flat denial

Legal Milestone in the Fight Against Flat Denial

Legal Milestone in the Fight Against Flat Denial

By Not Putting on a Shirt / May 30, 2025

In a first-ever legal victory for the flat advocacy movement, a woman in California has successfully held her surgeon accountable after she experienced what is known as flat denial—being left with excess skin after a mastectomy despite having clearly chosen to go flat.

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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.

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Red Flags for Flat Denial: Higher BMI or Being Older

By Not Putting on a Shirt / February 2, 2023

A significant proportion of patients going flat may also have higher BMIs or older age, putting them at increased risk for flat denial.

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Red Flags for Flat Denial: What Does Pre-Operative Pushback Look Like?

By Not Putting on a Shirt / January 30, 2023

This article helps you understand what pushback looks like, why it happens, and what to do if it happens to you or someone you love.

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My initial surgical result is not flat. Why?

By Not Putting on a Shirt / January 27, 2023

When you (the patient) HAVE been able to clearly communicate your affirmative choice to go flat, the quality of your initial surgical result is largely determined by three things: your specific anatomy, your medical situation and history, and the level of skill and regard on the part of your closure surgeon.

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Kourtnii’s Story: I Struggled to Get the Flat Surgery I Chose

By Not Putting on a Shirt / January 20, 2022

Kourtnii was faced with a DCIS diagnosis at the age of 26. She wanted a double mastectomy without reconstruction but […]

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Dee’s Story: I Wish I Opted Not to Reconstruct

By Not Putting on a Shirt / January 19, 2022

After her breast cancer diagnosis, Dee reconstructed with textured implants and had them for twelve years before one ruptured, resulting […]

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Melinda’s Story: Intentional Flat Denial 10yrs Ago

By Not Putting on a Shirt / January 17, 2022

Melinda was 60 years old when she learned she had breast cancer for the second time, and decided to have […]

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Fiona’s Story: I Instantly Knew I Would Stay Flat

By Not Putting on a Shirt / January 17, 2022

Even though Fiona knew immediately that she wanted to stay flat after her mastectomy, she met with pushback at every […]

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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.

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Going flat after mastectomy information - Surviving Breast Cancer Feature Friday

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

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ReThink Article Aesthetic Flat Closure

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 […]

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Guest post NCCS NPOAS Founder Kim Bowles advocating for aesthetic flat closure choosing flat after mastectomy

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 […]

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Kimberly Bowles blog Our Bodies Ourselves My Body My Choice Aesthetic Flat Closure After Mastectomy

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 […]

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skin sparing mastectomy vs. mastectomy with aesthetic flat closureskin sparing mastectomy vs. mastectomy with aesthetic flat closure

What if I want to go flat, but my surgeon wants to do “skin sparing”?

By Not Putting on a Shirt / July 11, 2020

Tell your surgeon you want an “aesthetic flat closure” as defined by the National Cancer Institute – and make sure […]

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Flat Denial with mastectomy photo background

Brenda – “I should not have to feel embarrassed or humiliated by my own body, ever.”

By Not Putting on a Shirt / September 19, 2018

Brenda tells her story of going flat and needing multiple surgeries to get an acceptable result.

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infographic medical professionals speak out with lit candle in the dark

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.

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informed consent hand signing paper

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.

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insurance claim with stethoscope

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

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.

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@clreid56 mirror with breast cancer written

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.

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Flat Denial with mastectomy photo background

“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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flower

Cindy – Her surgeon joked about overriding her wishes to be flat

By Not Putting on a Shirt / September 15, 2018

Cindy tells her survivor story of choosing to go flat after mastectomy and suffering intentional flat denial at the hands of an unethical surgeon.

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flower

Cassandra “My surgeon was a woman…”

By Not Putting on a Shirt / September 14, 2018

Cassie tells her story of flat denial and dog ear removal at revision.

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Flat Denial with mastectomy photo background

Suzie – “Deflated” after explant

By Not Putting on a Shirt / September 14, 2018

Suzie’s story of flat denial after breast implant removal – she was left with pockets of skin instead of a flat closure.

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Flat Denial with mastectomy photo background

She asked to be flat- Shelly’s Survivor Story

By Not Putting on a Shirt / August 13, 2018

Shelly tells her story of deciding to go flat after mastectomy and being denied a flat closure.

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