(855) 687-6227

1329 Cherry Way Dr, Suite 700,
Gahanna, OH 43230, USA


More breast cancer survivors are opting to stay flat after their mastectomy. Flat closure is the removal or tightening of the breast tissue after mastectomy.

Midwest Breast & Aesthetic Surgery’s Dr. Ergun Kocak, Dr. Pankaj Tiwari and Dr. Santosh Kale are among the best board-certified plastic surgeons in Ohio. With their combined 20+ years of experience, they can help you develop a satisfying and sustainable surgical plan should you consider Flat Closure.

Ideal Candidates

Some women who have treated breast cancer by undergoing a mastectomy (removal of one or both breasts) will make the decision to pursue a Flat Closure as opposed to reconstructive surgery. Our doctors will determine your candidacy for surgery during your initial consultation.

Insurance Coverage & Cost

Midwest Breast & Aesthetic Surgery will work with your insurance provider by submitting a pre-authorization request following our initial consultation.

The final costs typically cover miscellaneous medical expenses that include the surgeon’s fee and anesthesia. Prices may change due to the length and complexity of the procedure itself. You can expect an accurate quote during your initial consultation in our office.


Many women have begun to embrace Flat Closure as a movement and a way of life. Flat Closure is a chance for women to accept their new, post-breast cancer bodies as both beautiful and valid. The procedure holds a number of benefits that include:

  • The need to wear bras are no longer necessary
  • Restored balance and posture
  • Decreased back pains due to the removal of chest weight
  • The freedom to perform exercises and physical activity without the breasts getting in the way
  • Improved body image and self-confidence

The Flat Closure Procedure

Flat Closure is an outpatient procedure. You will be placed under general anesthesia to ensure you remain pain-free and comfortable.

The surgical approach utilized will largely depend on the condition of your chest after mastectomy. At Midwest Breast & Aesthetic Surgery, our surgeons begin the procedure with liposuction to clear away excess fat from your chest. The excess skin is then stretched and removed before our surgeons tighten the area and close it with surgical sutures. Sutures are absorbable and will fade into the skin as your body heals from surgery


"Dr Tiwari Thanks for being one of the good guys I pray God blesses you and your family for blessing others I know I will be sending other women with BII your way PS your staff rocks too..."
"Hi Dr Kocak I just wanted to say thank you for putting this broken girl back together Youve always been so kind and patient with me - and always enjoy your sense of humor Thank you for coming to Marietta and taking great care of me You and Tiwari were the best - the staff still talks about ..."
"Dr Tiwari Thanks for the tip on using Cayenne Id love to have the literature on that because Ill put it on my blog May help someone else too..."
"Dr Tiwari - So I researched for months interviewed 4 surgeons before I watched on of your on-line videos thought at the time the idea of traveling so far seemed extreme to have surgery after talking to you over the phone for the first time my mind was at east about all of it and I ..."
"After being diagnosed with Breast Cancer for the third time I underwent a double mastectomy and unfortunately developed lymphedema in my arm This complication was due to the fact that I had 12-13 lymph nodes removed the second time I had breast cancer The swelling in my arm was so bad I was ..."


It can take from 4 – 6 weeks for your body to completely recover. While you can return home after surgery, some patients opt to spend 1 – 2 days in the hospital.

Below are guidelines to ensure your body heals with minimal complications:

  • Seek the aid of a friend or family member to assist you for the first week after surgery
  • Remember to take any pain medication prescribed by your doctors
  • Avoid showering for 2 days to give your wounds ample time to heal
  • Bruising and swelling are expected and will subside within 1 – 2 weeks
  • Be sure to avoid any strenuous exercise and heavy lifting for 2 – 4 weeks
  • You can resume working and driving after 1 – 2 weeks


Our board-certified plastic surgeons assure you that physical results are immediate. There may be an adjustment period as you get used to your new flat chest. Aesthetically-pleasing results will appear within 2 months, once your surgical wounds heal.

Many women have reported satisfying results that have enabled them to live happier, more confident lives. You, too, can benefit from this new-found sense of self from Flat Closure surgery.

Frequently Asked Questions

Can I undertake Flat Closure without cancer?

Yes, especially if you find that you are vulnerable to breast cancer. Preemptive mastectomy can help prevent cancer from occurring in the first place.

Where will my Flat Closure procedure be performed?

Midwest patients have their surgeries performed at Onyx and Pearl Surgical Suites in Westerville, Ohio. It is located in N. Cleveland Avenue, just north of County Line Rd.

Request Your Consultation

To learn more about flat closure, you can schedule an appointment online or you can call 855-687-6227

make an appointment

*The information available on this page was created to educate our patients. It is not an alternative for a formal consultation with a board-certified plastic and reconstructive surgeon. Individual results vary per patient. For more information, we strongly recommend scheduling a consultation with our doctors.