Firm and Fabulous: How to Fix Sagging Breasts

Saggy breasts can be a common concern for many women, impacting their self-esteem and overall body confidence. If you’re wondering how to fix sagging breasts and regain a more youthful, full and perky appearance, you’re not alone! As well as wearing a really good bra, there are effective solutions that can bring you life-changing results. But first, let’s discuss what causes sagging breasts and if we can fix them to achieve the firm and fabulous breasts you desire.

What causes sagging breasts?

Let’s explore what causes saggy breasts. Over time, factors like aging, pregnancy, weight fluctuations, genetics and, of course, gravity can lead to a loss of skin elasticity and breast tissue volume. This can result in breasts that appear less firm and saggy. This may lead to discomfort, reduced self-confidence and choices of preferred clothing.

Common causes: breast sagging after breastfeeding

Breastfeeding is a natural and nurturing experience for mothers and infants, offering numerous health benefits. However, it’s common for women to wonder if breastfeeding can lead to sagging of the breasts. The changes primarily result from the stretching of skin and ligaments during pregnancy and breastfeeding, affecting breast firmness. Hormonal levels also affect the density and fullness of breasts. These effects vary from person to person.

Common causes: sagging breast after weight loss

Significant weight loss is an amazing achievement with numerous health benefits, but it can sometimes result in concerns about sagging breasts. The changes primarily occur due to the reduction of fatty tissue in the breasts and its impact on breast volume. Supporting ligaments can also be affected. With weight loss, the skin elasticity also diminishes leading to more saggy, flat breasts.

However, it’s crucial to remember that weight loss’s positive effects on overall well-being usually far outweigh any aesthetic concerns. The choice to address breast changes with surgery is a personal decision that can be safely achieved after weight loss. Celebrate your achievements and embrace your journey to feeling fabulous in your dream body.

So, can you fix saggy breasts? The answer is YES!

The good news is that yes, you can fix saggy breasts! There are several breast surgery options that can help you regain your confidence and feel amazing in your own skin.

Breast Augmentation

For those looking to restore lost volume or enhance their breast size, breast augmentation with implants is a popular choice. This procedure allows you to customize the size and shape of your implants, providing you with beautiful, natural-looking, more youthful breasts. After the surgery, your breasts will no longer be sagging, leaving you with a renewed sense of confidence.

Breast Augmentation with a Breast Lift

This combined procedure is the go-to option for those seeking both increased volume and lifted contours. Breast augmentation enhances size, while the breast lift addresses sagging by removing excess skin and reshaping the breast tissue. The result is a fuller, lifted bustline. You surgeon will discuss the possibility of a combined procedure with you.

Browse our gallery of breast augmentation and implant before and after photos.

Breast Lifts

If your concern is primarily sagging without a loss of volume, a breast lift procedure may be the ideal solution. This surgery raises and reshapes sagging breasts, repositioning the nipples to a more youthful height. The result is firmer and more youthful-looking breasts, enhancing both your appearance and self-confidence.

Browse our gallery of breast lift before and after photos.

Breast Reduction

For those with overly large breasts causing discomfort and sagging, a breast reduction can provide relief. This procedure not only lifts and reshapes the breasts but also reduces their size, leading to an improved quality of life. After a breast reduction, you can enjoy a more balanced and harmonized figure, free from the burdens of sagging and discomfort.

Browse our gallery of breast reduction before and after photos.

Schedule a Consultation with Dr. Michele Koo for Your Breast Transformation

To achieve your dream breasts, it’s crucial to choose a board-certified plastic surgeon with a proven track record of delivering exceptional results. Dr. Michele Koo in St. Louis, Missouri, is a compassionate and skilled surgeon with extensive experience in breast surgery.

If you’re ready to address your concerns about sagging breasts, take the first step towards renewed confidence by scheduling a consultation with Dr. Michele Koo. You may also call 314-984-8331 with any of your questions prior to your consultation. Her expertise and commitment to patient satisfaction will guide you through your journey to your perfect breasts.

