10 Pros and Cons of Going Flat After Mastectomy

Pros And Cons Of Going Flat After Mastectomy

Mastectomy is a surgical procedure that involves the removal of one or both breasts to treat breast cancer. For many women, undergoing mastectomy can be an overwhelming experience, and deciding whether or not to undergo breast reconstruction can be equally challenging.

Going flat after mastectomy has become an increasingly popular option in recent years, but what are the pros and cons? Going flat means choosing not to have breast reconstruction after mastectomy. Instead, women who opt for this choice will have a flattened chest wall with no protrusions.

While some may see it as empowering and liberating, others might find going flat distressing and uncomfortable. In this article, we’ll explore the advantages and disadvantages of going flat after mastectomy so you can make an informed decision about your post-mastectomy options.

Pros of Going Flat After Mastectomy

  1. Reduced Risks and Complications: Going flat eliminates the risks and potential complications associated with breast reconstruction surgery. This includes risks such as infection, bleeding, implant rupture, and anesthesia-related complications. By avoiding additional surgical procedures, individuals who choose to go flat can minimize these potential risks and focus on their recovery and overall well-being.
  2. Improved Physical Comfort: Going flat can enhance physical comfort for some individuals. Reconstruction procedures often involve the placement of implants or the transfer of tissue from other parts of the body, which can cause discomfort, pain, or restrictions in movement. By opting for a flat chest, individuals may experience fewer physical limitations and enjoy greater freedom in their daily activities.
  3. Embracing Body Image and Self-Acceptance: Going flat allows individuals to embrace their natural bodies and promotes self-acceptance. Some people find that reconstructive breasts do not feel authentic or aligned with their self-image. Choosing to go flat empowers individuals to accept their bodies as they are, fostering a sense of confidence, pride, and empowerment.
  4. Simplified Lifestyle and Maintenance: Going flat can simplify one’s lifestyle and eliminate the need for additional maintenance. Breast reconstruction may require regular monitoring, follow-up surgeries, or adjustments. By choosing to go flat, individuals can avoid these ongoing medical procedures, appointments, and associated costs, allowing them to focus their time and energy on other aspects of their life.
  5. Financial Considerations: Going flat can be a more cost-effective option compared to breast reconstruction. Reconstruction surgeries, including implants, tissue transfers, and follow-up procedures, can be expensive and may not be covered by insurance. By deciding to go flat, individuals can potentially avoid the financial burden associated with reconstructive surgeries and allocate their resources towards other priorities or treatments.

Cons of Going Flat After Mastectomy

  1. Psychological and Emotional Impact: Some individuals may experience psychological and emotional challenges associated with going flat after a mastectomy. The absence of breasts can impact body image, self-esteem, and intimate relationships. It is essential to consider the potential emotional impact and seek support from therapists, support groups, or counselors who specialize in post-mastectomy adjustment to navigate these challenges effectively.
  2. Societal Pressure and Stigma: Society often places emphasis on conventional beauty standards, which may include having breasts. Choosing to go flat may subject individuals to societal pressure, judgment, or stigma. Dealing with external perceptions and comments from others can be emotionally challenging and requires resilience and self-confidence.
  3. Loss of Breast Sensation: Going flat after a mastectomy involves the removal of breast tissue, which results in the loss of breast sensation. This loss can affect sexual experiences and intimacy. It is important to have open conversations with partners about expectations and explore alternative ways to maintain intimacy and connection.
  4. Limited Clothing Options: Going flat may limit clothing options for individuals who previously enjoyed wearing outfits that accentuated their breasts. Certain clothing styles, such as low-cut tops or dresses, may not provide the desired aesthetic or fit as they did before the mastectomy. Adapting to a different style and finding new ways to express personal fashion preferences may be necessary.
  5. Lack of Symmetry and Body Balance: For individuals who had a unilateral mastectomy (removal of one breast), going flat can result in an asymmetrical appearance. The absence of one breast may affect body balance and posture, leading to potential physical discomfort or alignment issues. Proper fitting prostheses or other options should be considered to address any physical imbalances and provide better body alignment.
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The Emotional Impact Of Going Flat

As women, our breasts are often seen as a symbol of femininity and womanhood. Losing them can have a profound emotional impact on us.

