A breast milk expression apparatus for manipulating a breast of a user includes an outer shell, and a plurality of circumferentially spaced inner pads coupled to the outer shell. The pads are configured to engage the breast of the user and configured for radial displacement. The breast milk expression apparatus further includes a compression unit coupled to the plurality of pads. The compression unit is configured to cyclically displace the pads radially inwardly against the breast to cause compression of the breast and, following compression of the breast, to permit displacement of the pads radially outwardly from the breast as the breast decompresses.