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Step #1: Put an X using a felt-tip pen on top of the nipples and then measure the distance between the nipples.

Step 2: Put an X on the anterior axillary lines and then measure the distance between the anterior axillary lines.

Step 3: Put an X on the bottom corners of the shoulder blades and measure the distance between them.

Step 4: Put an X on the posterior axillary lines and measure the distance between them.

Step #5: Measure the circumference of the rib cage from the highest point of the deformation.
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