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About Alan M. Engler, MD, FACS
Expertise
Dr. Engler has answered over 2700 plastic surgery questions for Allexperts. His expertise is in cosmetic plastic surgery including breast surgery (breast enlargement with implants, breast reduction, breast lifts), liposuction, eyelid surgery, tummy tucks, facelifts etc. Dr. Engler has been listed as one New York`s Top Doctors, and as "One of the World's Most Famous Aesthetic Surgeons" (Aesthetic Surgery, TASCHEN Books, Angelika Taschen, Editor). He is the author of 4 books, including "BodySculpture" (a best-selling plastic surgery book on breast surgery, liposuction and tummy tucks), "EyeScapes" (Plastic Surgery of the Eyelids), "Restylane," and "The Slim Book of Liposuction." Dr. Engler has two US Patents for surgical instruments that he's designed, and has appeared on numerous television shows, including The Tyra Banks Show, The Ricki Lake Show (four times), and the Dr. Keith Ablow Show. Videos of his appearances are available on YouTube (SEARCH FOR "DR. ENGLER"). His website is www.bodysculpture.com.

Experience
Dr. Alan Engler is a board-certified plastic surgeon in New York and the author of BodySculpture - Plastic Surgery of the Body for Men and Women (ISBN 0966382749) one of the top-selling plastic surgery books on amazon.com, barnesandnoble.com, etc.

Education/Credentials
Dr. Engler graduated from Yale University (undergraduate) and the College of Physicians and Surgeons of Columbia University (medical school). He did his residency training in General Surgery and, after that, Plastic Surgery, at the Montefiore Medical Center in New York. He is on the faculty of the Albert Einstein College of Medicine in New York.

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Plastic Surgery - Bi-lateral Breast Reduction

Expert: Alan M. Engler, MD, FACS - 11/8/2009

Question
On July 6th, 2009 I had Bi-lateral Breast Reduction Surgery. My height is 5'4 141 pounds, and I had a bra size of 34DDD. I had one pound removed off each breast. I had the traditional breast reduction surgery. I did not have drain plugs after surgery. 5 days after surgery, I was very pleased with my size. Now 4 months later, I am wearing the same size bra I did before I has surgery. I saw my surgeon this week, who said I have a lot of scar tissue and I have very dense breast. My healing process will be slow. But I don't understand why I am now the same size as before? I have put on 3 pounds since surgery. My doctor said that my breast are still very hard and will soften. But I am confused why I am getting bigger rather than smaller. Thank you for your help. Dianna

Answer
from Dr. Alan Engler
www.bodysculpture.com

Hi Dianna,

It seems strange that your bra size didn't change; I would think that a pound of breast tissue removed from each side would have reduced your cup size to about a D. One possibility, then, is that you were larger than a DDD but were fitting into that bra? It is, of course, hard for me to say.

Otherwise, though, trying to lose that weight may help you see what you should look like as a result of the surgery.

Sorry I can't come up with a better explanation...

Dr. E

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