Your skin has its own rhythm. Some days, it glows. Other days, it rebels. Breaking out, drying up, or dulling down, no matter what you try. Uneven tone or fine lines that used to smooth away with a little extra sleep are sticking around. Maybe your normal skincare products have stopped working altogether. When your skin changes, it’s more than cosmetic, it’s your body asking for attention.
At Dr. Judith Gurley Plastic Surgery & Medical Spa, we listen. Every skin consultation begins with time, care, and science. Dr. Gurley, a board-certified plastic surgeon with a deep understanding of facial anatomy and biology, is passionate about skin health, skin cancer prevention, anti-aging, regenerative therapies, surgery, lasers and more. She sees the big clinical picture by making it easy for you to be guided by her rich experience and expertise. You will be comforted by her and her team's time, care and genuine interest in you.
This isn’t a run-of-the-mill spa. Your initial consultation starts with a full, in-depth conversation about your skin. What it is doing, why it’s doing it, and what we can do to help. During an initial appointment, Dr. Gurley and her medical team will assess your health history and skin routine. At the visit, the team will evaluate your skin tone, texture and elasticity. Next, they will identify underlying characteristics that most people never notice, and finally the team will develop a personalized treatment plan tailored to your goals and lifestyle.
Because you are in a true medical spa, fully equipped with many treatment options, specific recommendations are made to target your individual skin issues. For example, we may focus on facial rejuvenation for aging skin, laser treatments to target pigmentation, or a customized chemical peel to smooth and brighten. For some patients it’s about acne management or restoring hydration to dry skin. For others, it’s planning subtle dermal filler or botox sessions to restore volume and refine facial balance. Every step is safe, supervised, and performed with exceptional care. Dr. Gurley has highly trained staff and is always available to help guide the way.
You won’t find a cookie-cutter experience here. It’s careful, clinical, and deeply human.
Skin consultations are for everyone. Our medical office in St. Louis, MO, conveniently located in the heart of Ladue, welcomes all ages, from teens dealing with acne to adults refining their facial appearance reversing signs of aging. We treat men and women with sensitive skin, hyperpigmentation, rosacea, early signs of aging, and even unwanted hair. Many of our patients are simply seeking balance through glowing skin that feels calm, strong, and even again. It is also beneficial that a female plastic surgeon is on-sight every day to make recommendations, do injections, or refine with regenerative medicine or surgery.
If you’ve been chasing new products or treatments with little success, this is where you pause and let expertise lead the way.
Your first visit is relaxed and unhurried. We’ll talk about your skin concerns, the treatments you’ve tried, and the goals you’d like to achieve. Dr. Gurley will evaluate your skin’s overall condition and integrity, including how aging, hormones, or environment may be affecting collagen production and elasticity.
Once she’s identified what’s happening beneath the surface, her medical team will walk you through a treatment plan that may start off with gentle, non-invasive facial treatments that refresh and restore balance without downtime if that’s what you prefer. Or she will recommend a more targeted direct approach that will see quicker results but may have more downtime. We can tailor your treatment plan based on your social schedule, lifestyle and goals. You’ll leave with practical skincare tailored recommendations, not guesswork.
If you want simply a gentle facial, you can go to any of the many local “spas” without a doctor on site. If you want a treatment that offers a noticeable difference, choose the Dr. Gurley run medical spa. Experience the Gurley Glow team, where Dr. Gurley will oversee your treatment every step of the way. See what smart, biologically sound, experienced hands bring to the table of skin science. Plus, Dr. Gurley practices what she preaches.
Dr. Gurley’s med spa uses only advanced technology backed by research, not trends. Each treatment is carefully chosen for precision, safety, and proven results.
Dr. Gurley is the sole injector of dermal fillers, PRF, nanofat and neurotoxin. Many patients enjoy the cohesive experience between spa treatments, laser and injections to get the best overall results. Dr. Gurley will even recommend surgery if that is how you can get the best result.
Nanofat grafting is one of the most advanced regenerative treatments in modern aesthetic medicine, and Dr. Gurley is an expert in both harvesting and grafting techniques. As a board-certified plastic surgeon, she believes surgeons are uniquely trained to perform nanofat/fat procedures with the highest standards of sterility, safety, and artistic precision. Patients trust her surgical expertise to deliver natural, beautiful, and long-lasting rejuvenation results.
No treatment matters without a proper at-home skincare routine.
