At which Tanner stage does the areola and nipple elevate above the level of the breasts?

In Tanner Stage IV, the areola and nipple begin to elevate above the level of the surrounding breast tissue, marking a significant point in breast development during puberty. This stage indicates further maturation of breast structures, where the breast mound has developed and the areola is distinct, contributing to the overall contour of the breast.

Tanner stages are used to assess physical developmental changes during puberty, particularly in relation to sexual maturation in boys and girls. In Tanner Stage III, although there is a noticeable enlargement of the breast and the areola, it remains at the same level as the breast tissue itself. Tanner Stage IV is the stage where we see the differentiation between the areola and the nipple as they both start protruding distinctly above the breast mound. This transition is key in understanding the progression of breast development during adolescence.