Breast Implant Sizes Chart: Implant & Cup Sizes for Your Perfect Look

Your breast enhancement is an exciting journey, and we’re here to help you every step of the way. Choosing the ideal breast implant size is a pivotal and very personal decision, and we’re here to make it an empowering experience. We understand that achieving the results you desire, while ensuring a comfortable and natural fit, is so important. In this blog, we’ll explore your options and provide a useful breast implant size chart to help you find your perfect fit.

Understanding breast implant sizes

Breast implants come in a great range of sizes, measured in cubic centimeters (cc). The size of the implant directly influences your final cup size and the overall appearance of your breasts. Cup sizes, on the other hand, are more commonly recognized and range from AA to DD and beyond. Understanding the harmony between these two measurements is key when selecting your dream breast implant size.

Small, medium and large: What’s the difference?

What is considered a small breast implant?

When it comes to small breast implants, you’re looking at a subtle, natural enhancement that typically ranges from 100 cc to 300 cc. This choice is perfect for those of you who seek a modest change, providing a confidence boost while maintaining a harmonious look. You may simply want to replace the fullness and roundedness of your breasts prior to pregnancy or breastfeeding. You may simply want to replace the firmness of your breasts prior to weight loss or hormonal changes.

What is considered a medium breast implant?

A medium breast implant, usually ranging from around 300 cc to 450 cc, offers a noticeable yet natural enhancement. It’s the preferred choice for individuals looking to add or return fullness and proportion, resulting in a balanced and confident appearance.

What’s considered a large breast implant?

For those considering large breast implants, typically 450 cc and beyond, you’re stepping into a category that offers a more dramatic transformation. Whether it’s for a curvier figure or to restore lost volume, these implants, when carefully selected, can provide a striking yet natural change that aligns with your individual preferences and goals. A larger implant may be perfect for a tall, lengthy torso or take up the slack of extra breast skin.

What is the most common breast implant size?

The most common breast implant size usually falls in the range of 300 cc to 400 cc, offering a noticeable yet natural enhancement, resulting in an increase of approximately 1 1/2 to 2 cup sizes. This size choice provides a balanced and harmonious appearance without an overly ‘in your face’ dramatic change! However, finding the perfect fit for your unique goals is essential.

Implant CC Sizes and Corresponding Cup Sizes

Our breast implant size chart provides you with a more detailed and enlightening guide to breast implant cc sizes and their corresponding approximate cup sizes. But remember, these are approximate values. The real outcome may vary due to factors like your unique body type and your choice of implant shape. These factors are discussed with you during consultation visits.

Implant CC Size Approximate Cup Size Increase
100-175 cc 1/2 cup size increase
200-275 cc 1 cup size increase
300-375 cc 1 1/2 cup size increase
400-475 cc 2 cup size increase
500-575 cc 2 1/2 cup size increase
600-675 cc 3 cup size increase
700+ cc 3+ cup size increase

Call us on (314) 984-8331 or schedule a consultation to learn more.

Selecting the right implant size

Selecting the appropriate breast implant size involves careful consideration of your desired results and your body. Here are some essential steps to help you make an informed decision:

Consult with a Board-Certified Plastic Surgeon: A consultation with an experienced plastic surgeon is the first step. They will assess your body type, discuss your goals, and recommend implant sizes based on your unique circumstances.

Dream Big, Dream Beautiful: Be crystal clear about the look you want to achieve. Whether it’s a subtle enhancement or a more dramatic transformation, YOUR VISION matters!

Think About Proportion: Your chosen implant size should beautifully complement your body’s proportions. What suits one person may not be the right fit for another.

Discuss Implant Types: In addition to size, breast implant type plays a role in the final result. Discuss options like saline, silicone and their specific projection height to circumference ratio and its suitability for your breasts and rib cage with your plastic surgeon.

Consider Your Lifestyle: Think about your daily activities, fitness routine, and clothing choices. Your implant size should complement your lifestyle and what you want to wear, and your comfort level and desire to show cleavage. Your profession may be a significant factor in the choice of your type and size of breast implant.

