Saint Louis Plastic Surgeon
16216 Baxter Road, Suite 250
Saint Louis, Missouri 63017 US
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Free Body Contouring Consultation
Free Breast Surgery Consultation
Free Mommy Makeover Consultation
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30 years experience
271 expert answers
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"They put your mind at ease, but do not paint an unrealistic picture." "He always has their best interest first and foremost." "I had a tummy tuck and breast lift two months ago and I look and feel great!"

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5.0 out of 5 stars 5.0 stars from 81 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 Mommy Makeover

36yo with 4 Kids (Plus a Twin Pregnancy ) in 3 Yrs Looking to Restore my Parts(; - Chesterfield, MO

I have so much respect for Dr Kofkoff ! He did an amazing job with my MM. He and his staff were professional and so helpful from my very ist phone call to their office. Teresa I love your calm wisdom . Jaime you are always so positive and helpful. Dr Kofkoff 's bedside manner is beyond expectations ! He is sensitive and thoughtful and made me feel like priority for sure. The surgical center was state of the art and the staff also very professional and provided me with great Service . Dr Kofkoff I can't thank you enough for improving my life with your many years of surgical experience !

5 out of 5 stars Breast Augmentation

Very Happy and Super Satisfied - Saint Louis, MO

Dr. K was just amazing he answered most of my questions before I even had to ask the whole office and surgery center was nice and friendly and super helpful and made you feel very comfortable. After my consult I got in for my surgery 3 weeks later so very quickly. Dr. K was so nice and informative and listened to all my concerns and he was very knowledgable. Also he was just really comfortable to be around and he was very respectful. I found him on a google search and I've never been happier! Dr. K was awesome he was so kind and friendly very up front answered all my questions, listened well to my wants and needs and was very much about giving me what I wanted.

5 out of 5 stars Breast Augmentation

35 Yo, 5'7 140 Lbs, Work in Professional Environment, 2 Great Kiddos! - Saint Louis, MO

My entire experience from start to finish (well one week out) has been fantastic with Dr. Kofkoff. He is so down to earth and makes you feel so comfortable. I went to another consult first and after I met with Dr. Kofkoff I couldn't believe how much the 1st consult DIDN'T tell me! Dr. Kofkoff didn't first introduces himself, then you change and he examines and then you change back to normal clothes and sit with him and he goes into great detail about everything. It is so informative and completely puts you at ease! Teresa is amazing as well! All of the office staff are so friendly. I think it is just 3 of them and i feel like they knew who i was as soon as i walked in for each appointment. His rapid recovery is a MUST! I was at the pumpkin patch with my son the next morning after the surgery. I certainly wasn't driving or lifting but i was walking around feeling great! He has you lifting your arms right away, so I never had an motion constraint at all! I would HIGHLY recommend Dr. Kofkoff to anyone! I would do it again in a MINUTE!!! THANKS!!!!

5 out of 5 stars Breast Augmentation

Gave Me Back What I Had Before Only Better! - Saint Louis, MO

I discovered Dr. Kofkoff after having been to two other consultations and left both not feeling like I "connected" to either of those surgeons. I continued to research and discovered Dr. K online and decided to make an appointment after reading the rave reviews. At my consultation, we talked for an hour and a half, in which he listened to all of my concerns and provided honest and factual opinions. Additionally, I talked over the phone with both him and his staff numerous times, and I never once felt rushed. In fact, one could see that he not only is concerned about his work, but his patients as well. Phenomenal work, talented doctor and most of all, genuinely cares about every individual person and their unique concerns.

5 out of 5 stars Breast Augmentation

Could Not Be More Happy - Saint Louis, MO

Dr Kofkoff was referred by a friend and I could not of picked a better Dr. Dr. Kofkoff and Teresa have been so wonderful, the best experience. Every question and concern was answered with understanding and patience. Every step of the process was wonderful never felt more taken care then I did using Dr. Kofkoff. I would recommend him to anyone who was thinking of any procedure not just breast augmentation. I can not say enough how great the experience has been for me. I went to visit with Dr Kofkoff and was instantly comfortable with him.

5 out of 5 stars Breast Augmentation

Breast Augmentation With Quick Recovery - Saint Louis, MO

I found out about Dr K because my sister received a few great referrals to his office. I had never been on a consulation before. I was so impressed and blown away by the professionalism and with how informative Dr. K was, combined with the awesomeness of his staff, I knew I didn't need to look any further.

5 out of 5 stars Breast Implants

Many Heartfelt Thanks - St. Louis, MO

I can not praise Dr. Kofkoff and his wonderful staff enough for the care I received before, during and after my breast augmentation. Simply wonderful!

