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She had breast implants midway through her career and is known for a buxom figure and numerous hardcore anal sex and lesbian scenes. She is also renowned for doing "anything" (to quote various websites) for the camera, though her work is typical of mainstream American pornography. Since her first adult film in 1999, Miko has appeared in numerous movies, many of which feature her in the title role, such as Cruising With Miko Lee and My Plaything: Miko Lee. The latter was a "virtual" or "interactive" DVD devoted to Miko. She is renowned for black interracial and double penetration scenes.
She was at one time represented by the infamous agent Roy Garcia of Sex Symbols Talent management, but ultimately pursued freelance work because of an apparent "falling out" with Garcia. Tan claims that Lee's father had thought Miko worked in a grocery store and had been previously unaware of his daughter's porn career. The shock allegedly led to him having a stroke. She left the adult industry soon after this time though previously recorded sex films of her continued to be released for some time afterwards.