Trust the Expertise: Your plastic surgeon is your trusted partner on this journey. They will provide expert guidance, considering your goals and anatomy and guide you to the perfect breast implants. It is extremely important you are on the same visual page. I always recommend bringing pictures of your ‘perfect world’ breasts to the consultation in addition to discussing your preferred ultimate cup size.

Ready to discuss breast implant sizes?

Choosing the perfect breast implant size for your breast augmentation surgery is a deeply personal journey that should harmonize with your unique vision and body type. Schedule a consultation with Dr. Michele Koo, our board-certified plastic surgeon. With her expertise and your dreams, together, you can confidently select the ideal breast implant size and cup size, ensuring you feel comfortable and beautiful. It’s your beauty, your journey, and your choice – and we’re here to support you every step of the way.

Types of Breast Implants for Your Perfect Look

When considering breast augmentation surgery, one of the most crucial decisions you’ll make is between the different types of breast implant. You’re probably wondering, “what are the different types of breast implants?!”. The world of breast implants is diverse, offering options to suit various preferences and body types, including choices from popular brands available in the US. In this blog, we’ll delve into the different kinds of breast implants, exploring the technical aspects and helping you understand which one might be the perfect fit for your aesthetic goals.

The wide world of breast implants

Breast implants have come a long way over the years, offering various options from reputable brands in the US market. Whether you’re looking for a natural feel or a particular look, there’s a breast implant that may be the perfect type for you. Let’s delve into the different types of breast implants available, considering both the technical and aesthetic aspects.

Silicone breast implants

Silicone breast implants have been a popular choice for many years and come in various options from reputable brands like Mentor, Allergan/Abbvie, and Sientra. These implants are composed of a silicone shell filled with cohesive silicone gel. The cohesive gel in these implants is designed to mimic the natural feel of breast tissue and maintain its shape. The gel also reduces the risk of rippling and provides a realistic appearance and feel. Silicone breast implants tend to be more forgiving of natural breast contour deficits and come in a large variety of shapes, profiles (projections), and sizes. The form stable cohesive gel that is currently available has a lower capsular contracture rate than the older silicone implants which were more liquid in nature. The current form stable cohesive gel silicone resembles a jello firmness.

Saline breast implants

Saline breast implants, available from brands like Mentor, Allergan/Abbvie, consist of a silicone shell filled with a sterile saltwater solution. These implants are adjustable, making them suitable for fine-tuning the size particularly in the case of asymmetry. In the event of implant rupture, the body safely absorbs the saline, making it a safe and easily detectable option. Saline implants however tend to cause palpable ripples with time which can sometimes be also visible.

Gummy bear implants (highly cohesive gel)

Gummy bear implants, offered by reputable brands like Allergan/Abbvie, Mentor, and Sientra, as well as other smaller companies such as Implantech, are filled with a highly cohesive silicone gel. This gel is designed to maintain its shape, providing a natural look and feel. Even if the implant shell were to rupture, the cohesive gel stays intact. These implants are a suitable choice for those looking for natural and long-term results. Think of the inside resembling a gummy bear candy.

The Allergan Natrelle 410 highly cohesive gel implants have been voluntarily recalled due to its textured outside shell being associated in a rare instance with Breast Implant Associated Anaplastic Large Cell Lymphoma (BIA ALCL).

BIA ALCL is a rare disease seen in the capsule formed around textured implants. The disease is curable with surgical excision of the entire capsule. In the very rare instance, chemotherapy or radiation may be required in a late stage BIA ALCL.

To learn more about the different breast implants available, schedule a consultation with Dr. Michele Koo today.

Breast implant considerations and comparisons

Choosing between the different breast implants involves comparing various technical factors. Factors to consider include:

  • Filler material
  • Implant shell texture
  • Implant size
  • Implant shape
  • Placement options
  • Incision techniques used for the placement

Each type of breast implant, whether silicone, saline or ‘Gummy bear’, has its own set of technical features, advantages, pros and cons, making it important to find the one that aligns with your goals. Your plastic surgeon will guide you through the decision process to optimize your outcome based on your body and aesthetic preferences.

