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Aug 26, - The first visible evidence of puberty in girls is a nickel-sized lump under Breast buds, as these are called, typically occur around age nine or . Call your pediatrician immediately if your teen develops severe abdominal pain. The bump is called a breast bud and it can be as small as a blueberry or a little bigger. Throughout your preteen and teen years, you will continue to grow and .. And when it comes to other things happening on puberty, pubic hair, pimples.