One study found that 70% of women who had undergone mastectomy reported feeling depressed or anxious about their post-surgery appearance.

Coping with this change is not easy, but having support systems in place can make all the difference.

Support systems come in many forms – friends, family members, or even online communities. These individuals can provide encouragement when we’re feeling down and remind us that our worth goes beyond our physical appearance.

Coping mechanisms also play an important role in adjusting to life after mastectomy. Some women find solace in exercise such as yoga, while others may turn to art therapy or counseling.

Going flat after mastectomy is a personal decision that should be made based on what feels right for each individual woman. However, it’s important to acknowledge the emotional toll it can take.

While there are coping mechanisms and support systems available, it’s okay to feel overwhelmed at times. It takes strength and courage to navigate these emotions and ultimately find peace with one’s new body image.

Physical Comfort And Convenience

After undergoing a mastectomy, deciding to go flat can be both empowering and daunting. The emotional impact of losing one or both breasts is significant and it’s important to take time to process these feelings before making any decisions about reconstruction.

However, once you’ve made the decision to forgo reconstruction, there are physical comfort and convenience factors that come into play.

One benefit of going flat is that you won’t have to deal with breast forms or prostheses. While some women prefer wearing them, others find them uncomfortable and cumbersome. Going without them means less hassle when getting dressed in the morning or participating in physical activities like swimming or yoga.

In terms of clothing options, going flat opens up new possibilities. You’ll no longer have to worry about finding clothes that fit over a reconstructed breast mound or prosthesis. Additionally, many people find that they feel more comfortable and confident in their skin after embracing their flat chest.

Ultimately, whether or not to go flat after a mastectomy is a deeply personal choice. It’s important to weigh the pros and cons carefully and make the decision that feels right for you.

Remember that there’s no ‘right’ way to navigate life after breast cancer – only what works best for your unique situation and needs. By taking the time to consider all your options, you can make an informed decision that will help you feel comfortable and empowered moving forward.

Self-Expression And Empowerment

Body positivity plays a huge role in the decision to go flat after mastectomy. Choosing not to undergo breast reconstruction can be empowering for some women as it allows them to embrace their new body and focus on healing.

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Going flat also eliminates the need for constant medical appointments related to reconstructive surgery, which can be emotionally taxing.

Fashion choices are another aspect that comes into play when considering going flat. Without breasts, clothing options may change, but it doesn’t necessarily mean limited choices. Many women find they have more freedom in fashion without having to accommodate for their chest size. Flat-chested women can still rock plunging necklines or form-fitting tops with confidence and style.

Ultimately, deciding whether or not to go flat is a personal choice that should be made based on individual circumstances and preferences.

Society often places great emphasis on physical appearance, specifically relating to femininity, but embracing one’s unique self-expression and body shape can lead to newfound confidence and empowerment. It’s important to remember that choosing not to reconstruct does not define a woman’s worth or beauty; rather it serves as an opportunity for her to celebrate her strength and resilience post-mastectomy.

Social Stigma And Body Image Issues

Like a butterfly emerging from its cocoon, women who choose to go flat after mastectomy undergo a transformation that requires immense courage.

However, this decision can often come with social stigma and body image issues.

Social support plays a crucial role in helping these women navigate through the aftermath of their surgery.

Friends and family members who understand and respect their choice can provide comfort during difficult times.

Support groups are also available for those seeking guidance from others who have gone through similar experiences.

Clothing options may be limited for women who choose to go flat, but this does not mean they cannot still look fashionable and confident.

Many clothing brands now offer designs specifically tailored to accommodate prosthetics or flat chests.

Embracing one’s new appearance can also lead to newfound confidence and self-love.

Overall, while going flat after mastectomy is not without its challenges, it is important to remember that each woman has the right to make decisions about her own body.

With the help of supportive people and resources, she can emerge stronger than ever before.

