (lactation) to nourish a newborn. Breasts also play roles in hormonal regulation and reproductive physiology.
Male breasts remain rudimentary and do not develop milk-producing alveoli. Female breasts grow during puberty and can produce milk during pregnancy and lactation.
Lobules are small glandular units that produce milk.
Lactiferous ducts are the channels that carry milk from lobules to the nipple.
The nipple erects due to contraction of smooth muscle fibers within it. This can occur because of touch, temperature changes, or hormonal stimulation.
The areola is the pigmented skin around the nipple. It contains sebaceous glands that protect the skin, especially during breastfeeding.
During pregnancy:
Alveoli develop
Ducts enlarge
Colostrum is produced
Areola becomes darker
Breasts increase in size
These changes prepare the breast for milk production.
Colostrum is the first form of milk, produced in late pregnancy and the first few days after delivery. It is rich in antibodies and nutrients that protect the newborn.
Breast sagging occurs due to:
Decrease in skin elasticity
Stretching of Cooper’s ligaments
Loss of glandular tissue after menopause
Nipple retraction can be congenital or caused by fibrosis.
However, sudden retraction can be a sign of breast disease and should be evaluated by a doctor.
Breasts receive blood from:
Axillary artery branches
Internal thoracic artery
Intercostal arteries
Lactation usually continues for 5–6 months, though many women can breastfeed longer depending on milk supply and infant needs.
After menopause, glandular tissue shrinks and is replaced largely by fat, causing breasts to become smaller and softer.
No. Milk production varies due to:
Hormonal responses
Breast tissue development
Frequency of breastfeeding
Overall health
Very rarely, men can produce trace amounts of milk due to hormonal imbalance, medication, or endocrine disorders, but this is not common.
