Council of International Advocates

The Council of International Advocates consists of leaders in the flat advocacy community worldwide who have come together cooperatively to advance the interests of women going flat after mastectomy. The Council presents a unified message to stakeholders across the globe that aesthetic flat closure deserves parity.

Full color headshot portrait of UK flat advocate Juliet Fitzpatrick
Juliet Fitzpatrick

United Kingdom

Blooming Cancer

Juliet has worked as a librarian, researcher, in sports development, is a mother of two adult children and has been married for 30 years. Right now she’s a writer, campaigner, flower grower and flat topless model. She was diagnosed with breast cancer in January 2016 at the age of 54, and had a left mastectomy, chemotherapy and targeted drug therapy. She decided against breast reconstructive surgery despite this being the only post mastectomy treatment option offered to her, and was left with a GG cup right breast. She was very unhappy being a “uniboober” and asked her surgeon over 18 months to remove her right breast so that she could be symmetrical and aesthetically flat. He finally agreed and she’s now very happy living flat, without breasts.

Juliet started to campaign for women to be given all the options post mastectomy so that they can make informed treatment choices. As part of this she did a series of topless photo shoots to increase the visibility of women living flat. This culminated with her working with Dove and her flat topless image being shown globally including on billboards in Times Square & Piccadilly Circus as part of the #ShowUs campaign, and in a prime time television commercial which aired in North America and Europe.  She’s also appeared in the national press, on UK TV and radio, and on numerous podcasts.

Read Juliet’s Pioneers Q&A

Find Juliet at her blog: Blooming Cancer


Full color headshot portrait of Quebec flat advocate Marie-Claude Belzile of Tout aussi femme
Marie-Claude Belzile

Quebec (Canada)

Tout aussi femme

Marie-Claude Belzile is a 33 year old writer, poet and advocate living with her wife and partner of eight years in Montréal (Québec, Canada). She earned her degree in anthropology from the Université de Montréal in 2014 and has written many socio-political articles for the independent journal L’Esprit libre. Her book, Penser le sein féministe, published in 2019, explores the experience of going flat after mastectomy from a feminist perspective. In it, she discusses how pervasive sexist bias affects women throughout their cancer journey, including the pressure to reconstruct their breasts.

Marie-Claude was first diagnosed with early stage breast cancer in 2016, followed by a metastatic diagnosis in 2018. When her ongoing chemotherapy treatment made work untenable, she started to advocate from home under Tout aussi femme (“not less of a woman”) on Facebook. In her spare time, Marie-Claude cares for her extended animal family, draws, and reads to satisfy her lifelong intellectual curiosity.

Read Marie-Claude’s Pioneers Q&A


Full color journal article cover and headshot portrait of Ontario flat advocate and professor Abigail Bakan
Abigail Bakan

Ontario (Canada)

University of Toronto

Abigail B. Bakan is Professor in the Department of Social Justice in Education (SJE), at the Ontario Institute for Studies in Education (OISE), University of Toronto, Canada. Her research is in the area of anti-oppression politics, with a focus on intersections of gender, race, class, political economy and citizenship. Her experience with breast cancer, and flat denial, led her to share her story in “Going Flat: Breast Cancer, Mastectomy and the Politics of Choice”, Imaginations: Journal of Cross-Cultural Image Studies, vol. 11, no. 1, May 2020: 39-63. Other publications include: Israel, Palestine and the Politics of Race: Exploring Identity and Power in a Global Context (2020) (with Yasmeen Abu-Laban); Theorizing Anti-Racism: Linkages in Marxism and Critical Race Theories (co-edited with Enakshi Dua); and Negotiating Citizenship: Migrant Women in Canada and the Global System (with Daiva Stasiulis).


Full color headshot portrait of France flat advocate Pascale Contrino of Completement FEMME
Pascale Contrino

France

Complètement FEMME – l’audace d’être entière après une mastectomie

Pascale Contrino was born in 1972 in Marseille, France. She earned her degree in conservation & restoration of painted works in 1997, and then worked as a painting restorer and artist. In 2017 Pascale was diagnosed with breast cancer, and in 2018 she had a partial mastectomy. She was in treatment until March 2019 – chemotherapy, immunotherapy, hormone therapy, radiotherapy. In April 2019, Pascale created the Facebook page Complètement FEMME – l’audace d’être entière après une mastectomie (“Completely Woman – the audacity to be whole after a mastectomy”).

