going flat

Scar Patterns: There are many ways to produce an aesthetic flat closure.

Research is Making the Case for Aesthetic Flat Closure

By Not Putting on a Shirt / April 14, 2021

Improving the standard of care for aesthetic flat closure must be based on evidence… evidence that we are now seeing come to fruition.

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Breaking! Aesthetic Flat Closure Research Just Published in Annals of Surgical Oncology

By Not Putting on a Shirt / January 4, 2021

Historic flat closure research published in the Annals of Surgical Oncology

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Louise: My Surgeon Refused to Even See Me

By Not Putting on a Shirt / November 5, 2020

When Louise asked her surgeon about revision, he refused to see her and did not refer her to plastics.

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New Resource! Aesthetic Flat Closure Photo Gallery

By Not Putting on a Shirt / October 29, 2020

New! Flat Closure Photo Gallery. Aesthetic flat closure photos, mastectomy tattoos and more.

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Survivornet: “To Reconstruct or Not”

By Not Putting on a Shirt / October 29, 2020

Read Kathy’s experience with cancer and making the choice to go flat only to be intentionally denied by her surgeon in 2003.

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Mind Bloom Podcast: NPOAS’ Devorah Vester on Going Flat (Aesthetic Flat Closure)

By Not Putting on a Shirt / October 29, 2020

Listen to NPOAS’ Devorah Vester speak about her experience, informed consent and sourdough baking!

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Living Flat after mastectomy thumbail

New Resource! “Living Flat”

By Not Putting on a Shirt / October 25, 2020

New resource page on Living Flat!

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Article Naples News-Press aesthetic flat closure

Going Flat Story Featured in Florida Local Newspaper

By Not Putting on a Shirt / October 18, 2020

AmySue Benker of Naples, FL tells her story, including how she decided to go flat.

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Article RoseUp aesthetic flat closure

Carine (France) Speaks Out About Fighting to Go Flat

By Not Putting on a Shirt / October 17, 2020

From France, Carine speaks out about her choice to explant with aesthetic flat closure (“reconstruction à plat,” or “fermeture esthétique à plat”).

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Media Kit - aesthetic flat closure

NEW! Media Kit – Aesthetic Flat Closure

By Not Putting on a Shirt / October 17, 2020

Visit our Media Kit for everything you need to know about #aestheticflatclosure

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Going flat after mastectomy information - Surviving Breast Cancer Feature Friday

Feature Friday at Surviving Breast Cancer.org – “Going Flat”

By Not Putting on a Shirt / October 17, 2020

Feature aboutgoing flat, flat denial and #aestheticflatclosure at SurvivingBreastCancer.org

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Yahoo! Life article 2020 aesthetic flat closure advocacy going flat after mastectomy valid beautiful - Shay Sharpe flat happy flowers

Yahoo! Life – Article on Flat Advocacy & the NCI Term “Aesthetic Flat Closure”

By Not Putting on a Shirt / October 17, 2020

Yahoo! Life – Article on Flat Advocacy & the NCI Term “Aesthetic Flat Closure”

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Flat visibility 2020 video aesthetic flat closure advocacy

[Video] “Flat Visibility 2020”

By Not Putting on a Shirt / October 17, 2020

Flat Visibility 2020 (Video)

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Rebecca Pine MBCC Komen webinar going flat after mastectomy body image

Going Flat, Self Acceptance & Body Image – Panel Discussion for Komen MBC Conference

By Not Putting on a Shirt / October 11, 2020

Rebecca Pine (The Breast & The Sea) presents a panel discussion on going flat, self-acceptance & body image at the […]

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Aesthetic flat closure advocacy SHARE Kim Bowles Jersi Baker Dr. Yara Robertson

“Aesthetic Flat Closure: Know Your Options” – SHARE Cancer Support Webinar

By Not Putting on a Shirt / October 11, 2020

All about aesthetic flat closure – a webinar brought to you by SHARE Cancer Support! Panel includes Dr. Yara Robertson […]

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NYBRA website aesthetic flat closure valid reconstructive choice

Aesthetic Flat Closure on the NYBRA Plastic & Reconstructive Surgery!

