Face Consultation
in St. Louis, MO
in St. Louis, MO
In an era of endless aesthetic options, true rejuvenation requires more than a trending procedure; it requires a strategy. At Dr. Judith Gurley Plastic Surgery & Medical Spa, a face consultation is the foundation of every successful outcome.
As a female plastic surgeon with over 26 years of experience, Dr. Judith Gurley brings a distinct perspective to the aging face. She understands that patients don't want to look altered; they simply want to reclaim a youthful appearance that feels authentic. Whether addressing early signs of aging or seeking comprehensive restoration, Dr. Gurley brings her expert aesthetic eye to every patient. Her goal is to leave patients feeling validated, safe, and visibly refreshed.
A face consultation is a medical and aesthetic assessment designed to map out a long-term treatment plan. Unlike a standard med spa visit where one might simply pick from a generic menu of options, choosing for themselves. At Dr. Gurley's Medspa we analyze your skin and make targeted treatment recommendations, diving deep into the underlying causes of skin issues and structural changes.
This analysis guides the recommendation of a tailored combination of non-invasive treatments, from neuromodulators and biostimulators to advanced options like laser resurfacing, all working together. It is a collaborative process in which individual concerns are carefully considered and a realistic, well-defined plan is created with intention and precision.
Choosing a board-certified plastic surgeon for non-surgical work offers a level of safety and anatomy knowledge that other providers cannot match.
Dr. Judith Gurley Plastic Surgery & Medical Spa primarily serves women who value high-end service and want to maintain their appearance with subtlety and grace.
Dr. Gurley selects from a specific portfolio of tools to address everything from sun damage to acne prone skin conditions.
To smooth wrinkles caused by expression, the practice uses top-tier neuromodulators like Botox and Daxxify. The goal is to relax the muscle, not freeze it. By softening the pull of the muscle, the overlying skin remains smooth, preventing fine lines from etching deeper while maintaining natural movement.
To restore volume lost to aging, Dr. Gurley utilizes the RHA Collection (Redensity, 2, 3, and 4). These resilient fillers are designed to move with the face. Whether used to lift the cheeks or define a jawline, they integrate seamlessly so the face never looks stiff.
Dr. Gurley does not place traditional filler under the eyes, as it often leads to unnatural swelling or a blueish tint. Instead, she utilizes PRF (Platelet-Rich Fibrin) and Bio-Filler. This technique uses the patient's own blood growth factors to stimulate collagen production and naturally restore hollows. It is the safest way to rejuvenate this delicate area.
For patients dealing with acne scars, uneven texture, or dull skin, the Derma-Pen is the gold standard. This device creates controlled micro-injuries that trigger the body’s healing response, boosting collagen for smoother, clearer skin.
To address significant sun damage, dark spots, large pores, and uneven tone, Dr. Gurley may recommend CO2 laser treatment. This technology removes dead skin cells and stimulates deep skin rejuvenation, revealing a fresh, glowing complexion. This laser builds collagen and tightens lower eyelid skin, minimizing darkness and wrinkles.
Taking collagen induction a step further, RF Microneedling combines the physical stimulation of needles with the tightening power of radiofrequency heat. This dual-action treatment targets the deeper layers of the dermis to firm lax skin, refine texture, and reduce scarring. By delivering thermal energy directly into the tissue, it stimulates a robust healing response while keeping the surface layer intact for a quicker recovery.
For deep tissue remodeling, Dr. Gurley offers Morpheus8. This advanced fractional treatment penetrates deeper than standard microneedling to mold the subdermal fat and tighten the skin simultaneously. It is particularly effective for contouring the jawline, neck, and body, offering a powerful non-surgical approach to lifting loose tissue and smoothing uneven texture.
For patients seeking skin renewal with minimal downtime, ResurFX is the ideal non-ablative fractional laser solution. Unlike ablative lasers that remove the top layer of skin, ResurFX heats the deeper layers to stimulate new collagen and elastin production without damaging the surface. It’s an excellent choice for treating fine lines, stretch marks, and acne scars for a smoother, more youthful finish.
To address tone, texture, and volume simultaneously, SmoothGlo creates a synergistic effect by stacking two powerful technologies. By combining the pigment-correcting power of IPL with the volumizing heat of RF Microneedling, this treatment reverses the visible signs of aging in a sequential session. It targets redness, brown spots, and skin laxity all at once to reveal an immediate, radiant glow.
