Buffalo Plastic Surgeon
6315 Sheridan Dr.
Williamsville, New York 14221 US
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31 years experience
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4.6 out of 5 stars 4.6 stars from 37 reviews See details Hide details
5.0 out of 5 stars Doctor's bedside manner
5.0 out of 5 stars Answered my questions
5.0 out of 5 stars After care follow-up
5.0 out of 5 stars Time spent with me
5.0 out of 5 stars Phone or email responsiveness
5.0 out of 5 stars Staff professionalism & courtesy
5.0 out of 5 stars Payment process
5.0 out of 5 stars Wait times
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Treatment results may vary

31yo, 5'6, 130lbs, 415/450cc hp silicone Inspira

I am expecting to have my breasts filled out, and to reverse the deflation that happened with nursing 6 children. I tore my labia minora when I had my first baby, he was over 10lbs. The stitches came out too soon, and I healed in pieces. I am getting either 371 or 397cc, silicone, under the muscle, incision in my breast crease. I am hoping for a 36C or D. I'm so excited for surgery on July...

5 out of 5 stars Breast Augmentation

♡106lb ♡32AA to a 32C♡ ♡ Worth ever penny ♡

Dr. Koch was absolutely amazing! He took his time answering questions and preparing me for the proceedure. The day of surgery he was beyond wonderful! He called me from.his private phone to follow up with me the day after surgery! Currently 2 months out and loving my newly purchased confidence ♡

2 out of 5 stars Breast Implants

surgery went well but as they settled...

Consultation went well i felt like i could trust the people doing the operation. About six months when my implants started to settle i noticed a indent in between my cleavage. I made an apt to get it checked out he said it wasn't a issue and not to worry because it wasn't always there. Two weeks later i had an apt and the indent was more pronounce and more noticeable. He then begins to tell me...

5 out of 5 stars Breast Implants

I had an amazing experience

Going in I was very nervous but it was something Ive been wanting for years. Him and his staff made me feel so comfortable before and after my procedure. I was able to get a good night sleep before because all my questions were answered. Dr. Koch personally called me the next day to check up on me and answer any questions i had also gave me his personal number in case. After the procedure i...

5 out of 5 stars Botox

Highly skilled Doctor

Dr Koch is very friendly, professional and knowledgeable. He is highly skilled at what he does. He's performed breast augmentation on me as well as many Botox injections. I didn't realize how important the experience of the Doctor injecting the Botox is until I used a groupon and went elsewhere. The results werent half as good as they are with Dr Koch. The office is clean and he doesn't...

5 out of 5 stars Breast Implants

20 Years Old. 125lbs No Kids. 34 A to a 34 C - Buffalo, NY

So I have been debating for a long time about getting BA done. And here I am 2 years later scheduling my appointment for my new boobies!! Two weeks can't go by soon enough! I have had my appointment with dr. Koch. Overall a great experience. He covered everything I needed to know about before and after the surgery. We've decided either to go with saline 300-375cc. I'm a little nervous about...

5 out of 5 stars Breast Lift with Implants

Breast Lift with Implants to Correct Assymetrical Breasts - Williamsville, NY

From the first contact this office has been amazing! The was my first surgery ever and everyone involved was patient,kind and helpful. Everything was explained in detail about what to expect and all of my questions and concerns were addressed. I would highly recommend them,very happy with the results Feeling great. A little sore now and then, but I'm back to myself for the most part. I...

Consultation review: Dissatisfied with BA Consult - Williamsville, NY

I went to Dr. Koch for a consultation for breast implants. This was my first consult and off the bat I was not impressed. First off, the receptionists were not very friendly/inviting. I was called in by the doctor who barely glanced up from his clipboard to greet me. One of the first questions he asked me was regarding my occupation, and then proceeded to try to convince to get the more...

5 out of 5 stars Breast Augmentation

Breast Augmentation. Buffalo, NY

Dr Koch did a cosmetic procedure for me and I couldn't be happier with the results. He took the time to listen to what I wanted, and answer all my questions. His office staff is friendly and welcoming. I was also very impressed with the staff at the surgical center he uses. Wouldn't hesitate to use him again or recommend him to family and friends. Recovery was quick and easy, Dr Koch also made...