5 out of 5 stars Breast Augmentation

I Have Had a Lift, Reduction and Implants Put in and the Healing Process is Unbelieveable - Chesterfield, MO

Dr. Kofkoff and his staff are amazing. Dr. Kofkoff has completed two surgeries for me and both times my experience with his staff and him were great!! I trust him and he does a great job. He will give you a 100% honest answer and never pressures for you to do something. He will tell you if he does not agree with something. I recommend him to anyone.

5 out of 5 stars Tummy Tuck

Breast Augmentation and Tummy Tuck - Chesterfield, MO

Dr. Kofkoff never makes you feel rushed when you have a 1,001 questions. Anytime I have called the staff has been helpful with helping with your questions Dr Koffoff and his staff have made these procedures as enjoyable and easy as surgery can be. At all times I felt well informed of what to expect.

5 out of 5 stars Breast Augmentation

Breast Augmentation - Saint Louis, MO

After meeting with Dr. Kofkoff and his staff I knew I made a good decision. Dr. Kofkoff and his staff took great care of me and helped m make decisions that helped me to get what I really wanted. He really listened to my goals and achieved them.

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

Personal Statement

Dr. Richard L. Kofkoff is a well-respected and dedicated cosmetic surgeon in working in the Greater St. Louis area. He has spent over twenty years developing his skill and techniques to fulfill his desire to help his patients achieve the appearance and self-confidence they desire.

Board Certifications

Board-certified by the American Board of Plastic Surgery


American Society for Aesthetic Plastic Surgery (ASAPS)
American Society of Plastic Surgeons (ASPS)

Consultation Fee

$75. Complimentary consultation if you mention you found us RealSelf!

Hospital Privileges

Dr. Kofkoff has hospital affiliations at St. Luke's Hospital.


  • Undergraduate & Medical School

    Undergraduate: BA, Biology, Brown University, 1976
    Medical: MD, New York University School of Medicine, 1980
  • Post-Medical School Training

    Internship: General Surgery, Barnes Hospital, Washington University, 1981
    Residency: General Surgery, Barnes Hospital, 1985
    Fellowship: Plastic Surgery, University of California, San Francisco, 1987

Treatments offered at Richard Kofkoff, M.D., P.C.

Most popular answers from Richard Kofkoff, MD, FACS

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What Does "Drop and Fluff" Refer to in a Breast Augmentation? Will They Get Larger?

Drop and fluff seems to refer to the process during which breast implants settle and, in so doing, the upper breast fullness decreases and the lower... READ MORE

Can You Explain the Upper Pole Fullness/swelling After Breast Augmentation Surgery? (photo)

There are several reasons why the breast may have excessive upper fullness: 1) Early after surgery there is a component of swelling.  Swelling ... READ MORE

Is it possible to have my doctor deliberately deflate my saline implants?

Yes it is possible to deflate saline implants.  This can be done in the office.  Although any manipulation can possibly introduce the risk of i... READ MORE

2 wks after Breast Augmentation, when I lift my arm, I have 4 raised lines pulling at the bottom of my breast it hurts. (photo)

The lines you have noticed are referred to as Mondor's cords and are the result of clots in the superficial vessels beneath your breast.  They are ... READ MORE

Do you think I have enough breast tissue to get my implants over the muscle? (photo)

I understand your desire to minimize your postoperative discomfort and to maximize your cleavage.  Fortunately, recovering from a submuscular ... READ MORE

Chest Exercises and Implants?

My experience is that for the typical patient who works out often but is not a competitive body builder there does not appear to be a problem with... READ MORE

How Early Can Capsular Contracture Start? (photo)

One of the signs of capsular contracture is malposition of the implant.  Additionally, the breast will feel more firm.  Although contractures can b... READ MORE

I Am Terrified of Surgery. Will a Non-surgical Option Work for Me? (photo)

Unfortunately, surgery is likely to be your only solution.  It is normal to have concerns about consenting to an elective procedure.  You probably a... READ MORE

How Much of my Stretch Marks Will Be Removed with a Tummy Tuck? (photo)

It is impossible to tell you precisely how much skin, and therefore how many stretch marks, will be removed during a tummy tuck.  In general, the ... READ MORE

How Long and How Often Should You Follow Up with Doctor After Full Tummy Tuck with Lipo?

So sorry to hear about your plastic surgeon.  I am located in St. Louis and have seen a number of patients from Effingham and surrounding areas.  I k... READ MORE

Before and After Photos by Dr. Kofkoff

Richard Kofkoff, MD, FACS has shared 59 before and after pictures with 149 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.