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Flat Acceptance

JulietFacing a Mastectomy

“I’m afraid that you need to have a mastectomy,” said the breast surgeon with the dodgy wig who couldn’t meet my eye. 

This was when the wall of emotions that I’d been carefully building to protect myself from future knocks completely collapsed and I began to sob.

Not only would I soon be bald as a result of the chemotherapy, but I’d also be one breasted. At that moment, I couldn’t imagine anything worse. 

A month earlier in January 2016, I’d been diagnosed with Grade 2 breast cancer in my left breast, following my second routine mammogram, at the age of 54.  The doctors thought the tumour was only 20mm, so the original treatment plan was for me to have a lumpectomy followed by radiation – it sounded scary but doable. 

Unfortunately, like many cancer patients, my treatment plan changed for the worse. It turned out that the tumour was Grade 3, multifocal and was actually 70mm in total. The surgeons couldn’t get a large enough clear margin around the tumour and this was why I had to have a total mastectomy.

How Did I Accept it?

When I woke up with only one breast it was one of the lowest and most shocking moments of my life.

It took me a few days before I could look at the flat side of my chest and I really doubted my decision not to have reconstruction.  As the days and weeks went on though, it became easier to look at and I got used to seeing a scar where my breast used to be. 

What I couldn’t get used to was my GG cup remaining breast. I hated being so lopsided and it took a long time to become used to wearing my huge silicone prosthetic breast.  I did wear it every day but really looked forward to taking my bra off with my breast attached to it at the end of the day – it certainly made a thud as it hit the floor!have the other one removed – I found that to be very empowering.

Going Flat 

Eighteen months after my first mastectomy I had my second breast removed.  My surgeon had finally agreed to remove my healthy breast after I had persuaded him that I wanted to be symmetrical. Having lost one breast to cancer, I had decided to face my fear of operations and have the other one removed – I found that to be very empowering.

We’re all individuals with our own viewpoints, fears and wishes.  There are so many factors to consider and, early on in our cancer journey, we are bombarded with information and made to make many treatment decisions.  I wonder why so many hospitals don’t give all the options when mastectomy is required. 

Reconstruction wasn’t for me because I didn’t want to have any more operations than were absolutely necessary.  If I had chosen reconstruction, it would have taken a few procedures to get the result I would have been happy with, and probably an operation to reduce my other breast.   Reconstruction is definitely the right decision for many, many women – I’m just not one of them and it’s my right to decide that. 

Confident, Brave & Strong

I’m so happy with my new shape – I feel as though I have the body that I always should have had.  How extreme that it took breast cancer to get me there.  I feel confident, brave and strong, not to mention that I don’t carry around two huge breasts.  This is not to say that there are no down sides.  There definitely are.... I’m numb under both of my arms and over most of my chest, I have excess folds of skin under both my arms and I have strange aches and pains and sometimes flashes of pain.  But these are nothing compared with the joy of never having to wear a bra again if I don’t want to and, if I do, to be able to  I feel confident, brave and strong, not to mention that I don’t carry around two huge breasts.choose the size I’d like to wear.  I’m thinking a C cup!!

I am trying to embrace my new life after cancer.  I feel that I have made the best of a pretty bad situation and taken control of how I want to live. 

I want to advocate for the right of woman to be given all of the options after a mastectomy, and that includes the option to remain flat.  And

I want to increase the visibility of women who choose to live flat.  I’ve discovered that I don’t need breasts to feel like a woman.  I think that I look pretty darned great topless – a little different to the norm, but great nonetheless. 

Juliet writes a blog called Blooming Cancer and flowers are the reason for the “blooming” part of the title. She sees this both in terms of blooming flowers and also as a blooming of her personal development.  Just as a seed grows, is nourished and thrives, so she has grown from a negative, anxious, fearful woman into one who is positive, happy and excited about the future. 


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Sally (not verified)

I am 4 weeks post mastectomy and auxiliary clearance. The left boob gone - I’m left with a right boob cup size k!

When I first heard mastectomy I was lured in by the reconstruction / reduction ‘ finally getting the boobs I have always wanted’ theory! Even after this very short recovery time, my mind is almost completely changed and considering removal of my healthy ( at the moment) right breast.

After researching and understanding the extent of the recon/ reduction surgeries, I do not want to put my body through anything more than it has to.

I could of course remain with the healthy boob and wear the heavy prosthesis for the next 40 or so years. But my over large boobs have always been a burden and as a very active person, I struggle to find everyday and sports bras to fit comfortably and support. Not to mention the additional expense as I can’t just buy from the high street.

Thankyou for such an enlightening article and for very early confirmation that there are other options out there.


I found the hardest thong seeing the new me , i too remember sobbing after being told my lumpectomy hadnr been successful. Id gone from Grade 1 to Grade 2 , it was in my lymph glands too .The words of masectomy filled me with dread , fear and anxiety i never knew or ever had before. I was borderline chemo , rightly or wrongly i opted out .I couldnt face it and have no regrets
I dont like the new me but i accept it , im cancer free for now and hope i remain so. I will have reconstruction next year as its what i want , and totally get women who dont .Its a big step , but im so tiny 32 only and told ill have implants and mine is straightforward. I will then feel ive got my life back .

Alison L (not verified)

Hear hear! I was in a similar situation, big boobs and mastectomy on one, but I battled to get s double mastectomy, even had to see a different consultant with a psychology background to make sure I really wanted it. Never looked back. Don’t miss my boobs one bit, just like the article ?✊

Maggie (not verified)

I am 5 weeks post mastectomy after having 3 lumpectomys 2 places in left breast, i to have went for no reconstruction although i still can,t look at my scar in the mirror. I have been told i will be on a tablet (not sure what one ) and will have to recieve an injection into my stomach every 28 days to make me go into early menapause until such time as i get my ovaries removed. They also want me to take chemo for 12 weeks & hercepin for a year, i refused chemo etc last time because the statistic percentages weren,t high so for me i declined the chemo but they are trying to persuade me to take it. I just want it all to be over with as less treatment as possible. I know i am not the same person inside but i want to get back to as normal a life as possible.