[guided]The previous step gives an inclusion for compact subsets $K \subset P^{-1}(A)$ and $L \subset P^{-1}(B)$. We now explain why this is enough for arbitrary Borel sets $A$ and $B$. The point is that Borel probability measures on Euclidean spaces are inner regular: the measure of a Borel set can be recovered as the supremum of the measures of compact subsets contained in it.
Let $A,B \subset \mathbb{R}^n$ be Borel sets, let $\lambda \in [0,1]$, and assume that $(1-\lambda)A+\lambda B$ is Borel. The convention in the statement is $t^0=1$ for every $t \in [0,1]$. If $\lambda=0$, the desired inequality reads $(P_\#\mu)(A) \geq (P_\#\mu)(A)$; if $\lambda=1$, it reads $(P_\#\mu)(B) \geq (P_\#\mu)(B)$. Therefore we may assume $\lambda \in (0,1)$.
Because $P$ is continuous, $P^{-1}(A)$ and $P^{-1}(B)$ are Borel subsets of $\mathbb{R}^{n+m}$. Since $\mu$ is a Borel probability measure on the Euclidean space $\mathbb{R}^{n+m}$, regularity of finite Borel measures on Euclidean spaces gives inner regularity on Borel sets. Hence, for every $\varepsilon > 0$, there are compact sets $K,L \subset \mathbb{R}^{n+m}$ such that
\begin{align*}
K \subset P^{-1}(A), \qquad
L \subset P^{-1}(B), \qquad
\mu(K) \geq \mu(P^{-1}(A))-\varepsilon, \qquad
\mu(L) \geq \mu(P^{-1}(B))-\varepsilon.
\end{align*}
These compact sets are the objects to which we apply log-concavity, so we never need to apply log-concavity to a possibly non-Borel Minkowski sum of arbitrary Borel sets.
By the inclusion from the previous step,
\begin{align*}
(1-\lambda)K+\lambda L
\subset
P^{-1}((1-\lambda)A+\lambda B).
\end{align*}
The set $(1-\lambda)K+\lambda L$ is compact, hence Borel. Therefore monotonicity of the measure $\mu$ gives
\begin{align*}
\mu(P^{-1}((1-\lambda)A+\lambda B))
\geq
\mu((1-\lambda)K+\lambda L).
\end{align*}
Since $K$ and $L$ are compact Borel sets and $\mu$ is log-concave, we may apply the log-concavity inequality for $\mu$ to obtain
\begin{align*}
\mu((1-\lambda)K+\lambda L)
\geq
\mu(K)^{1-\lambda}\mu(L)^\lambda.
\end{align*}
Combining the last two inequalities and using the compact approximations gives
\begin{align*}
\mu(P^{-1}((1-\lambda)A+\lambda B))
&\geq \mu((1-\lambda)K+\lambda L) \\
&\geq \mu(K)^{1-\lambda}\mu(L)^\lambda \\
&\geq (\mu(P^{-1}(A))-\varepsilon)^{1-\lambda}(\mu(P^{-1}(B))-\varepsilon)^\lambda,
\end{align*}
with the harmless convention that negative factors are replaced by their nonnegative parts for large $\varepsilon$; as $\varepsilon \downarrow 0$, this convention disappears. Letting $\varepsilon \downarrow 0$ and using continuity of $(s,t) \mapsto s^{1-\lambda}t^\lambda$ on $[0,1]^2$ gives
\begin{align*}
\mu(P^{-1}((1-\lambda)A+\lambda B))
\geq
\mu(P^{-1}(A))^{1-\lambda}\mu(P^{-1}(B))^\lambda.
\end{align*}
Finally, by the definition of pushforward measure,
\begin{align*}
(P_\#\mu)((1-\lambda)A+\lambda B)
&= \mu(P^{-1}((1-\lambda)A+\lambda B)), \\
(P_\#\mu)(A)
&= \mu(P^{-1}(A)), \\
(P_\#\mu)(B)
&= \mu(P^{-1}(B)).
\end{align*}
Substituting these identities yields
\begin{align*}
(P_\#\mu)((1-\lambda)A+\lambda B)
\geq
(P_\#\mu)(A)^{1-\lambda}(P_\#\mu)(B)^\lambda.
\end{align*}
This is the Borel-set log-concavity inequality for $P_\#\mu$.[/guided]