Plastic Surgery

Our specialty, Plastic and Reconstructive Surgery, is a surgical discipline that seeks to heal and restore patients with injury, disfigurement, or scarring resulting from accidents, disease or birth defects or from less than optimal previous surgical results from other surgeons.  Dr. William D. Merkel has been providing cosmetic and reconstructive surgery since 1975. His goal is to give people a new positive perspective in life. He likes to establish a comfortable rapport with his patients and feels that having a close relationship ensures that patient expectations are met and results are successful. We have a state-of-the art in-office surgical facility. All out-patient and aesthetic surgery is conveniently performed in our in-office operating room. This offers our patients total anonymity, confidentiality, convenience and affordability as well as lowering risk of infection due to a zero infection rate. Dr. Merkel uses conscious sedation and local anesthesia, general anesthesia is not needed or used for his patient's procedures.



Implants are used to augment breasts (make larger). After reviewing years of research concerning silicone-filled breast implants, the FDA  approved the use of Memory Gel implants, also called cohesive gel. Dr. Merkel uses this next generation of Memory Gel implants that deliver a “natural feel” that closely resembles natural breast tissue and offers unparalled safety, as the implant is very durable. Saline implants are obsolete and no longer used due to eventual rupture and loss of fill. Dr Merkel will estimate with you prior to surgery what size is the best choice for you. is a website 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 shape and firmness. If you desire to restore the firmness, often due to fat/ weight loss, aging and or lactation and want to shape 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, 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 uplifted and firm. The uplift can be combined with augmentation to obtain the best result.



Women with large breasts experience more than dissatisfaction with body image – they experience physical back and shoulder pain and general 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. This is surgery to correct a functional problem and is not always done for aesthetic gain. 


Breast reduction is a surgical procedure to reduce the size of large pendulous breasts. Also know as reduction mammaplasty, which improves breast position and shape. Breast reduction can be performed unilaterally (on one breast) or bilaterally (on both breasts). Pre-certification is required for possible insurance coverage.


A fit and well- proportioned body is often considered a symbol of health and vitality. Despite good health and a reasonable level of fitness, you may still have a body with disproportionate contours due to localized fat deposits. This may be due to heredity, hormone imbalance  or family traits rather than a lack of weight control or fitness. We can help you achieve your goal of a well-proportioned body, with body contouring.



If you are bothered by excess fat deposits, located anywhere on your face or body, that do not respond to diet or exercise, the gold-standard way to achieve this is thru liposuction/body contouring. In general, liposuction slims and reshapes specific, localized areas of the body by removing localized or regional excess fat deposits, improving your body contours and proportion and ultimately, enhancing your self-image. Unlike weight loss which can remove fat and fullness from all areas, actually making you look older or as some express "gaunt", liposuction can specifically target the areas where you want fat removed.


The most common areas are love handles (flanks), back rolls, abdomen, inside of the thighs, saddlebags, neck and arms.

Liposuction, also called lipoplasty or suction lipectomy, is the surgical removal of localized or regional excess fatty tissue. There are three techniques to the procedure.

  • Traditional liposuction, defined as surgical suctioning of excess fat deposits using a local anesthetic. The anesthesia is achieved by a Tumescent saline solution containing Lidocain anesthetic with adrenaline to prevent bruising, prior to the actual removal of fat.

  • SmartLipoMPX Laser (see below)

  • Lipo sculpture achieved thru a gentle, manual syringe removal.

Liposuction is a highly individualized procedure and requires careful consideration of your specific concerns and the areas you desire improvement. Dr. Merkel will evaluate your skin tone and elasticity, as well as fat density and distribution, and will determine which procedure – or combination of procedures – will help you achieve your goals.



This laser-assisted lipolysis procedure is a revolutionary, minimally invasive treatment that permanently destroys fat cells, improves overall body shape and actually results in tissue tightening. Perfect for those areas that do not respond to diet or exercise. Continued improvement can be seen in your body over 3 to 6 months after the procedure. SmartLipo®MPX is often used by Dr. Merkel alone or in combination with traditional liposuction.



A flat and well-toned abdomen is something you may strive for through exercise and weight control. Often these methods cannot achieve your goal. Even individuals of otherwise normal body weight and proportion can develop an abdomen that protrudes or is loose and sagging. Also known as abdominoplasty, a tummy tuck removes excess fat and skin, and in most cases restores weakened or separated muscles creating an abdominal profile that is smoother and firmer. You'll like looking in the mirror again!

A tummy tuck procedure is highly individualized and Dr. Merkel will consult with you regarding the best method of performing the procedure and talk with you about your goals and expectations. Although excess fat and skin are removed, a tummy tuck is not a substitute for weight loss or an appropriate weight loss program, but can help smooth and firm your abdomen and improve your self-confidence and body image.


Non-Surgical Body Contouring

Looking for a non-surgical solution?  Check out Body Contouring.

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