We have another wonderful guest blogger for you today. We're delighted to introduce you to the lovely Gabbie. Gabbie is a previvor who has been blogging about her experience of having a double mastectomy during a pandemic and living flat.
Gabbie sadly lost her mum to breast cancer; Gabbie was 19 and her mum was only 45. Years later, Gabbie underwent genetic testing and discovered she has a BRCA2 mutation. Gabbie has written so beautifully and movingly about her experiences in her blog thebooblesswonder.wordpress.com. We wholeheartedly encourage you to check it out. You can also find Gabbie on Instagram @thebooblesswonder.
Gabbie has written for us today about her decision not to have reconstruction surgery. Take it away, Gabbie:
"As soon as I heard I had a BRCA2 mutation, I knew I wanted a preventative double mastectomy. I had just turned 34 and was about to give birth to my second child. I couldn’t bear the thought of dying of breast cancer, like my mum had, and leaving behind my children. For me, the decision was easy: remove the breasts, reduce the risk.
But did I want breast reconstruction? That was trickier.
I have always felt fairly comfortable in my body. Fairly. Like most of us millennials who grew up in the nineties era of photoshopped models, I can’t help but carry around a mental list of my alleged physical flaws. Too short. Too white. Too hairy! Still, generally, I liked the way I look. Even after two kids and the permanent changes they had wrought on my body. Stretchmarks. Split abs. C-section scar. Wrinkly belly. After nearly two years of breastfeeding, my breasts in particular were unrecognisable. Deflated. But could I live without any breasts at all?
Right from the start, my gut instinct was that I wanted to be flat. But I also knew this decision was too important to make by instinct alone: I needed to consider every available option, and make an educated choice. I carried out a lot of research on different types of reconstruction. A lot. I read books, scientific articles, blogs of personal experiences. I joined multiple Facebook groups. I introduced myself, asked questions. Many, many generous women sent me pictures of their different surgical results, so that I could see what they looked like and consider whether I would want that for myself. For a while, my phone gallery was chock-a-block with boobs!
There seemed to be so many possibilities for reconstruction. Using my own tissue, using implants, using a combination of both. Saving my nipples or removing them. And so many potential complications! Rippling, rotation, necrosis. I was overwhelmed with information, fighting my way through it, trying to weigh everything up. But amid it all, I kept coming back to the idea of being flat. Turning it over in my mind, like a smooth stone. It was a calming idea, I found. As a surgery, it carried the least risk. Had the shortest recovery time. And I felt like it was the choice that would be truest to me.
When I met with the surgeon, I told her I was seriously leaning towards not reconstructing. Nevertheless, I asked her what she would suggest for me if she were to reconstruct. Not every reconstruction surgery is suitable for every woman, and I felt it would make my decision clearer if I knew which options were actually on the table.
The surgeon assessed me carefully, looking first at my breasts and then also at my body, for sites where she could potentially harvest tissue. As it turned out, my options for reconstruction were limited because of my body type – I am quite petite, with low body fat. I didn’t have enough tissue for DIEP-flap reconstruction, where part of your tummy is used to create new breasts. I could have an LD-flap reconstruction, where your shoulder tissue and muscle is used, but my surgeon said that without adding implants to boost the results, I would find them disappointing. My best option was probably to have a direct-to-implant reconstruction.
This pretty much decided me. I was certain I didn’t want implants. While I thought they looked incredible in other women’s reconstructions, I wasn’t open to the additional risks they posed for complications, however small those risks were. I am naturally very risk-averse. A born worrier. I knew that if I put implants into my body, I would be fretting about them for the rest of my life. And I just didn’t want to spend any more time fretting about my boobs. This mastectomy was supposed to be deducting worry from my life, not adding to it!
Ultimately, I decided to go with my gut and not reconstruct. It felt right. That’s not to say I wasn’t frightened about it – there was fear there, for sure. Not just about the surgery itself, but about afterwards. What I would look like. How people would react. How I would feel about myself. Would I still like the way I looked, after my breasts were gone? Would I still feel sexy? Would I get mistaken for a twelve-year-old boy?!
Then, with less than a month to go until my surgery, it was cancelled due to Covid-19. This was a major blow. I had really geared myself up psychologically, and to have the surgery whipped away when it had been in arm’s reach was so distressing. I was terrified it would be put on hold indefinitely, that I might develop breast cancer before preventative surgery started up again.
