
Tammy Casteel is the founder of Beyond Pink Ribbons, a nonprofit dedicated to supporting people emotionally and financially beyond a breast cancer diagnosis.
After years of proactive screenings, Tammy faced her own diagnosis and underwent a double mastectomy. She later made the deeply personal decision to remain flat, choosing an aesthetic flat closure that aligned with her body and her life.
Her journey reshaped not only her body, but also her understanding of identity, resilience, and self-advocacy. Tammy believes surviving cancer is only part of the story. Rebuilding confidence, community, and purpose afterward matters just as much.
What began as a personal choice rooted in autonomy grew into a mission. Through Beyond Pink Ribbons, Tammy organizes events, builds community, and provides tangible support to people navigating the real-life financial and emotional weight of treatment and recovery.
She is also the creator of the Flat On Purposeโข brand, a platform centered on informed choice, body autonomy, and visibility for people who choose to remain flat after mastectomy. Tammy is the author of Flat On Purpose: Choosing Myself After Breast Cancer and other books created to encourage honest conversations, confidence, and healing beyond diagnosis.
Tammyโs mission is simple: no one should feel alone in this journey, and every person deserves the freedom to choose what feels right for their body and their life.

Karen Fussner plays an important role in supporting the mission of Beyond Pink Ribbons. Through her dedication and involvement, she provides financial coordination and organizational support that helps the nonprofit continue serving individuals facing breast cancer.
Working behind the scenes, Karen helps ensure that Beyond Pink Ribbons can grow, stay organized, and reach those who need support most. She believes deeply in compassion, community, and standing beside individuals and families navigating the challenges that can come with a cancer diagnosis.
Through her commitment to the organization, Karen helps strengthen the mission of Beyond Pink Ribbonsโreminding those facing breast cancer that they are supported and never alone.


