Staying flat after nipple-sparing double mastectomy?

runner51

I'm curious if anyone has made this decision, and if they had subsequent surgeries to tighten up loose skin or fill in any concavity? I had my nipple-sparing DMX in Sept 2025, with the initial plan of reconstruction. However now that I am wrapping up chemotherapy, I am considering remaining flat. I'm not sure what to do about the concavity and some loose skin on my left breast side though. Any thoughts on how to proceed?

moderators

Hello @runner51! Congratulations on nearing the finish-line with your chemo regimen! We recommend scheduling a few consultations with reconstructive surgeons to discuss your interest in "aesthetic flat closure", and to inquire about what surgical techniques are recommended to correct the concerns you've mentioned.

You may find the following articles to be helpful:

https://www.breastcancer.org/treatment/surgery/going-flat-no-reconstruction

https://www.breastcancer.org/treatment/surgery/going-flat-no-reconstruction/aesthetic-flat-closure