As it turned out, I was lucky. I live in an area that wasn’t hit hard by the pandemic, and my surgeon called me in to have my surgery the moment she could, in the first week of June. I’ll be honest: even on the journey into hospital, I was still worrying a little bit about whether I should have asked for a reconstruction. But the pandemic had crystallised things for me: the crucial thing was that the boobs, and the risk they posed to me, were gone.
I had to go alone to the hospital, due to strict Covid rules. I was fizzing with nerves, but kept myself calm by bantering with my nurse as I waited to be called to the operating theatre.
When I woke up, I was surprised by the lack of pain. I was groggy, but comfortable. It wasn’t long before I was able to get out of bed and get dressed to go home. As I removed my hospital gown, I decided to walk into the bathroom and look in the mirror. The moment I saw myself, I was so relieved. I knew I’d made the right decision for me. Being flat looked fine. I didn’t look freakish or boyish, or any of the things I had worried about. I just looked like myself.
I’ve been living flat for three months now. I’m having fun working out what clothes I can still wear (spoiler: most of them!) and sharing my journey on my Instagram account @thebooblesswonder to help other flatties and prospective flatties. I love being part of this club of brave, beautiful and individual women, all rocking their foobs or uniboob or no boobs at all."
Thank you so much for your wonderful blog, Gabbie, and for continuing to share your story and support other women within this community.
Hello everyone and welcome to our next wonderful guest blog!
Today’s blog is written by the lovely Casey.
Casey is 33 years old and BRCA1+. She had a prophylactic total hysterectomy on 26th May 2020 and a prophylactic bilateral mastectomy without reconstruction on 30th June 2020.
Casey’s mission is to help normalise flat closure among previvors and young women, as well as to inspire the flat-chested among us with outfit ideas as she “shops her closet” post-op.
Casey has always loved fashion and clothes and having no boobs has presented a fun new challenge for her as she gets dressed each day.
Casey says that she is a beach girl through and through. She lives with her husband and three kids in St. Petersburg, FL, right near the Gulf of Mexico.She loves paddleboarding, reading NYT bestsellers, making art (collage mostly), and drinking iced coffee on road trips with her family.
Casey would love to connect with you all on Instagram @theflattiecloset!
Here’s Casey’s story in her own words:
“I have a hard time wearing high heels because I feel like I’m lying about my height. I’ve only ever dyed my hair with semi-permanent dye because I’m happy living with my natural hair color. I never liked the idea of push-up bras because they felt a little dishonest. Heck, I didn’t even get french tips for my wedding (all the rage when I got married) because I rarely painted my nails and I wanted to present myself accurately.
Now that I write that all out, I’m realizing how completely neurotic I sound. But stick with me! The point of these bizarre confessions is this: I like feeling like the person that I was made to be. Celebrating my unique genetic makeup. Being the one and only Casey. Being my true self (cue the Disney ballad).
So: when a BRCA1 gene mutation reared its ugly head and I needed to do something about it, I wanted to simply morph into a new, natural version of me: a girl who was losing her boobs in an effort to prevent cancer, and gaining some pretty badass scars in the process. In fact, I barely even gave implants the time of day. I knew in my heart of hearts that I wanted to go flat and stay flat. That might sound pretty crazy to most women my age, and I get it. I basically turned down a boob job. And believe me, after breastfeeding three babies, my chest could have used the revitalization. But in the end, I had to be true to who I am, and that meant opting out of further reconstructive surgery. Just scars, just flat, just my skin on my ribs.
I knew that women went flat – I’d seen information online that indicated it was an option post-mastectomy. But when I went to search the all-knowing Google, all I found was very limited information, some clinical photos of scars, and a few forum accounts of breast cancer survivors who had gone flat. To be honest, I didn’t feel like I fit in. I wasn’t a breast cancer survivor, I wasn’t middle-aged; I was “just” a previvor in her 30s.
I started to wonder if there really was anyone else out there like me. Did women actually just walk around and go to the grocery store flat? Were they self-conscious at all? Would I regret my decision? Would it be good to get a prosthesis? How would clothes fit? Could I still wear what was in my closet? What did not having breasts feel like? How would my brain process not having boobs anymore?
The questions kept coming. But my biggest question was: where were the flatties? Specifically, where were the previvor flatties?
