# Dr. Judith Gurley Plastic Surgery & Medical Spa

>  We are here to assist you in transforming you into your best Self, Made New! Visit Judith Gurley Plastic Surgery & Medical Spa in St. Louis, MO, today.

This document contains the full content of all pages on this website.

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## No One Will Know. Everyone Will Notice.®

**Link:** [No One Will Know. Everyone Will Notice.®](https://www.judithgurley.com/) ([md](https://www.judithgurley.com/index.html.md))

**Description:** We are here to assist you in transforming you into your best Self, Made New! Visit Judith Gurley Plastic Surgery & Medical Spa in St. Louis, MO, today.

Dr. Judith Gurley, Board-Certified Plastic Surgeon

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*Welcome to Dr. Judith Gurley Plastic Surgery & Medical Spa!*

Dr. Judith Gurley Plastic Surgery & Medical Spa is a results-driven boutique practice offering a spa-like atmosphere that ensures a personalized and luxurious experience for every patient. Dedicated to meeting all aesthetic needs, we specialize in a wide range of procedures, including *breast plastic surgery* (from implants and fat grafting to reduction, lifts, and revision procedures), *body contouring*, and *facial rejuvenation*. Our services also encompass *medical spa treatments* and individualized skincare routines.

[Read More About Us](/about/)

#### Specialty Treatments

#### Dr. Judith Gurley

*Board-Certified Plastic Surgeon St. Louis, Missouri*

With over 25 years of expertise as a top Board-Certified **Plastic Surgeon in St. Louis**, Dr. Judith Gurley brings unparalleled experience to her practice. Known for her artistic eye and meticulous attention to detail, Dr. Gurley specializes in facial, breast, and body procedures, ensuring that each treatment is tailored to the individual’s needs. Her hands-on approach and dedication to achieving natural, beautiful results have earned her a reputation for excellence. Dr. Gurley’s commitment to continuous learning and innovation keeps her at the forefront of *aesthetic medicine*, making her a trusted expert in the field.

#### It’s All Up To You

*Your Consultation with Dr. Gurley*

Come in for a consultation with your premier St. Louis **Plastic Surgeon**, Dr. Gurley. Your concerns, situation, and body are uniquely you. Depending on what Dr. Gurley finds during a consultation and evaluation, she may recommend the following:

#### Expertly Curated Care

*Advanced Plastic Surgery Procedures in St. Louis, MO*

With a commitment to excellence and exceptional patient care, the practice stands out in the field, showcasing some of the most impressive before and after results, while providing a sanctuary for those seeking transformative and comprehensive beauty solutions with minimal scarring. From our office and *medical spa in Ladue*, Dr. Gurley serves St. Louis, Missouri, and beyond with genuine, authentic, straightforward, and empathetic care achieving the most natural results possible.

When it comes to **plastic surgery** St. Louis patients trust that the results of their procedures will enhance their natural beauty. They maintain their authentic appearance, feeling healthier, more attractive, and confident, without appearing drastically different. Treatment outcomes truly align with our philosophy: No one will know. Everyone will notice.®

#### Non-Surgical Solutions Performed With Surgical Precision

*The Med Spa at Judith Gurley Plastic Surgery*

Elevate your natural beauty with our state-of-the-art *Med Spa*. Our expert team delivers a curated selection of non-surgical treatments, each executed with surgical precision. Experience the transformative power of our rejuvenating facials, designed to revitalize your skin and restore a youthful glow. Our expertly administered injectables, including Botox and dermal fillers, can subtly enhance your features, smoothing wrinkles and restoring volume.

Indulge in our *body contouring treatments*, such as CoolSculpting, to sculpt your ideal physique. With a focus on personalized care and cutting-edge technology, our St. Louis **Med Spa** offers the ultimate solution for enhancing your natural beauty and achieving your aesthetic goals.

#### Real Patients, Real Stories

*Patient Testimonials*

#### Gallery

Explore our gallery to see the remarkable results our patients achieve through expert treatments.

[View More](/gallery/)

#### Gurley Glow® Shop

Look and feel your best with *Gurley Glow® skincare*. Find your perfect regimen or contact us today for a consultation.

[Call Us](tel:314-279-3343)

#### Behind the Scenes with Dr. Gurley

*Follow Us On Social Media*

To learn more about **plastic surgery** Ladue & St. Louis patients can follow us on social media for the latest advancements in aesthetics. Stay updated on patient success stories and the newest trends in *plastic surgery*.

#### Join our Newsletter!

Sign up to receive updates about our latest products, exclusive offers & advice from Dr. Gurley!

#### Health & Beauty Blogs

Keeping our patients informed and educated is a major piece of our patient-first philosophy. Each month, our team creates original content and curates news & resources about **plastic surgery**, *medical spa*, *skincare*, *health & wellness*. Check back for the latest articles, downloads, and patient stories from Judith Gurley Plastic Surgery & Medical Spa.

[View All Blogs](/blog/)


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## 404

**Link:** [404](https://www.judithgurley.com/404/) ([md](https://www.judithgurley.com/404/index.html.md))

**Description:** 404 | Page Not Found

Page Not Found

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[Go to Homepage](/)


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## About

**Link:** [About](https://www.judithgurley.com/about/) ([md](https://www.judithgurley.com/about/index.html.md))

**Description:** About

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## Meet Dr. Judith Gurley

**Link:** [Meet Dr. Judith Gurley](https://www.judithgurley.com/about/meet-dr-judith-gurley/) ([md](https://www.judithgurley.com/about/meet-dr-judith-gurley/index.html.md))

**Description:** Meet Dr. Judith Gurley, a skilled Female Board Certified Plastic Surgeon in St. Louis, MO, with over 25 years of experience. Discover her compassionate approach to plastic surgery.

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#### No One Will Know. Everyone Will Notice.™

Dr. Judith Gurley, board-certified by the [American Board of Plastic Surgery](https://www.abplasticsurgery.org/) with over 25 years of experience, is renowned for her results, reputation and artistic approach to plastic surgery. Trained at [Washington University School of Medicine](https://medicine.wustl.edu/), where she also served as an Attending and Assistant Professor of Plastic Surgery, Dr. Gurley has continued her contributions to the field with 18 publications in peer-reviewed journals. She is an active member of prestigious professional societies such as the [American Society of Plastic Surgeons®](https://www.plasticsurgery.org/) and [The Aesthetic Society®](https://www.theaestheticsociety.org/) and specializes in [face](/face/), [breast ](/breast/)and [body](https://www.judithgurley.com/body/body-procedures/).

Dr. Gurley considers herself a surgeon-artist, crafting bespoke plans for [breast augmentations](/breast/breast-augmentation/), [reductions](/breast/breast-reduction/), [lifts](/breast/breast-lift/) and revision surgeries. She also reshapes bodies with [liposuction](/body/liposuction/), [tummy tucks](/body/tummy-tuck/) and [labiaplasty](/body/labiaplasty/), while brightening faces with blepharoplasty and scarless facial rejuvenation.

What sets Dr. Gurley apart is her vision, skill and unwavering commitment to the pursuit of aesthetic excellence. Guided by her philosophy, ***No one will know. Everyone will notice****,*™ She takes great care to get the best results with as little scarring as possible.

**Judith Gurley Plastic Surgery** includes a medical spa, which allows her to address various aspects of her patients’ concerns beyond surgery. Pioneering innovations, she was among the first to offer FDA-approved [Daxxify®](/injectables-fillers/daxxify/) neurotoxins and the RHA® Collection of dermal fillers. Dr. Gurley personally performs facial injections on her patients to ensure ideal placement and goes even further by thoughtfully selecting products from her medical-grade [Gurley Glow](https://gurleyglow.com/)® skincare line to optimize results.

Known for exceptional patient-centric care, Dr. Gurley and her team offer a welcoming atmosphere and dedicated support throughout each patient’s journey. She invites you to explore [photo galleries](https://www.judithgurley.com/gallery/) and follow her on social media to discover more about her practice and the transformative results she achieves.


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## Meet the Care Team

**Link:** [Meet the Care Team](https://www.judithgurley.com/about/meet-the-care-team/) ([md](https://www.judithgurley.com/about/meet-the-care-team/index.html.md))

**Description:** Meet the dedicated care team at Judith Gurley Plastic Surgery & Medical Spa in St. Louis. Our team ensures personalized care for all your aesthetic needs

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#### Kelsey

*Administrative Assistant*

Kelsey, our friendly administrative assistant, is the first point of contact for all patients when calling or visiting our office. She initiates your patient journey with our practice by understanding your needs and desires. Kelsey will help you with the onboarding process, scheduling appointments, and answering questions throughout your entire experience as our patient.

#### Rebekah

*Supervisor, Registered Nurse (R.N.)*

With 14 years of experience in healthcare and a strong background in ambulatory surgery, hospital nursing, and regenerative medicine, Rebekah plays a vital role in overseeing your care from consultation to recovery. She is deeply involved in every stage of your experience—whether you're exploring facial injections, lasers, or surgical procedures. Rebekah is passionate about educating patients on Dr. Gurley’s approach to natural beauty, and she takes pride in helping you understand your options so you feel confident and empowered.

#### Julia

*Registered Nurse (R.N.)*

Julia, our dedicated on-site nurse, assists Dr. Gurley during pre-op and post-op appointments, ensuring you receive the best care. She is always ready to address any concerns you may have and is here to respond to questions and issues throughout your entire journey, both before and after your surgery, providing a seamless and comforting experience.

