Before & After Mastopexy with Subfascial Breast Augmentation

Before & After 1 Month

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
- Treatment: Breast 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

BEFORE AND AFTER
BEFORE AND AFTER BREAST LIFT & ASYMMETRY CORRECTION

BEFORE & AFTER - FRONT

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
- Treatment: Breast Lift & Augmentation
- Implant Type: Silicone
- Placement: Under the muscle
- Gender: Female
- Age: 20
NATURAL LOOKING BREAST LIFT WITH AUGMENTATION FOR VOLUME AND PERKIER CONTOUR

BEFORE & AFTER

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

BEFORE & AFTER

BEFORE & AFTER
BREAST LIFT PATIENT#18

BEFORE & AFTER - FRONT
BREAST LIFT PATIENT 26

BEFORE & AFTER - FRONT VIEW

BEFORE & AFTER - SIDE VIEW


