Articles

New Scoping Review Article on AFC Just Published!

By Not Putting on a Shirt / October 16, 2025

Just published! A new, excellent journal article on AFC out of the Indiana University School of Medicine, by authors Bhaskara […]

Goldilocks Mastectomy: Am I the Right Fit?

By Not Putting on a Shirt / October 5, 2024

Mastectomy, What’s Next? Considering a mastectomy is a deeply personal and difficult decision for many women. Once the decision is […]

New Flat Closure Surgical Technique Article

By Not Putting on a Shirt / August 30, 2024

A new AFC surgical technique article just published in The Breast Journal about the Angel Wing Technique.

Finding the Perfect Fit: The Goldilocks Mastectomy

By Not Putting on a Shirt / December 1, 2023

When faced with a breast cancer diagnosis, the journey towards recovery can be overwhelming. One of the most important decisions […]

Editorial in Annals of Surgical Oncology: “The Era of Flat Closure Mastectomy”

By Not Putting on a Shirt / August 18, 2023

A fantastic new editorial on flat closure was just published in the Annals of Surgical Oncology, authored by Dr. Jennifer Baker of UCLA.

New Flat Closure Study in Body Image Journal

By Not Putting on a Shirt / August 13, 2023

A stellar new study on patients’ flat closure experiences by lead author Tracy Tyner has just been published in the prestigious journal Body Image!

New Study Looks at Trends in Going Flat After Mastectomy

By Not Putting on a Shirt / July 24, 2023

A new study looks at trends in going flat after mastectomy from 2004-2019.

“When Boobs Go Bad” Article on Medium

By Not Putting on a Shirt / October 22, 2022

“When Boobs Go Bad: A Welcome to Breast Cancer Awareness Month,” is a fantastic article co-authored by Sara Nash of FLATworks Press & Christy Avila, founder of International FLAT Day and Fierce Flat Forward and NPOAS VP.

AFC Info at BreastCancer.org!

By Not Putting on a Shirt / August 4, 2022

Breastcancer.org is the premier online educational resource for breast cancer, with information about risk, diagnosis, treatments, surgical options, survivorship and […]

New Flat Closure Technique Article!

By Not Putting on a Shirt / May 20, 2022

Just published in Plastic & Reconstructive Surgery (PRS) Global Open, a fantastic technique article “Not Just a Linear Closure: Aesthetic […]

The Middle Way? SWIM

By Not Putting on a Shirt / May 5, 2022

UPDATE – Please view our Goldilocks/SWIM information page here for up to date info, a photo gallery, and more! Goldilocks/SWIM […]

Fall 2021 AFC in the Media Roundup

By Not Putting on a Shirt / November 26, 2021

May 05, 2021 “People have questioned me for not getting implants but the truth is none of us feel truly […]

Survivornet: “To Reconstruct or Not”

By Not Putting on a Shirt / October 29, 2020

Read Kathy’s experience with cancer and making the choice to go flat only to be intentionally denied by her surgeon in 2003.

Going Flat Story Featured in Florida Local Newspaper

By Not Putting on a Shirt / October 18, 2020

AmySue Benker of Naples, FL tells her story, including how she decided to go flat.

Juliet Fitzpatrick in Vogue UK

By Not Putting on a Shirt / October 18, 2020

Vogue UK just published a feature with flat advocate Juliet Fitzpatrick, featuring photos from “Behind the Scars” by Sophie Mayanne.

Carine (France) Speaks Out About Fighting to Go Flat

By Not Putting on a Shirt / October 17, 2020

From France, Carine speaks out about her choice to explant with aesthetic flat closure (“reconstruction à plat,” or “fermeture esthétique à plat”).

Mollie Hartford: This Breast Cancer Awareness Month, think beyond pink

By Not Putting on a Shirt / October 17, 2020

Mollie Hartford (MA)’s article for the Daily Hampshire Gazette focusing on the need for MBC research (and #aestheticflatclosure)!

Feature Friday at Surviving Breast Cancer.org – “Going Flat”

By Not Putting on a Shirt / October 17, 2020

Feature aboutgoing flat, flat denial and #aestheticflatclosure at SurvivingBreastCancer.org

Yahoo! Life – Article on Flat Advocacy & the NCI Term “Aesthetic Flat Closure”

By Not Putting on a Shirt / October 17, 2020

Yahoo! Life – Article on Flat Advocacy & the NCI Term “Aesthetic Flat Closure”

Mastectomy Tattoos with Artist Amy Black

By Not Putting on a Shirt / August 30, 2020

Introduction to Mastectomy Tattoos Visit our Living Flat page for more about mastectomy tattoos, body image, sexuality, and more! Healing […]

Why I Advocate for Aesthetic Flat Closure

By Not Putting on a Shirt / August 17, 2020

ReThink Breast Cancer has just published our guest post about aesthetic flat closure! Canadian advocacy organization ReThink Breast Cancer focuses […]

Advocating for Women Who Choose to Go Flat After Mastectomy

By Not Putting on a Shirt / August 13, 2020

The National Coalition for Cancer Survivorship (NCCS) just published our guest post about aesthetic flat closure! Many thanks to the […]

My Body, My Choice: Aesthetic Flat Closure After Mastectomy

By Not Putting on a Shirt / July 27, 2020

Our Bodies Ourselves published our guest post about aesthetic flat closure! Thanks to Our Bodies Ourselves for helping spread the […]

