Frequently Asked Questions

AFC FAQ


What is an “aesthetic flat closure?”

Aesthetic flat closure (AFC, or “flat closure”) is reconstruction of a smooth chest wall contour post-mastectomy. It involves careful removal of any excess tissue remaining after excision of the glandular tissue, and can also involve contouring of the remaining tissues. The National Cancer Institute recently added aesthetic flat closure to its Dictionary of Cancer Terms.

How is aesthetic flat closure different from a nonreconstructive mastectomy?

Aesthetic flat closure refers specifically to the contouring work that is performed after removal of the breast tissue, whether at the initial surgery or at a later timepoint (i.e., revision or explant), to restore a smooth, flat chest wall contour.

Where can I learn more about aesthetic flat closure generally?

You can visit the Provider Resources Page at the Not Putting on a Shirt (NPOAS) website to learn more. This site is continuously updated with the latest news and medically reviewed information about aesthetic flat closure.

What is the purpose/utility of the Database?

The Database several critical functions in improving the standard of patient care in this setting. It facilitates clear communication between patient and provider
help to align expectations; it allows patients facing surgery to visualize what they might look post-operatively; and it provides data for future AFC research and surgical training.

How do I manage patient permissions for photo submissions?

You can use our photo permissions templates (printable and editable) to use with your patients for whom you intend to submit photos. If applicable, check with your institutions’ administrative team to see if they have any additional requirements.

How do I get “My Choice: AFC” brochures for my clinic?

You can order brochures mailed at no charge here.

Who manages this website?

This website is managed by Not Putting on a Shirt (“NPOAS”), a registered charity promoting an improved standard of care for aesthetic flat closure.

I don’t see my question here.

We are here to help! Please ask your question directly by emailing us at info@aestheticflatclosure.com or by using our contact form.


This website is managed by Not Putting on a Shirt (“NPOAS”), a registered charity promoting an improved standard of care for aesthetic flat closure. This website may contain copyrighted material, but after publication all material is available under “fair use.” If you wish to use material from this website for purposes that fall outside of “fair use,” please contact the site management team at info@aestheticflatclosure.com.