#### Gabi

*Registered Nurse (R.N.)*

Gabi brings over six years of nursing experience and a contagious enthusiasm to every patient interaction. As part of your care team, she works closely with Dr. Gurley to guide you through the surgical process—from your initial consultation to scheduling and beyond. Known for her warmth, compassion, and attention to detail, Gabi is here to ensure your journey feels smooth, personalized, and supported every step of the way.


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## New Location FAQs

**Link:** [New Location FAQs](https://www.judithgurley.com/about/new-location-faqs/) ([md](https://www.judithgurley.com/about/new-location-faqs/index.html.md))

**Description:** We’re moving to a beautiful new location in Ladue this December. This change reflects the evolution of my practice—more intentional, more boutique, and still completely centered on you.

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#### Dr. Gurley Plastic Surgery & Medical Spa Has Moved!

I'm excited to share that we have moved to a beautiful new location in Ladue. This change reflects the evolution of my practice—more intentional, more boutique, and still completely centered on you.

Whether you're here for a consultation, skincare, or surgery, you'll experience the same elevated care in a space that feels even more like us. I can’t wait to welcome you in.

— Dr. Judith Gurley

#### Frequently Asked Questions

*Your most common questions—answered.*


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## In the Media

**Link:** [In the Media](https://www.judithgurley.com/about/press/) ([md](https://www.judithgurley.com/about/press/index.html.md))

**Description:** Check us out In the Media! Learn more about Judith Gurley Plastic Surgery here.

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## Our Accessibility Statement

**Link:** [Our Accessibility Statement](https://www.judithgurley.com/accessibility/) ([md](https://www.judithgurley.com/accessibility/index.html.md))

**Description:** We strive to ensure that its services are accessible to people with disabilities. We have invested a significant amount of resources to help ensure that its website is made easier to use and more accessible for people with disabilities. View our Accessibility Statement here.

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## Blog

**Link:** [Blog](https://www.judithgurley.com/blog/) ([md](https://www.judithgurley.com/blog/index.html.md))

**Description:** Transform your look with our plastic surgery and medical spa tips on our St. Louis blog. Explore rejuvenating treatments and beauty enhancements tailored for you.

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## 6 Must-Haves for Great Summer Skin

**Link:** [6 Must-Haves for Great Summer Skin](https://www.judithgurley.com/blog/6-must-haves-for-great-summer-skin/) ([md](https://www.judithgurley.com/blog/6-must-haves-for-great-summer-skin/index.html.md))

**Description:** Don’t forget to change your skincare routine to match the summer heat. We recommend an oil-penetrating cleanser that can be paired with an exfoliant, daily Vitamin C, soothing serum, SPF, and replenishing mist.

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## The Artistry of Areola Reduction with Dr. Judith Gurley

**Link:** [The Artistry of Areola Reduction with Dr. Judith Gurley](https://www.judithgurley.com/blog/areola-reduction-surgery-chesterfield-mo/) ([md](https://www.judithgurley.com/blog/areola-reduction-surgery-chesterfield-mo/index.html.md))

**Description:** Learn more about how Areola Reduction Surgery and Nipple Treatment takes an artist to do a good job.

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## Bigger is Not Always Better

**Link:** [Bigger is Not Always Better](https://www.judithgurley.com/blog/bigger-is-not-always-better/) ([md](https://www.judithgurley.com/blog/bigger-is-not-always-better/index.html.md))

**Description:** When it comes to unusually large breasts, some may consider that a good thing, but learn what others have experienced in the way of "bigger is not always better."

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## Board Certified Doctors

**Link:** [Board Certified Doctors](https://www.judithgurley.com/blog/board-certified-doctors/) ([md](https://www.judithgurley.com/blog/board-certified-doctors/index.html.md))

**Description:** Judith Gurley Plastic Surgery CREDENTIALS: Plastic Surgeon, Member of ABPS, ASAPS, ASPS , SLAPS, ACSPA, AWS, AMA, MSMA.

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## Ultrasound-Assisted Liposuction

**Link:** [Ultrasound-Assisted Liposuction](https://www.judithgurley.com/blog/body/ultrasound-assisted-liposuction/) ([md](https://www.judithgurley.com/blog/body/ultrasound-assisted-liposuction/index.html.md))

**Description:** Everyone has those spots. Those areas on their body with stubborn pockets of fat. The fat doesn’t respond to dieting, and it doesn’t respond to exercise. If this sounds like you, maybe it’s time for UAL.

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## What is Breast Asymmetry?

**Link:** [What is Breast Asymmetry?](https://www.judithgurley.com/blog/breast-asymmetry/) ([md](https://www.judithgurley.com/blog/breast-asymmetry/index.html.md))

**Description:** Women think their breasts should be identical in size, shape, and position on the chest, but this is rare. Learn what breast asymmetry is and how it can be corrected.

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## Breast Augmentation Grows in 2015

**Link:** [Breast Augmentation Grows in 2015](https://www.judithgurley.com/blog/breast-augmentation-grows-in-2015/) ([md](https://www.judithgurley.com/blog/breast-augmentation-grows-in-2015/index.html.md))

**Description:** OK, what if you took every person in Romania and gave everyone either an arm lift, some Botox, breast augmentation, or a tummy tuck here and there, Do you get the idea? If you added up all of those cosmetic procedures, surgical and non-surgical, you’d have over 21 million procedures. That is the number of cosmetic procedures performed worldwide in 2015 so that gives you […]

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## Breast Augmentation Tops in 2015

**Link:** [Breast Augmentation Tops in 2015](https://www.judithgurley.com/blog/breast-augmentation-tops-in-2015/) ([md](https://www.judithgurley.com/blog/breast-augmentation-tops-in-2015/index.html.md))

**Description:** Cosmetic surgery procedures are pretty ubiquitous nowadays. We’ve come a long way since the days when women were rumored to “have had a little something done,” but tried to hide the fact.

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## Breast Implants Aren’t Going Away Anytime Soon

**Link:** [Breast Implants Aren’t Going Away Anytime Soon](https://www.judithgurley.com/blog/breast-implants-arent-going-away-anytime-soon/) ([md](https://www.judithgurley.com/blog/breast-implants-arent-going-away-anytime-soon/index.html.md))

**Description:** This writing is meant to put things into perspective so that you can understand the latest information about breast implants and breast implant surgery - and how Breast Implants aren't going away any time soon.

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## Breast Reconstruction: The Key Is Information

**Link:** [Breast Reconstruction: The Key Is Information](https://www.judithgurley.com/blog/breast-reconstruction-the-key-is-information/) ([md](https://www.judithgurley.com/blog/breast-reconstruction-the-key-is-information/index.html.md))

**Description:** When it comes to breast reconstruction information is key. My goal is to answer all your questions and give you the answers you need to help you feel comfortable and confident about your options.

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## When Your Breasts Are a Big Issue, It’s Time to Make a Change

**Link:** [When Your Breasts Are a Big Issue, It’s Time to Make a Change](https://www.judithgurley.com/blog/breast-reduction-surgery-chesterfield-mo/) ([md](https://www.judithgurley.com/blog/breast-reduction-surgery-chesterfield-mo/index.html.md))

**Description:** Living with macromastia isn’t easy. Learn more about breast reduction surgery in this blog and see if its the right choice for you.

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## Bring Protruding Ears Closer to the Head

**Link:** [Bring Protruding Ears Closer to the Head](https://www.judithgurley.com/blog/bring-protruding-ears-closer-to-the-head/) ([md](https://www.judithgurley.com/blog/bring-protruding-ears-closer-to-the-head/index.html.md))

**Description:** Whether or not you were teased at school, you know one thing about elementary, junior high and high school kids — they can be relentless. And at this point in a child’s development, this kind of abuse can really damage the self-esteem going forward. Having ears that protrude is an especially easy target for teasing. […]

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## Will a Buttock Lift Work For Me?

**Link:** [Will a Buttock Lift Work For Me?](https://www.judithgurley.com/blog/buttock-lift-will-they-work-for-me/) ([md](https://www.judithgurley.com/blog/buttock-lift-will-they-work-for-me/index.html.md))

**Description:** As women age, their buttocks, like all other areas of the body, sag. So if you are wondering if a buttock lift will work for you, read this blog and find out.

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## Common Skincare Misconceptions: Q&A with Dr. Gurley of Gurley Glow®

**Link:** [Common Skincare Misconceptions: Q&A with Dr. Gurley of Gurley Glow®](https://www.judithgurley.com/blog/common-skincare-misconceptions-qa-with-dr-gurley-of-gurley-glow/) ([md](https://www.judithgurley.com/blog/common-skincare-misconceptions-qa-with-dr-gurley-of-gurley-glow/index.html.md))

**Description:** When Dr. Gurley began her Gurley Glow® skincare line, she envisioned a line of products that could not only help patients reverse some of the damage due to aging, sun exposure, acne, and smoking. She clears up any skincare misconceptions in this blog.

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**No one will know. Everyone will notice™**

When [Dr. Gurley](/about/meet-dr-judith-gurley/) began her [Gurley Glow® skincare line](/blog/common-skincare-misconceptions-qa-with-dr-gurley-of-gurley-glow/), she envisioned a line of products that could not only help patients reverse some of the damage due to aging, sun exposure, acne, and smoking. She also wanted to help her patients avoid future facial surgeries.

