Pioneers in Flat Advocacy

Highlighting and amplifying the voices of the flat advocates who blazed the trail and laid the foundation for those that followed.

Disclaimer: Any and all information published by Not Putting on a Shirt (NPOAS) on behalf of a third party is for informational purposes only and should not be taken as a substitute for medical or legal advice from a licensed professional. Views expressed and claims made by third parties do not necessarily represent the views of NPOAS.

Nikki “Trip” Tripplett was diagnosed with multifocal breast cancer at age 36, in 2015. She had a strong family history of breast cancer, and had the full battery of treatments – chemo, single mastectomy followed by contralateral mastectomy, radiation, and more surgery. Trip lives in Texas with her longtime partner, Unique, and is a runner, influencer, entrepreneur, and breast cancer advocate. In 2018 she walked the runway during NY Fashion Week 2020 for the #Fearless fashion show by #Cancerland and #AnaOno benefitting Metavivor – she also interviewed other participants. She was interviewed on Houston’s Isaiah Factor Uncensored about her experience. Trip has worked extensively with the Young Survival Coalition to fundraise, provide support programs to cancer survivors, represent her community and get information about breast cancer into the community discourse, and has been featured in both Forbes and Glamour Magazine. Find her on Instagram at @ThatDamnTrip and on Instagram and Facebook @TheCancerPreneur.
Catherine Guthrie is a women’s health journalist whose work has appeared in dozens of national magazines from O, The Oprah Magazine to Time Magazine to Good Housekeeping. She was diagnosed with breast cancer at age 38 and elected a double mastectomy, rejecting reconstruction in favor of preserving her physical strength and bodily integrity. Her queer, feminist cancer memoir, FLAT: Reclaiming my body from breast cancer, was published in 2018. Catherine appeared with NPOAS founder Kim Bowles on the Today Show to discuss her exposé on flat denial for Cosmopolitan Magazine. Listen to her NPR interview or visit her website to learn more.
April Stearns was diagnosed with Stage III breast cancer when she was 35 and her daughter was 3. Prior to breast cancer she worked as a conference producer with a background in journalism. She started a personal blog after her daughter was born and continued writing through diagnosis and treatment. That blog grew into Wildfire Magazine, the only magazine exclusively for young breast cancer survivors and thrivers. Each of the six annual issues focuses on survivorship issues faced by women diagnosed with breast cancer in their 20s, 30s, and 40s – self-care, mental health, body image, (in)fertility, and more. April’s work is guided by the principle that sharing our stories helps us all heal and not feel so alone.
Charise Isis is the photographer, founder and executive director of The Grace Project, an ongoing series of portraits that capture the courage, beauty and grace of those who have had mastectomy surgery as a result of breast cancer. Charise’s work helps not only those she photographs but the audience who can identify with those figures and hopefully come to see their own beauty when they look in the mirror and see themselves radically changed. The Grace Project has been widely exhibited both nationally and internationally, including features on the Today ShowBust MagazineMedical Daily, and more, and recently achieved 501(c)(3) status as a registered nonprofit.
Chiara D’Agostino is a former ESL teacher and dancer, now a prolific model and flat advocate, as well as a vocal advocate for metastatic breast cancer research. Chiara was diagnosed stage III in 2014, and progressed to stage IV shortly after. She originally chose to reconstruct her breasts with implants but explanted after persistent, repeated infections that were affecting her health and quality of life. Chiara modeled for the 2017 AnaOno #Cancerland NYFW fashion show benefiting Metavivor, and has been featured in numerous publications over the last six years: Oprah MagazineDove’s Real Beauty campaignCancer, the You Run Like a Girl project, and on the LBBC blog, to name just a few.
Stephanie Astalos-Jones is an actor, writer, stand-up comic, teacher, pysanky (traditional Ukranian batik egg decoration) artist, and saw-player from Georgia who chose to go flat after her mastectomy in 2018. Unfortunately, her surgeon left her with an egregiously poor surgical result “in case you change your mind” (his words at her post-op follow up), and she then had to fight to get her revision surgery after the first plastic surgeon she consulted told her that “women can’t be flat.” In 2019, Stephanie started FLAT Is Where It’s At, a podcast for and about flatties where she and her guests discuss the specific problems, weird situations, and wonderful freedoms that we experience living the flat life.
Beth Fairchild is a mother, tattoo artist, and strong advocate for both reconstructive choice and metastatic breast cancer (MBC). She has been living with MBC since her de novo diagnosis in 2014. Beth initially decided to go flat after her mastectomy to protect her treatment timeline and options. After three years with stable disease, she decided to pursue implant reconstruction.
Beth served as the President of Metavivor for three years, continuing to serve on the Board today. She is the creator and producer of Metavivor’s #ThisIsMBC initiative, and is also a Director of #Cancerland. Beth was the first MBC patient to be featured in Glamour, and has also been featured in Oprah Magazine, the Today ShowA Story Half Told, Third Love’s #TheUnderneathProject, and more.
When Barbara Kriss needed a bilateral mastectomy in 2006, she realized that she didn’t want reconstruction but couldn’t find information or support for women who felt like she did. In 2007, she founded, a non-profit website that presents non-reconstruction as a positive alternative to reconstruction. has information about living breast-free with and without prosthetics, as well as a flat closure image gallery and stories from women who chose to go flat. Barbara has been featured in the Chicago TribuneCure MagazinePaint it All Pink Magazine, and
Ms. Rosewater (Regina Matthews) is a musician, visual artist, dancer and model with a powerful presence and voice. She had a double mastectomy in 2019 and chose to go flat to protect her health and well-being. She started sharing her experience on social media as affirmation and to take ownership of the struggle. Ms. Rosewater has modeled for Ana Ono + #Cancerland‘s 2020 NYFW show benefiting Metavivor. She holds an annual not-for-profit event with live music, art, food, yoga and more in Los Angeles, California – the “Fuck Cancer Kickback + Jam.” You can find Ms. Rosewater’s work on YoutubeFacebookInstagram and online at