Choosing the right breast implant type for you

Selecting the right kind of breast implant is a personal decision that should take into account both your technical preferences and aesthetic goals. At Dr. Koo’s Private Practice, we discuss this breast implant selection with our patients during in-depth pre-consultations. We can help you assess your goals, understand your options, suitable brands, and make an informed choice that aligns with your vision for the perfect look.

The variety and range of breast implants available ensures that you can achieve your perfect look while preserving your comfort and confidence. The decision may feel overwhelming, but with the right guidance, you can confidently select the ideal breast implant type to enhance your appearance.

Begin your journey to the perfect you with Dr. Michele Koo

If you’re considering breast augmentation in St. Louis, Missouri, and need personalized guidance, don’t hesitate to contact us. Our experienced team is here to help you achieve your desired look while prioritizing your comfort and well-being. You can contact us on or (314) 984-8331.

Real Boobs Vs Fake Boobs: An Ultimate Guide

I am asked every day if breast implants can lift the breasts and keep them on the chest and not the tummy, especially after having children and breastfeeding. But more importantly, will they look and feel natural? When it comes to breast enhancement, it’s essential to separate the facts from fiction. There’s a lot of chatter about real vs. augmented breasts, and it’s important to make an informed decision if you’re considering breast augmentation surgery. I’ll delve into the world of breast augmentation, discussing the key differences between real and augmented, enlarged breasts, dispelling myths, helping you understand the differences and your choices, and answering your questions about what can and cannot be achieved through breast augmentation with breast implants.

Real vs. fake: what’s the difference?

Characteristics of real breasts:

  • Completely squish-able
  • Usually hang slightly lower and are not as full on the upper pole of the breast
  • Fall off to the sides of chest or armpits when lying down
  • Aging and gravity affect them over time
  • Hormonal and weight changes affect breast density. With time and loss of hormones, breast sag

Characteristics of augmented breasts:

  • Firmer more dense feel due to breast implants (resembles younger pre-kids breast)
  • Typically more voluminous and round especially at upper breast portion (upper pole)
  • Will not typically fall off into the armpits with time
  • Generally maintain their shape over time
  • Hormonal & weight changes WILL affect breasts. Augmented breasts WILL still change and drop with time and gravity but more slowly

Debunking common myths about augmented breasts (AKA fake boobs)

Myth 1: fake breasts always look unnatural

Not true! Modern breast augmentation techniques, including SILICONE and SALINE BREAST IMPLANTS, have come a long way. Skilled surgeons can create a natural look and feel that complements your body shape without anyone ever knowing.

Browse through our breast surgery, before and after gallery.

Myth 2: fake breasts feel hard and unpleasant

Not true! While some individuals may prefer the natural feel of real breasts, today’s implants are designed to mimic the texture and softness of natural breast tissue. Most people can’t tell the difference by look or touch.

Myth 3: fake breasts don’t need maintenance

With aging, weight and lifestyle changes, the actual breast tissue overlying the augmented SILICONE or SALINE BREAST IMPLANTS can lose volume and firmness. The natural breasts will continue to age and change and therefore the overall breast appearance changes even with breast implants in place. Your augmented breasts will continue to have more fullness and roundness from the implants but the shape will continue to change.

Myth 4: fake breasts are forever

Not true, both saline and silicone augmented breasts will tend to firm over time. The breast implants themselves whether they are silicone or saline implants have a lifetime of 10-25 years and will need to be replaced. They only need to changing if there is a change in shape, feel (firmness), or on an incidental mammographic finding. There is NO emergency to having the breast implants replaced or removed. They can be changed at your convenience. However, if you have a leak or an intra-capsular leak of the implants, the longer you wait to replace your silicone breast implants, the messier it is for your plastic surgeon.

If you have any questions about breast implant maintenance, contact Dr Michele Koo today.

Myth 5: fake breasts are perfect and completely symmetrically identical

NOT TRUE! Both saline and silicone breast implants can help even out breasts that are quite asymmetric but you will always have sisters and not twin breasts. The roundedness of your own breasts, your rib cage, the inframammary fold distance from your nipple, placement of the inframammary fold to name a few variables all affect the overall symmetry of your breasts. these variables are NOT all corrected with breast implants.