By Not Putting on a Shirt / October 11, 2020

Plastic surgeons are spreading the word – aesthetic flat closure. Our sincere thanks to Directory surgeon Dr. Ron Israeli and […]

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DiepC Interview with Terri Coutee about Optimal Flat Closure

By Not Putting on a Shirt / October 10, 2020

Breast reconstruction advocates and advocates for flat closure share the same goal: to ensure that women are fully informed of […]

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Pioneers in Flat Advocacy - Samantha Paige Last Cut Project - aesthetic flat closure valid beautiful

Pioneers in Flat Advocacy: Samantha Paige (Last Cut Project)

By Not Putting on a Shirt / September 30, 2020

A blog series designed to highlight and amplify the voices of the flat advocates who blazed the trail and laid the foundation for those that followed.

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Amy Black mastectomy tattoo artist black and white portrait

Mastectomy Tattoos with Artist Amy Black

By Not Putting on a Shirt / August 30, 2020

Introduction to Mastectomy Tattoos Visit our Living Flat page for more about mastectomy tattoos, body image, sexuality, and more! Healing […]

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Spread the Word! Aesthetic Flat Closure (VIDEO)

By Not Putting on a Shirt / August 25, 2020

Going FLAT? Let’s be clear. Tell your surgeon you want an “aesthetic flat closure” as defined by the National Cancer Institute so your surgeon will know exactly what you want: a smooth, flat chest.

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Your Killer Life podcast episode Not Putting on a Shirt Seriously aesthetic flat closure advocacy Kimberly Bowles

Your Killer Life Podcast: Aesthetic Flat Closure

By Not Putting on a Shirt / August 4, 2020

“Optimal reconstructive surgical outcomes are for everyone, and we are the ones to decide and define what reconstruction looks like […]

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Pioneers in Flat Advocacy about Nikki Trip Tripplett

Pioneers in Flat Advocacy: Nikki “Trip” Tripplett

By Not Putting on a Shirt / July 27, 2020

A blog series designed to highlight and amplify the voices of the flat advocates who blazed the trail and laid the foundation for those that followed.

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Flat closure after mastectomy: are your patients satisfied with the results? SABCS19 poster Not Putting on a Shirt Patients Expect Flat Closure aesthetic surgical management mastectomy patient consent

Summary of Our Flat Closure Research from #SABCS19

By Not Putting on a Shirt / July 19, 2020

“Flat closure after mastectomy: are your patients satisfied with the results?” NPOAS presented our poster at the 2019 San Antonio […]

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skin sparing mastectomy vs. mastectomy with aesthetic flat closureskin sparing mastectomy vs. mastectomy with aesthetic flat closure

What if I want to go flat, but my surgeon wants to do “skin sparing”?

By Not Putting on a Shirt / July 11, 2020

Tell your surgeon you want an “aesthetic flat closure” as defined by the National Cancer Institute – and make sure […]

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Infographic aesthetic flat closure on DSLF Susan Love website breast cancer glossary #putflatonthemenu

Aesthetic Flat Closure – Word is Spreading!

By Not Putting on a Shirt / July 7, 2020

Pioneering breast cancer research organization, the Dr. Susan Love Research Foundation, has added “aesthetic flat closure” to their webpage on […]

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Infographic aesthetic flat closure on Wikipedia breast cancer definition #putflatonthemenu

Aesthetic Flat Closure is now on Wikipedia

By Not Putting on a Shirt / July 4, 2020

Aesthetic flat closure is now on Wikipedia, the open source online encyclopedia.

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Infographic aesthetic flat closure Going Flat? Let's be clear. Tell your surgeon you want an aesthetic flat closure as defined by the NCI so you get a smooth flat chest.

Spread the Word: Aesthetic FLAT Closure

By Not Putting on a Shirt / July 3, 2020

Going FLAT? Let’s be clear. Tell your surgeon you want an “aesthetic flat closure” as defined by the National Cancer Institute so your surgeon will know exactly what you want: a smooth, flat chest.

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Going Flat: Breast Cancer, Mastectomy and the Politics of Choice journal article cover Abigan Bakan aesthetic flat closure advocacy Imaginations

Prof. Abigail Bakan Publishes Treatise on Going Flat & the Politics of Choice

By Not Putting on a Shirt / June 30, 2020

Canadian sociologist publishes feminist analysis of going flat and the politics of choice

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Banner Not Putting on a Shirt going flat photos and resources core values 501(c)(3) organization advocating for optimal surgical outcomes for women who choose to go flat after mastectomy

How We Do It

By Not Putting on a Shirt / June 29, 2020

How we do it: a look inside our past, present and planned advocacy work to #putflatonthemenu

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Breast Implant Safety Alliance Change.org petition medical code for breast implant illness

BISA’s Petition for ICD-10 for Breast Implant Illness

By Not Putting on a Shirt / June 27, 2020

Breast Implant Safety Alliance petition for an insurance code to protect women with breast implant illness

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Flat Friendly Surgeons Directory milestone infographic Not Putting on a Shirt aesthetic flat closure surgeon near you

Flat Friendly Surgeons Directory Milestone!

