Described herein are paddles for breast biopsies. A reverse paddle and a compression paddle may be used in a breast biopsy. Both paddles may each have an aperture. When pressed against the breast, the reverse paddle and the compression paddle may allow the breast to bulge out of the aperture of both paddles during the biopsy. As the breast tissue bulges out of both paddles, the breast tissue to be examined via biopsy may be enlarged, thereby lessening the use of excisional biopsies on subjects with thin breasts.