DR MICHELE KOO, MD, FACS, BOARD CERTIFIED PLASTIC SURGEON, ST LOUIS, MISSOURI 314-984-8331

Most of my patients by the time they call and make an appointment for a breast augmentation consultation have been considering this surgery since their teenage years.

Breast augmentations are very safe and have been performed on woman for 40 plus years. Silicone breast implants are again FDA approved for elective breast enlargements for women 22 years of age and older.

Saline breast implants have always been available for cosmetic breast enlargements and continue to be used safely.

Breast enlargements with breast implants do not necessarily mean that you will be “gi-normous” or that your breasts will be in a different zip code from your body. What it means is that you will be more proportionate for your body and you will feel sexier and more in balance for your height, weight, shoulder and hip circumference. When you are naked or in a swim suit, you will feel more confident and more sexy and in balance. It is about feeling better about your body and being less self conscience not necessarily having breasts that poke out your friends eyes.

I perform the breast enlargement surgery under general anesthesia as an outpatient and the surgery itself takes just under one hour. You will be slightly tired for a few hours after the surgery from the anesthesia but you will have very little pain. You won’t like the tight surgical bra but you must leave the compressive surgical bra on day and night for the first 4 days. You will be allowed to take the bra off and shower after 4 days.

You will return to light cardio activity at 2 weeks and full activity at 4 weeks.

Breast enhancement surgery is safe with minimal recovery. You should not feel that it is only for the wealthy. Breast augmentation with saline or silicone implants is very affordable and we work with a financing company that specializes in cosmetic procedures.

I am extremely honest and straightforward with you about the correct type of breast implant that is best for you depending on your type of original breasts as well as the breasts you want to ultimately have. I will also guide you on your choice of size and style of breast implant that will give you the most natural sexy breasts that are not at all conspicuous and overwhelming for your body. I completely understand woman’s goals of looking sexy but natural with their breasts, that you don’t necessarily want your sexy new breasts to be the center of attention of your body.

DR MICHELE KOO, MD, FACS, BOARD CERTIFIED PLASTIC SURGEON, ST LOUIS, MO 314-984-8331

Before Breast Augmentation

After Breast Augmentation

There are many different sizes and shapes of silicone and saline breast implants which are very safe that can give you very natural looking breasts. You can be pretty much any size you want to be with breast augmentation.

Dr Koo will show you many many before and after pictures of women who have had the same procedure that have breasts that resemble yours. She will also show you pictures of women who have similar height and weight as you to give you a better idea of the shape and size you might want for yourself.  Dr Koo will spend as much time with you as you want to determine what is the perfect breast implant size and shape is for you and whether you should have the breast implant placed under the muscle or breast tissue. These choices are determined by the shape of your breasts, how much breast tissue you have, how low or high you want your breasts and the incision she chooses for your breast augmentation.

She will be able to create the sexiest yet most natural looking and feeling breasts for you with the perfect breast implant for your body.

The first thing you should know about breast augmentation is that this will not be your last surgery. You will need to plan for at least 2 or 3 more surgeries in your lifetime depending on your age at the time of your first breast augmentation. Your breast implants will last approximately 20 years whether it is silicone or saline. Dr Koo recommends that you change the silicone implant at about the 20 year mark or when there is a change in the way the breast implants feel or look.

If your saline breast implants rupture, you will notice a change in size within 3-5 days of the rupture. The saline will be absorbed by your body and the ruptured side will be smaller than the breast that has not ruptured. You should then have BOTH breast implants changed and start at time zero with both breasts.

If you have silicone breast implants, you may not have to change your implants until there is a change in the way your breasts look or feel. Dr Koo’s recommendation is to change the breast implants at approximately 20 years or before if there is a problem. If, however, you are not having any problems, you can wait until there is some change.

Mammograms are recommended yearly starting at age 40. If you have a family history of breast cancer you might need a mammogram as early as age 30 or 35 depending on your breast examination. Dr Koo always follows her patients on a yearly basis without further charge and encourages women to see her every year to teach them how to examine their breasts and to educate them as to how their breasts feel with implants in place.

Dr Koo places the implants over and under the muscle and decides which is the perfect position for you depending on how much breast tissue you have, where your breasts fall in relation to the inframammary crease, and your desire to have higher or lower breasts. There are many many subtleties of breast augmentation and the type and placement of the breast implants that Dr Koo will determine for you and guide you for creating the perfect, sexy natural breasts that can be created with breast implants.

Call Dr Michele Koo, MD, FACS, Board Certified Plastic Surgeon, St Louis, Missouri for the most natural looking and feeling breast implanted breasts possible. She will take care of you throughout the years.

For more information about breast feeding and breast implants and the need for breast lifts after children and as the breasts age with implants in place, see the next blog coming up.