Implants are used to augment breasts (make larger). After reviewing years of research concerning silicone-filled breast implants, the FDA  approved the use of the new silicone implant filled with "memory gel", also called "cohesive gel"  in breast augmentation. Dr. Merkel almost always uses this “next generation” of silicone implants that deliver a “natural feel” that closely resembles natural breast tissue and also offers unparalled safety, as the implant is very durable. He also offers a choice of “adjustable fill” saline implants, which can be adjusted after surgery to get just the right size for patients. Dr. Merkel will determine, with you, which implant will be the best choice for your augmentation. The "memory gel" are his prefrence. has a wealth of information concerning breast augmentation, including before and after photos. Take a look! is another sight with information regarding breast augmentation and most other plastic surgery procedures. also offers information on most plastic surgery procedures.



A woman’s breasts often change over time, losing their youthful shape and firmness. If you desire to restore the firmness and shape of your breasts, a breast lift (technically called a mastopexy) may be right for you. A breast lift is a highly individualized procedure that will be determined by Dr. Merkel based upon your breast size and shape, size and position of your areola, the degree of breast sagging and your skin quality and skin elasticity. A breast lift will rejuvenate your female form with a breast profile that is more youthful, uplifted and firm. The uplift can be combined with augmentation to obtain the best result from both procedures.



Women with large breasts experience more than dissatisfaction with body image – they experience physical pain and discomfort. If you have large breasts that limit your physical activity and cause pain, breast reduction may be right for you and can correct your pain problem overnight.

Breast reduction is a surgical procedure to reduce the size of large pendulous breasts. Technically called “reduction mammaplasty", breast reduction improves breast position and shape. Breast reduction can be performed unilaterally (on one breast) or bilaterally (on both breasts). It is generally considered a reconstructive procedure and may be covered by insurance when it is performed to relieve medical symptoms. Pre-certification is required for coverage. 


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