Prof. Abigail Bakan Publishes Treatise on Going Flat & the Politics of Choice

By Not Putting on a Shirt / June 30, 2020

Canadian sociologist publishes feminist analysis of going flat and the politics of choice

Patient Power Publishes Article on Going Flat

By Not Putting on a Shirt / June 27, 2020

Patient Power article on the going flat movement

“In Search of True Informed Consent” (Wildfire Magazine)

By Not Putting on a Shirt / March 31, 2020

NPOAS VP Christy Avila tells us more about her article “In Search of True Informed Consent” that was published in the most recent issue of Wildfire Magazine

Guest Blog: Plastics Closure Should Be Routine

By Not Putting on a Shirt / February 24, 2020

by Marie-Claude Belzile Marie-Claude Belzile of Tout aussi femme is the leading voice for flat advocacy in Quebec. She recently […]

NPoaS Survey 2018 Report

By Not Putting on a Shirt / April 20, 2019

Download the entire report here. The data analysis is in from our “Going Flat After Mastectomy Survey 2018.” Many thanks […]

Should I Confront My Surgeon?

By Not Putting on a Shirt / April 18, 2019

Confronting Your Surgeon After Flat Denial: A Personal Choice Preface by NPoaS Founder, Kim Bowles If you have been a […]

Aesthetic Results Matter to Male Patients Too

By Not Putting on a Shirt / January 23, 2019

Just before the holiday, the BBC published an article featuring a UK man, Peter Bagnall, who was diagnosed with breast […]

Focus on Flat Closure Techniques

By Not Putting on a Shirt / January 20, 2019

Awareness Continues to Spread Word continues to spread among the surgical community that patients going flat after mastectomy expect their […]

What Flat Denial Is, and Is Not

By Not Putting on a Shirt / December 16, 2018

We would like to clear up any confusion about what flat denial is, and what it is not.  We want […]

Patient Advocate Sandee: “We all need advocates to help us speak our truths”

By Not Putting on a Shirt / December 3, 2018

Editor:  Not Putting on a Shirt believes that women shouldn’t have to take extraordinary measures to ensure that their choice […]

Rebecca’s Choice: Going Flat with Radical Self-Acceptance

By Not Putting on a Shirt / December 1, 2018

Editor: While every woman’s story is unique, the contrast between the post-operative experiences of women who choose to go flat […]

Guidelines for Victims of Flat Denial: Navigating the Aftermath

By Not Putting on a Shirt / November 9, 2018

Not Putting on a Shirt has written new guidelines to help victims of flat denial navigate the aftermath of this traumatic experience.  […]

How to Ensure You Get an Acceptable Surgical Result: Guidelines for Patients

By Not Putting on a Shirt / November 8, 2018

Not Putting on a Shirt has created an informational brochure (UPDATED!) for patients who have chosen to go flat after mastectomy, […]

“Going flat doesn’t mean just breast removal… it means being flat and having a nice chest contour” – Dr. Minas Chrysopoulo

By Not Putting on a Shirt / November 6, 2018

DiepCFoundation patient advocate Terri Coutee has written an insightful article from the perspective of a woman who chose reconstruction, and […]

Pink Lotus Breast Center: Flat Denial is “Unthinkable”

By Not Putting on a Shirt / October 31, 2018

Wise words from the digital platform of esteemed breast surgeon, author of “Breasts: An Owner’s Manual,” founder of the Pink […]

Word Continues to Spread through the Surgical Community

By Not Putting on a Shirt / October 31, 2018

“We know that surgeons who perform breast surgery are also held accountable by their patients… This is kind of an […]

International Media Coverage Begins

By Not Putting on a Shirt / September 29, 2018

International media coverage is starting to trickle in… in the same way that we at Not Putting on a Shirt hope […]

Harvard Medical School Social Work Program Manager Emeritus Speaks Out on Patient Consent (Article)

By Not Putting on a Shirt / September 29, 2018

Oncology social workers are the change makers in the breast cancer patient’s world, which has suddenly contracted after diagnosis and […]

Call to Stakeholders to Speak Out Against Medical Assault

By Not Putting on a Shirt / September 18, 2018

A call to stakeholders to speak out against medical battery.

Informed Consent: The Difference Between Medical Care, and Battery

By Not Putting on a Shirt / September 18, 2018

The difference between medical care and battery is informed consent – the patient MUST agree to the treatment being performed ahead of time.

$$$ Conflict of Interest for Flat Closure $$$

By Not Putting on a Shirt / September 18, 2018

Denying a patient a flat closure at their initial surgery can result in more profit for the surgeon performing the revision to “fix” it.

Shouldn’t CANCER be your toughest fight when you’re fighting breast cancer?

By Not Putting on a Shirt / September 18, 2018

Flat denial can be even more traumatic than the mastectomy itself, and must end.

The Hippocratic Oath

By Not Putting on a Shirt / September 18, 2018

Intentional flat denial is a violation of the Hippocratic oath to “do no harm.”

What You Can Do to Protect Yourself

By Not Putting on a Shirt / September 18, 2018

Kimberly Bowles answers: how can patients facing mastectomy protect ourselves from flat denial?

“Flat Denial”:  Stand Up, Speak Out, and Protect Patients

By Not Putting on a Shirt / September 16, 2018

I have struggled to come up with a label for the malpractice of leaving extra tissue on a mastectomy patient’s […]

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