Myth 6: fake breast will have tight perfect cleavage

Not true! Cleavage can be improved but if you have breasts that are naturally far apart without any breast tissue or fat between your breasts, it will be difficult or near impossible to achieve a tight full cleavage.

Making the choice

Factors to consider

Your Body Type

Consider your overall body proportions. In my private practice, I help you choose implants that complement your physique and that fulfill your ‘perfect world’ breasts on YOUR body for YOUR lifestyle. Everyone is different, and I guide your choices solely based on your desires, safety and body type.

Your lifestyle

Think about your daily activities and the impact of breast size on your lifestyle. For example, larger breasts may affect your exercise routine. Its also important to consider is your choice of clothing. Do you wear clothing that reveals your breasts, that show cleavage? Are you in a profession where you prefer not to show any breasts and want to conceal the breast augmentation entirely? Do you only want your breasts to appear full, pushed up with cleavage when you’re intimate with your significant other or during a function when you are wearing a more revealing outfit?

Your style

Its also important to consider is your choice of clothing. Do you wear clothing that reveals your breasts, that show cleavage? Are you in a profession where you prefer not to show any breasts and want to conceal the breast augmentation entirely? Do you only want your breasts to appear full, pushed up with cleavage when you’re intimate with your significant other or during a function when you are wearing a more revealing outfit? Do you have young children, adolescent boys?

Your long-term goals

How do you envision your breasts in the future? Discuss your long-term goals with your surgeon to choose the right option. Are you planning to have more children? Will you want to replace your implants in 10-25 years? Will you have the time and resources to have another operation?

All the above are very important questions that you need to answer prior to your choice of the perfect size breast implants. I go through all the questions and issues that will come up with newly augmented breasts and we will take our time choosing the perfect breasts for your physique.

Real-Life experiences

Many individuals have chosen breast enhancement for various reasons.

Here are some common experiences:

Boosted Confidence: Some people find increased self-confidence and a more positive self-image after breast augmentation.

Reconstruction After Surgery: Breast implants are often used in breast reconstruction procedures after mastectomy or injury.

Body Harmony: For some, breast augmentation helps them feel more in harmony with their bodies.

Feeling More Feminine: It can enhance the sense of femininity for those who have felt less feminine due to breast size.

Replacing Lost Breast Volume: After breast feeding and pregnancy, breast can sag and atrophy. Breast implants can lift and replace the lost tissue if you don’t have too much excess skin. A lift is also required if the breasts are too low however.

Real vs. Augmented Breasts: a personal choice

Ultimately, the choice between real and augmented breasts is deeply personal. It’s essential to consult with an experienced plastic surgeon who can discuss your goals, assess your body type, and help you make an informed decision.

Remember that there’s no right or wrong choice, just the one that feels right for you! In the end, what matters most is how you feel about your body and your confidence. Whether real or fake, your breasts should make you feel comfortable and empowered in your own skin.

If you’re considering breast surgery, consult with our board-certified plastic surgeon Dr Michele Koo in St. Louis, Missouri, to discuss your options and get personalized advice. You can schedule a consultation or contact our private practice on 314-984-8331.

Let This New Year Inspire You to Take Better Care of Your Health

Are you determined to make a fresh start in prioritizing your health this New Year? Begin with your skin! As they say, ‘First Impressions are Everything.’ Maintaining New Year’s resolutions becomes easier when you turn them into simple, sustainable habits. It’s not about viewing your resolution as a one-off task; instead, it’s about embedding it into your routine, so it sticks. Even if you miss a week, don’t let a small setback turn into months of inaction.

This year, let your focus be on better health. It can mean making smarter food choices, controlling portion sizes, reducing starches/carbs, committing to a 20-minute walk each week, or attending one weekly workout class. These are simple yet effective steps to transform healthy choices into HABITS.

And remember, consistent daily skincare is not just about aesthetics – it’s a crucial component of your overall health. The right medical skincare regimen tailored to your specific needs and skin type can lead to not only healthier skin but also a healthier you.

