• Before & After Mastopexy with Subfascial Breast Augmentation

    Front view of 65-year-old woman one month after mastopexy with 230cc subfascial breast implants by Dr Michele Koo in Menlo Park, showing lifted, fuller, and proportionate breast shape with natural contour.

    Before & After 1 Month

    Side view of 65-year-old woman one month after breast lift by Dr Michele Koo in Menlo Park with subfascial augmentation, highlighting restored upper-pole fullness and youthful projection using 230cc smooth round implants.

    Before & After 1 Month

    Patient Story
    Patient 50 was a 65-year-old woman who came to see me after significant weight loss left her breasts deflated, heavy, and hanging. She shared that she used to “fold her breasts into her bra,” and that her husband rarely saw her breasts without one because she felt embarrassed by their appearance. One of her first questions to me was, “Am I too old for this surgery?”

    Twenty years earlier, I had performed her abdominoplasty. Since then, she had continued to take excellent care of herself, losing additional weight—but with that came the loss of the full DD-cup breasts she once had.

    Dr. Koo’s Consultation
    I reassured her that there is no age limit to feeling confident in your body. I told her, “Why wouldn’t you live the best years of your life now, when you are healthy, active, and have the wisdom to truly enjoy it?”
    Her goals were very clear: she wanted smaller, perkier, youthful breasts with a touch of fullness and femininity—cute and sexy, but never large or heavy again. She wanted her breasts to reflect her slimmer frame and active lifestyle.

    Surgical Technique
    I performed a mastopexy combined with subfascial breast augmentation in a single surgery. A subfascial approach allowed me to add shape and upper-pole fullness while maintaining a natural, soft appearance appropriate for her body and age.

    Smooth round demi-profile implants (230 cc) were selected to restore volume without making her feel top-heavy or over-augmented. The procedure was completed without complications, including no compromise to nipple viability.

    The Results
    She now has lifted, proportionate breasts with restored fullness and a youthful contour that fits her frame beautifully. She reports a profound improvement in confidence—both privately and in everyday life. She feels re-energized, motivated to exercise, and proud of her body again.

    She has shared that she hopes other women will feel empowered to choose surgery for themselves when it feels right—regardless of age.

    Procedures

    Patient Details

    • TreatmentBreast Lift & Augmentation
    • Implant Size: 230cc
    • Implant Type: Smooth Round Demi Profile
    • Downtime: Moderate
    • Results Timeline: Final results shown after 1 month of healing and implant settling. Stay tuned for 3 and 6-month follow-ups.

  • BEFORE & BREAST LIFT & IMPLANTS: ENHANCED SHAPE & FULLNESS

    Frontal view before and after breast lift with implants performed by Dr. Michele Koo from Menlo Park, showing enhanced breast shape and fullness

    BEFORE AND AFTER

    Procedures

    Patient Details

    • Patient: 16
    • Gender: Female

  • BEFORE AND AFTER BREAST LIFT & ASYMMETRY CORRECTION

    Breast lift and augmentation before and after showing correction of breast asymmetry with silicone implants and breast lift in a young woman, performed by Dr. Michele Koo in Menlo Park & St Louis.

    BEFORE & AFTER - FRONT

    Side view of Breast lift and augmentation before and after showing correction of breast asymmetry with silicone implants and breast lift in a young woman, performed by Dr. Michele Koo in Menlo Park & St Louis.

    BEFORE & AFTER - FRONT SIDE

    Dr. Koo’s patient is a mid-20-year-old woman with an underdeveloped left breast. The asymmetry was difficult for the patient as she went through her adolescence and early 20s. She was embarrassed during gym class, could never find bras or clothes to fit properly, and became much too self-conscious to ever wear a swimsuit or strap top. Dr. Koo completely understood her emotional trauma and tried to create symmetric REAL-looking breasts that fit the patient’s height, weight and wishes. Dr. Koo performed a simultaneous breast lift procedure (mastopexy) and breast augmentation surgery (silicone implant placed under the muscle) to correct the asymmetry. She was also able to give BOTH breasts the fullness and roundness that the patient never had previously.

    The patient feels liberated…to wear normal bras without padding, to wear cute tops, to feel confident to be in a swimsuit and to be naked!

    This is a wonderful self-enabling procedure and is as much for your psyche as it is for your appearance. Dr. Koo wants you to empower yourself to change the aspects of yourself that annoy and impede your self-confidence. It is ALL about YOU. Dr. Koo will help educate you on the possibilities and help guide you to a well-informed decision regarding your breast procedure.

    Procedures

    Patient Details

    • Gender: Female
    • Age: 20

  • NATURAL LOOKING BREAST LIFT WITH AUGMENTATION FOR VOLUME AND PERKIER CONTOUR

    Front-facing before and after of breast lift with augmentation for subtle volume by Dr. Michele Koo in Menlo Park & St Louis.

    BEFORE & AFTER

    Side view of the before and after of breast lift with augmentation for subtle volume by Dr. Michele Koo in Menlo Park & St Louis.

    BEFORE & AFTER

    Procedures

    Patient Details

    • Patient: 17
    • Gender: Female

  • BEFORE & AFTER BREAST LIFT WITH AUGMENTATION: RESTORING VOLUME & SHAPE

    Front-facing image of the before and after of a breast lift with augmentation to correct deflation, by Dr. Michele Koo in Menlo Park & St Louis.

    BEFORE & AFTER

    Angled before and after of breast lift with an augmentation to restore fullness, by Dr. Michele Koo in Menlo Park & St Louis.

    BEFORE & AFTER

    Procedures

    Patient Details

    • Patient: 16
    • Gender: Female

  • BREAST LIFT PATIENT#18

    Before and after breast lift surgery by Dr Michele Koo Menlo Park & St Louis for Patient 18

    BEFORE & AFTER - FRONT

    Procedures

    Patient Details

    • Gender: Female

  • BREAST LIFT PATIENT 26

    Frontal view of breast lift with augmentation performed by Dr. Michele Koo in Menlo Park & St Louis, illustrating improved breast symmetry, lifted contour, and added volume.

    BEFORE & AFTER - FRONT VIEW

    Side view before and after breast lift with augmentation by Dr. Michele Koo in Menlo Park & St Louis, showing enhanced projection, lifted breast position, and fuller upper pole.

    BEFORE & AFTER - SIDE VIEW

    Procedures

    Patient Details

    • Gender: Female