Breast Reduction Surgery by Dr. Koo
Dr. Michele Koo, a Board Certified Plastic Surgeon with years of expertise, specializes in breast reduction surgery, a procedure tailored to alleviate both physical discomfort and emotional strain associated with excessively large breasts. The procedure is also known as reduction mammoplasty. Beyond the aesthetic enhancements, Dr. Koo’s approach addresses the holistic well-being of her patients, tackling issues like chronic pain, restricted mobility, and self-image concerns. With precision and artistry, she removes excess breast tissue and reshapes the breasts to restore harmony and proportionality.
Dr. Koo’s commitment to excellence ensures that each patient emerges from the procedure not only looking their best but feeling empowered to lead a life free from the physical and emotional strains of oversized breasts.
To experience the benefits of transformative breast reduction surgery with Dr. Koo in Menlo Park or St. Louis, schedule a consultation today.

STANFORD  •  WASHINGTON UNIVERSITY  •  BOARD CERTIFIED  •  33 YEARS
Breast Reduction Procedure
While breast reduction offers numerous benefits, it’s important to acknowledge potential scarring as a downside. Dr. Koo typically employs an inverted “T” or “anchor” scar pattern, strategically placed to minimize visibility. Through precise incisions, she reduces, lifts, and sculpts the breast tissue to achieve the desired size and shape. The anchor scar typically goes around the nipple, vertically down and then transversely at the fold under the breast. In cases where minimal correction is necessary, Dr. Koo can often reduce the amount of scarring from the procedure by using a different incision pattern.
Nipple and areola relocation may be necessary for optimal results, with considerations for sensation and breastfeeding discussed during consultations. Dr. Koo’s meticulous technique ensures natural-looking outcomes and minimal postoperative scarring, with incision lines fading over time.
If the volume of the skin has stretched the skin of the breast creating an overly large areola, Dr. Koo can also correct this during a breast reduction procedure. The areola can be removed and trimmed to a more proportional size before closing the incision lines.
Breast Reduction Results & Longevity
Following breast reduction surgery, patients experience immediate relief from physical discomfort and limitations. The newfound balance and proportionality not only enhance physical well-being but also promote a positive self-image and confidence. Over time, breasts can change due to aging, weight fluctuations, hormonal factors and gravity. At Dr. Koo Private Practice, we educate our patients on factors that may influence long-term results, offering personalized guidance to maintain the benefits of the procedure over time.
Your Path to Relief & Renewal
We understand that breast reduction surgery is more than a cosmetic enhancement—it’s a life-changing journey towards improved comfort and confidence. Schedule a consultation today to explore how breast reduction surgery can enhance your quality of life. Reach out to us at office@drmichelekoo.com or call (314) 984-8331 to take the first step towards a lighter, more liberated you.
Optimize Your Healing. Elevate Your Results.
As a board-certified plastic surgeon, I operate on skin every day. That surgical perspective is exactly why I formulated my medical-grade skincare line — to optimize skin health before and after surgery at the cellular level.
Breast reduction involves significant tissue reshaping and incision lines. Patients who invest in their skin health before and after surgery experience smoother healing, more favorable scar maturation, and longer-lasting contour.
Pre-Surgical Skin Prep
THD-Ascorbate (Tetrahexyldecyl Ascorbate) at therapeutic concentration strengthens collagen architecture and optimizes tissue resilience before your procedure.
Scar & Tissue Recovery
Targeted barrier-repair formulations maintain dermal hydration and support tissue remodeling along incision lines — critical for how your reduction scars mature and soften over time.
Long-Term Skin Health
Medical-grade active ingredients at therapeutic doses — not marketing doses — to maintain your investment in yourself for years to come.
SURGEON-FORMULATED • MEDICAL-GRADE • SCIENCE-FIRST
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