Dr. Gurley’s skincare line, GurleyGlow®, works in conjunction with these treatments to provide your skin with the best chances of smooth recovery with optional long-term benefits. The Gurley Glow® skincare line is FDA-approved with pure ingredients that make a difference for skin health. Our staff is well qualified to answer any questions you may have about Gurley Glow®, and can be ordered in-store or at our online shop.
One-on-one consultations for skincare can open a door to healthy skin that simple over-the-counter products can’t compare to.
Dr. Gurley’s method is grounded in personal experience, love of skin health, and a deep interest in understanding your skin and how to improve it. She is a board-certified plastic surgeon, unlimited in her understanding and appreciation for all options. She studies how everything works together: the eyes, the cheeks, the lips, the jaw, the texture of the skin, the underlying collagen, and how these details reflect light and expression. It’s this level of understanding that keeps results looking natural and timeless. Dr. Gurley will offer advice for when to start neurotoxins, fillers, or other treatments.
She literally considers your face from “the inside-out.” It starts with structure and that goes hand-in-hand with skin quality. Both need to be balanced and healthy!
Her dedicated medical team upholds the same standards, offering exceptional care and integrity at every stage. They constantly communicate with Dr. Gurley, who tracks your progress. Whether you’re addressing texture, acne, or planning facial rejuvenation, the focus never shifts from your individual needs and reassurance. You’ll always feel comfortable here.
Most patients leave with smoother, calmer, happier skin. For gentler facial treatments, you’ll notice an instant glow. After more intensive procedures like RF microneedling or laser treatments, your skin might appear slightly pink for a day or two before settling into its new rhythm. Each plan supports long-term skin health - hydration, improved tone, and steady collagen production that keeps skin resilient. We will recommend a soothing post-procedure skincare kit that will facilitate healing.
You’ll also receive a follow-up skin plan built around your skin’s unique patterns. This may include medical-grade products, targeted peels, or custom facials spaced strategically for maintenance. Every recommendation supports your natural beauty, helping your skin do what it does best: repair, rebuild, and rejuvenate.
Bring your skincare products (or photos of them) so we can understand what your skin’s been exposed to. Let us know about any sensitivities or allergies. Most of all, come ready to talk. The more open the conversation, the better your personalized treatment plan will be.
And yes, we can also discuss other options like injectables, Botox, or even surgery if they support your aesthetic goals. We’ll always be transparent about what makes sense—and what doesn’t.
Our spa feels calm, clean, and subtly luxurious. Intensely professional but relaxing and comfortable as well. You’ll notice the difference the moment you walk in. It’s a med spa built around patient connection. Dr. Gurley’s philosophy is simple: do what’s right, and do it beautifully.
From smoothing wrinkles and fine lines to helping treat acne and resurface acne scars, every service is backed by both science and artistry. It’s the balance of those two things that creates results worth keeping.
Healthy, confident skin starts with understanding. If your medicine cabinet has gobs of expensive skincare that doesn’t work, ask Dr. Gurley and her team why Gurley Glow skincare may be the solution they are looking for. It comes down to science, research, and clinical proof. Trust a female plastic surgeon to guide you on your skincare journey. Schedule your skin consultation today with Dr. Judith Gurley Plastic Surgery & Medical Spa.
This first appointment is your chance to reconnect with your skin through professional, thoughtful, and deeply personalized care that’s centered on you. Call today or request your appointment online. Your path to calm, glowing skin starts here.
Your personalized treatment plan is designed for both immediate improvement and long-term skin health. After initial sessions, we’ll talk about maintenance options so your skin stays radiant and resilient, rather than reverting back to where it started.
Yes — if your skin and schedule permit. During your skin consultation, we’ll review your goals and skin condition, and decide together if a combination approach makes sense (for example: laser hair removal and a gentle resurfacing, IPL and neurotoxin injections, dermaplane and chemical peel) or if spacing them ensures better healing and results.
Cosmetic and rejuvenation services are considered elective, so they are not covered by insurance. We’ll review all costs upfront. Payment is due upon receiving treatment.
Most patients return every 1-2 months. We’ll customize timing based on your treatment plan and how your skin responds. You can always come more often depending on your goals.
Usually yes, but keep it gentle for the first 24–48 hours. Avoid exfoliants, retinol, and strong actives until your skin feels calm again. After that, we will guide you on when to resume your usual products.
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.
