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.

read more › 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.

read more › 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.

read more › 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).

read more › 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.

read more › 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.

read more › Having slightly asymmetrical or shapeless breasts is common and often goes unnoticed. However, for women with tubular breasts, the imperfections may be more bothersome and prominent. Tubular breast deformity causes one or both breasts to be misshapen in several ways, which tends to lead to damaged self-esteem and other emotional consequences. Fortunately, Dr. Todd B. Koch offers corrective surgery to improve the appearance of tubular breasts and restore his patients' confidence. This is a mild degree of tubular deformity characterized by minor elevation of the medial portion of the breast.

read more › Gynecomastia is an abnormal benign enlargement of the male breast. It may be classified as either physiologic or pathologic, and although its origin is multifactorial, in most cases an identifiable cause is never found. The physiologic type occurs during puberty. This type is often self-limiting and regresses spontaneously, with most cases resolving within three years. If this condition persists into adolescence further, hormonal evaluation is warranted. The pathologic type involves an imbalance in the ratio of the female hormone, estrogen, and the male hormone, androgen, or a defect in the tissue receptors of androgens.

read more › Dissatisfaction with your breast augmentation can be the result of postoperative complications, a poorly performed surgery, or implant choices that don't properly complement your body's natural shape. Women who are dissatisfied with their breast augmentation may choose to replace implants that aren't providing them with their ideal aesthetic. Implants that are too large or too small compared to your frame and create an unbalanced appearance. Saline ruptures are immediately noticeable; the breast takes on a deflated, empty appearance.

read more › Tired of those loose flabby upper arms? Want to be able to go sleeveless? Then an arm lift may be just the help you need. An arm lift, or Brachioplasty, is a cosmetic surgical procedure designed to reduce, reshape and contour the upper arm from the elbow to the underarm area. This procedure has become more popular since the advent of weight loss procedures such as gastric bypass. Frequently, this procedure is accompanied with liposuction. Liposuction is used to reduce the volume of excess fat then the resulting excess loose hanging skin is removed and reshaped.

read more › Having a posterior that is disproportionately small or misshapen can negatively affect a woman's confidence. Achieving sensual contours helps patients feel more attractive, comfortable, and happy. Patients who wish they had a more prominent and curvaceous rear may want to consider buttock augmentation, which is a procedure that enhances the size and appearance of the gluteal area using fat grafting. Patients commonly discover that their newfound confidence dramatically affects their success in other areas of life as well.

read more › Liposuction is a procedure that improves the contours of the body by permanently removing excess fat deposits. It's often desired when individuals are unhappy with their physical appearance or when diet and exercise fail to produce satisfactory results. While there is a wide range of fat removal treatments available today, from lasers to melt fat or cooling to freeze fat cells away, many of these procedures require multiple treatments and offer minimal results at best. Standard liposuction techniques that have been around since the 1980s are tried and true, and I believe they are the "gold standard" because they consistently provide reliable and noticeable results.

read more › A Mommy Makeover is designed specifically for women who have lost their firm and toned bodies after pregnancy and breastfeeding. No amount of diet and exercise can restore lost skin elasticity, and this loss of elasticity often contributes to unflattering loose, sagging skin. Post-pregnancy, many women are faced with deflated breasts and loose abdominal muscles. A Mommy Makeover uses a combination of breast enhancement and abdominal contouring procedures to restore your slender, more youthful pre-pregnancy body.

read more › Tummy tuck surgery (abdominoplasty) improves the appearance of the midsection by eliminating excess skin and tightening the abdominal muscles. Dr. Koch combines this procedure with liposuction (lipoabdominoplasty) to eliminate stubborn fat deposits and improve contouring. Desired by men and women of all ages, this procedure is effective in producing more slender and toned abdominal contours. The skin loses elasticity over time, which causes it to become saggy. Even if you've managed to lose weight, chances are you still have loose, hanging skin.

read more › The war against facial wrinkles has become more effective with the use of BOTOX Cosmetic, Dysport or Xeomin. When you smile, laugh or frown, the contraction of the facial muscles creates dynamic wrinkles. These wrinkles can be softened and in many cases eliminated with the use of BOTOX Cosmetic, Dysport or Xeomin. These products are referred to as "neuromodulators". The FDA approved the use of Botox for the treatment of frown lines in 2002 and for the crows feet area in 2013 but this product can be safely used in other areas such as the forehead, chin, neck and mouth.

read more › Are you frustrated at being told you look tired and worn when you're not? When you're not? That tired expression is commonly caused by the appearance of your eyes. A Blepharoplasty, or eyelid, surgery can alleviate that tired worn out appearance. This procedure removes the excess skin and puffiness or bags from the upper eyelid and/or lower eyelids. Peeling away the excess skin and fat opens up the natural beauty of your eyes, revealing a more youthful and refreshed you. In many circumstances redraping the lower eyelid wrinkled skin and reducing the "bags" or fatty protrusions helps to soften or even eliminate dark circles.

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