Breast Augmentation Before & After

Patient Story:
Patient 50 was a 38-year-old woman who came to Dr. Michele Koo seeking breast augmentation with implants to enhance her figure. Her goal was to achieve fuller breasts that would fill out swimwear and strapless tops while still looking natural and balanced. She desired a gentle slope and natural feel, with enough fullness to complement her fuller hips—without making a dramatic or overly obvious change to her professional colleagues.

Surgical Technique:
Dr. Koo performed a submuscular breast augmentation using an inframammary incision for optimal precision and discreet scarring. She selected MOTIVA ERSF 295cc implants with a more ergonomic, natural shape.

Results:
By carefully choosing a FULL profile implant, Dr. Koo was able to provide both subtle projection and a graceful, natural slope. The final result was a soft, balanced D cup breast size, giving the patient the confidence to wear swimwear and fitted clothing with ease while maintaining a refined, natural appearance.

Patient Story:
Patient 49 was a 48-year-old woman who was told she needed a breast lift to achieve the breasts she desired came to Dr Koo for another opinion. Dr Koo explained that she, the patient’s aesthetic desires, were the only important thing. Dr Koo guided her as to what was the optimal surgery for her based on HER cosmetic desires, her body shape, and her lifestyle. A breast lift was achieved with breast augmentation surgery using implants only. Dr Koo did not perform a surgical lift with additional scars. While the breasts are slightly low, they are extremely natural-looking and are exactly what the patient wanted.

Dr Koo used an inframammary (under the breast) incision and an under-the-muscle placement of a high-profile 375cc silicone breast implant. The resultant breasts are gently sloped, lifted, reshaped and lifted off the chest wall to achieve a full, yet balanced natural look.

Patient Story:
Patient 30, was a 28 year old, 5′ 4″, 130 lb woman who wanted fuller, more shapely breasts after having her three children. She thought her breasts were low and deflated. Dr Koo did not think she needed a surgical lift as the shape of the implant would be sufficient to lift and fill out her breast skin envelope. Dr Koo emphasizes the shape as much as the size and focuses on the appropriate size breast implants to match the patient’s body size, lifestyle and personality.

Dr Koo carried out breast augmentation surgery, creating extremely natural full 34 C-D size breasts for the patient. Her breasts are lifted and shapely without being overwhelming for her petite body. They are completely proportionate for her size. The patient says she hasn’t felt this sexy and comfortable with her body since her children!

Patient Story:
Patient 28 was a 23-year-old woman who wanted fuller but very natural-looking breasts. She wanted breasts that fit her body and did not want people to know she had a breast augmentation…unless of course, she wanted them to know!

Dr. Koo carried out breast implant surgery using the perfect implants for the patient’s body type, using a moderately high-profile silicone implant with still a slightly narrow base placed under the muscle. Her breasts fit her body perfectly and she is thrilled with the soft full look and feel of her breasts.

Breasts are not just about the size, it’s about the fall, shape and roundness for the patient’s body!! Dr. Koo feels they also have to fit your profession and lifestyle! She makes it her mission to try to create your perfect world breasts.

Patient Story:
Breast Patient 2 was a 25-year-old female who always had small breasts and finally gained enough courage (and was fed up with her very small breasts) to seek a consultation from Dr Koo for breast enhancement. She waited several years to make sure her breasts wouldn’t grow in her early 20’s. She didn’t want to be obvious or have people gawk at her ‘new’ breasts but she wanted a little volume and roundedness to fill clothes and have some curves. She still wanted breasts that were compatible with her body and her active lifestyle. She did not have any children yet.

Dr Koo explained that with age and certainly with possible future pregnancies and breastfeeding, her breasts would change and she might need to change her implants or reshape her breasts sooner because of the changes. Dr Koo performed a breast augmentation surgery with a moderately high-profile silicone implant placed under the muscle to create natural appropriate breasts for the patient’s desires. The results are natural and fuller but not obvious and the patient is very comfortable now in and out of her clothes!!

Patient Story:
Patient 3 was 32-year-old female who wanted fuller breasts that were appropriate for her professional career. She did NOT want others to know she had surgery or notice a change to her breasts in her work clothes.