By Not Putting on a Shirt / June 27, 2020

The NPOAS Flat Friendly Surgeon’s Directory now has over 200 listings!

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Dr. Deanna Attai flat closure research poster visual abstract statistics 35% not offered flat as an option 30% surgeon did not support patient decision ASBRS UCLA

Dr. Attai’s Flat Closure Research Poster

By Not Putting on a Shirt / June 27, 2020

Dr. Attai (UCLA) publishes historic flat closure research poster

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Screenshot Patient Power article Breast Cancer Patients Opting to "Go Flat" After Mastectomy Kimberly Bowles Not Putting on a Shirt aesthetic flat closure advocacy

Patient Power Publishes Article on Going Flat

By Not Putting on a Shirt / June 27, 2020

Patient Power article on the going flat movement

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Screenshot Breast Podcast Ever Flat Closure Breast Reconstruction After Mastectomy Tiwari Kocak plastic reconstructive surgery aesthetic flat closure Midwest Breast & Aesthetic Surgery

MWB Podcast Features Flat Closure

By Not Putting on a Shirt / June 27, 2020

Midwest Breast & Aesthetic Surgery’s discussion of aesthetic flat closure (The Breast Podcast Ever)

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Infographic share your going flat story mastectomy aesthetic flat closure Not Putting on a Shirt advocacy

Share Your “Going Flat” Story

By Not Putting on a Shirt / June 27, 2020

Share your “going flat after mastectomy” story today

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Infographic aesthetic flat closure Going Flat? Let's be clear. Tell your surgeon you want an aesthetic flat closure as defined by the NCI so you get a smooth flat chest.

NCI Adds “Aesthetic Flat Closure” to Dictionary

By Not Putting on a Shirt / June 27, 2020

NCI has just defined “aesthetic flat closure” as a unique reconstructive procedure requiring an aesthetic surgical approach – a huge milestone for flat parity

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Pioneers in Flat Advocacy: Catherine Guthrie

By Not Putting on a Shirt / May 29, 2020

A blog series designed to highlight and amplify the voices of the flat advocates who blazed the trail and laid the foundation for those that followed.

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Oncoplastic Breast Consortium OPBC logo optimal flat closure

OPBC Adds “Optimal Flat Closure” to Mission

By Not Putting on a Shirt / April 19, 2020

The Oncoplastic Breast Consortium has added “optimal flat closure” to their mission – a huge milestone for flat parity

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Pioneers in Flat Advocacy: April Stearns (Wildfire Magazine)

By Not Putting on a Shirt / April 17, 2020

A blog series designed to highlight and amplify the voices of the flat advocates who blazed the trail and laid the foundation for those that followed.

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Pioneers in Flat Advocacy: Stephanie Astalos-Jones (FLAT Is Where It’s At)

By Not Putting on a Shirt / April 10, 2020

A blog series designed to highlight and amplify the voices of the flat advocates who blazed the trail and laid the foundation for those that followed.

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Pioneers in Flat Advocacy: Chiara D’Agostino

By Not Putting on a Shirt / April 3, 2020

A blog series designed to highlight and amplify the voices of the flat advocates who blazed the trail and laid the foundation for those that followed.

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Christy Avila International FLAT Day Golden Gate bridge beautiful flat woman aqua sign October 7th

“In Search of True Informed Consent” (Wildfire Magazine)

By Not Putting on a Shirt / March 31, 2020

NPOAS VP Christy Avila tells us more about her article “In Search of True Informed Consent” that was published in the most recent issue of Wildfire Magazine

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Bill of Rights road sign

Empowering Patients with a Bill of Rights

By Not Putting on a Shirt / March 29, 2020

Coalition of surgeons & researchers proposes a Cancer Patient’s Bill of Rights highlighting shared decision making and informed consent

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Pioneers in Flat Advocacy: Beth Fairchild

By Not Putting on a Shirt / March 27, 2020

A blog series designed to highlight and amplify the voices of the flat advocates who blazed the trail and laid the foundation for those that followed.