In June 2019, in partnership with Valerie Blondeau, she founded the nonprofit organization Complètement FEMME to support Amazons and enhance their image. In July 2019, the organization created the first prototypes of Amazon swimwear. The following year, the organization marketed the first sports shirts and bras for Amazons to wear without prosthesis. Pascale is now dedicated to both her artistic work and to the work of Complètement FEMME = find her work online and on social media. Her paintings of Amazons have been featured in art exhibits throughout the world (Tahiti, Switzerland) and are helping transform the narrative about women with mastectomies to one of beauty and positivity.


Full color portrait of German flat advocate Kerstin Grotelüschen of AMSOB
Kerstin Grotelüschen

Germany

Ablatio mammae – Selbstbewusst ohne Brust e. V. – AMSOB

Kerstin learned she had the BRCA1 gene mutation when she was just 28 years old after a genetic test prompted by her extensive family history of cancer. She first decided to have routine MRI scans with the idea that early detection could spare her from unnecessary surgery, but the stress of the testing made her change course. Then she came across Catherine Guthrie’s memoir, “FLAT: reclaiming my body from breast cancer” and made her final decision. Now she’s flat, happy, and living her life free from fear of cancer.

Full color headshot portrait of German flat advocate Grit Konrad-Groß of AMSOB
Grit Konrad-Groß

Germany

Ablatio mammae – Selbstbewusst ohne Brust e. V. – AMSOB

Grit was diagnosed with triple negative breast cancer in January 2016 and shortly after learned she had the BRCA1 gene mutation, putting her at very high risk for recurrence. During neoadjuvant chemo, her surgeon offered reconstruction as the default and her only choice was what KIND of reconstruction. Her instinct was to reject reconstruction, but everyone around her seemed to expect her to reconstruct. Finally, she had a moment of clarity: “It’s my breasts or NOTHING!” She began searching online for support but found nothing. When she told her surgeon she’d decided to go flat, the surgeon’s response was “You want me to mutilate you?” Luckily, Grit met a flat woman in a BRCA support group who gave her the confidence to stick to her guns, and she has been flat and happy with her decision ever since.

Full color portrait of German flat advocate Heike Fangrat of AMSOB
Heike Fangrat

Germany

Ablatio mammae – Selbstbewusst ohne Brust e. V. – AMSOB

Heike’s mother and sister were both diagnosed with breast cancer. Her mother wore prostheses religiously, and her sister opted for implant reconstruction before passing away shortly after from metastatic breast cancer. They never spoke about their experience nor showed their scars. Two years after her sister passed away, Heike was diagnosed and discovered she had the BRCA2 gene mutation. As a single mother of a ten year old, she wanted to heal as quickly as possible. And she didn’t want a foreign body inside of her. Heike has never once regretted her decision and accepts her new body. She wears her flat chest proudly to show other women that there is no shame in breast cancer and to honor those whose lives have been taken by the disease.

Full color headshot portrait of Nigerian flat and breast cancer advocate Ngozi Ejedimu of @whatcancernaija and The Judah Foundation for Breast Cancer
Ngozi Ejedimu

Nigeria

@WhatCancerNaija

The Judah Foundation for Breast Cancer

Ngozi is a lawyer turned entrepreneur and breast cancer advocate. Her journey down this path started after her Stage 3 breast cancer diagnosis in 2016 when she found a lump and went on to have a modified radical mastectomy. She was given the option of reconstruction, but wasn’t in the mood for more surgeries.

She went online and discovered that there was no support for Nigerian Women living with Breast Cancer. She started sharing on her personal page and progressed to starting @whatcancernaija, her mission control tower on Instagram where she educates women on the need to be breast aware, proactive about their health and take charge of their bodies as knowledge is power.

Ngozi is on a mission to demystify breast cancer in Nigeria and passionate about changing the narrative behind the disease by getting women to understand the need to face breast cancer head on armed with the necessary information without fear or stigma, as well as championing the cause for patient experience in the management of breast cancer.

She enjoys traveling and taking pictures to show that breast cancer is not a death sentence and her own way of showing gratitude to God. She has decided to soar after her breast cancer experience. She is married with 3 kids.

She runs The Judah Foundation for Breast Cancer where main focus is on Survivorship and Life after breast cancer.

Her end goal is a world standard breast cancer center across regions in Nigeria. Confession: She loved her scar and didn’t understand that aesthetic closure was a thing. All she knew was that her surgeon did a fantastic job and that is the story behind how she started talking about what she calls clean lines after surgery. She is glad that it is now a cause for advocacy. 


Would you like to join the Council, or nominate someone? Contact us!


Not Putting on a Shirt is a 501(c)(3) organization advocating for optimal surgical outcomes for women who choose to go flat after mastectomy.

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