Dr Koo chose a lower profile silicone implant placed under the muscle with an infra-mammary incision to create a rounder fuller look but that was very natural. The size and shape matched her body perfectly and the patient is very comfortable and pleased with the change.

Dr Koo reassured her that she would still have enough breast to push up when she wanted but that they would not be “in your face” noticeable.

Patient Story:
Patient 4 was a 26-year-old St Louis teacher who desired a fuller breast that would NOT be obvious to the other teachers and especially not to her adolescent students. She wanted an extremely natural look that would put her tall slim body into better proportion. She loved to run and did not want her larger breasts to keep her from working out regularly with weights and cardio training. She definitely did not want anyone to know she had a breast augmentation.

Dr Koo used a 450cc Allergan Style 20 smooth round silicone breast implant placed under her muscle with an inframammary incision (below her breasts) to create full but natural proportionate breasts for this patient.

The patient is pictured 3 months after her surgery and LOVES her new breasts. Her boyfriend who was opposed to the surgery loves them more than anyone!! She continues her very active workouts and no one at her school has even mentioned anything about her breasts!!

Patient Story:
A breast augmentation with a breast implant does not have to create large glaring breasts. Breast implants can simply fill your breast skin envelop and give the appearance of a breast lift. The breast implant can lift the nipple away from the chest wall creating the illusion of a lift. A small breast implant creates the nice curves you may be seeking to fill out your swimsuit and clothes. It can create just enough “side boob” to be sexy without being too noticeable.

Patient 27 had some asymmetry before the breast enhancement which wss lessened with the breast implants. Dr Koo carried out breast augmentation surgery, placing a higher-profile silicone implant under the muscle through an inframammary incision. The after photos are shown at 3 months and the scars are fading and only slightly visible. The breasts will continue to soften and drop to achieve a perfect soft natural look between 4-6 months from the time of surgery.

Patient Story:
Patient 26, a 32-year-old woman who had completed her family planning, desired a transformation for her breasts, which had been affected by her recent pregnancy. Feeling that her breasts appeared “sad,” “deflated,” and “elongated,” she consulted with Dr. Koo to restore their fullness and youthful shape. Through thorough discussions about her goals, it was determined that a combination of breast lift and augmentation would best achieve the desired outcome.

Dr. Koo performed a breast augmentation procedure using a 320cc Inspira SRX silicone implant positioned beneath the muscle. Simultaneously, a breast lift was performed to elevate and reshape the breasts, restoring their roundness and firmness. Remarkably, by six weeks post-surgery, the scars were already minimal and discreet.

One year following the surgery, the patient remains delighted with the results. She continues to wear a DD bra size but enjoys a rejuvenated shape that aligns with her desire for fuller, yet natural-looking breasts.

Patient Story:
Breast Patient 25 was a 38-year-old St Louis woman who wanted fuller breasts after breastfeeding and weight loss. She was very nervous that people would notice a drastic change and of being judged by her professional co-workers. She wanted her breasts to be compatible with her lifestyle and profession while still having very full sexy breasts.

Dr Koo carried out breast augmentation surgery, choosing Allergan Inspira SRF 380cc implants placed under the muscle to create full C – small D cup breasts that were still very natural appearing in and out of clothes. The patient can wear tight clothes and have her breasts be noticeable or loose clothing to only show very tasteful sexy curves! The perfect combination!!

Patient Story:
Breast Patient 24 was a 38-year-old female after breastfeeding her 3 children lost her previous full perky breasts. She was very self-conscious of her deflated breasts and had difficulty filling out a swimming suit tops. She felt uncomfortable when she was intimate with her husband and didn’t ever want to be seen naked. She simply wanted a very natural fuller sexier look.

Dr Koo carried out breast implant surgery using a higher-profile silicone breast implant placed under the muscle to give her the soft natural slope she desired. Dr Koo was able to give the breasts a lift without having to place additional long scars on her breasts with the type of implant she chose and the technique she used.

The patient is thrilled with her fuller, voluptuous breasts that are completely proportional to her body. She feels they suit her profession and lifestyle. She’s also delighted that her husband likes them even more than she anticipated despite his original objection to her getting breast augmentation!!

