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Amherst Cosmetic Surgery Center & Le MediSpa
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.
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.
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.
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).If desired, implants may be used to restore breasts to their natural shape and size.
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.
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.
Reviews (16)
Jane Ruehrwein
Jane Ruehrwein
Feb 26, 2019
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Quality Experience And memorable Having started here years ago I’m never ceased to be amazed with Dr Koch and staff Their dedication And value Are tops
Jessica B.
Jessica B.
Apr 18, 2018
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I had an abdominoplasty with Dr. Koch in 2009 after 3 pregnancies. I was left with NO belly button at all. It was literally a flat scar with zero depth that I have just now had repaired by another surgeon where I live in Florida after hating my stomach for the last 8 years.
Lisa Mazur
Lisa Mazur
Dec 20, 2017
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I spent years researching Tummy tucks (abdominoplasty) and met with several surgeons. I knew as soon as I met Dr. Koch he was the one. He truly cares about his patience and took the time to listen to my story. He has exceeded my expectations. He walked me through exactly what was going to happen from preparing for the surgery to my recovery. My pain was minimal and my scars are barely noticeable. I’m very thankful to Dr. Koch and how amazing staff for taking such great care of me. I finally have my life back..
R. M.
R. M.
Oct 25, 2017
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I am in love with my results! Dr. Koch was very thorough and I felt like he wanted and needed everything to be perfect. He answered all of my questions to the point. I felt like I was in good hands right from the beginning. I felt like he was confident and knew what he was doing. I trusted him.

He suggested a certain size when using the 3D Vectra machine (so cool!) but I wanted smaller. They look very natural and better than I had envisioned. I was an A to start now a full B. Glad I didn't go bigger. I had concerns after my surgery like swelling, "too big", air pockets. He assured
Stephani Lumia
Stephani Lumia
Jun 09, 2017
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Tanya has been my go to for facials for a few years now. She is amazing to say the least. She does miracle work on my skin, I have a lot of experience within the beauty industry and do not know how she is so… magical. I do not live in buffalo right now, so every time I come back, I make an appointment with her. I love this place, the aroma and entire set up they have is inviting and luxurious.
Andrew M.
Andrew M.
May 08, 2017
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I found Dr. Koch to be very helpful and super informative. He was professional and spent an adequate amount of time providing the information that I needed in order to make a smart decision. He came across as someone that was really interested in performing a good job while helping me achieve the results that I was looking for.
Hilarie O.
Hilarie O.
Feb 23, 2017
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Amazing, wonderful experience from beginning to end! I got breast augmentation surgery back in may 2016 and could not be more pleased with the results and the whole process. I saw there was a review that he was rude. I completely disagree. He was professional and never tried to persuade me in any direction about the size I wanted. He didn't try to sell me on the procedure or any other services which I've had happen at other places. Since then I've been back for Botox and will continue to go for other services they offer at the spa. Totally recommend!
J. K.
J. K.
Jan 27, 2017
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Dr. Koch and his staff are wonderful. From the initial consultation all the way to my post-op visits, he was always there to answer any question I had. He is very thorough in his examinations and I felt he truly cared. He called me from his personal cell phone the day after my surgery to ask how things went. He really cares about giving his patients a natural look, and that is exactly what I got. I can't thank Dr. Koch enough for his hard work and attention to detail.
Heather Lynn
Heather Lynn
Nov 19, 2016
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Got breast aug. In oct 2007 best experience ever answered all my questions very professional and extremely helpful and easy to get a hold of at any time after surgery with post concerns or questions. Wouldnt go to any other doctor absolutely recommend this doctor hands down
Rachel Wells
Rachel Wells
Nov 15, 2016
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Hands down best doctor in WNY. I trust Todd with all my procedures from Botox to filler to implants. He's thorough and knows what he's doing. great doctor and great person all around.
Keri W.
Keri W.
Apr 20, 2016
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He is cocky and unfriendly. Talks over you and only wants to hear himself talk. There are too many other Plastic surgeons in the area to settle for this rude and uncaring man.
Jenny B.
Jenny B.
Mar 29, 2016
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Very rude Doctor ! Didn't answer any of my questions what's so ever didn't even bother to listen or look at me when we were speaking. All the questions that were asked for myself were basically where I worked and where my husband works exactly, like if it's any of his business. I'm there to be consulted and I payed for my visit. I felt like I was being interrogated on how I would be able to afford the surgery. And I certainly felt disrespected. Literally paid the man 50$ to feel completely uncomfortable in a doctors office. But I am Glad to say he won't be doing my
Deborah O.
Deborah O.
Jan 16, 2016
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Very arrogant and doesnt seem to care to answer your questions. Plastic Surgery is a huge decision and he didnt seem compassionate. He looks like he has had too many procedures himself. Face looked faked
Sara Kearney
Sara Kearney
Jun 10, 2015
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Very friendly and accomodating. Visiting from Australia, Dr Koch managed to fit me in with a limited time frame! Planning to revisit Dr Koch later this year!
Leigh P.
Leigh P.
May 01, 2014
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Fair prices but feels like a cut rate s American butt implant office. Todd will cut a deal and injects well. I like the rewards program. Please make things a little cozier for us ladies though. The lighting makes it tense and I have trouble being able to understand what he's trying to show me. Worth a try for anyone looking for liquid lift!
Karen Z.
Karen Z.
Jan 26, 2012
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I gave him one star because zero is not an option.

He is rude, nasty, and pompous. He wasn't interested in listening to my patient concerns. He talked over me. His office staff is rude too--although the front desk receptionist was pleasant. I walked out of the room while he was mid-sentence.

Try Dr. Shatkin or Dr. Rigan.