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35 Years
experience
Your Trusted Plastic Surgery & Cosmetic Care Provider in St. Louis, MO
Dr. Koo Private Practice has been a leader in aesthetic plastic surgery and skincare since 1991. Founded by board-certified plastic surgeon Dr. Michele Koo, our practice combines over three decades of surgical expertise with personalized care in St. Louis, MO, and Marin County, CA. We specialize in breast augmentation, reduction, and lift procedures, non-surgical facial rejuvenation, and medical weight loss management. Our approach prioritizes natural beauty enhancement through surgical precision and advanced skincare solutions. With locations in St. Louis and the San Francisco Bay Area, we serve patients from across the country seeking transformative results. Our team maintains strict adherence to clinical excellence, evidenced by our board certification through the American Board of Plastic Surgery.

We emphasize comprehensive patient education, transparent communication, and long-term wellness beyond immediate aesthetic outcomes. Our before-and-after gallery demonstrates our commitment to achieving subtle yet impactful transformations. We maintain affiliations with leading medical institutions and stay at the forefront of cosmetic innovation through ongoing professional development. Our practice philosophy centers on empowering patients to feel confident through personalized treatment plans that respect individual anatomy and lifestyle needs.
Services
Breast Augmentation Breast Reduction Breast Lift Tummy Tuck Botox Injections Dermal Fillers Juvederm Injections Kybella Injections Weight Loss Injections Skincare Products
Details
  • Year established: 1991
Highlights and features
  • Board-certified plastic surgeon with 30+ years of specialized experience
  • Personalized treatment plans tailored to individual anatomy and goals
  • Comprehensive approach combining surgical and non-surgical solutions
  • Proven track record with extensive before-and-after documentation
  • Affiliated with leading medical institutions and continuing education programs
Associations and certifications
  • American Board of Plastic Surgery
What people say
Life-changing results Compassionate care Natural-looking outcomes Personalized attention Exceptional follow-up
Services
Breast Augmentation
Our breast augmentation procedure enhances breast size and shape through implant placement. This surgical option addresses volume loss, asymmetry, or congenital concerns while maintaining natural proportions. Patients benefit from customized implant selection and meticulous surgical technique that prioritizes both aesthetic outcomes and long-term comfort.
Botox Injections
Botox treatments temporarily reduce dynamic wrinkles through targeted muscle relaxation. This non-surgical solution addresses forehead lines, crow's feet, and frown lines while maintaining natural facial expressions. Our approach focuses on subtle enhancement rather than frozen appearances, preserving individual expression patterns.
Breast Reduction
This procedure alleviates physical discomfort from oversized breasts while improving proportion. Our technique minimizes scarring through advanced incision placement while preserving nipple sensation and breast function. Patients experience improved mobility and clothing fit alongside enhanced self-confidence.
Weight Loss Injections
Our medical weight loss program utilizes prescription injectables to support sustainable weight management. Combined with nutritional guidance, these treatments address metabolic factors affecting weight regulation. Patients receive personalized monitoring to ensure safe, effective results aligned with overall wellness goals.
Skincare Products
Dr. Koo's proprietary skincare line addresses aging, texture, and tone concerns through evidence-based formulations. Products incorporate retinols, hyaluronic acid, and pH-optimized ingredients to support skin health. Our regimen balances medical efficacy with user-friendly application for daily maintenance between professional treatments.
People
Dr. Michele Koo
Board-Certified Plastic Surgeon
Dr. Michele Koo is a board-certified plastic surgeon with over 30 years of experience in cosmetic and reconstructive surgery. She graduated from Stanford University and Washington University School of Medicine, completing specialized training at Barnes Hospital and the University of Kansas. Her practice emphasizes personalized care, combining surgical precision with artistic vision to achieve natural-looking results.
Questions
What surgical options are available for breast enhancement?
We offer breast augmentation with implants, breast lift procedures, and reduction surgery to address various aesthetic and functional concerns.
Do you provide non-surgical facial rejuvenation treatments?
Yes, we offer Botox, dermal fillers, and skincare regimens to address wrinkles and skin texture concerns without surgery.
How long does recovery take after breast surgery?
Recovery varies by procedure but typically requires 4-6 weeks for surgical breast procedures, with personalized post-operative care plans.
Are medical weight loss injections covered by insurance?
Coverage varies by provider; our team can help verify your specific insurance benefits for weight loss treatments.
What sets your skincare products apart from commercial brands?
Our medical-grade formulations are developed with clinical research and tailored to complement professional cosmetic treatments.
Do you offer consultations for out-of-town patients?
Yes, we accommodate patients traveling from across the country with virtual and in-person consultation options.
Reviews (4)
C. S.
May 02, 2022 Report
Absolutely fantastic. I could not be happier with my results. Dr. Koo and her staff are affirming, kind, and understanding. The fact that she doesn't take insurance might be a deterrent for people, but if you can afford her services, her talent is well worth the price.
Super Angela X. Craig
Mar 13, 2022 Report
Dr. Koo is a phenomenal plastic surgeon she's upfront about everything, explains everything so you are comfortable and know what to expect I'm a plus size woman and received a TT/MR January 21.
Dawn Booker
Nov 01, 2021 Report
Dr. Koo and staff were very professional throughout the entire process. Dr. Koo listened to my requests and was extremely accommodating. She gave me exactly what I was hoping for. I couldn't be happier with the outcome or care I received from start to finish!
Jennie Helm
Sep 27, 2021 Report
6 months ago I came in to have a ruptured implant removed and a lift. I wanted a much smaller breasts and didn't want new implants. Dr.koo said it was best if I got a replacement, never mentioning to me that I was at higher risk for capsular contracture. So now, my implants are rock-hard, my breasts are not any smaller than before, and I have lots of scars. I wish I would have never spent the money. The good part of the experience has been Dr. Koo herself. So kind and empathetic