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.