To clear the complexion of "visual noise," Fractionated IPL targets the reds and browns associated with sun damage and rosacea. This light-based therapy seeks out pigment irregularities and broken capillaries, breaking them down so the body can naturally eliminate them. The result is a significantly more even, radiant, and uniform skin tone.
Sometimes the skin simply needs a fresh start. The practice offers medical-grade chemical peels customizable to the patient's specific skin type and concerns. By chemically exfoliating the dull, outer layer of the epidermis, these treatments reveal the fresh, healthy skin underneath, effectively treating hyperpigmentation, fine lines, and active acne.
Great results require maintenance. Every face consultation includes a skincare recommendation. The team focuses on medical-grade products that improve skin tone, enhance product penetration, and protect the patient's investment. Our skincare recommendations evolve with you, addressing seasonal changes, post-treatment needs, and active, results-driven phases of care.
To ensure the most productive visit, patients should arrive prepared. We recommend:
Come with a clean face: Please arrive without makeup so Dr. Gurley can accurately assess skin tone and texture.
Dr. Gurley’s approach is methodical and gentle. After mapping the unique anatomy, she may recommend a phased approach. There are times when Dr. Gurley advises "going slow"—building a foundation naturally over a couple of months rather than attempting to do everything in a few hours.
She treats the face as a whole ecosystem. For example, she may suggest addressing dead skin cells with an exfoliating treatment before moving on to injectables to ensure the skin is radiant and healthy enough to support the volume.
One of the best aspects of Dr. Gurley’s technique is the lack of downtime.
Comprehensive face plans are meant to leave you looking refreshed, not different. Patients can expect facial results that look harmonious with their features. Friends may ask if they have been on vacation or lost weight, but the work itself should be undetectable. By adhering to a custom plan, patients can maintain youthful skin and a confident, radiant glow for years to come.
The cost of treatment varies depending on the specific plan recommended by Dr. Gurley or her medical staff. During the personalized consultation, the practice provides a clear, itemized quote based on the products (e.g., number of units or syringes) and technologies used.
In a market saturated with generic providers, Dr. Gurley stands apart as a female board-certified plastic surgeon who personally performs every injection. She brings 26 years of experience and a woman’s intuitive understanding of beauty to every appointment. Dr. Gurley performs all injections to ensure each patient is in the very best hands - prioritizing both safety and beautiful natural-looking results.
She is known for her transparent honesty and integrity. If a treatment will not serve a patient's long-term aesthetic interests, she will say so. Patients trust her to prioritize their safety and natural beauty. When patients choose Dr. Gurley, they are choosing an expert partner who is invested in their long-term outcome, safety and care.Schedule Your Consultation
Your face tells the story of your life; let us help it tell a story of vitality, health, and confidence. Trust your care to the surgical expertise and artistic eye of Dr. Judith Gurley. Contact the practice today to schedule a comprehensive face consultation.
The skin under the eyes is incredibly thin. Traditional dermal fillers here often absorb water over time, leading to chronic puffiness or a blueish tint. Dr. Gurley prioritizes safety and natural beauty, preferring PRF or Bio-Filler to restore this area naturally without those risks.
This simply refers to non-surgical maneuvers to beautify the face.
There is minimal downtime. Most patients return to their daily routines immediately. While Dr. Gurley uses advanced techniques to minimize trauma, some minor bruising may occur, which typically heals within 7 to 10 days.
Yes. Starting early with a focus on skin health and facial balancing is the best way to prevent deep lines later. The practice focuses on maintenance and "prejuvenation" for younger patients to keep the skin youthful and strong. Hormones can wreak havoc for the younger patient population. Balancing your skin biologically and chemically with the proper ingredients can control pore size, acne and pigment.
Never. Dr. Gurley’s philosophy is "Natural - Safe - Beautiful." She uses neuromodulators to relax muscles, not freeze them, ensuring patients retain natural expressions while smoothing fine lines.
Absolutely. The practice can incorporate Dermapen microneedling or CO2 laser treatments into the plan to break down scar tissue, improve skin texture, and stimulate collagen production for smoother skin.
Dr. Judith Gurley is a skilled plastic surgeon with over 25 years of experience. Board-certified by the American Board of Plastic Surgery, she trained at Washington University School of Medicine, where she served as an Attending and Assistant Professor. She is also an active member of The Aesthetic Society, American Society of Plastic Surgeons, Association of Women Surgeons, St. Louis Society of Plastic Surgery, and FACS / American College of Surgeons Professional Association. With contributions to peer-reviewed journals and pioneering innovations, including FDA-approved treatments, she has been recognized as a Top Doctor.