Angela “Jersi” Baker of North Carolina was just 32 years old at her original diagnosis (stage 0). She had a single mastectomy with implant reconstruction. Eight years later she progressed to stage IV. Jersi founded her nonprofit, Angel In Disguise Inc., in 2015, to provide transportation assistance and support for local residents in who are undergoing cancer treatment. Jersi is active with several organizations that advocate, promote awareness, and provide support for women of color facing breast cancer, including TigerLily FoundationSISTA Survivor, and BreastofUs. In 2016, Jersi decided to explant and go flat. She has modeled for the AnaOno and #Cancerland in their annual fashion show benefiting Metavivor.
Juliet Fitzpatrick of the U.K. became an advocate after struggling to have her own surgical choice respected in 2017. She was never offered flat as an option, and was initially denied a prophylactic contralateral mastectomy (to remove the healthy breast). She has a blog about life after cancer, Blooming Cancer, and her visibility work has been widely featured both publicly in the U.K. and online.
Trine Amazon of Denmark began blogging about her breast cancer experience shortly after her diagnosis in 2017. She examines beauty standards and gender norms from her perspective as a “magical uniboober and queer ninja,” and works to promote flat visibility.
Trine has worked closely with the hospital system in Denmark to ensure providers are offering the flat option to their patients, and one hospital even now offers flat closure pictures alongside their breast reconstruction gallery. You can find Trine’s work at
Marie-Claude Belzile of Quebec, Canada began her advocacy work in 2017 after being diagnosed with stage IV breast cancer, undergoing a double mastectomy, and noticing that medical professionals and the public at large seemed uncomfortable with her new body.
You can find her work on her Facebook page Tout aussi femme. Marie-Claude recently published a book in which she deconstructs the cultural narrative about breast reconstruction, Penser le Sein Feministe. She also founded a French-speaking flat support group called Les Platines.
Together with her late friend Barbie Ritzco, Sara Bartosiewicz-Hamilton founded Flat & Fabulous, a nonprofit organization committed to empowering, advocating and providing support for those who are living post-mastectomy without reconstruction. When Sara and Barbie first started their Flat & Fabulous Facebook support group in 2014, they had no idea how quickly it would take off. As of January 2020, the group has over 8,500 members and is still growing.

A pioneer may start as a lone voice in the wilderness, but their passion for and commitment to their cause inspires others to join them. This has led to exponential growth in the field of flat advocacy over the last decade or so. In 2020, we have flat photography projects, full length memoirs, nonprofit organizations, communities on social media, and even gatherings across the world… all made possible by the work of the advocates who blazed the trail.

If you know of a pioneer in flat advocacy that you’d like to see featured, please let us know!

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