Saint Louis Plastic Surgeon
333 S. Kirkwood Rd., Ste. 203
Saint Louis, Missouri 63122 US
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24 years experience
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"I was very pleased with all of the hospital staff as well as my surgeons office staff." "Dr Koo did an amazing job on my breast, they shape is beautiful!" "Dr. Koo is great!"

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4.8 out of 5 stars 4.8 stars from 72 reviews See details Hide details
5.0 out of 5 stars Doctor's bedside manner
5.0 out of 5 stars Answered my questions
5.0 out of 5 stars After care follow-up
5.0 out of 5 stars Time spent with me
5.0 out of 5 stars Phone or email responsiveness
5.0 out of 5 stars Staff professionalism & courtesy
5.0 out of 5 stars Payment process
5.0 out of 5 stars Wait times
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Treatment results may vary

5 out of 5 stars Breast Reduction

Awesome Experience - Saint Louis, MO

I work in the medical field but had no experience in this area of medicine. Dr. Koo and her staff took the time to completely explain the procedure (breast reduction) risks and benefits and postoperative care. they were always available to answer questions. The surgical team was very professional as well. Dr. Koo is involved in all aspects of your care from the first visit to hand picking the...

5 out of 5 stars Tummy Tuck

Tummy Tuck and Lipo on 02/03/11 - St. Louis, MO

Dr. K is the best! Made my process so easy. Her bedside manners are superb! I love my ps

5 out of 5 stars Tummy Tuck

Dr. Koo is Amazing and Very Professional and Carin - St. Louis, MO

Everytime I think about how I used to feel before my surgery I am so happy I found Dr. Koo. I look so good people take a double take. I was never really big but had a lot of loose skin after my weight loss. I looked like a deflated balloon in my stomach and my arm skin just hung everywhere. Nothing was going to get rid of it except skin removal. I was worried about everything. My surgery and...

5 out of 5 stars Breast Augmentation

August 8th Baby!!! St Louis, MO

I absolutely love Dr Koo and her nurse Joanne! They have great personalities, friendly, and always answer all my questions! Dr Koo did an amazing job on my breast, they shape is beautiful! No bruising and hardly any pain from my surgery! I will highly recommend her to all my friends and family!

5 out of 5 stars Liposuction

Satisfied with Result - Saint Louis, MO

Today felt like Spring. Today, I remembered how I felt a year ago and all the years before when Spring was coming. I felt uncomfortable in my shorts and skirts. today, I felt great. Today, I was excited about Spring. Today I looked forward to Easter in a few weeks. I thought how nice it would be to have a normal shape in my hips, thighs, and waist. I remembered that feeling of not having...

5 out of 5 stars Breast Reduction

Breast Reduction - Lift

I had a breast reduction surgery in August. I am very satisfied with my results. I look better and feel better. I am able to excercise and dont feel so weighed down that my neck and back and shoulders hurt. the procedure went fine. My recovery was uneventful but i did have an area that took about two weeks longer to heal than the rest of my breasts. They look Great!

5 out of 5 stars Breast Augmentation

Delighted With Result - St. Louis, MO

Dr. Koo is so wonderful. I am glad I came to a women for my breast surgery. My breasts look amazing. Go to a women. Go to a women who looks like Dr. Koo and you will be happy. Dr. Koo is absolutely beautiful and she knows what 'real' women want. She is honest and her results speak for themselves. My OB GYN doctor who is a women sent me here because she had Dr. Koo do her breasts and...

5 out of 5 stars Liposuction

Excellent Experience - St. Louis, MO

I had a liposuction on my inner and outer thighs. I was of normal weight for my height. Every straight a line skirt and every pair of pants made me look like I had really big legs. Dr. Koo told me I had 'saddle bags' and that I was a good candidate for the procedure. I went back to work in 5 days. I am so glad I did it. I look much better in my clothes and feel very comfortable in my Yoga...

5 out of 5 stars Eyelid Surgery

Awesome Doc - St. Louis, MO

I have had several procedures done by Dr. Koo over the years. Most recently, I had my eyes done. I looked so tired and my eyes and forehead all looked like it needed to be moved up. My husband said I always looked like I was mad and scowling. I just did my upper eyelids and a brow lift. It looks great.

