The 3-D ultrasound (US) imaging addresses the limitation in field-of-view (FOV) in conventional 2-D US imaging by providing 3-D viewing of the anatomy. The 3-D US imaging has been extensively adapted for diagnosis and image-guided surgical intervention. However, conventional approaches to implement 3-D US imaging require either expensive and sophisticated 2-D array transducers or external actuation mechanisms to move a 1-D array mechanically. Here, we propose a 3-D US imaging mechanism using an actuated acoustic reflector instead of the sensor elements for volume acquisition with significantly extended 3-D FOV, which can be implemented with simple hardware and compact size. To improve image quality on the elevation plane, we implemented the synthetic aperture focusing (SAF) method according to the diagonal geometry of the virtual element array in the proposed imaging mechanism for elevation beamforming. We first evaluated the proposed imaging mechanism and SAF with simulated point targets and cyst targets. The results of point targets suggested improved image quality on the elevation plane, and the results of cysts targets demonstrated a potential to improve 3-D visualization of human anatomy. We built a prototype imaging system with a 3-D FOV of 38 mm (lateral) by 38 mm (elevation) by 50 mm (axial) and collected data in imaging experiments with phantoms. Experimental data showed consistency with simulation results. The SAF method enhanced quantifying the cyst volume size in the breast mimicking phantom compared with no elevation beamforming. These results suggested that the proposed 3-D US imaging mechanism could potentially be applied in clinical scenarios.