I turned to Instagram, and began searching all kinds of flat hashtags. Once I’d waded through the photos posted by owners of Flat-Coated Retrievers (yeah, the main “flattie” hashtag is co-opted by dogs – face palm), I started to get somewhere. I found a small army of amazing women to follow, but I also began to learn that flat closure after a mastectomy was an option that had been fought for for years by a crusade of brave individuals. This group of women had been campaigning, dealing with botched surgeries, picketing for their rights, and advocating for all women to get the surgery results they desired. Going flat was a bigger deal than I initially realized – it didn’t used to be such a simple, easy decision to make.
It’s because of these women that my breast surgeon didn’t flinch when I asked her for a flat closure. She was aware because this group of women had fought to make doctors like her aware, and for that I am so very grateful. Not only did I find the flatties, but I found that those flatties were beautiful and badass.
I’m now proud to join the crew as a newbie, adding my voice to the mix, sharing my love of fashion, and writing honestly about life as a flat previvor. I am still slowly trying to find more women who are previvors like me who have chosen to go flat – if you are one, give me a shout! We seem to be few and far between, and that’s one of the main reasons I started my Instagram account – I want to connect with you!
I want to be able to talk about what life looks like for those of us who haven’t fought cancer, but still need to fight genetic mutations. I want to showcase what clothes look like on a flat chest, and encourage women considering a flat closure that being fashionable is still an option. I want flatties and potential flatties to know that life can be good even without lady parts; that we are free to be ourselves, no matter what form that takes.
And I especially want previvor flatties to know that their stories are valid and important, and they are not alone.”
Thank you so much, Casey. We love Casey’s mission to connect with and support other previvor flatties.
Like Casey, we are so passionate about doing what we can to ensure that you feel empowered and confident and that no woman in this community feels isolated and alone.
It’s Friday, it’s almost the weekend, it’s a beautiful day AND we have another amazing blog for you!
We’re thrilled to introduce today’s blog which is written by the wonderful Sarah. Sarah was one of the first people our founder, Eleanor, connected with on Instagram but it took Eleanor quite a while to realise that Sarah only lives a few miles away!
Sarah works full-time as a social worker having retrained after being diagnosed with breast cancer at the age of 35. In her spare time she is a trustee of registered charity Flat Friends UK, and she is the founder of flatterfashion.co.uk.
Since she had a mastectomy without reconstruction, Sarah has been developing a fabulous resource of tips for dressing flat after single or double mastectomy – which can be found on her website or in Flat Friends’ patient booklet “Living without reconstruction”.
Sarah is also currently completing a year long “Outflat” fundraising campaign in aid of Flat Friends.
Without further ado, here’s Sarah!
“It’s been said that being diagnosed with cancer is like sitting an exam in a foreign language you haven’t had time to learn. We have to rely on our healthcare team to translate for us and we go online in search of exam tips.
On 18th December 2014 I was diagnosed with a fast growing invasive breast cancer in my right breast after finding a small lump behind my nipple two months earlier. On instantly declining the idea of reconstruction my breast care team warned me I would be “very flat” and wouldn’t be able to find nice clothes. The Breast Cancer Care patient booklet on clothes told me that women living without reconstruction who don’t wear prostheses could “disguise” their chest by wearing scarves and loose fitting tops. I searched online: “Which clothes suit a flat chest?”, “Post-mastectomy fashion”, “Clothes without reconstruction”, “living and dressing flat” (and every configuration of those words you can imagine). A website about living flat had one page about clothing but frustratingly gave the same advice of baggy tops and scarves.
I was 35 and being told that if I didn’t reconstruct then I would need to spend the rest of my life concealing my body; as if the public shouldn’t be confronted by a woman without two breasts. Another thing which struck me was that there were only two varieties of living flat portrayed online: either needing to cover up, or wanting to appear androgynous. On finding Flat Friends a few months later I realised that’s far from the truth. “Flat” is the space where a breast once was, it’s not the whole of your chest nor how you choose to present your chest to the world. All women living without reconstruction after a single or double mastectomy – whether they choose to wear prostheses always, sometimes or never – are “Living Flat”.