Patient Story:
Breast Patient 40 was a 56 year old very athletic woman who desired some fullness to her deflated breasts. She was very worried that the breast would look unnatural on her very petite slim athletic body. She also did not want to have her breasts become a hindrance to her working out.

After several discussions, Dr Koo used Allergan 410 Cohesive Gel Shaped implants to achieve the perfect gentle slope but with still enough projection and size for this petite 5’ 1”, 105lb woman. Dr Koo used a 295ml, moderate height, full projection 410 cohesive gel breast implant in the sub-pectoral pocket to achieve the perfect results for this patient.

Needless to say, the patient is very happy with her new breasts which are soft, natural and completely blend with her lifestyle and body!!

Patient Story:
Breast Patient 45 was a 26 year old athletic woman who wanted to have full sexy real breasts prior to her wedding. She wanted very natural breasts with a very gentle slope to her breasts so they did not appear fake or stuck on her chest. Her greatest fear was to look heavy or be obviously enhanced, yet she, of course, wanted fuller rounder larger breasts.

Dr. Koo carried out a breast augmentation surgery with Allergan 410 Gummy Bear implants, enhancing the patients’ breasts from a 34 B cup to a C-D cup.

Patient Story:
Patient 23 was a 43-year-old woman who came to Dr. Michele Koo hoping to restore the look of her pre-pregnancy breasts. After breastfeeding three children, she felt her breasts had lost volume and fullness. She was finished having children and wanted a fuller, natural-appearing breast shape that would make her feel confident both in clothing and in intimate settings. She desired a full C cup size with a gentle, feminine slope, and wanted to avoid any additional visible scars.

Consultation: Fat Transfer vs. Breast Implants
The patient inquired about fat transfer breast augmentation and breast implants. Dr. Koo explained that while fat transfer can improve shape, it would not reliably achieve the patient’s desired full C cup size. With only 130 lbs of body weight and minimal fat reserves, she would likely need at least two fat transfer procedures with only 70–80% of the fat surviving each time. To deliver the safest, longest-lasting results, Dr. Koo recommended breast implants instead.

Surgical Technique:
Dr. Koo performed a breast augmentation with silicone implants using an inframammary incision for discreet placement. She selected Allergan SSX 310cc High Profile silicone implants, placed partially under the muscle in a dual plane technique. This approach provided the patient with a naturally lifted breast appearance without the need for a formal breast lift and without additional scars.

Results:
At 1 year post-surgery, the patient’s results show full, natural-looking breasts with a gentle fall and a youthful contour. The breast augmentation with implants restored her confidence, allowed her to comfortably fill clothing, and provided the safe, long-lasting results she desired.

Patient Story:
Patient 42 was a 35-year-old woman who experienced significant breast changes after pregnancy and breastfeeding two children. She had gained weight in her breasts during pregnancy but lost nearly all of her volume afterward, leaving her breasts looking deflated and stretched. At 5’2” and 115 lbs, she wanted to restore full, youthful breasts that would still look proportionate to her petite frame.

Consultation & Surgical Technique:
Because her skin was thin and she had minimal natural breast tissue, fat transfer breast augmentation was not an ideal option. Dr. Michele Koo recommended a dual plane breast augmentation with implants placed partially under the muscle through an inframammary incision. This technique uses the muscle to help soften the slope and create a more natural appearance. Dr. Koo selected Allergan SSX 255cc silicone implants, which provided just the right amount of volume to achieve her desired size without overwhelming her frame.

Results:
The patient went from a 34A to a 34C cup size, achieving fuller yet very natural-looking breasts. She was delighted to see that her stretch marks appeared less noticeable after surgery, and she now enjoys a soft, proportionate enhancement that perfectly fits her professional lifestyle. Her results are subtle enough that no one suspects she had surgery, yet she feels confident, feminine, and comfortable in her clothes again.

Patient Story:
Breast Patient 22 was a 47-year-old woman who always had full breasts and had lost most of her breast volume and fullness with age. She always felt she had full hips and was very curvy. As she approached her peri-menopausal age, she noticed that her breasts became less firm and began to lose the fullness of the upper portion of her breasts.

