Offensive:Racy: Likely Labels:text OCR: Resident and Staff Physician Patient Education Chart Breast Self-Examination: Step 4 4. Start on the outside of your breast (near your left armpit) and, using a smal circular motion, examine around the rim. You may feel a firm ridge along the lower edge, but this is normal. 200 Reprinted with permission from Resident and Staff Physician (c) 1991-92, 1993 by Romaine Pierson Publishers, Inc.