Providing her patients with her *bespoke skincare* meant that she could better control the outcomes of her patients. With that in mind, she formulated a suite of products that could be used by all of her patients. [Gurley Glow products](/blog/common-skincare-misconceptions-qa-with-dr-gurley-of-gurley-glow/) can be layered and combined to provide morning skin routines and evening skin routines that target your specific skin needs and issues.

To understand more about the intention behind her skincare line, **Dr. Gurley shares her insights into skincare, her advice for common skin problems, and new innovations** in [facial surgery](https://www.judithgurley.com/face/).

## When did you originally conceive of starting a skincare line? Was there any precipitating event, patient, or patient experience that played into that decision?

As a [plastic surgeon in Ladue](/), I have always believed in *the importance of skincare* and have encouraged my facial surgery patients to get their skin ready for their [procedure](https://www.judithgurley.com/face/) in order to ensure optimal healing. By pre-treating my patients with scientifically proven and *medical-grade skincare products*, I, much to my surprise, saw remarkable improvements in their faces that were far and away more dramatic than simply changes in the skin’s surface. There was a beautiful change in the face as a whole. The face was plumper, dewier, tighter, and more lifted. Their facial structure was improved and brought into perfect balance. Making skin healthier with biological products does something very positive to the overall shape of the face and may prevent or postpone the need for facial surgery.

At this point, I was committed to seeing how far I could go with skincare alone and in combination with [non-surgical](https://www.judithgurley.com/medspa/) and [surgical](https://www.judithgurley.com/face/) solutions. As I studied the biology of skin and became more deliberate in choosing and combining ingredients, the [Gurley Glow product line](/blog/common-skincare-misconceptions-qa-with-dr-gurley-of-gurley-glow/) emerged. After using skincare over time, many of my patients no longer wanted surgery. Patients were seeing results that were far better than they expected. Pairing products with [spa skin services](https://www.judithgurley.com/medspa/) such as [peels](/skin-treatments/chemical-peels/) and [Diamondglow facials](/skin-treatments/diamondglow/), as well as with injectables such as neurotoxins, fillers, and even laser treatments escalated the overall improvements to a whole new level, I must say that it’s the combination of my medical school education (4 years), my residency experiences (8 years), my fellowship training (1 year) and my 25 years practicing as a plastic surgeon that has given me the foundation and drive to provide patients with an alternative to facial surgery using a properly designed, results-driven skin health system.

## What advantage does your surgical experience give to your skincare line?
Physician-based skincare lines respect the biology, physiology, and pathophysiology of skin. Having a surgical background and an active plastic surgery practice gives me the added advantage of understanding the role that skin plays in the overall appearance of the face. I also understand the ability of the skin to withstand surgical intervention and I know the power that healthy skin can have in heightening a youthful appearance and possibly delaying or preventing the need for an operation, In other words, healthy skin is beautiful skin. You can’t simply solve poor skin health with a facelift. In my practice, we start with skin health. Many patients realize that they actually don’t need a [facelift](/face/face-and-neck-lifts/) to have the look they want. It’s my firm belief that healthy skin is beautiful skin.

## What’s the most common misperception about skin you hear from patients?
Patients often think that all they need to look good is a facelift, and sometimes that’s true! However, more often than not, that’s not the case. In my practice, I *consider surgical intervention in the context of skincare*. When my team sees a new patient with facial concerns, we take into consideration what bothers them and we figure out the best way to solve that issue. We educate and share information about advances in our industry. Because we are a surgical practice, [surgery](https://www.judithgurley.com/procedures/) is our expertise. But surgery is not the only way to resolve the issue. We also offer [non-operative](https://www.judithgurley.com/medspa/) suggestions as well.

We have a huge arsenal of tools and approaches, and we hold nothing back. It’s more important to us to have patients fully understand their [surgical](https://www.judithgurley.com/face/) and [nonsurgical](https://www.judithgurley.com/medspa/) options so that they can be empowered to make good decisions. The trust we build is one of the most important ingredients. We present all the possible options and ultimately patients decide how to proceed. [Skin](/blog/common-skincare-misconceptions-qa-with-dr-gurley-of-gurley-glow/)care is always part of the formula, and our patients see that benefit firsthand. Additionally, we are able to add non-surgical or surgical treatments as desired. This process is a win-win. *Starting with skincare can bring a dramatic improvement to the skin*. These improvements can be so striking that some patients don’t feel they need to have surgery because they are so happy with their appearance. Others want to go ahead with an operation, and their[ results](https://www.judithgurley.com/gallery/#face-spa) are so much better after having started with good [skincare](/blog/common-skincare-misconceptions-qa-with-dr-gurley-of-gurley-glow/). Patients see a difference and so do we!

## What advice do you find yourself giving to patients on a consistent basis?

Most of my patients say they want to look like a better version of themselves: more rested, more bright and more youthful. They don’t want to look like someone else or have their skin look too tight or pulled. In fact, most patients do not want anyone to know that they had anything done. It is for this reason that I have a systematic approach to facial rejuvenation. My philosophy is to take a step-by-step or tiered approach to *facial rejuvenation*. In 2019, we have so many tools and new technologies that can be used in innovative ways. It’s important for patients to align with a practice that is well-versed in the full spectrum of [options](https://www.judithgurley.com/procedures/).

Patients shouldn’t be treated like a “nail” because the only tool available is a “hammer.” This cookie-cutter approach is what gives the beauty industry a bad name. Too many people are walking around over-treated with too much of something in their faces because of the lack of broad education, experience, and training. At the end of the day, if you go somewhere where they only have filler, you’re going to leave there with filler, even if it’s not the right option for you. Other practices only use a limited approach and their knowledge base is also limited. I believe every patient deserves to be assessed as an individual and be given a specific plan that best matches their desires, anatomy, timeline, financial situation, and schedule. We are able to offer thoughtful, long-term plans to help patients understand the journey, timeline, and possibilities.

## What questions do you find patients asking you about their skin?
Honestly, they don’t really know what to ask. They want our opinion. They can feel overwhelmed or confused by all the various options out there and not know what to do or where to begin. So, they seek our guidance. I think many patients come to[ board-certified plastic surgeons](/about/meet-dr-judith-gurley/) because they trust our abilities, our integrity and our opinions. This is why doctor-run spas take a thorough medical history in order to understand patient lifestyle, comorbidities, overall health, and allergies before recommending treatments. We also adhere to the strictest guidelines with regard to cleanliness, sterility, and safety.

The beauty industry can be overwhelming since almost anyone can claim to be an “expert.” Why would you settle for anything less than a professional approach? Give your skin the attention it deserves. There are no two patients that are alike, nor are there any two patients on the same track for achieving skin health and beauty. We act as concierges for our patients, building relationships, explaining options, and guiding patients through every single step of the process.


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## Don’t Let Your Breasts Droop: Learn How a Breast Lift Could Be the Answer for YOU

**Link:** [Don’t Let Your Breasts Droop: Learn How a Breast Lift Could Be the Answer for YOU](https://www.judithgurley.com/blog/dont-let-your-breasts-droop-learn-how-a-breast-lift-could-be-the-answer-for-you/) ([md](https://www.judithgurley.com/blog/dont-let-your-breasts-droop-learn-how-a-breast-lift-could-be-the-answer-for-you/index.html.md))

**Description:** Breasts droop over time as a natural result of aging, breastfeeding, pregnancy, changes in weight, or the effects of gravity. If this sounds like you, check out our breast lift. Learn more in this blog.

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## Do Uneven Breasts Make You Self-Conscious?

**Link:** [Do Uneven Breasts Make You Self-Conscious?](https://www.judithgurley.com/blog/do-uneven-breasts-make-you-self-conscious/) ([md](https://www.judithgurley.com/blog/do-uneven-breasts-make-you-self-conscious/index.html.md))

**Description:** Sometimes, asymmetry can make a woman feel self-conscious when naked or in a swimsuit. No one should feel that way about her body. To help get past these thoughts, Dr. Gurley offers various options to even out the differences.

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## Dr. Gurley listed in the Best Doctors List by St. Louis Magazine

**Link:** [Dr. Gurley listed in the Best Doctors List by St. Louis Magazine](https://www.judithgurley.com/blog/dr-gurley-listed-in-the-best-doctors-list-by-st-louis-magazine/) ([md](https://www.judithgurley.com/blog/dr-gurley-listed-in-the-best-doctors-list-by-st-louis-magazine/index.html.md))

**Description:** Learn how Dr. Gurley was listed in the Best Doctors List by St. Louis Magazine.

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## Dr. Judith Gurley Named To Prestigious 2015-2016 Best Doctors In America® List

**Link:** [Dr. Judith Gurley Named To Prestigious 2015-2016 Best Doctors In America® List](https://www.judithgurley.com/blog/dr-judith-gurley-named-to-prestigious-2015-2016-best-doctors-in-america-list/) ([md](https://www.judithgurley.com/blog/dr-judith-gurley-named-to-prestigious-2015-2016-best-doctors-in-america-list/index.html.md))

**Description:** Ladue, Missouri — Judith Gurley, MD, FACS, has been named one of the Best Doctors in America for 2015-2016. Learn more here!

