Yes, it was done at the time of Mastectomy. I was diagnosed back in May. I did a lot of research to learn about different procedures and options. I was not interested in implants due to risk of implant illness and then having to replace every 10 years, which required more surgery. I was no interested in DIEP flap as that is a major 10 hour surgery, usually with follow up surgeries. I also did not want the risk of losing my abs. I have gained 30 pounds over the last 30 years, but my abs are still tight and under that layer of fat! Now that I am 9 weeks post op, I will start hitting the gym again. I just wanted a one and done surgery. I am not a vain person and have enough self confidence, that not having breasts were no big deal to me. My husband of 32 years said he just wanted me to be healthy. He fully supported my decision. It has been awesome not having to wear a bra. I showed my surgeon pictures of what I wanted/expected and he felt confident he could do it. I am very happy with the results.