What are the correct products for YOUR skin?

1. An anti-oxidant serum, such as Dr. Koo’s GLOSS Vitamin Serum, that protects against the formation and the penetration of super-oxide free radicals that damage skin (wrinkles and uneven pigmentation) and go on to cause skin cancers. Pollution and UV rays are the greatest producers of free radicals in our skin. Layer the anti-oxidant serum under daily sunscreen, makeup, and all other products EVERY DAY, TWICE A DAY.

2. Use the appropriate skin cleanser to remove dead skin cells. This does not mean using harsh cleansers or brushes which will irritate and redden the skin. Harsh detergent cleansers or too frequent washing will strip your own skin’s natural oils thereby stimulating your oil glands to overproduce oil. This will lead to the opposite of what you want; it will create breakouts, clogged pores, and even more oily, rough, and irritated skin.

  • Use gentle GOOD quality cleansers for your skin needs.
  • Dry/Very Dry Skin: use a creamy cleanser
  • Oily/Acne Prone Skin: use either a clarifying or exfoliating cleanser
  • Congested Pores/Rough Skin: use a gentle cleanser with TINY ORGANIC  crystals (Dr Koo POLISHING CLEANSER) to cleanse the pores without aggravating them with harsh scrubs
  • The appropriate cleanser will allow the actives you use to penetrate and fulfill their purpose.

3. Use the correct level of moisturizer your skin craves. If you have dry to very dry skin, you will need a cream AND perhaps a more rich dense serum. Your own skin’s level of moisture will determine the level of moisture product (Dr Koo BOOST) required. Moisturizers should be applied twice daily, under makeup and with the GLOSS Vitamin Serum.

The weather and temperature will determine the frequency of use. If you are in a high altitude in a dry climate, you may need to moisturize even more than twice a day. If you are in a temperate, humid climate such as Florida, you may only need to moisturize at night.

The season and how your skin responds to the products will guide you to the frequency of use.

The above 3 products are the most basic and most important products you must use. If you are in your 20’s or 30’s, those are the ONLY products you need (anti-oxidant sunscreen of course also)!

If you have pigment, wrinkles, and thin skin concerns, you will also need an anti-pigment and retinol product such as Dr. Koo’s REJUVENATE & GLOW products.

The correct level of Retinol/REJUVENATE product is used at night only and will increase the thickness (plumpness) of your skin. REJUVENATE will lessen the appearance of the fine and deep wrinkles. In combination with the correct PIGMENT product (Dr Koo’s GLOW), your blotchiness/pigmentation will lessen and the skin tone will appear milkier, smoother, and more even.

5 products plus a sunscreen is the maximum amount of products you honestly need. Additional products are only if you have particular concerns of redness/ruddiness, thin crepe-like eyelid skin, significant acne, or very sun damaged skin.

Your skin is a dynamic changing organ. In fact, your skin is the largest organ of your body and deserves continued care due to its constant exposure. You will help your own systemic health AND the health of your children if you take care of yours and their skin CONSISTENTLY and early-on!

The beauty will follow the functional care of your face.

I haven’t even started on the protection of your neck, chest and knees!!! Stay tuned for the next BLOG!

xo Happy New Year, let the intrinsic reward of healthier and therefore more fresh looking skin and health motivate you to continue the routine!!!

Dr Koo Skincare for Health

How Do I Choose the Perfect Breast Implant for Me?

My patients ask me this question during every consultation. There are many different types of breast implants, so its a perfectly understandable question.

My reply is: it has taken me 25 years of experience to really understand, to truly “see” how an implant will fit a patient’s breast, chest wall, rib cage, lifestyle, clothing choices, comfort level…let me be your expert and I will pick the perfect implant with you depending on what you want, your body, and your lifestyle.

I say don’t worry about the size or shape of the implant, simply look at pictures of your perfect world breasts, and “shop the look.” Bring me the pictures of the size, and “look” of the breasts you love, and I will match that  “look” for your body size, breast shape and desires!

