I have type 1 diabetes and wanted breast augmentation after breastfeeding two children. I am a R.N. for over 12 years and know the risks of any type of surgery. I finally decided to consult plastic surgeons for the procedure and after spending nearly 2 hours at the initial consult with Dr. Merkle, I decided he was the best surgeon to do my procedure. He was very diligent, caring, and patient. He spent 4 hours in the OR to make sure the job was done to his perfection. He made sure to use extra precaution both pre and post-operativly to prevent any complications from the surgery. He even gave me his cell phone number and answered it when I had a low grade fever D2 post op, which turned out to be from the anesthesia, which is common. He was as diligent post op as during the surgery and even included ultrasound to help relax the tissues to promote quicker healing at no extra cost. He uses the highest quality implants and his amazing office staff sent off the warranty for me. He felt I needed to be seen to make sure things were going well and came in on his day off! He is not only an extremely skilled surgeon, but an equally great person. I am extremely satisfied with my results thanks to Dr. Merkle.