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Pioneers in Flat Advocacy: Barbara Kriss

By Not Putting on a Shirt / March 20, 2020

A blog series designed to highlight and amplify the voices of the flat advocates who blazed the trail and laid the foundation for those that followed.

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NAPBC Protocol Amendment infographic banner Care2 Petition

Demand Parity for Flat Closure – Amend the NAPBC’s Reconstructive Consult Protocol

By Not Putting on a Shirt / March 15, 2020

Sign #notputtingonashirt ‘s petition to amend the NAPBC reconstructive consult protocol to include #aestheticflatclosure

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Melissa Eppard explant Goldilocks flat after mastectomy breast implant removal selfie topless white woman beautiful tattoos

Guest Blog: At the Intersection of My Flat Chest and an Antiquated System of Care

By Not Putting on a Shirt / January 26, 2020

Women everywhere are calling for the standard of surgical breast cancer options to shift and include flat closure. We’re finally […]

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NPOAS AHN SABCS Review announcement aesthetic flat closure research advocacy 2019

NPOAS Exhibit at 2019 Pittsburgh SABCS Review

By Not Putting on a Shirt / January 22, 2020

Not Putting on a Shirt will be exhibiting at the 2019 San Antonio Breast Cancer Symposium Review at the Pittsburgh […]

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Flat Friendly Surgeons Directory logo Not Putting on a Shirt with specializing icons

Recommend Your Flat Closure Surgeon!

By Not Putting on a Shirt / January 18, 2020

Now you can recommend your flat closure surgeon for the Directory with our easy online form.

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Tina flat woman happy selfie topless

Tina – Flat Has Been Freeing

By Not Putting on a Shirt / January 15, 2020

Editor: It’s been some months since we published our last personal story of going flat. Today we hear from Tina […]

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Charen Fegard Vermont state representative headshot

Vermont Rep. Fegard Introduces Revision Bill

By Not Putting on a Shirt / January 12, 2020

Breaking news! Vermont State Representative Charen Fegard has just introduced an historic bill requiring insurance coverage for revision surgery! Charen […]

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Global Wordsmiths logo

NEW – International Translations of the “Flat is Beautiful” Brochure

By Not Putting on a Shirt / January 12, 2020

NEW – nine international translations of the Flat is Beautiful brochure

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Flat closure after mastectomy: Are your patients satisfied with the results SABCS19 poster session Not Putting on a Shirt Kim Bowles speaking to attendees

Our Poster at SABCS 2019

By Not Putting on a Shirt / January 8, 2020

We had a successful poster session at the San Antonio Breast Cancer Symposium (SABCS) this past month, presenting a poster […]

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Flat is Beautiful collage topless aesthetic flat closure after mastectomy Not Putting on a Shirt banner

Flat is Beautiful (Video)

By Not Putting on a Shirt / January 8, 2020

A new resource is up on the website – the Flat is Beautiful video presentation, featuring many amazing flat advocates […]

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Flat Denial with mastectomy photo background

Brenda – “I should not have to feel embarrassed or humiliated by my own body, ever.”

By Not Putting on a Shirt / September 19, 2018

Brenda tells her story of going flat and needing multiple surgeries to get an acceptable result.

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informed consent hand signing paper

Informed Consent: The Difference Between Medical Care, and Battery

By Not Putting on a Shirt / September 18, 2018

The difference between medical care and battery is informed consent – the patient MUST agree to the treatment being performed ahead of time.

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@clreid56 mirror with breast cancer written

Shouldn’t CANCER be your toughest fight when you’re fighting breast cancer?

By Not Putting on a Shirt / September 18, 2018

Flat denial can be even more traumatic than the mastectomy itself, and must end.

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good flat closure example

Flat and very pleased with the results- A Previvor’s Story

By Not Putting on a Shirt / August 15, 2018

A previvor’s story of choosing to go flat after her prophylactic mastectomy and being pleased with her results.

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good flat closure example

I had a surgeon that cared- Lonnie’s Survivor Story

By Not Putting on a Shirt / August 14, 2018

Lonnie tells her story of choosing to go flat at mastectomy, and her surgeon respecting her wishes.

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