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Procedures Reference Guide

This reference guide provides an overview of the plastic surgery procedures offered by board-certified plastic surgeon Dr. Todd B. Koch.

For more information about the procedures or to schedule your consultation with Dr. Koch at his Williamsville, NY, plastic surgery studio, call us at (716) 631-1220 or fill out our online contact form.

Breast Procedures

Breast Augmentation

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.

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Breast Lift

A breast lift is a surgical procedure that removes excess breast skin, tightens the skin envelope, and repositions the breast tissue. Patients can enjoy perkier breasts with improved projection of the nipple-areolar complex.

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Breast Revision

Breast revision is typically performed to remove or replace an existing breast implant. This procedure is for patients who are dissatisfied with a previous breast augmentation procedure, whether as a result of complications or the implant size and/or type not providing the appearance they desire.

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Correction for Capsular Contracture

Capsular contracture develops when the natural scar tissue capsule thickens and constricts breast implants after breast augmentation. This can cause discomfort and an unsatisfactory breast appearance. Capsular contracture can be treated by breast revision techniques that generally include removing the scar tissue capsule and replacing the implants.

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Correction for Bottoming Out

Bottoming out is a breast augmentation complication that occurs when one or both breast implants slips below the inframammary line, resulting in an unsatisfactory breast appearance. Breast revision techniques that include placing a mesh scaffold for support may be used to correct this condition.

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Implant Exchange

Implant exchange is a surgical breast revision procedure for women who are dissatisfied with their breast augmentation. Dissatisfaction from your breast implants can be a result of postoperative complications, poorly performed breast augmentation surgery, or misshapen breasts.

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Correction of Inverted Nipples

This surgical procedure can correct a flat or inverted nipple with the patient under local anesthesia. During the procedure, the ducts that prevent the nipple from protruding are severed and released.

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Correction for Tubular Breasts

Tubular breast deformity occurs when the breast tissue develops irregularly during puberty, and it causes one or both breasts to be misshapen (often cone-shaped). A more natural and attractive breast shape can be achieved by altering the lower pole breast tissue to allow it to expand.

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Gynecomastia Surgery

Gynecomastia is a condition characterized by an abnormal benign enlargement of the male breasts, and the surgical correction involves removing excess fat and glandular tissue. In extreme cases, excess skin is also removed, resulting in a more pleasing chest contour for men.

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Body Procedures

Buttock Augmentation

Also known as a Brazilian Butt Lift, this procedure enhances the size and shape of the gluteal area using fat grafting. Fat grafting removes excess fat from another area of the body using liposuction, and the fat cells provide natural augmentation for the butt.

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Liposuction is a surgical procedure that improves the contours of the body by permanently removing excess fat deposits. Patients often seek liposuction to remove the fat that diet and exercise cannot remove.

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Mommy Makeover

A Mommy Makeover combines different abdominal and breast enhancement procedures to restore and even improve a woman’s pre-pregnancy physique. Common procedures included in a Mommy Makeover are breast augmentation, tummy tuck, and liposuction.

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Tummy Tuck

Also known as abdominoplasty, this surgical procedure improves the appearance of the midsection by eliminating excess skin, tightening the abdominal muscles, and removing stubborn fat. Tummy tuck surgery produces more slender and toned abdominal contours.

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Facial Procedures

Eyelid Surgery

Eyelid surgery removes excess skin, drooping tissue, and displaced fat from the upper and/or lower eyelids. Eliminating puffiness, bags, sagging, and wrinkles from around the eyes can make you look and feel younger.

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Facelift surgery improves signs of aging in the cheeks, around the mouth, and along the jawline. The underlying tissues of the face are tightened and excess skin is removed to enhance and rejuvenate your facial contours.

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Facial Implants

Facial implants can enhance recessed or underdeveloped structures of your face to improve facial symmetry and balance. Facial implants are typically offered in soft silicone.

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Neck Lift

Neck lift surgery involves the removal of excess fat and skin from the neck region as well as tightening of the neck muscles, if needed. A “double chin,” “turkey wattle,” “neck banding,” and loose neck skin can be corrected with this procedure.

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This surgical procedure, often called ear pinning, resizes and/or repositions the ears to make them smaller, more symmetrical, and flatter against the head. Ear surgery leaves a faint scar that will fade with time.

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This surgical procedure can alter the size and shape of the nose to restore facial harmony and balance. Rhinoplasty can increase or decrease the size of the nose, change the shape of the tip or bridge, and narrow or widen the nostrils.

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