ABOUT DR. KOO
Dr. Michele Koo, M.D., FACS
With over 25 years of surgical excellence and thousands of successful procedures, Dr. Michele Koo is a board-certified plastic surgeon trusted by patients across Missouri and California.
Patients trust her deep anatomical knowledge and ability to tailor her procedures to their unique needs to deliver results that are not only transformative but profoundly personal.
Whether you’re consulting at her flagship practice in St. Louis or her new location in Marin County, Dr. Koo takes the time to listen, understand, and co-create a treatment journey that helps you look and feel your best.
ABOUT DR. KOO
Dr. Michele Koo, M.D., FACS
With over 25 years of surgical excellence and thousands of successful procedures, Dr. Michele Koo is a board-certified plastic surgeon trusted by patients across Missouri and California.
Patients trust her deep anatomical knowledge and ability to tailor her procedures to their unique needs to deliver results that are not only transformative but profoundly personal.
Whether you’re consulting at her flagship practice in St. Louis or her new location in Marin County, Dr. Koo takes the time to listen, understand, and co-create a treatment journey that helps you look and feel your best.
AFFILIATIONS




BOARD CERTIFIED EXCELLENCE
Certified by the American Board of Plastic Surgery, Dr. Koo exemplifies clinical excellence and aesthetic integrity.
Her journey began at Stanford University, where she earned her B.S. in Biological Science, followed by her M.D. from Washington University School of Medicine. She refined her surgical expertise through her General Surgery Residency and Plastic Surgery Fellowship at Washington University/Barnes Hospital, and furthered her training at the University of Kansas with a Craniofacial Fellowship.
NATIONALLY RECOGNIZED
Dr. Koo’s meticulous approach and transparent philosophy have built a loyal patient base across the country. Patients travel from New York, Los Angeles, Chicago, Aspen, and now at Aesthetx in the San Francisco Bay Area, to work with her.
“One of the most important things I’ve learned is that there’s not one surgery for everybody and there are many alternatives to surgery that may also be perfect for you. I pay attention to the details of the anatomy, extract exactly what the patient wants, then with my expertise, vision and artistry, I apply delicate surgical principles to achieve the best result possible.”

DR. KOO’S MISSION
Dr. Koo’s approach combines surgical artistry with genuine care. She believes every patient deserves natural-looking results that enhance, never change who they are. From your first consultation to final follow-up, you’ll experience personalized attention that puts your safety, comfort, and goals first.
surgical procedures
NON-SURGICAL PROCEDURES
weight loss management
ADVANCED SKINCARE
FEATURED IN




TESTIMONIALS
WHY CHOOSE DR. KOO?
Dr. Koo prioritizes confidential, personalized care in a welcoming, judgment-free space.
Since 1991, Dr. Koo has been a leader in cosmetic plastic surgery, offering procedures designed to enhance your natural beauty with a focus on precision, safety, and self-confidence. Her expertise spans cosmetic breast surgery, including breast augmentation, short-scar breast reduction, and post-pregnancy breast lifts. She also offers advanced procedures like vertical mammaplasty, which reshapes and lifts the breasts while minimizing visible scarring.
But her care goes far beyond the operating room. She believes in taking a comprehensive approach to your well-being by providing tailored advice on skincare, nutrition, and lifestyle choices that support long-lasting results and overall confidence.
With locations in St. Louis, MO, and across the San Francisco Bay Area, including Menlo Park and Marin County, Dr. Koo offers the same elevated standard of care wherever you choose to visit. Whether you’re seeking a surgical transformation or exploring non-surgical cosmetic procedures, you’ll be met with compassion, honesty, and deep expertise.
With Dr. Koo, it’s not just about how you look. It’s about how you feel when you see yourself in the mirror: confident, radiant, and unapologetically you.
PROFESSIONAL QUALIFICATIONS
BOARD CERTIFICATION
American Board of Plastic Surgery
MEDICAL DEGREE
Washington University Medical School
UNDERGRADUATE EDUCATION
Stanford University
GENERAL SURGERY RESIDENCY
Washington University/Barnes Hospital
FELLOWSHIP
Washington University/Barnes Hospital
University of Kansas
tWO Locations
Dr. Koo is proud to provide world-class care in two locations. Whether in the heart of the Midwest or Northern California, her goal is to help you look and feel like the best version of yourself.
No matter the location, her mission remains constant: to enhance natural beauty with precision and empathy.

St. Louis, Missouri
A fully accredited surgical facility known for discretion and life-changing results.
Frontenac Surgery Center at Frontenac Grove, 10435 Clayton Road, St Louis, MO 63131

Marin County, California
A new private setting offering elite cosmetic care and non-surgical treatments to patients in the Bay Area and beyond.
Aesthetx, 300 Drakes Landing Road, Suite 100, Greenbrae, CA 94904