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## Judith Gurley Plastic Surgery: Now Offering Care in Ladue, MO

**Link:** [Judith Gurley Plastic Surgery: Now Offering Care in Ladue, MO](https://www.judithgurley.com/blog/elevated-care-in-ladue/) ([md](https://www.judithgurley.com/blog/elevated-care-in-ladue/index.html.md))

**Description:** Experience elevated aesthetic care at Judith Gurley Plastic Surgery & Medical Spa’s new boutique location in Ladue, MO, offering board-certified surgical expertise and advanced medical spa treatments in a private, refined setting.

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**Judith Gurley Plastic Surgery & Medical Spa is proud to officially welcome patients to our new Ladue location**. We are bringing the same exceptional care, artistry, and discretion Dr. Judith Gurley has been known for over the past 25 years—now in a more intimate, refined setting** **in the heart of Ladue, MO 63124.

This move reflects a natural evolution of the practice: a thoughtfully designed, boutique space that mirrors the personalized experience our patients value most. While our address has changed, our philosophy remains the same—bespoke aesthetic care, guided by expertise, precision, and trust.

### **A Board-Certified Plastic Surgeon Near Ladue You Can Trust**
If you are searching for a **Plastic Surgeon near Ladue**, Dr. Judith Gurley brings decades of experience as a Board-Certified Plastic Surgeon. She specializes in creating natural-looking results through:

- **Facial Rejuvenation:** Surgical and non-surgical facial balancing, anti-aging treatments, and regenerative medicine.
- **Breast Surgery:** Augmentation, lifts, reductions, implant removal, tubular breast correction, and more.
- **Body Contouring:** Drainless tummy tucks (abdominoplasty), fat grafting, and liposuction.
- **Mommy Makeovers:** Comprehensive restoration of the body after pregnancy.

Her approach is meticulous and artistic, with customized surgical plans designed to enhance confidence while preserving natural beauty. **Patients from all over St. Louis (Ladue, Clayton, Frontenac, Creve Coeur, etc.) and from across the country choose Dr. Gurley** for her hands-on care—from consultation through recovery.

# *No one will know. Everyone will notice.®*
### **A Boutique Medical Spa Experience in St. Louis**
Our Ladue office also serves as home to our physician-led [Medical Spa in St. Louis](/), offering advanced non-surgical treatments that complement Dr. Gurley’s surgical expertise. Every treatment plan is curated—not prescribed—ensuring patients receive exactly what their skin and goals require.

**Medical spa services include:**

- **Injectables:** Botox®, Daxxify®, and the RHA® Collection of dermal fillers for facial balancing.
- **Regenerative Medicine:** PRF (Platelet Rich Fibrin), Nanofat, and Fat Grafting.
- **Skin Rejuvenation:** ResurFX and UltraPulse CO2 laser treatments, SmoothGlo Photofractional, IPL, and 3 types of microneedling—LegendPro, Morpheus8, and manual.
- **Clinical Facials:** Customized facials and chemical peels for skin resurfacing.
- **Laser Hair Removal:** Utilizing advanced technology—Lumenis Quattro and InMode Diolaze XL.
- **Non-Invasive Vein Treatment:** Targeting and reducing the appearance of spider veins and vascular lesions with Vasculaze.
- **Skincare:** Physician-designed routines featuring Gurley Glow® medical-grade products.

Dr. Gurley’s Medical Spa is not your average cookie-cutter spa experience. The seamless integration of surgery and medical spa care allows patients to maintain long-term results in one trusted location overseen by an on-site Board-Certified Plastic Surgeon. Dr. Gurley believes the foundation of facial wellness is through scientifically proven therapeutic skincare that will set you up for results that last.

### **Why Ladue? Elevated Care in an Exceptional Location**
Our new office is conveniently located in Ladue, MO 63124, near well-known local landmarks such as Lester’s Restaurant, Deer Creek Coffee, and Companion Bakery. This makes us easily accessible while offering a discreet, private setting. The Ladue location allows us to provide a more intentional patient experience—calm, welcoming, and unhurried.

Patients will enjoy:

- Easy access from Highway 40 / I-64, Clayton Rd, or Lindbergh
- Free, convenient parking on-site
- A refined boutique storefront location
- Proximity to premier shopping, dining, and nearby neighborhoods like Clayton and Frontenac

This space was designed to feel less like a medical office and more like a private aesthetic studio—quiet, elegant, and personal.

### **Driving Directions to Our Ladue Office**
[**CLICK HERE FOR DIRECTIONS ON GOOGLE MAPS**](https://www.google.com/maps/place/Judith+Gurley+Plastic+Surgery+%26+Medical+Spa/@38.6369023,-90.3927219,17z/data=!3m1!4b1!4m6!3m5!1s0x87d8d4caa52eed31:0xcf2149e88674f3f!8m2!3d38.6369023!4d-90.3927219!16s%2Fg%2F1thp8jfv?entry=ttu&g_ep=EgoyMDI1MTIwOS4wIKXMDSoKLDEwMDc5MjA3MUgBUAM%3D)

We are committed to making your arrival as stress-free as possible.

**Judith Gurley Plastic Surgery & Medical Spa: **9910 Clayton Rd, St. Louis, MO 63124 (Located near Lester’s Restaurant and across from the Ladue fire station.)

**Heading East on Highway 40 / I-64: **Take the Lindbergh exit and head south on Lindbergh (right). Then take the first left onto eastbound Clayton Rd. Our office is located about a mile down Clayton Rd. on the right, in front of Lester’s Restaurant and across from the fire station.

**Heading West on Highway 40 / I-64: **Take the Clayton Rd. exit. Get in the right lane to turn right on Clayton Rd. Take an immediate right into the parking lot across from the fire station.

**Coming from Lindbergh: **Turn east on Clayton Rd. Our office is about a mile down Clayton Rd on the right, in front of Lester’s Restaurant and across from the fire station.

**Coming from Highway 170:**Take 170 to the 40 / I-64 West exit. Then take the Clayton Rd exit and get in the right lane to turn right on Clayton Rd. Take an immediate right into the parking lot across from the fire station.

### **Schedule Your Visit with a Plastic Surgeon in Ladue**
Whether you are considering surgery, injectable treatments, or ongoing skincare, we invite you to experience the next chapter of** Judith Gurley Plastic Surgery & Medical Spa in Ladue.**

Our team looks forward to welcoming both long-standing and new patients into a space that reflects the level of care we provide every day.

[Schedule your consultation today](/contact/) and discover boutique, elevated aesthetic care—now in Ladue, Missouri.

**Call us to book:** 314-200-2910


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## Elevating the Standard of Breast Surgery with Motiva Implants and The Preservé Technique

**Link:** [Elevating the Standard of Breast Surgery with Motiva Implants and The Preservé Technique](https://www.judithgurley.com/blog/elevating-the-standard-of-breast-surgery-with-motiva-implants-and-the-preserve-technique/) ([md](https://www.judithgurley.com/blog/elevating-the-standard-of-breast-surgery-with-motiva-implants-and-the-preserve-technique/index.html.md))

**Description:** Dr. Judith Gurley now offers Motiva breast implants. Discover how advanced device biomechanics and the upcoming Preservé technique optimize natural movement.

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Patients often think that breast augmentation boils down to simple size and shape. Or that it's easy to pick an implant like you’re pulling a garment off a rack, completely glossing over the fact that a medical device has to live and move with your body for decades. It's important that you know exactly how an implant should behave, how it will shift when you move, how your natural tissue will respond to it over time, and how it’s inserted.

That missing piece is exactly why the standard approach to breast surgery is evolving. Recognizing the need for implants that actively adapt to your anatomy rather than fight against it, Dr. Judith Gurley currently offers Motiva breast implants, and soon will introduce the Preservé technique—a refined surgical method focused on minimizing tissue trauma, optimizing your long-term results, speeding up your recovery and minimizing the need for anesthesia.

## The Mechanics of Next-Generation Implants
The development of next-generation implants relies heavily on studying how the human body physically interacts with foreign materials. Researchers have observed how different textures behave when placed inside living tissue, finding that a highly controlled smooth surface reduces the specific inflammatory factors that typically lead to complications.

When the body encounters traditional implants with aggressive texturing, it often reacts defensively, creating excess scar tissue. This physiological reaction is what drives high rates of capsular contracture and unnatural firmness in the breasts. When patients experience capsular contracture, the body is essentially building a rigid wall around the implants. The highly specified topography of silicone breast devices dictates this cellular response.

This is where Motiva implants mark a clear departure from older generations of breast implants. Developed by Establishment Labs, Motiva SmoothSilk features an advanced surface topography designed specifically to be highly biocompatible. It actively minimizes the tissue reactions that cause that tight, rigid feeling. When an implant type integrates smoothly alongside natural breast tissue, the aesthetic results and the long-term results improve drastically. The shift away from aggressively textured surfaces toward a meticulously engineered smooth surface represents a fundamental change in how the industry approaches patient safety and device longevity.

## Inside the Device
Motiva breast implants are engineered to function dynamically. The core of the device utilizes a highly elastic, cohesive silicone gel. Older silicone gel implants often hold a static, rigid position regardless of how you move; this newer technology allows the implant to mimic natural movement. Depending on the specific Motiva device selected, the silicone gel maintains a round shape when you lie down on your back and settles into a subtle teardrop shape when you stand up. This structural design aligns closely with the physics and weight distribution of actual natural breasts. The elasticity of the silicone gel inside Motiva breast implants means the breasts move when the patient moves, rather than remaining fixed in place. The ultimate goal is to create breasts that look and act like natural anatomy, rather than augmented features.

