What signifies the end of breast development according to the Tanner scale?

The Tanner scale is a widely used system for assessing the stages of sexual maturation, particularly in adolescents. When evaluating breast development, the transition from stage 4 to stage 5 signifies the conclusion of breast development.

The specific indicator for the end of breast development is the recession of the areola to the contour of the breast. In this final stage, the breasts reach their mature adult form, with a smooth contour and the areola becoming less prominent, effectively blending into the breast tissue without protrusion. This signifies that the physiological changes associated with puberty have completed, and breast development has reached its endpoint.

Other stages, like breast bud development, focus on the early phases of growth, while pubic hair extending to the thighs relates more to sexual maturation rather than breast development. The absence of palpable breast tissue does not indicate completion of development; rather, it may suggest a delay or issue with breast growth. Overall, the recession of the areola to the breast contour is the clear marker that indicates full maturation of breast development according to the Tanner scale.