Making The Decision That’s Right For You

Choosing whether or not to go flat after mastectomy is a personal decision that should be based on your individual needs and wants.

While some women feel more comfortable with breast reconstruction, others prefer going flat.

Consider practical considerations such as lifestyle changes and clothing options when making this decision.

It’s important to know that there are support options available no matter what choice you make.

If you choose to go flat, there are organizations like Flat Closure NOW that can provide support and resources.

If you decide on breast reconstruction, talk to your doctor about finding a plastic surgeon who specializes in reconstructive surgery.

Ultimately, the decision of whether to go flat or have reconstruction is up to you.

Don’t feel pressured by anyone else’s opinions or expectations.

Take time to weigh your options and consider all factors before making a final decision that feels right for you.

Frequently Asked Questions

What Are The Risks Associated With Going Flat After Mastectomy?

Going flat after a mastectomy, like any surgical procedure, has complications. These can range from infections to blood clots and even bleeding.

However, the psychological impact of going flat is just as important to consider. For some women, losing their breasts can lead to feelings of depression or anxiety that may require counseling or medication.

It’s crucial to discuss all possible risks with your doctor before making a decision about whether or not you want breast reconstruction surgery following a mastectomy.

One simile that comes to mind when considering these factors is that it’s like walking through a minefield – every step requires careful consideration as there are potential dangers lurking around every corner.

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How Long Does It Take To Recover After Going Flat?

Recovery time after going flat following a mastectomy varies depending on the individual’s post-surgical care and physical therapy regimen.

Generally, patients can expect to resume light activities within two weeks of surgery, with more strenuous activities taking several weeks longer.

It is crucial for patients to follow their doctor’s instructions regarding wound care and pain management in order to promote healing and avoid complications.

Physical therapy may also be recommended to improve range of motion and strength in the affected area.

Can Going Flat Affect My Ability To Exercise Or Participate In Certain Activities?

Going flat after mastectomy can have some sports limitations and psychological impact, but it will not affect your ability to exercise or participate in most activities.

You may experience some discomfort during the first few weeks of recovery, but once you have fully healed, you should be able to return to your usual level of physical activity.

However, if you are an athlete who participates in contact sports or activities that require a lot of upper body strength, such as rock climbing or weightlifting, you may need to make adjustments to avoid injury or strain.

Overall, going flat is a personal decision that requires careful consideration of both the physical and emotional factors involved.

What Are The Long-Term Effects Of Going Flat?

Breast reconstruction is a common option for women after mastectomy, but some choose to go flat instead.

For example, Sarah decided to forego breast reconstruction and live without breasts after her double mastectomy at 35 years old.

While she initially struggled with body image issues, over time she found that going flat allowed her to feel more comfortable in her own skin.

However, the long-term effects of going flat can vary depending on the individual. Some may experience physical discomfort or changes in posture, while others may face emotional challenges related to their self-image.

It’s important for those considering this choice to carefully weigh the pros and cons before making a decision that’s right for them.

Are There Any Alternative Options To Going Flat After Mastectomy?

Breast implants and prosthetic options are alternative choices to consider after mastectomy.

Breast implants involve surgery to place silicone or saline-filled pouches in the chest area, while prosthetics utilize external devices such as a bra with inserts or adhesive strips.

Both options can provide a fuller appearance of breasts and improve body image for some women who opt not to go flat.

However, it’s important to weigh the potential risks involved with each option and discuss them thoroughly with your healthcare provider before making a decision.


In conclusion, the decision to go flat after mastectomy is a personal one that should be made with careful consideration of both the pros and cons.

While going flat can eliminate the need for breast reconstruction surgery and may provide a sense of freedom from body image concerns, it also carries risks such as infection or poor wound healing. Recovery time varies depending on individual circumstances but typically takes several weeks.

Going flat does not necessarily impact exercise or daily activities, although some women may experience discomfort during certain movements. Ultimately, each woman must weigh her own priorities and goals to determine whether going flat is the right choice for her.

As the saying goes, ‘Different strokes for different folks.’