From a safety standpoint, Motiva offers distinct structural advantages for patients. Every device includes a specialized barrier layer known as BluSeal. This visual blue indicator allows the surgeon to confirm the absolute integrity of the shell before placing the implants into the breasts, directly mitigating the risks involved with undetected rupture. While breast implants are temporary rather than lifetime devices, continuous advancements in silicone breast implants prioritize extended longevity and overall breast health. The barrier layer limits the diffusion of silicone gel into the body, providing a clear structural boundary that the physician can rely on.

## Coming Soon: The Preservé Technique
Dr. Judith Gurley currently performs breast implant surgery using these new devices, and will soon introduce the Preservé technique to further elevate the standard of care. This specific surgical procedure refines primary breast augmentation by focusing strictly on tissue preservation.

Because Motiva SmoothSilk implants (including the SmoothSilk Round options) are exceptionally flexible, they require much smaller incisions than traditional implants. The Preservé technique leverages this extreme implant flexibility alongside a specialized sterile insertion sleeve to gently place the implants inside the body. Instead of cutting aggressively, the surgeon separates muscle and natural breast tissue along distinct anatomical planes. By respecting the natural breast tissue and the underlying chest wall, the Preservé technique reduces the inflammatory cascade that typically follows breast surgery.

This approach is designed to minimize scarring and significantly reduce trauma to your anatomy. The goal is to create natural-looking results while facilitating a more streamlined recovery for women. Even with a highly refined technique, patients must still avoid heavy lifting during the initial healing phase to ensure optimal healing. We look forward to announcing exactly when this technique is officially available for both primary breast augmentation and revision augmentation patients.

## Evaluating Risks and Candidacy
Every medical procedure requires a straightforward assessment of the risks involved. Any physician evaluating you for breast implant surgery will review your complete medical history during the initial consultation. Women who are currently pregnant or nursing, or anyone experiencing an active infection anywhere in the body, must wait to undergo surgery. These are standard medical protocols implemented to protect your health and ensure a safe surgical outcome.

Potential risks of breast implant surgery include infection, changes in nipple or breast sensation, scarring, and the eventual need for future implant removal or replacement. Because Motiva implants utilize a highly controlled smooth surface, they are engineered to lower the rate of capsular contracture and abnormal firmness. Furthermore, a known association exists between certain highly textured implants and specific types of cancer, known as Breast Implant-Associated Anaplastic Large Cell Lymphoma (BIA-ALCL). Motiva implants are smooth, presenting a different safety profile regarding this specific cancer risk. Routine screening via ultrasound or MRI remains a standard recommendation for all patients to monitor their health over the lifespan of the implants.

With widespread availability and ongoing clinical trials across the USA, patient safety remains the highest priority in the aesthetic industry. Establishment Labs adheres to rigorous FDA standards to ensure optimal device performance, clear safety metrics, and tangible benefits for patients seeking breast augmentation. Motiva offers an evidence-based approach to breast aesthetics.

## What's Next For You
Choosing the right implants requires understanding both the material technology and the specific surgical techniques used to place them inside the breasts. Whether you are exploring primary breast augmentation for the first time or seeking a revision augmentation to replace older implants, the focus is on precise, evidence-based methods that support the body and the breasts. The introduction of these advanced materials provides patients with options that prioritize biomechanical harmony over simple volume addition.

Contact our office to schedule a consultation to discuss Motiva breast implants or to learn more about the upcoming Preservé technique. We are committed to providing women with the information and the technology necessary to make informed decisions about their bodies and their aesthetic goals.


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## Evolution of a Patient

**Link:** [Evolution of a Patient](https://www.judithgurley.com/blog/evolution-of-a-patient/) ([md](https://www.judithgurley.com/blog/evolution-of-a-patient/index.html.md))

**Description:** Many people wonder if plastic surgery can help them look and feel the way they imagine, but they aren’t sure how to take that first step. Calling a plastic surgeon’s office is not easy for some. At our practice, we offer online and email correspondence in addition to phone calls to answer any questions and help prospective […]

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## Exfoliation and Peach Fuzz Removal — Dermaplaning

**Link:** [Exfoliation and Peach Fuzz Removal — Dermaplaning](https://www.judithgurley.com/blog/exfoliation-and-peach-fuzz-removal-dermaplaning/) ([md](https://www.judithgurley.com/blog/exfoliation-and-peach-fuzz-removal-dermaplaning/index.html.md))

**Description:** The surface of your skin can be covered with lots of dead skin cells, clogged pores, and peach fuzz hair. Exfoliation is the way to get rid of this surface debris.

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## Exfoliation and Peach Fuzz Removal — more on Dermaplaning

**Link:** [Exfoliation and Peach Fuzz Removal — more on Dermaplaning](https://www.judithgurley.com/blog/exfoliation-and-peach-fuzz-removal-dermaplaning-2/) ([md](https://www.judithgurley.com/blog/exfoliation-and-peach-fuzz-removal-dermaplaning-2/index.html.md))

**Description:** Everyone knows that exfoliation is the key to younger-looking skin. To show the healthy skin beneath, you need to get rid of the dead skin cells on top - enter Dermaplaning. Learn more in this blog.

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## Fat Injections – Are they Useful?

**Link:** [Fat Injections – Are they Useful?](https://www.judithgurley.com/blog/fat-injections-are-they-useful/) ([md](https://www.judithgurley.com/blog/fat-injections-are-they-useful/index.html.md))

**Description:** Aging results in the loss and migration of fat in the face. Fat injections can restore fullness back into the areas of the face that have lost volume.

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## Five Questions You Should Be Asking Your Plastic Surgeon

**Link:** [Five Questions You Should Be Asking Your Plastic Surgeon](https://www.judithgurley.com/blog/five-questions-you-should-be-asking-your-plastic-surgeon/) ([md](https://www.judithgurley.com/blog/five-questions-you-should-be-asking-your-plastic-surgeon/index.html.md))

**Description:** Many people considering plastic surgery don’t know where or how to start the conversation. That’s why we’ve built this tool to help guide your research and keep you informed at each step.

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## Free Advice

**Link:** [Free Advice](https://www.judithgurley.com/blog/free-advice/) ([md](https://www.judithgurley.com/blog/free-advice/index.html.md))

**Description:** Dr. Gurley gives free advice to patients to avoid non-proven methods of body contouring, which can be costly, painful, and time-consuming with minimal results.

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## Get the Most Out of Your Beauty Sleep

**Link:** [Get the Most Out of Your Beauty Sleep](https://www.judithgurley.com/blog/get-the-most-out-of-your-beauty-sleep/) ([md](https://www.judithgurley.com/blog/get-the-most-out-of-your-beauty-sleep/index.html.md))

**Description:** Get the Most Out of Your Beauty Sleep. I assumed women understood the importance of a nighttime skin care regimen. I mean, everyone knows you brush your teeth before you go to bed so the logical next step would be to wash your face, right?

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## Give Unwanted Hair a Quick Pulse of Laser Light

**Link:** [Give Unwanted Hair a Quick Pulse of Laser Light](https://www.judithgurley.com/blog/give-unwanted-hair-a-quick-pulse-of-laser-light/) ([md](https://www.judithgurley.com/blog/give-unwanted-hair-a-quick-pulse-of-laser-light/index.html.md))

**Description:** Shaving unwanted hair is time-consuming and cumbersome and you’re never really smooth after it’s all over! The only way to truly achieve that youthful, baby-soft skin is with laser hair removal.

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## Give Your Bad Facial Skin The Crystal Treatment

**Link:** [Give Your Bad Facial Skin The Crystal Treatment](https://www.judithgurley.com/blog/give-your-bad-facial-skin-the-crystal-treatment/) ([md](https://www.judithgurley.com/blog/give-your-bad-facial-skin-the-crystal-treatment/index.html.md))

**Description:** Everyone has dead skin cells, oil, and other stuff that make up a relatively lifeless outermost layer of our epidermis. At Dr. Judith Gurley Plastic Surgery & Spa, we offer microdermabrasion treatments to remove that outer layer.

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## Have You Fallen Out of Love with Your Breast Implants?

**Link:** [Have You Fallen Out of Love with Your Breast Implants?](https://www.judithgurley.com/blog/have-you-fallen-out-of-love-with-your-breast-implants/) ([md](https://www.judithgurley.com/blog/have-you-fallen-out-of-love-with-your-breast-implants/index.html.md))

**Description:** Have You Fallen out of Love with Your Breast Implants? You don’t have to live with your implants if they no longer are complimenting you, or if they are uncomfortable, too big, too far apart, too high, too low, ruptured, or uneven.

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## Here’s the Skinny on Fat

**Link:** [Here’s the Skinny on Fat](https://www.judithgurley.com/blog/heres-the-skinny-on-fat/) ([md](https://www.judithgurley.com/blog/heres-the-skinny-on-fat/index.html.md))

**Description:** Dr. Gurley Answers the Five Most Commonly Asked Questions about Liposuction To See More Amazing Transformations. Check out Dr. Gurley’s liposuction results by visiting our Before & After photo gallery

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## How to Choose the Right Plastic Surgeon

**Link:** [How to Choose the Right Plastic Surgeon](https://www.judithgurley.com/blog/how-to-choose-the-right-plastic-surgeon/) ([md](https://www.judithgurley.com/blog/how-to-choose-the-right-plastic-surgeon/index.html.md))

**Description:** With the internet at your fingertips, you may decide the most efficient way to find a doctor, including a plastic surgeon, is online. We can help you choose the right plastic surgeon for what you want.