The most important point for you is, what look are you going for? What is your comfort level with the amount of attention your breasts will receive? What type of neckline do you like to wear? Do you simply want to have some fullness and firmness in a swimsuit? Do you not want anyone to notice? Do you want a little or a lot of curves?

Everyone is different. Every breast and rib cage is different even from one side to the other. These tiny nuances and details are what I pay particular attention to in order to achieve YOUR perfect breasts.

YOU only have to “shop the look” and ask yourself what you want!







  • Hyaluronic Acid microsomes diminish eyelid wrinkles, puffiness, and dark circles. Rejuvenates and restores the delicate upper and lower eyelid skin. Squalene, Arginine, & Proline enrich and penetrate the skin cells to smooth the eyelid skin. Prevention and maintenance are your best anti-aging solutions!


  • Intensely concentrated Tocopherol, Jojoba Esters, & intense anti-oxidants diffuse and lighten photodamaged pigmented skin spots. Excellent for the very stubborn pigment age spots. Precise application tip targets pigment spots.


  • Prevents and calms hormonal acne breakouts. Alpha Lipoic Acid & Buffered Salicylic Acid extract toxins, blackheads and oils to shorten acne breakout without overly drying or irritating blemish prone skin. Quiets the angry red stage to help prevent long-term scarring.

To view and learn about all of Dr. Koo’s Skin care products visit Dr. Koo Premier Skincare site

Too Much Sun When You Were Young…Do You Look Older than Your Chronological Age?

Many of my patients tell me they look so much older than their actual age. What is the reason for this? Let’s start with the basics:

  1. Too much sun exposure during the teen and young adult years and continued lack of sun protection.
  2. Years of smoking.
  3. Early loss of one’s own hormones (early menopause).
  4. Poor skin regimen with ineffective skin products.
  5. Poor nutritional choices.

The number one offender is too much sun exposure. The sun damages the skin cells (keratinocytes) and the arrangement of the collagen and shape of the cells. All of this damage leads to rough, unevenly pigmented skin that is leathery and crepey appearing.  Inhaling nicotine and various toxins associated with smoking also causes direct damage to the cells and the blood vessels that supply the entire body as well as the skin. The loss of hormones can also profoundly affect the quality of skin also. Your choice of foods can also be a factor if you already have trouble prone skin i.e., acne oily prone skin. Drinking more water, and cutting out sugary carbonated sodas can lessen this last offense. The more green the choice of your vegetable the healthier it will be for your skin.

The best advice for your food choices: try to avoid any food that you have to open a can or unwrap a wrapper to consume. The fresher the food, the more natural the state of the food, meaning having to cook it yourself, the better nutritional value it will have and the healthier it will be for you.

Your best weapon to undo the previous wrongs committed against your skin is to start using sun protection EVERY day and cut down (or quit) smoking. I am not a fan of taking exogenous (supplemental) hormones after menopause, but I am a strong proponent of taking vitamin supplements to make our cells more efficient and be able to perform as previously (produce more normal collagen, more tiny capillaries, normal pigment).

I also believe that medical quality skin products can make a significant difference in the skin quality, color, and texture. These products need to contain true tested pharmaceutical active components NOT simply COSMETIC ingredients you can purchase at the drugstore or mall.

I have technologically engineered skin products formulated specifically by my formulating pharmacist and myself! The natural products and their derivatives are blended in a proprietary technique to drive the actives much more effectively into the actual skin cells to stimulate the cells to return to normal function. This translates to healthier, more brilliant appearing skin erasing much of the damage.

The catch: you have to use it on a regular basis! That part isn’t rocket science. This is truly the best value for your money spent. You spend more money at Walgreen’s, CVS, and Target on products that fill your bathroom cabinets that do nothing for your skin. The products have little penetration and the ingredients that do penetrate do nothing to actually change your skin quality.

If you start on the products and don’t see any change after CONSISTENTLY using them following my instructions in 8 weeks, I will refund your money. You may need to add or change one of the products but my office and I will get the correct combination of products for your skin type! We also will continue to progress your skin to more concentrated and intense components as your skin improves to make sure you are achieving the most you can from your medical skin care.

