“My body, my choice”: A qualitative study of women’s mastectomy with flat closure experiences

Tyner, Tracy; Freysteinson, Wyona M.; Evans, Stephanie C.; Woo, Jennifer

doi:10.1016/j.bodyim.2023.07.009

Cited by 3 publications

(1 citation statement)

References 68 publications

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“…Moreover, women that choose to undergo an “aesthetic flat closure” following a mastectomy encounter unsupportive healthcare environments ( 50 ). This issue, referred to as “flat denial”, arises when a surgeon either discourages or neglects to provide a flat closure, or leaves excess skin for potential future reconstruction against the patient's wishes.…”

Section: Introductionmentioning

confidence: 99%

Breast implant iatrogenics: challenging the safety narrative

Azahaf,

Spit,

de Blok

et al. 2024

Front. Glob. Womens Health

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Section: Introductionmentioning

confidence: 99%

Breast implant iatrogenics: challenging the safety narrative

Azahaf,

Spit,

de Blok

et al. 2024

Front. Glob. Womens Health

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Women's experiences of health care providers when choosing flat closure after breast cancer: An interview study

Ahlstedt Karlsson,

Myrin Westesson,

Hansson

et al. 2024

European Journal of Oncology Nursing

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Women’s decision process when actively choosing to ‘go flat’ after breast cancer: a constructivist grounded theory study

Paganini,

Westesson,

Hansson

et al. 2024

BMC Women's Health

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Objective This study aims to describe a conceptual model that could illuminate the decision process women go through when choosing to go flat on one or both sides due to breast cancer. Methods A qualitative design, with constructivist grounded theory was used. Eighteen women were individually interviewed, digitally or by telephone, until saturation was reached. Data were analysed using a constant comparative iterative method in accordance with grounded theory. By examining the text data to identify the decision process for going flat and rejecting reconstructive surgery open coding was obtained. As the study proceeded patterns were explored and categories developed into a core category. Results The overall decision process for women choosing to go flat on one or both sides emerged in three phases: Phase 1, where the women are forced to “Face the cancer”, Phase 2 comprising “Reflections on health and motivation” and Phase 3, described as “Hobson’s choice”. The fundament of the decision process was found in the core category “Establishing and safeguarding the chosen self”. Conclusions The decision process involved in actively going flat and rejecting reconstructive surgery is founded in the individual woman’s motivations, such as view of femininity and apprehensions about the offered reconstructive surgery.

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“My body, my choice”: A qualitative study of women’s mastectomy with flat closure experiences

Cited by 3 publications

References 68 publications

Breast implant iatrogenics: challenging the safety narrative

Breast implant iatrogenics: challenging the safety narrative

Women's experiences of health care providers when choosing flat closure after breast cancer: An interview study

Women’s decision process when actively choosing to ‘go flat’ after breast cancer: a constructivist grounded theory study

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