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**No one will know. Everyone will notice™**

With the internet at your fingertips, you may decide the most efficient way to find a doctor, including a plastic surgeon, is online. While that’s a great starting place, you have lots more to consider than who has the best website. First, realize that not every surgeon who does[ breast augmentation](/breast/breast-augmentation/), for example, has the same training—or even training in plastic surgery.

When considering plastic surgery, I recommend you do your homework to find an experienced, [board-certified plastic surgeon](/about/meet-dr-judith-gurley/) who not only makes you feel comfortable and confident but is forthcoming, honest, and transparent in their abilities.

## Let’s start with the basics. What are the most important things to consider when choosing a plastic surgeon?
When you’re considering a plastic surgeon, looking for these three ingredients will help you make a good decision:

- [Board Certification](/about/meet-dr-judith-gurley/) in Plastic Surgery (We’ll explain exactly what this means later….)
- Proven Experience
- Beautiful Results

## What does board certification in plastic surgery mean, and why is it so important?
Any surgeon can perform surgery. But just as you need a specialized heart surgeon to operate on your heart, you need a specialized plastic surgeon for your face and body.

Plastic surgery training takes a minimum of about 15 years of post-high school education, including specific training in reconstructive and cosmetic plastic surgery under direct supervision. This rigorous training includes a strong foundation in general surgery, which helps your board-certified plastic surgeon keep you safe. To become board-certified in plastic surgery, a surgeon must meet demanding requirements and pass a written and oral examination that critically evaluates their knowledge, ethics, and safe and effective approach to multiple reconstructive and cosmetic challenges. Board certification demonstrates a high level of training and education required for safely achieving optimal results and patient satisfaction.

## You may be wondering, what is the difference between plastic surgeons and cosmetic surgeons?
Not all surgeons who practice cosmetic surgery have gone through medical school and plastic surgery residency. Surgeons who have not completed a plastic surgery residency are not qualified for certification from the American Board of Plastic Surgery. Cosmetic surgery can be performed by doctors in a variety of medical fields, some of whom are not board certified by the American Board of Plastic Surgery and may not be trained in plastic surgery.

You may come across someone who claims to be board-certified in cosmetic surgery, but the medical community doesn’t recognize that as a specialty. The American Board of Medical Specialties recognizes plastic surgery, but not cosmetic surgery.

That’s why **it’s important to seek out a board-certified plastic surgeon** to ensure you are with a surgeon who appreciates and optimizes safety and is competent and qualified in the plastic surgery field.

I’m proud to be Board Certified in Plastic Surgery and bring that expertise to you, in order to create the results you desire, safely and effectively.

## Is Board Certification enough? Here are other things you should look for when finding a plastic surgeon:
Once you have decided to have a procedure, it’s time to choose your plastic surgeon. You now know the importance of board certification, but how do you take your search one step further? Here are a few important factors to consider:

- Busy and productive surgeons with lots of their work online for you to see.
- High patient satisfaction
- Proven results that you think are beautiful

Please keep in mind that, *this is not the time to seek the least expensive doctor*.

A busy and productive plastic surgeon will have lots of before and after photos for you to see. If there aren’t a lot then be skeptical that maybe that surgeon is not doing a lot of surgery and you should ask yourself, why?

Websites that review doctors can be another place to look. While they aren’t the “end-all” to understanding a doctor’s reputation, they can be a good place to start. Another great source for reviews is the opinion of non-plastic surgeons such as your primary care physician or your OB/GYN. During their own examinations, they see our work and form their own opinions. They are also able to compare the work of different plastic surgeons. Finally, if a friend or family member has great things to say about their plastic surgeon, this referral can be incredibly helpful. However, depending on your unique situation, body type, or expectations, *your friend’s plastic surgeon may NOT be the right plastic surgeon for you*. For instance, you may be more particular than your friend, so what pleases her, may not please you. So…. Keep reading, you’ll learn what I think should be a critical step in **helping you decide which plastic surgeon is best for you**.

Here it is!! Board certification and positive reviews are not enough…I can’t emphasize enough the importance of examining each surgeon’s outcomes—the results you and their patients see. Look at before and after photos to help you understand what kind of results you can expect. There shouldn’t just be one or two photos but rather dozens—even hundreds—of photos to review. The volume of photos demonstrates that the surgeon has extensive experience successfully performing a particular type of surgery. The actual visual outcomes seen in this portfolio demonstrates the surgeon’s eye for beauty. Does it align with yours? If not, keep looking.

In the end, a surgeon’s results are more important than cost. If you aren’t pleased with your results after plastic surgery, the cost of an additional surgery to fix the original surgery can be two to three times more costly than the first.

When you take your time to *find the right fit with a plastic surgeon*, you’re going to be more satisfied in the long run.

## What sets you apart from other plastic surgeons?
While my board-certified, plastic surgery colleagues and I have all gone through similar rigorous training programs, we each offer something unique in how we see and how we execute the surgical transformation.

After plastic surgery residency, we all have the option to do additional training, if we so choose. I chose to do a Fellowship at Washington University in Saint Louis to focus on neonatal, cleft lip, craniofacial, and adolescent plastic surgery. I felt this would give me the ultimate appreciation for the delicacy of human tissues. In fact, this experience further expanded my comfort level and my abilities, opening up doors that would never have opened. From the correction of a newborn’s skull, eye socket, or jaw, to the repair of a deformed lip, to the creation of a body part that never developed, I became even more empowered to think outside the box.

I look at every patient as an individual. I hyper-focus all my energy and effort into what I see and into envisioning what can be. I believe through my experiences I have been able to elevate my surgical skills up to par with my very critical and precise expectation for beauty. I guess maybe, “I see what others don’t see.” I am willing to go the extra step to get the results I get. I want nothing more than for you to feel good about your decision to have [plastic surgery in Ladue](/).

## What should I expect if I come to you for plastic surgery?
My patients have told me they appreciate how I spend time with them, how I listen, and how I make them feel. My patients have my undivided attention and they know I truly want what is best for them. I’m passionate about what I do—I think it shows. Integrity and compassion are hallmarks of my entire team and we always put patients first.

At your initial consultation, I will listen to and look at you. I will ask lots of pertinent questions to better know you, your lifestyle, and your expectations. Based on our discussion, I will outline and carefully explain options that will be beautiful for you. You will understand in detail what you can expect in terms of downtime, anticipated results, and recovery. As a team, we pride ourselves on assisting our patients with all the little things surrounding surgery. You’ll understand *how to prepare for surgery* and what to expect after surgery so that you’ll know how and when to schedule your procedure.

I’m humbled by the gratitude so many patients feel after their procedures and how it positively impacts their lives. I want you to experience this, too, and will take every step to make sure you are pleased with your results.


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## Hyaluronic Acid – What’s All the Hype?

**Link:** [Hyaluronic Acid – What’s All the Hype?](https://www.judithgurley.com/blog/hyaluronic-acid-whats-all-the-hype/) ([md](https://www.judithgurley.com/blog/hyaluronic-acid-whats-all-the-hype/index.html.md))

**Description:** Is your skin feeling dull and dehydrated? Would you like to reduce the appearance of fine lines and wrinkles? We have several solutions and many include Hyaluronic Acid.

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## I Hate My Ears

**Link:** [I Hate My Ears](https://www.judithgurley.com/blog/i-hate-my-ears/) ([md](https://www.judithgurley.com/blog/i-hate-my-ears/index.html.md))

**Description:** Some of us acquire body features we are not particularly happy about. One such feature would be big ears. There is something very easy that can be done to fix this issue with your appearance — ear pinning.

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## Immediate Breast Reconstruction Has Advantages

**Link:** [Immediate Breast Reconstruction Has Advantages](https://www.judithgurley.com/blog/immediate-breast-reconstruction-has-advantages/) ([md](https://www.judithgurley.com/blog/immediate-breast-reconstruction-has-advantages/index.html.md))

**Description:** Reconstructive breast surgery at the same time as the mastectomy, has several advantages. First, it means you will undergo one less surgery. There are also psychological and emotional advantages to waking up from surgery already on your way to the new you.

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## Implant Revision Surgery — Do You Need It?

**Link:** [Implant Revision Surgery — Do You Need It?](https://www.judithgurley.com/blog/implant-revision-surgery-do-you-need-it/) ([md](https://www.judithgurley.com/blog/implant-revision-surgery-do-you-need-it/index.html.md))

**Description:** Nothing lasts forever. That adage applies to breast implants, too. When a woman makes the important decision to have her breast augmented, she also needs to consider the possibility of future implant revision surgery.

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## In Search of the Ideal Breast

**Link:** [In Search of the Ideal Breast](https://www.judithgurley.com/blog/in-search-of-the-ideal-breast/) ([md](https://www.judithgurley.com/blog/in-search-of-the-ideal-breast/index.html.md))

**Description:** During a recent segment on NBC’s Today Show, the question was asked, “Is there an ideal breast size?” NBC’s Dr. Nancy Snyderman quickly responded “Yes” and she’s right. As she explained, “The perfect breast is based in art and symmetry.

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## Is Your Sunscreen Really Helping?

