Before and After Photos by Michele D Koo, MD, FACS

40's year old woman was done having children and lost what little breasts she had. She wanted to have some fullness to fill out her swimsuit and feel comfortable when she was intimate with her husband. Dr Koo placed silicone implants under her muscle to create very proportionate breasts for the patient's body. She is more confident and loves buying cute sundresses and tops she could never wear previously.

40's year old woman was done having children and lost what little breasts she had. She wanted to have some fullness to fill out her swimsuit and feel comfortable when she was intimate with her husband. Dr Koo placed silicone implants under her muscle to create very proportionate breasts for the patient's body. She is more confident and loves buying cute sundresses and tops she could never wear previously.

31 year old St Louis woman had been having so much neck and shoulder pain from her incredibly heavy breasts. She had had extremely heavy large breasts from very young and they continued to grow. Her heavy breasts added to her inability to exercise or even walk and she started gain more and more weight. She finally broke the cycle and underwent a breast reduction by DR MICHELE KOO, MD, FACS. Dr Koo was able to reduce the patient's breasts from a H/HH to a C/D cup! BEFORE: 245lbs, 40-42 H/HH AFTER: 230lbs, 36-38 C/D

31 year old St Louis woman had been having so much neck and shoulder pain from her incredibly heavy breasts. She had had extremely heavy large breasts from very young and they continued to grow. Her heavy breasts added to her inability to exercise or even walk and she started gain more and more weight. She finally broke the cycle and underwent a breast reduction by DR MICHELE KOO, MD, FACS. Dr Koo was able to reduce the patient's breasts from a H/HH to a C/D cup! BEFORE: 245lbs, 40-42 H/HH AFTER: 230lbs, 36-38 C/D

25 year old Missouri woman started at 185lbs and 40DD/EE bra size. Dr Michele Koo lifted and reduced her breasts changing her breast size to 36C. The patient feels this has changed her life for the better. She is more self confident, likes her body and breasts, and just is simply happier! She has lost 20lbs and is much more active and loves her life. BEFORE: 40 DD/EE, 185lbs AFTER: 36C, 165lbs

25 year old Missouri woman started at 185lbs and 40DD/EE bra size. Dr Michele Koo lifted and reduced her breasts changing her breast size to 36C. The patient feels this has changed her life for the better. She is more self confident, likes her body and breasts, and just is simply happier! She has lost 20lbs and is much more active and loves her life. BEFORE: 40 DD/EE, 185lbs AFTER: 36C, 165lbs

Missouri woman wanted to have sexy full breasts that were proportionate for her body. She wanted her breasts to be very full but still elegant and tasteful. DR MICHELE KOO, MD, FACS BOARD CERTIFIED PLASTIC SURGEON used a 475cc silicone breast implant placed under the muscle. The patient is thrilled with her incredibly natural looking and feeling new breasts!! BEFORE: 34A AFTER: 34D

Missouri woman wanted to have sexy full breasts that were proportionate for her body. She wanted her breasts to be very full but still elegant and tasteful. DR MICHELE KOO, MD, FACS BOARD CERTIFIED PLASTIC SURGEON used a 475cc silicone breast implant placed under the muscle. The patient is thrilled with her incredibly natural looking and feeling new breasts!! BEFORE: 34A AFTER: 34D

After the birth of her child, the patient's skin stretched and muscles split. Despite returning to her pre-pregnancy size, her stretch marks and extra skin never went away. Dr Michele Koo, St Louis, Missouri, performed a tummy tuck (abdominoplasty). Dr Koo removed the stretch marks and repaired the split rectus muscles. The patient is now motivated again to exercise and has lost even more weight!

After the birth of her child, the patient's skin stretched and muscles split. Despite returning to her pre-pregnancy size, her stretch marks and extra skin never went away. Dr Michele Koo, St Louis, Missouri, performed a tummy tuck (abdominoplasty). Dr Koo removed the stretch marks and repaired the split rectus muscles. The patient is now motivated again to exercise and has lost even more weight!

Breast Reduction/Breast Lift.

Breast Reduction/Breast Lift.

Can anyone say RELIEF?? The neck, back, and shoulder pain from the heavy breasts were relieved almost immediately after waking up from her breast reduction. Dr Michele Koo, St Louis, Missouri thinks this is one of the best endeavors you will ever do for yourself. You can now break the cycle of weight gain from inactivity due to your heavy sagging breasts. BEFORE: 38FF AFTER: 36-38 C

Can anyone say RELIEF?? The neck, back, and shoulder pain from the heavy breasts were relieved almost immediately after waking up from her breast reduction. Dr Michele Koo, St Louis, Missouri thinks this is one of the best endeavors you will ever do for yourself. You can now break the cycle of weight gain from inactivity due to your heavy sagging breasts. BEFORE: 38FF AFTER: 36-38 C

St Louis woman who had been progressively noticing "marionette lines" and deep nasolabial folds making her face creased and drawn looking. She was not ready for a face lift and desired a quick and easy solution to her deep creases. She is shown immediately after receiving Juvederm Ultra Plus into her "marionette lines".

St Louis woman who had been progressively noticing "marionette lines" and deep nasolabial folds making her face creased and drawn looking. She was not ready for a face lift and desired a quick and easy solution to her deep creases. She is shown immediately after receiving Juvederm Ultra Plus into her "marionette lines".

Dr Michele Koo, St Louis Board Certified Plastic Surgeon, specializing in beautiful natural proportionate breast rejuvenation and enhancement has created for this patient very natural and balanced appearing breasts perfect for her body and lifestyle. The patient feels much more confident and now enjoys wearing a swim suit. The patient was previously unhappy with her prominent stretch marks and flat chest from children and nursing. She now feels that her stretch marks are not as noticeble and she has shape and curves.

Dr Michele Koo, St Louis Board Certified Plastic Surgeon, specializing in beautiful natural proportionate breast rejuvenation and enhancement has created for this patient very natural and balanced appearing breasts perfect for her body and lifestyle. The patient feels much more confident and now enjoys wearing a swim suit. The patient was previously unhappy with her prominent stretch marks and flat chest from children and nursing. She now feels that her stretch marks are not as noticeble and she has shape and curves.

56 year old female underwent a previous silicone breast augmentation 15-20 years previously and was suffering from hardening of the breasts as well as the skin falling downward leaving the implants staying up high and hard on her chest. She was displeased with the feel of the breasts as well as the downward position of her nipples. She underwent a breast lift and removal of the implants and scar tissue. Her breast implants were replaced from under the breast to under the muscle with 250cc round smooth saline implants. Her breasts are now soft and lifted. Her post operative photos are taken 6 months after the surgery with the scars healing very well to the point of fading to an imperceptible line. Her future mammograms will also be easier because of the position of the implants under the muscle and softness of the breasts.

56 year old female underwent a previous silicone breast augmentation 15-20 years previously and was suffering from hardening of the breasts as well as the skin falling downward leaving the implants staying up high and hard on her chest. She was displeased with the feel of the breasts as well as the downward position of her nipples. She underwent a breast lift and removal of the implants and scar tissue. Her breast implants were replaced from under the breast to under the muscle with 250cc round smooth saline implants. Her breasts are now soft and lifted. Her post operative photos are taken 6 months after the surgery with the scars healing very well to the point of fading to an imperceptible line. Her future mammograms will also be easier because of the position of the implants under the muscle and softness of the breasts.