A Message from Our Founder

Part of our mission at Not Putting on a Shirt is to work collaboratively with other stakeholders to advance and protect the interests of patients who choose to go flat after mastectomy. Flat denial is not a simple problem to solve. It’s a cultural problem, a medical problem, and a legal problem all rolled into one.

That’s why we must work together. Patient advocates and activists, breast cancer support organizations, hospital administrators, public health professionals and researchers, legal professionals, health insurance and insurance coding experts, and medical professionals – not only breast and plastic surgeons but professional societies, researchers, oncology social workers, psychologists and more – all have a role to play in ending flat denial.

Kim Bowles, President, Not Putting on a Shirt

CREDIT: Stephanie Strasburg

Pictured above: NPOAS Founder Kim Bowles, featured in Catherine Guthrie’s scathing expose of sexism in medicine for Cosmopolitan magazine:

Current Collaborative Efforts

These links will be updated regularly. Updates will also be posted to our blog and social media (Facebook, Instagram, and Twitter).

Patient Advocacy

Terri Coutee of DiepC Foundation wrote a blog post entitled Who is Responsible? Aesthetic Outcomes of Breast Reconstruction Surgery and made a collaborative video with Drs. Ramon Garza and Minas Chrysopoulo of PRMA Plastic Surgery about questions to ask when going flat.

Medical Professionals

Breast Advocate App

Plastic Surgeons Speak on Flat Closure

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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