A fantastic new editorial on flat closure was just published in the Annals of Surgical Oncology, authored by Dr. Jennifer Baker of UCLA.
A significant proportion of patients going flat may also have higher BMIs or older age, putting them at increased risk for flat denial.
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.
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.
Kourtnii was faced with a DCIS diagnosis at the age of 26. She wanted a double mastectomy without reconstruction but repeatedly received intense, paternalistic pushback from the surgeons she consulted. Ultimately she had to have two separate mastectomy surgeries and didn’t get the aesthetic outcome she wanted. She does not regret her decision to stayContinue reading “Kourtnii’s Story: I Struggled to Get the Flat Surgery I Chose”
After her breast cancer diagnosis, Dee reconstructed with textured implants and had them for twelve years before one ruptured, resulting in multiple complications. She learned about BIA-ALCL and breast implant illness after the fact, and explanted only to have her surgeon intentionally deny her the agreed upon flat closure. Dee suffered greatly because of herContinue reading “Dee’s Story: I Wish I Opted Not to Reconstruct￼”
Melinda was 60 years old when she learned she had breast cancer for the second time, and decided to have a bilateral mastectomy with no reconstruction. However, her surgeon had other ideas and said that going flat was “a bad idea.” Melinda was never satisfied with her closure. Ten years later her dermatologist confirmed thatContinue reading “Melinda’s Story: Intentional Flat Denial 10yrs Ago￼”
Even though Fiona knew immediately that she wanted to stay flat after her mastectomy, she met with pushback at every turn. Her surgeon required that she have a psychological consultation before agreeing to remove her “healthy” breast. She was treated as “less than” because of her decision to go flat. She was not given anContinue reading “Fiona’s Story: I Instantly Knew I Would Stay Flat￼”
Read Kathy’s experience with cancer and making the choice to go flat only to be intentionally denied by her surgeon in 2003.
Feature aboutgoing flat, flat denial and #aestheticflatclosure at SurvivingBreastCancer.org