Do Breast Augmentations have to look big and… fake?

The answer is no! A breast augmentation with breast implants can simply fill in your skin envelope and take up the slack in your breast skin.

If you see yourself as an athletic person, and you’ve always had smaller breasts but now after children, you don’t have any roundness or shape to your breasts, you can have a breast augmentation and still have small but now rounded, more firm and more pleasing breasts.

The key to remember is that breast augmentations are not always about size! It is about the look!! Some of my patients do want very large “fake” breasts and they are very comfortable with that look and I make sure I achieve their perfect world desires.

For those who want a change in shape but not much of an increase in size I feel it is important to address the following issues with your plastic surgeon:

  • How much roundness you want
  • How high on your chest wall you want your breasts to start, how full on top
  • How much “side boob” curvature you want
  • How much cleavage you want
  • And especially important is how noticeable you want your breasts to be on your body

A small volume breast implant with the appropriate projection and fill ratio (firmness) can create soft, natural, well proportioned breasts that are well balanced and elegant for your body size and compatible with your lifestyle.

I try to discuss all of these points with my patients and try to understand your lifestyle to help direct your ultimate decision for the size, shape and LOOK you want. I find it much more important to discuss the look rather than the size. There is too much variability in bra cup sizes to finalize a breast augmentation based solely on cup size. In my communication with my patients, it is imperative I understand the LOOK of your breasts you want to achieve.

Furthermore, if you haven’t finalized the shape and look that you want, it would be impossible for your plastic surgeon to pinpoint it for you at the time of surgery. This must be discussed and agreed upon prior to your surgery.

Take home point: breast augmentations are very safe and you should be able to achieve whatever size and look you desire, but you must have that LOOK well defined in your mind and show your plastic surgeon that LOOK before the surgery!

Ready to achieve your ideal look?

If you’re considering breast augmentation or have questions about the options available, our board certified plastic surgeon in St. Louis, Dr Michele Koo, is here to guide you through the process. She dedicated to helping you achieve the look that makes you feel confident and comfortable in your own skin.

Contact us today to schedule a consultation and start your journey toward the perfect aesthetic for you.

How Do you Find the Right Breast Implant for Your Breast Augmentation??

You’ve wanted a breast augmentation for such a long time, you’ve read about different types of breast implants, and now you’re at least ready to start the interviewing process for the right plastic surgeon. Now the real question is how do you know what the right breast implant is?

I feel it is extremely important that you tell your plastic surgeon about your lifestyle, profession and activity level. If you are a teacher and really don’t want your friends and pupils to notice your new breasts or make ANY comment at all, you may want a lower profile softer sitting implants that allow some fall and roundness.

If you are a Mom of young children and teenagers, you may especially be self conscience of being noticed. You want some sexiness and fullness but above all you want your breasts to look natural and in proportion to your body. In this case you will want a full implant but one that is perhaps smaller in width and a little more firm to give your breasts a slight lift in addition to the volume.

If you are in your 20’s and you’re looking for a breast augmentation, the sky is the limit. The choices will truly be only limited by the anatomy of your breasts and your desires. If you want to rock full, sexy, up in your face breasts, you should have them with a full profile, firm, wide breast implant.  You can also choose to have a slightly softer fill implant if you want to only have them in your face when YOU want to show them off with a push up bra or in a swim suit. The exact type and size of breast implant will be determined by your plastic surgeon. Don’t make the mistake of dictating the actual cc size of the breast implant. Your plastic surgeon will place sizers in to determine the perfect fit.

The take home message is have many conversations with your plastic surgeon and ask many questions. Tell her/him about your concerns, if you are planning to have children, breast cancer history, the type of skin you have, the amount of time you spend in the sun, your profession, exercise routine, etc etc etc, in essence everything about your life you think is important actually.

If your plastic surgeon doesn’t want to hear all of your concerns or someone other than your surgeon is talking to you, run for the door. Take the time and make the effort to know the quality of the person your plastic surgeon is!

Breast augmentations are extremely safe and you should have a wonderful experience obtaining the perfect breast enhancement for YOU!!

Enjoy the process—