After many days and weeks scouring social media I found two women in the UK and one in the US who were open about living flat and sharing photos of their daily lives without a strategically placed scarf in sight. I genuinely thought we must be the only ones; that everyone else was hiding in plain sight, or having recon. I imagined I wasn’t the first woman to be in this position; doubting a gut instinct because of how we’re expected to look. I quickly became concerned that some may agree to have reconstruction based on their team, cancer charities, or the internet telling them that the alternative will be unrecognisable and uninhabitable.
The thought that there may be women getting dressed each day in a cloak of secrecy, fearing if they do not obscure their chest then they risk offending society, inflamed an idea to create the resource I had been looking for. Within a couple of weeks of having my mastectomy I had worked out how to build a website and uploaded my first post: “The One Where I Tried On Everything In My 34DD Wardrobe”. I was having to start from scratch working out which fabrics, styles, shapes, designs, seams, and darts would flatter my new body shape.
The day before each chemo I would use my short-lived energy to go to a high street store and try on clothes. I photographed and documented each discovery for my website and social media, whilst picking out themes and criteria which eventually became my list of fashion tips for dressing single or double flat chests. Just as “Living Flat” is an inclusive term so is “Dressing Flat”. Dressing Flat is not the preserve of those who have no breasts, and is not describing an attempt to appear flat. It’s what each of us does every day when we pick out which top or bra to wear.
After five years of mastectomy fashion blogging I have compiled a wardrobe of clothes I feel comfortable and confident in. A huge variety of colours and prints, frills and ruffles, floaty and fitted. Everything from workwear, sportswear, and evening gowns to swimming costumes and bikinis. Plus a padded crop top and a pair of Knitted Knockers. That doesn’t mean I don’t have days when I think nothing looks right and I declare ‘I have nothing to wear!’ – that’s something that happens whether you have two breasts, one, or none. Most days I’m oblivious to my chest’s appearance – it’s my normal and I’m comfortable in my body. Some days I’m acutely aware I don’t have two breasts and I’m sure everyone is looking at me trying to work out what’s missing. But I don’t think you can tell that from my posts because online we are encouraged to share only our best moments – the enviable events; the picturesque location; an emotive attention-grabbing post, or the perfect outfit because they’re what get the most likes and comments.
I’ve never been your typical fashion blogger or instagrammer; rather than wanting to be an influencer I just want to create practical content for women to use when they’re wondering if they’ll be able to wear a bikini, a smart work outfit, or an evening dress if they don’t have reconstruction. The aim is to spare the next woman the initial ground work and trepidation when navigating clothes shopping without two breasts by sharing the basic principles. The rest – finding our own style and experimenting through trial and error – is something we each have to do as individuals, just as we did the first time round as teenagers and young women working out what suited us and reflected our personalities. Over the past couple of years it’s been exciting to see more women sharing their own flat style, either in the Flat Friends seasonal fashion blogs on my website or by starting their own personal Instagram accounts.
For five years I have just shared my latest shopping trips; focused posts about swimwear or evening wear, or the occasional noteworthy outing or outfit. I don’t usually post on a daily basis; so, I decided that in 2020 I would set myself the challenge of sharing an unfiltered selfie everyday in my outfit of the day – my “outflat” outfits! I hope that by sharing 366 days of dressing without two breasts others who are feeling self conscious will see that Dressing Flat isn’t about perfectly staged photos or needing to validate yourself to others; it’s the reality of picking out something to wear day in day out. Finding clothes that you feel comfortable in, and of looking at your reflection as you go about your day and recognising yourself looking back is the only thing that matters. Don’t let your team, the internet or social media trick you into believing you need to completely re-imagine who you are or be taught how to dress yourself. Find inspiration from others; feel empowered to try different styles, and why not share what you discover to hearten the next woman searching for ideas!
As well as creating useful content I hope my #Outflat campaign will also raise money to support the work of Flat Friends UK, a charity which is dedicated to supporting women who have had single or double mastectomy surgery without breast reconstruction, including those who may face such decisions now or in the future. I am very proud to be a trustee of Flat Friends UK: we believe living without reconstruction is a positive outcome and work to normalise living without two breasts and providing support to women living flat, including those waiting for delayed reconstruction. You can find out more at www.flatfriends.org.uk and you can sponsor me at uk.virginmoneygiving.com/SarahCoombes3“
Thank you so much, Sarah, for sharing your story with us today. If you haven’t checked out Sarah’s #Outflat campaign, we strongly advise you to do so – we love seeing the wonderful outfits Sarah pulls together everyday!