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Aesthetic Flat Closures

These aesthetic flat closures are the work of surgeons who applied their skill and training to benefit these women at their time of greatest need, so that when they awoke from surgery, they would see the beautiful flat chest that they chose and made peace with. These women and their surgeons should be proud. A beautiful aesthetic flat closure is a gift of healing from provider to patient. If you have an image you’d like to share, please let us know! These photos are organized by surgical circumstance – initial mastectomy, revision, and explant.




Flat Denial

These images are hard to look at, but the fact is that images make the case in a way that words never can. All of these women clearly and unequivocally asked to be flat. If you have an image you’d like to share – or to share your story, or even just to get support – please contact us. Learn more about flat denial.

Mastectomy Tattoos

One way women take back ownership over their bodies after mastectomy is by getting a tattoo over our scars that is personal and meaningful. Just look at these beautiful flat chests! If you have an image you’d like to share, please let us know! (All photos are CC0 unless otherwise noted).

” [Mastectomy tattoos can] transform their sense of disfigurement and loss of control into feelings of beauty and agency.”

Tattoo Artist David Allen, Moving the Needle on Recovery From Breast Cancer: The Healing Role of Postmastectomy Tattoos


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This site contains copyrighted material. Not Putting on a Shirt’s educational materials and resources on this site are freely available for “fair use” (Title 17 U.S.C. Section 107) in accordance with our mission to advocate for optimal outcomes for those who choose to go flat after mastectomy.  The copyrighted material on this site is distributed for educational purposes without profit – all donations to Not Putting on a Shirt directly fund our advocacy work. If you wish to use copyrighted material from this site for purposes that go beyond “fair use”, you must first obtain explicit permission from the copyright owner. Please direct requests or questions to