**Link:** [Is Your Sunscreen Really Helping?](https://www.judithgurley.com/blog/is-your-sunscreen-really-helping/) ([md](https://www.judithgurley.com/blog/is-your-sunscreen-really-helping/index.html.md))

**Description:** This summer, when you relax by the pool or tackle another round of golf, make sure that you have adequate protection against the sun’s harmful rays. A common misconception is that a sunscreen with a high SPF (sunburn protection factor) is all you need for protection.

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## It might be time to clip your wings

**Link:** [It might be time to clip your wings](https://www.judithgurley.com/blog/it-might-be-time-to-clip-your-wings/) ([md](https://www.judithgurley.com/blog/it-might-be-time-to-clip-your-wings/index.html.md))

**Description:** If you’ve given up waving or even lifting your arms, it might be time to find out about brachioplasty. Better known as an arm lift. Brachioplasty is growing in popularity with patients at Judith Gurley Plastic Surgery,

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## Laser Hair Removal – New Technology

**Link:** [Laser Hair Removal – New Technology](https://www.judithgurley.com/blog/laser-hair-removal-new-technology/) ([md](https://www.judithgurley.com/blog/laser-hair-removal-new-technology/index.html.md))

**Description:** If you are considering laser hair removal, don’t settle for less than the latest technology. When it comes to permanently removing unwanted hair anywhere on your body, our newest laser achieves results faster, safer and with less discomfort than ever before.

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## Laser Resurfacing

**Link:** [Laser Resurfacing](https://www.judithgurley.com/blog/laser-resurfacing-treatment/) ([md](https://www.judithgurley.com/blog/laser-resurfacing-treatment/index.html.md))

**Description:** Laser Resurfacing At Dr. Gurley’s practice, we put modern lasers to use rejuvenating your face while improving skin health. From sun and age spots to texture issues, from fine lines to pore size, we address all of these issues with lasers.

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## Leave Mythology to the Sisyphus, not Plastic Surgery

**Link:** [Leave Mythology to the Sisyphus, not Plastic Surgery](https://www.judithgurley.com/blog/leave-mythology-to-the-sisyphus-not-plastic-surgery/) ([md](https://www.judithgurley.com/blog/leave-mythology-to-the-sisyphus-not-plastic-surgery/index.html.md))

**Description:** When it comes to plastic surgery, there is no room for myth. Why? It gives people false expectations or gives them the wrong impression about a certain procedure.

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## Leave the Bat Wings to Batman

**Link:** [Leave the Bat Wings to Batman](https://www.judithgurley.com/blog/leave-the-bat-wings-to-batman/) ([md](https://www.judithgurley.com/blog/leave-the-bat-wings-to-batman/index.html.md))

**Description:** Significant weight gain or weight loss, or simply the relentless march of time, can create loose skin on the upper arms. This results in unsightly, inelastic flabby areas on the bottom of both upper arms, sometimes referred to as “bat wings.”

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## Like the People They Belong to, Scars Come in All Shapes and Sizes

**Link:** [Like the People They Belong to, Scars Come in All Shapes and Sizes](https://www.judithgurley.com/blog/like-the-people-they-belong-to-scars-come-in-all-shapes-and-sizes/) ([md](https://www.judithgurley.com/blog/like-the-people-they-belong-to-scars-come-in-all-shapes-and-sizes/index.html.md))

**Description:** What is the Future of Your Scar? The fact of the matter is, surgical incisions leave a scar; there is no way around it. Discussing this aspect of surgery in the initial consultation is crucial.

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## Liposuction and Your Unwanted Fat

**Link:** [Liposuction and Your Unwanted Fat](https://www.judithgurley.com/blog/liposuction-and-your-unwanted-fat/) ([md](https://www.judithgurley.com/blog/liposuction-and-your-unwanted-fat/index.html.md))

**Description:** You know you have them, we all do — those unwanted pockets of fat that, no matter what you do, just won’t go away. You can exercise and diet, but, unfortunately, you can’t specifically target your problem areas. For Dr. Gurley’s patients, the answer is liposuction.

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## Breast Reduction For Men

**Link:** [Breast Reduction For Men](https://www.judithgurley.com/blog/male-procedures/breast-reduction-for-men/) ([md](https://www.judithgurley.com/blog/male-procedures/breast-reduction-for-men/index.html.md))

**Description:** Women are not alone when it comes to having breasts. While men’s breasts are usually small, there are certain medical problems that can also cause men to have increased breast tissue. Breast reduction surgery can correct this problem.

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## Men Can Get Breast Reductions Too

**Link:** [Men Can Get Breast Reductions Too](https://www.judithgurley.com/blog/men-can-get-breast-reductions-too/) ([md](https://www.judithgurley.com/blog/men-can-get-breast-reductions-too/index.html.md))

**Description:** It’s true that, largely, we have no idea what causes gynecomastia. But we do know that 9 times out of 10, the only treatment for enlargement lasting longer than 2 years is surgical removal, which is immediate and permanent.

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## Microneedling Your Way to Younger-Looking Skin

**Link:** [Microneedling Your Way to Younger-Looking Skin](https://www.judithgurley.com/blog/microneedling-your-way-to-younger-looking-skin/) ([md](https://www.judithgurley.com/blog/microneedling-your-way-to-younger-looking-skin/index.html.md))

**Description:** The body’s reaction to perceived injury is the basis of many skin rejuvenation procedures. Everything from fractional lasers to radiofrequency waves, when the energy is delivered into the dermis the body perceives it as an injury and responds by creating new cells, including collagen.

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## Mini and a Full Tummy Tuck — What’s the Difference?

**Link:** [Mini and a Full Tummy Tuck — What’s the Difference?](https://www.judithgurley.com/blog/mini-and-a-full-tummy-tuck-whats-the-difference/) ([md](https://www.judithgurley.com/blog/mini-and-a-full-tummy-tuck-whats-the-difference/index.html.md))

**Description:** Mini and a Full Tummy Tuck — What’s the Difference? For the patients of Dr. Gurley, there is some confusion about the difference between a full tummy tuck and a mini tummy tuck. Let’s end that confusion.

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## Mom, Get Your Body Back

**Link:** [Mom, Get Your Body Back](https://www.judithgurley.com/blog/mom-get-your-body-back/) ([md](https://www.judithgurley.com/blog/mom-get-your-body-back/index.html.md))

**Description:** With extreme changes during pregnancy, childbirth, and age, a healthy baby is worth every sleepless night and stretch mark, but taking care of yourself is important too. A Mommy Makeover can boost your body confidence.

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## Mommy Makeover What Procedures are Typically Included

**Link:** [Mommy Makeover What Procedures are Typically Included](https://www.judithgurley.com/blog/mommy-makeover-what-procedures-are-typically-included/) ([md](https://www.judithgurley.com/blog/mommy-makeover-what-procedures-are-typically-included/index.html.md))

**Description:** Reset your body and refine your shape. Trust Dr. Judith Gurley for a modern mommy makeover that restores your comfort, confidence, and natural contours.

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It's a simple fact of life that a woman's body does an incredible amount of work over the years. Between pregnancy, childbirth, and natural weight fluctuations, your body undergoes significant changes. While a healthy lifestyle, built on a healthy diet and steady exercise, is always the foundation of well-being, it's completely normal to reach a point where those things can't quite undo the physical stretching that's occurred. When you're left with separated muscles or skin that's lost its elasticity, it's reassuring to know that you don't just have to live with the discomfort.

Dr. Judith Gurley, a board-certified female plastic surgeon, understands these structural shifts firsthand. She approaches body contouring with a warm, highly educated perspective, ensuring that cosmetic surgery is never about changing who you are, but rather restoring your physical comfort and pre-pregnancy shape. She views her patients with genuine understanding, recognizing that deciding to pursue a surgical procedure is a personal decision to feel like yourself again.

Learn more about Mommy Makeovers on Dr. Gurley's Instagram

## Redefining What a Mommy Makeover Actually Is
When many women begin to research this process, they assume a standard mommy makeover only includes a tummy tuck and some type of breast surgery, but true restoration is rarely that simple. Today, Mommy Makeover surgery has evolved into a highly customized collection of cosmetic procedures designed to address the specific areas where you feel the most disconnected from your body's shape.

Dr. Gurley specifically expands this concept to ensure no area is overlooked. "To me, Mommy Makeover surgery is for ANYONE who wants to balance, contour, and smooth from the shoulders to the thighs," she explains. "We not only focus on the breast and tummy, but we also look at the back, bra roll, waist, hips, hip dips, armpit, arms, and FUPA."

## Addressing Structural Changes With Breast Surgery
Pregnancy and breastfeeding can take a lot out of your breast tissue. The natural expansion and subsequent shrinking often leave women with a loss of internal volume and sagging breasts. Restoring a more youthful appearance to the chest is usually a central part of these surgeries.

Depending on your desired results, Dr. Gurley may suggest a breast lift to carefully elevate the tissue by reshaping the deeper layers of the chest. To restore volume and enhance your overall breast size, breast implants can be seamlessly placed. For those who prefer a very soft enhancement without implants, fat transfer can yield lovely results using your own natural tissue.

Some women are left carrying the physical weight of disproportionately large or uneven breasts post-pregnancy. In these instances, a breast reduction is a wonderful option to relieve neck and back strain while beautifully refining the shape, symmetry and appearance of the bust.

