Amherst Cosmetic Surgery Center & Le MediSpa
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With over 30 years of experience, Dr. Todd B. Koch offers a wide range of the most advanced professional services. Dr. Koch performs breast, body, and facial enhancement procedures to help men and women achieve their ideal cosmetic look. A variety of non-surgical options are also available. Tummy tuck surgery (abdominoplasty) addresses common midsection concerns by eliminating excess skin and tightening the abdominal muscles.

This procedure helps men and women achieve their body contouring goals. Pregnancy and childbirth can take a significant toll on a woman's body. A Mommy Makeover is a combination of breast and body contouring procedures that helps women regain their pre-baby figures. Puffy eyes can give off the impression that you are tired or sad. Eyelid surgery (blepharoplasty) removes the excess skin or bags from the lower and upper eyelids to create a more youthful, alert appearance.

Many women wish for larger, fuller breasts to compliment their body. Breast augmentation surgery uses saline or silicone implants to increase breast size and improve the breasts' overall appearance.
Services
This reference guide provides an overview of the plastic surgery procedures offered by board-certified plastic surgeon Dr. Todd B. Koch.
This surgical procedure uses saline or silicone breast implants to increase breast size and improve breast shape.
Breast augmentation is ideal for women who are dissatisfied with the naturally small size of their breasts or volume loss after pregnancy or weight fluctuations.
A breast lift is a surgical procedure that removes excess breast skin, tightens the skin envelope, and repositions the breast tissue.
Breast augmentation can be performed if you are dissatisfied with the size and/or shape of your breasts.
There are a number of things that can contribute to unsatisfactory breasts.
The breasts can be naturally too small or asymmetrical.
In other cases, pregnancy, nursing, and/or the aging process may have distorted the pleasing appearance of the breasts.
Breast implants can be used to increase breast size and improve breast shape.
Your implant choice can affect the way your breasts look and feel after surgery.
A frequent complaint I hear from women is "I want my breasts back where they belong."
As time passes, pregnancy, nursing, excessive weight loss and gravity have adverse effects on women's breasts.
This causes the breasts to lose their elasticity, firmness, shape and begin to sag.
A breast lift or Mastopexy is a procedure that corrects these conditions using a combination of removing excess breast skin, tightening the skin envelope and repositioning of the breast tissue and a low nipple-areolar complex (NAC).
Breast revision surgery is performed when a patient is experiencing complications or is dissatisfied with their results from a previous breast augmentation procedure.
This process usually requires the removal or replacement of an existing implant and the placement of a synthetic mesh scaffold to support weakened breast tissue, eliminating malpositioned implants.
Breast revision is commonly done to change implant size, reposition the implant(s), or correct implant rupture or deflation.
Ideal breast size varies among women and can depend on your body's frame and personal preferences.
Women may choose to remove their breast implants after breast augmentation surgery for a variety of reasons that include implant rupture, breast illness, or general unhappiness with the appearance of their implants.
Women may choose to replace their implants with a different size or shape or resort back to their natural breast size.
Eliminate the possibility of certain suspected health risks caused by breast implants such as breast implant illness.
Women may be forced to remove their breast implants because of complications such as capsular contracture, which occurs when the natural scar tissue capsule thickens and constricts around the implants.
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