5 out of 5 stars Mommy Makeover

Muscle Repair, Lipo, Tummy Tuck - Buffalo, NY

I just had on May 9th the following procedure- muscle repair, tummy tuck, lipo on full back, hips, back of arms and vagina. The procedure is very painful but as long as you have good meds, you will do great. I was standing straight 2 days after procedure. Dr Koch is a very talented, knowledgeable man. I am so pleased and couldn't be happier with the results. If I had a question after the...

*Your results may vary. Any specific claims or permanence length of results vary for each patient and are not guaranteed.

Board Certifications

Board-certified by the American Board of Plastic Surgery


American Society for Aesthetic Plastic Surgery (ASAPS)
American Society of Plastic Surgeons (ASPS)

Consultation Fee

$75. The fee is deducted from your treatment or surgery.

Awards & Recognition

RealSelf Top Doctor

Hospital Privileges

Dr. Koch has hospital affiliations at Ambulatory Surgery Center of WNY, Kaleida Health.


  • Undergraduate & Medical School

    Medical: MD, State University of New York, Buffalo, NY

Treatments offered at Amherst Cosmetic Surgery Center

Most popular answers from Todd B. Koch, MD

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What Can I Do to Fix the Rippling/Wrinkling on my Breasts?

Your problem exhibits what happens when too large an implant is used for your tissue characteristics. It would probably be best to reduce the implant... READ MORE

Not at my Ideal Weight. Will I Be Happy w/ Results?

In my practice I perform LipoAbdominoplasty.  This allows me to remove the excess skin and perform significant contouring of the hips, flanks and... READ MORE

Age 21 with a cone shape: Are my Breasts Tubular? (photo)

Your breast fold is a little high and tight but you do not exhibit all the characteristics of a true Tubular Breast. You can undergo a standard Breast... READ MORE

Deformity, Tuberous Breast? (photo)

Yes you have characteristics consistent with Tuberous Breasts. My personal approach to this problem is to use an infra mammary approach. I prefer a... READ MORE

When Would a Gummy Bear Implant Be Preferable to Use?

"Gummy bear" implants are an excellent choice for a woman with Tuberous Breasts. The main restriction in the use of these implants is in a women who... READ MORE

Affordable Procedures For Hysterectomy Scars and Stretch Marks, and Augmentation? (photo)

The photos of the abdomen reveal that you would benefit from a LipoAbdominoplasty with repair of the muscle. A Standard Breast Augmentation would... READ MORE

Would 300cc HP Implants Take Me from a Full B to a D Cup or DD Cup? (photo)

This is a common question on RealSelf. The general rule of thumb is 250-300 cc will increase you one cup size. This is a good question to discuss with... READ MORE

Traveling for Breast Augmentation- How Many Days Is Enough To Stay Post-Op?

You should be able to travel one week after Breast Augmentation. If the implants are submuscular you will be sore for up to 2 weeks and you probably... READ MORE

2 Cm Diastasis and Thickening of Fascia Around the Abdominal Wall

Without photos and an examine it is difficult to give an opinion. If the small bulge in the middle is do to a diastasis or weaken fascia or both then... READ MORE

Mommy Makeover DVT Risk

It appears from your history you are young and healthy without any prior history of DVT.  In this type of scenario you only require perioperative... READ MORE

Videos by Todd B. Koch, MD

Todd B. Koch, MD has shared 2 videos.

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Selecting the Right Implant for Natural-Appearing Breasts

Dr. Todd B. Koch explains the best choice for natural-looking breast enhancement, live at PSTM 2016.Explore financing your procedure with CareCredit WATCH VIDEO

Costs of Breast Implant Surgery: What 3 Key Factors to Consider

Dr. Todd Koch shares what factors go into the cost of a breast surgery procedure, live at PSTM 2016.Explore financing your procedure with CareCredit WATCH VIDEO

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*Your results may vary. Any specific claims or permanence length of results vary for each patient and are not guaranteed.