5 out of 5 stars Botox

Great Doctor - Saint Louis, MO

When I called the office for my first appointment I told them I wanted the Fraxel Laser. The front desk staff made me an appointment for an evaluation with Dr. Koo personally. My face looks amazing. Dr. Koo said that I didnt need the laser but that I needed skin care a little Botox and some filler Juvederm. I look great.--Liz H.

*Your results may vary. Any specific claims or permanence length of results vary for each patient and are not guaranteed.

Personal Statement

I give personal and individual attention to all of my patients. I feel each patient is different and has unique goals and I therefore customize the treatments. Every patient is extremely important to me and I take the time to hear and understand each and every ones needs and wants.

Board Certifications

Board-certified by the American Board of Plastic Surgery


American Society for Aesthetic Plastic Surgery (ASAPS)
American Society of Plastic Surgeons (ASPS)
Fellow, American College of Surgeons (FACS)

Hospital Privileges

Dr. Koo has hospital affiliations at Des Peres Hospital, Missouri Baptist Hospital, Webster Surgery Center.


  • Undergraduate & Medical School

    Undergraduate: Stanford University
    Medical: MD, Washington University Medical School
  • Post-Medical School Training

    Residency: General Surgery, Washington University, Barnes Hospital
    Fellowship: Plastic Surgery, Washington University, Barnes Hospital, University of Kansas

Treatments offered at Michele Koo, MD, FACS

Most popular answers from Michele Koo, MD, FACS

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Which is best? Allergan 330 Style 10 silicone implants or 397 Style 15? (Photo)

The most appropriate breast implant for you depends on your idea of the "perfect breast." Your plastic surgeon should be able to pick the best implant... READ MORE

Was enough fat taken out of flanks during liposuction? (photos)

The amount of fat removed depends on how much subcutaneous fat you have AND how much scarring you have from your previous liposuctions. How flat or... READ MORE

Do I appear to have eyelid ptosis in addition to brow ptosis? (photos)

Eyelid and brow ptosis are two separate issue as you seem to already understand. It is difficult to tell from your photos if you have a slight EYELID... READ MORE

I am a very healthy 41 year old mother of 5. Am I a suitable candidate for a Tummy Tuck? (photos)

You appear to have laxity in your abdomen from the separation of your rectus muscles. Did you have C-Sections? If you have been working out and your... READ MORE

Is there cure to tighten the damaged tissue on lower thighs that no amount of exercise, creams, non-surgical procedure will fix?

Unfortunately, there isn't any non surgical-intervention to remedy the skin laxity around the lower thighs and knees. Direction excision above the... READ MORE

Sex after tummy tuck, pros and cons?

I would recommend waiting at least 2 weeks. The length of time to wait depends on the amount of skin removed, if the muscles were repaired, and how... READ MORE

How do you correct bottoming out?

Bottoming out can occur from the tissue stretching or the implant slipping out of the intended pocket. The solution depends on the problem but can be... READ MORE

Are There Different Techniques when It Comes to Injecting Botox? And is There Any Reason It May Have Worked Before but Not Now?

Botox injections can vary significantly between different doctors and even between sessions by the same doctor. Sometimes a certain lot number (batch)... READ MORE

What is the Best Solution for Fine Lines Under the Eyes? (photo)

The fine line under your lower eyelids can be a skin quality issue or an excess skin issue. Since you are so young, it may be an issue that your lower... READ MORE

I've Had 2 Breast Augs & May Need a 3rd Due to Encapsulation. Should I Have a 3rd? Should I Change the Type/size?

I would definitely NOT let your Dr do a closed manipulation to "pop" the breast capsule. This would be a temporary fix and risk rupturing your implant... READ MORE

Before and After Photos by Dr. Koo

Michele Koo, MD, FACS has shared 4 before and after pictures with 27 helpful votes from the RealSelf community.

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*Your results may vary. Any specific claims or permanence length of results vary for each patient and are not guaranteed.