Flat & Fabulous

War•ri•or /

a brave or experienced soldier or fighter /

“Stand up and show the world who you are. Enjoy the freedom that comes from self-acceptance and self-love. You are worthy of it!

You cannot change the past. It is done. Leave it behind you, rather than allowing it to anchor you in place and keep you from moving forward. There is hope in looking forward and freedom in letting go. You deserve to have both. If I can do it, so can you!

I was stage one and did not have to think twice about it. I wanted them both off. I found the lump in my left breast in the shower mid-July and bilateral mastectomy surgery was August 13th. Best decision of my life! I am honored to be a part of this!”

—ERIN, Stage 1 – Ohio

Aesthetic Flat Closure

Aesthetic flat closure is an approach to reconstruction for women who decide not to have more traditional breast reconstruction procedures. Rather than have reconstruction with implants or natural-tissue flaps, some women may decide to proceed with mastectomy alone.

After mastectomy, aesthetic flat closure is an approach that removes the remaining breast skin, allowing for a flat chest wall contour. Aesthetic flat closure is now recognized by The National Cancer Institute in their online dictionary of terms.

For women planning mastectomy, aesthetic flat closure can be performed immediately following the mastectomy in one procedure.

For patients who previously underwent mastectomy and are unhappy with any residual irregular contours on their chest wall, delayed aesthetic flat closure is also possible. If desired, aesthetic flat closure may be performed for women with unsatisfactory outcomes following other breast reconstruction operations.

When aesthetic flat closure is completed at the time of mastectomy, markings for surgery are coordinated with the breast surgeon. Immediately following the mastectomy, additional skin excess can be tapered and a flat closure is completed. The advantage of having a plastic surgeon involved with this surgery is that any potential secondary stages can be planned.

In some patients, fat grafting or other similar additional procedures may be desired to achieve the optimal outcome.

For any aesthetic flat closure procedure, it is important to plan the scar placement. The length of the scar is determined by the extent of excess skin. A larger breast will require removal of more skin, potentially resulting in longer scars.

As with any breast reconstruction procedure, aesthetic flat closure requires shared decision-making between the patient and her surgeons. Patient expectations and goals can help determine the approach in guiding scar placement and any potential secondary procedures.

Learn More at NYBRA

“Living flat 24/7 has given me the confidence and bravery I never had before. And freedom. Unconditional freedom to be who I am, unapologetically, wear whatever I want, and live happily flat out loud.”
—ROCKI, Arizona, Stage 0

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