You notice age starting to take hold: the volume’s faded, and the definition is missing. Some days we notice the way our cheeks settle, or how our lips don’t quite hold the same shape. Biofillers have probably crossed your mind, but so have the stories that made you hesitate. Too much. Too obvious. Too impersonal. What you’re looking for is something quieter. A way to restore what’s shifted without stepping outside yourself.
At Judith Gurley Plastic Surgery & Medical Spa in Chesterfield, Dr. Gurley’s approach is truly unique—she believes subtlety is the key to beautiful facial filler results. The most important feature of biofillers is that they are natural—made 100% from YOU. Biofiller contains no foreign additives or chemicals, making it even more natural than PRP treatments. Biofiller treatment begins with a conversation. Dr. Gurley draws on over two decades of surgical expertise to map every injection to your natural structure–never overfilled, never rushed. She handles every appointment personally, with an emphasis on balance, restraint, and long-term trust. This is precision aesthetic care with real listening at its core, because feeling good in your skin shouldn’t come with compromises.
Biofillers are made from your own body–specifically, your blood components. Because this filler option is made from you, it is more natural and can potentially last longer thanks to its regenerative properties, which stimulate your body’s own collagen production. It works beneath the surface of the skin to create subtle structure, smooth transitions, and balanced definition.
Dr. Judith Gurley brings over 26 years of experience to every procedure, with 18 of those spent in her own private, boutique practice. She personally performs every consultation, every injection, and every follow-up. That level of consistency is rare, especially in an industry where filler appointments are often passed off to rotating staff.
Her background in facial anatomy, coupled with an aesthetic sense honed by decades of surgical experience, means that patients don’t just receive filler, they receive precision. In 2024, Newsweek recognized her as one of America’s Best Plastic Surgeons. Her reputation is built on natural results and long-term trust, not gimmicks or overuse.
Injectable treatments have become a mainstay in modern aesthetics for good reason. They offer a fast, non-surgical option to address some of the most common aesthetic concerns: loss of volume in the cheeks or lips, deepening smile lines, early jowling, or tired under-eyes.
At Dr. Gurley’s practice, fillers aren’t about chasing trends. They’re about restoring natural beauty and facial harmony. Whether you’re preparing for an event or simply want to feel more confident in your own skin, the appeal lies in how quickly and effectively biofillers can deliver visible, believable results.
Fillers can be used across the face to restore lost volume or bring symmetry to areas that feel disproportionate. Dr. Gurley commonly treats the lips, cheeks, chin, jawline, under-eyes, temples, and folds around the mouth.
In each case, the goal is harmony. That means blending the treated areas with the rest of your features, not inflating them beyond what looks natural.
Biofillers offer a long list of aesthetic and practical benefits. Patients often choose them because they are:
Dr. Gurley’s technique adds another layer of value. Her filler appointments go beyond the product; they’re about restoring identity, confidence, and comfort in your own skin.
.jpg)
Healthy adults seeking facial enhancement without surgery are often excellent candidates for biofillers. This includes people with mild-to-moderate volume loss, asymmetry, or aging concerns such as deepening folds or hollowed contours.
Fillers may not be appropriate for those who are pregnant, breastfeeding, or currently experiencing skin infections. During your consultation, Dr. Gurley will review your health history and determine if fillers are a safe, effective choice.
Every treatment begins with an in-depth consultation. Dr. Gurley examines facial structure, discusses your concerns, and maps a plan that makes sense for your features, not someone else’s. You’ll have the opportunity to ask questions and decide together what level of enhancement fits your goals.
Most filler treatments take 30 to 45 minutes. A topical numbing cream is often applied beforehand to reduce discomfort, and many of the products Dr. Gurley uses also include lidocaine for additional ease. Dr. Gurley uses fine needles or blunt micro-cannulas, depending on the area and product. Her injection style is slow, deliberate, and sculptural, never rushed or routine.
Some swelling, redness, or mild bruising is possible for the first few days, depending on the area treated. Many patients return to work or errands immediately afterward. Full settling of the filler usually takes about a week, with subtle changes continuing as the product integrates into the tissue.
Most dermal fillers begin working instantly. You’ll walk out of the office with visible changes, although the final result improves over the following days as swelling resolves and the product settles. Longevity varies depending on the filler and treatment area. Some last six months, others up to two years. We often recommend an initial series of 3 injections followed by annual maintenance appointments.
Filler pricing varies based on the type of product used and the number of syringes needed. Because Dr. Gurley’s approach is customized for every patient, you’ll receive a personalized treatment plan and pricing during your consultation.
In St. Louis, there are many places to receive dermal fillers, but very few where every detail is managed by a board-certified plastic surgeon. Dr. Gurley brings decades of surgical expertise and a finely tuned artistic eye to each appointment.
Dr. Gurley is an expert injector and the only injector in her practice. There’s no risk of going to someone else for any of your filler appointments. Dr. Gurley prides herself on working with her patients to create a plan they are comfortable with for results they will love. What you get is honest guidance, personalized care, and results that are safe, beautiful, and enduring.
If you choose a hyaluronic acid-based filler like Juvéderm or Restylane and change your mind, there’s a solution. An enzyme called hyaluronidase can be used to dissolve the filler within 24 to 48 hours. While most patients love their results, this option provides peace of mind—especially for first-timers.
Yes. In fact, that’s the entire point of Dr. Gurley’s approach. Her philosophy is rooted in subtlety and balance. The best filler results don’t advertise themselves. They simply allow your features to look more refreshed, rested, and harmonious. You’ll still look like you—just a little more vibrant.
Most fillers last nine to eighteen months. The exact timeline depends on the amount used, area treated, and your metabolism.
Yes. Mild swelling or bruising may occur, but most patients return to normal routines immediately. Applying cold compresses and avoiding strenuous activity for 24 hours is recommended.
To minimize bruising, avoid blood thinners such as aspirin, ibuprofen, or alcohol for 48 hours prior. Always consult with Dr. Gurley before making medication changes.
No. When administered properly and maintained appropriately, biofillers do not stretch skin. In fact, they can support the skin’s structure and slow some of the visible signs of aging.
No. Biofillers are temporary and gradually break down over time. However, they improve the overall quality of the tissues into which they are injected.
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.
