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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 - Pro-phylactic bilateral mastectomy and reconstruction

Expert: Alan M. Engler, MD, FACS - 11/7/2009

Question
Hi, I may be eligible for a skin-sparing mastectomy, to be preformed prophylactically, although there is extensive ADH in the right breast already. I'm interested in implants, to avoid additional unnecessary surgery (as with flaps). Have you heard of something called the Becker implant? How would I go about finding the best cancer and cosmetic surgeons for my procedures? It would be possible to travel for the procedure, although Washington DC area or other East Coast would be most convenient. Thanks so very much.

Answer
Hi Suzanne,

A Becker implant is an expandable saline breast implant (ie, they leave in a valve for a few weeks so that you can have the size adjusted somewhat).

However, there are many issues that you'll need to think about - such as whether you should have a silicone gel or a saline implant to begin with. Many people feel that a silicone implant provides a nicer result although that is clearly debatable.

The head of plastic surgery at (I think) Georgetown is a wonderful plastic surgeon named Scott Spear. Contact his office and see where they would recommend that you go.

I hope that this helps, and good luck,

Dr. Engler
www.bodysculpture.com

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