She unfortunately did not lose her curves elsewhere and sought out Dr. Koo to put her body back in proportion.

Dr. Koo gave the patient the option of breast augmentation surgery using saline or silicone breast implants. The patient still had some breast tissue and subcutaneous fat and therefore the saline would have been an option for her. However, Dr. Koo felt that the saline implants might not have the longevity of a silicone implant and the results would not hold up as well if the patient continued to lose breast tissue with age.

The patient now has full, firm breasts that are up and full, BUT not too full. She likes the shape, size and the way they sit on her chest. When she wants her breasts pushed up, she can achieve that with a push-up bra but doesn’t feel that they are under her chin 24/7! The patient has all her curves back!

Patient Story:
Breast Patient 46 was a 22-year-old woman who wished to have very full round breasts that still were appropriate for her height of 5’ 7”, 125lbs. She previously wore a 34B and now wears a 34 D/ DD bra. She feels perfectly in proportion and appropriate for her height and weight. Following breast augmentation surgery, she loves how full and round yet natural-looking her breasts still look and feel. This has been an incredible confidence booster for her!

Patient Story:
Breast Patient 1 was a 26-year-old 5’ 8”, 135 lb St Louis, Missouri woman who wanted very full sexy round breasts. While she wanted to be noticed and to definitely have full large breasts she still wanted her breasts to be proportionate with the rest of her body and not to be noticed only for her breasts.

She wanted fullness on the top of her breasts so she could wear low-cut tops and dresses and have some “oomph”. She wanted cleavage but did not want her breasts touching in the middle. She also wanted roundness at the sides and bottom with plenty of bottom breast to show. She however did NOT want armpit breasts!

Dr Koo carried out breast implant surgery using a higher profile implant with a narrower diameter to prevent the patient from feeling fat and to prevent the arm pit breast.

The patient is thrilled with the very full young sexy round breasts. She feels her body is much more in balance and is able to do all of her athletic activities.

Patient Story:
Breast Patient 2 was a 25-year-old female who always had small breasts and finally gained enough courage (and was fed up with her very small breasts) to seek a consultation from Dr Koo for breast enhancement. She waited several years to make sure her breasts wouldn’t grow in her early 20’s. She didn’t want to be obvious or have people gawk at her ‘new’ breasts but she definitely wanted a little volume and roundedness to fill clothes and have some curves. She still wanted breasts that were compatible with her body and her active lifestyle. She did not have any children yet.

Dr Koo explained that with age and certainly with possible future pregnancies and breastfeeding, her breasts would change and she might need to change her implants or reshape her breasts sooner because of the changes. Dr Koo performed a breast augmentation surgery with a moderately high-profile silicone implant placed under the muscle to create natural appropriate breasts for the patient’s desires. The results are natural and fuller but not obvious and the patient is very comfortable now in and out of her clothes!!

Patient Story:
Patient 9 is a young professional female athlete who wanted to have fuller natural breasts. She was tired of using an over-padded push-up bra. She didn’t want anyone to know and she didn’t want to feel heavy and have her breasts hinder her from her athletic training.

Dr Koo used a 300 cc silicone style 20 moderate profile breast implant placed partially under her muscle to create very natural fuller breasts. The patient now doesn’t even have to wear bras but when she does there is NO more padding!! She returned to her former training regimen in 5-6 weeks without difficulty. She is thrilled and no one would’ve guessed she underwent breast augmentation.

Patient Story:
Breast Patient 11 was a 26-year-old St Louis area woman who wanted to look like an adult woman instead of a 13-year-old boy! She wanted a natural but very full look, sexy not fat, large but not comical or obscene and she still wanted to be able to exercise and not have issues with back pain or not being able to work out strenuously.

Dr Koo listened to her wishes during many consultations and looked at photographs together for the patient’s “perfect world” breasts focussing on the shape as well as the size. Dr Koo understands that it is not only about size, the shape is sometimes even more important.

The after pictures are taken at 6 weeks and still show a mild amount of swelling and the implants are still sitting very slightly high. In another month, the breast augmentation will look softer and more natural but still very sexy and full.