## Repairing the Core with a Tummy Tuck
It's incredibly common to notice that your midsection feels completely different after having children. The reality is that stretched abdominal muscles and excess abdominal skin can't be tightened through diet and exercise alone. If your core feels weakened or you're dealing with a noticeable separation of the abdominal muscles, a tummy tuck can be a highly effective solution.

During this part of the mommy makeover procedures, the surgeon carefully repairs the inner abdominal wall, gently bringing the muscles back into a tight, supportive alignment. Once your core is secure, the surgeon will remove excess skin. This process smooths the stomach and often eliminates the stretch marks located on the lower abdomen, creating a midsection that feels strong and looks smooth.

## Smoothing the Extremities and Finding Balance
Because our bodies are fully connected, significant changes in weight or post-pregnancy shifts often affect the arms, back, and legs as well. Dr. Gurley offers a very practical piece of advice for her mommy makeover patients: *"Once you've lost the weight, it's time to think about a mommy makeover."* It's important to gently remind patients that this isn't a weight loss procedure. It's a contouring step for those who're already maintaining a stable weight.

To create a seamless, balanced look across the entire body, specific procedures like an arm lift or thigh contouring may be incorporated to gently remove excess bulk from the extremities. Liposuction is often used to smooth the back and waist, and that same tissue can be utilized as a fat transfer to fill in hip dips or hollow undereyes. Additionally, a monsplasty removes excess tissue from the pubic mound, rejuvenating this area and ensuring your lower abdomen transitions smoothly.

## A Safe Space for Intimate Wellness
As we age and navigate life after having children, many women experience physical changes in the vaginal area that affect their daily physical comfort and self-confidence. In the privacy of a Mommy Makeover consultation with Dr. Judith Gurley, you can openly and comfortably discuss intimate wellness without hesitation.

Addressing these areas with the following procedures (such as vaginal rejuvenation, labiaplasty, and clitoral hood reduction) is entirely normal. These adjustments can be easily incorporated into your overall surgery. Many patients find that addressing these intimate concerns alongside their body contouring allows them to feel confident and fully comfortable in their clothing and daily activities.

## Preparing for Surgery and Navigating Recovery
Undergoing surgery is a commitment to yourself, and preparation is key. The ideal time to schedule your surgery is when you're at a healthy weight, and you're certain you're finished having more children, as future pregnancies will naturally stretch the tissues and alter the final results of your plastic surgery. During your visit, Dr. Gurley will review your health and various other factors to ensure you're a safe, excellent candidate.

A significant advantage of this process is the ability to combine multiple procedures into a single surgery under general anesthesia. This means you only have to navigate one consolidated recovery period. During the first few weeks, you'll need to give yourself permission to rest. You'll need reliable help with children and daily tasks, and your team will ensure you have the proper pain medications to keep you comfortable. As your body heals over several weeks, you'll be able to gradually ease back into your healthy lifestyle.

## Stepping Forward with Confidence
As the initial swelling softly subsides, your results will begin to reveal themselves. Returning to your daily routines with a shape that feels like your own again brings a wonderful sense of ease. Some patients even choose to complement their results later on with gentle laser treatments to refine their skin.

Choosing to pursue plastic surgery is simply about returning to a place of physical comfort. By trusting an experienced professional who values rigorous board certification, you ensure your care is rooted in deep medical knowledge and a genuine understanding. Dr. Gurley’s comprehensive approach allows you to address the physical legacies of motherhood safely, helping you step forward to feel confident, capable, and entirely comfortable in your own skin.


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## Morpheus8 for Skin Tightening After 30

**Link:** [Morpheus8 for Skin Tightening After 30](https://www.judithgurley.com/blog/morpheus8-for-skin-tightening-after-30/) ([md](https://www.judithgurley.com/blog/morpheus8-for-skin-tightening-after-30/index.html.md))

**Description:** Morpheus8 at Dr. Judith Gurley’s St. Louis-area med spa can help tighten skin, improve texture, and support collagen with minimal downtime.

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If you are in your 30s, 40s, or 50s and starting to notice softer skin along the jawline, a little looseness under the chin, fine lines that stay put, or texture that makes your skin look less smooth than it used to, you may be in the perfect window for Morpheus8. These are the kinds of changes that can feel too subtle for surgery but too noticeable to ignore, especially when skincare alone is no longer doing enough.

Morpheus8 is a non-surgical skin tightening treatment that combines microneedling with radiofrequency energy to stimulate collagen production in the deeper layers of the skin. It can improve skin texture, support firmer skin, soften fine lines, and help tighten mild to moderate skin laxity on the face, neck, and body.

At Dr. Judith Gurley Plastic Surgery & Medical Spa in the St. Louis area, Morpheus8 is never treated like a one-size-fits-all device. Dr. Gurley and her team look closely at what is actually causing the concern, including loose skin, skin laxity, early aging, acne scars, hyperpigmentation, or fullness beneath the chin. From there, they may recommend Morpheus8 on its own, pair it with IPL for pigment and tone, or combine it with submental liposuction when excess fat under the chin is part of the picture.

## **How Morpheus8 Supports Firmer Skin**
Skin tightening means different things for different patients. Some people want help with fine lines or mild sagging, while others are bothered by acne scars, enlarged pores, stretch marks, uneven skin texture, or loose skin after weight loss. Morpheus8 uses fractional radiofrequency and tiny needles to reach the deeper layers of the skin, where collagen production can be stimulated.

The microneedling portion creates controlled channels in the skin, while RF energy delivers heat below the surface. This combination encourages collagen production, elastin production, and soft tissue contraction. As the skin heals, the treatment area can gradually look smoother, tighter, and more supported.

Morpheus8 is especially helpful for patients with mild to moderate skin laxity who want non-surgical improvement without extensive recovery time. It can be used on the face, neck, abdomen, arms, knees, and inner thighs. For patients who have had significant weight loss, skin quality may improve, although more advanced loose skin may require surgery.

## **Why Patients Over 30 Ask About Morpheus8**
Many patients over 30 are not trying to look dramatically different; they just want their skin to feel a little more like it used to. Morpheus8 can help with early signs of aging, fine lines, rough texture, mild sagging, and skin that no longer feels as firm.

It can also improve acne scars and stretch marks by encouraging collagen remodeling. For patients with darker skin tones, Morpheus8 may be appropriate because it uses radiofrequency energy rather than light alone, though every patient still needs a careful skin evaluation.

Dr. Gurley is honest about what Morpheus8 can and cannot do. It can tighten skin, support firmer skin, and create a refreshed appearance over time. It *cannot *remove large amounts of excess skin or replace surgical lifting when skin laxity is advanced. That clarity helps patients choose the treatment plan that actually fits their anatomy.

## **Morpheus8 and Submental Liposuction**
The area beneath the chin is one of the most common concerns Dr. Gurley sees. Sometimes the issue is loose skin. Sometimes it is stubborn fat. Many patients have both.

Submental liposuction removes unwanted fat cells beneath the chin and along the upper neck. Morpheus8 can then be used to support skin tightening as the area heals, encouraging collagen production and soft tissue contraction. For the right patient, this combination can create a more defined chin and neck contour than either treatment alone.

This is where Dr. Gurley’s background as a board-certified female plastic surgeon becomes especially valuable. She can evaluate fat fullness, fat loss, loose skin, and moderate skin laxity together. If Morpheus8 alone is enough, she will say so. If liposuction or another body contouring option would yield a better result, she can explain that clearly.

## **Morpheus8, IPL, and Hyperpigmentation**
Morpheus8 is best known for skin tightening, microneedling, collagen production, acne scars, and improved skin texture. IPL treats different concerns. It can help with sun damage, redness, uneven skin tone, and some types of hyperpigmentation.

Many patients benefit from a combination. Morpheus8 may be used for tighter skin and texture improvement, while IPL may be added to improve pigment and tone. This pairing can be helpful for patients who want their skin to look smoother, firmer, and more even overall.

Pigment concerns need careful planning, especially in darker skin tones or reactive skin. Dr. Gurley’s team reviews skin type, skin conditions, active acne, medical conditions, and previous reactions before recommending laser therapy, IPL, Morpheus8, or other treatments.

## **What Treatment and Recovery Are Like**
Before treatment, numbing cream or a topical anesthetic is applied to the treatment area. Once the skin is numb, a handheld device delivers microneedling and RF energy at controlled depths. Treatment time varies by area, but most appointments are manageable for busy patients.

Afterward, the skin may look red or feel warm for a few hours. Mild swelling, pinpoint marks, or roughness can appear as the skin heals. Most patients have minimal downtime, though deeper treatments may require a few days before the skin looks calm again.

Post-treatment care is simple but important. Gentle skincare, sun protection, and avoiding harsh exfoliants or retinoids during the first week post-treatment can help the skin recover. You may need to wait before you wear makeup, depending on your treatment depth and how your skin responds.

Results build gradually. Some patients notice smoother skin within a couple of weeks, while firmer skin and improved skin texture continue developing as more collagen forms. Multiple treatments are often recommended for optimal results, especially for acne scars, stretch marks, and moderate skin laxity.

## **Choosing the Right Skin Tightening Plan**
Morpheus8 can be a strong option for adults over 30 who want non-surgical skin tightening, smoother texture, and a refreshed appearance without extensive recovery time. It can help stimulate collagen production, tighten skin, improve skin tone, and address various skin concerns on the face, neck, and body.

The best results come from choosing the right treatment for the right concern. Loose skin, fat fullness, hyperpigmentation, acne scars, stretch marks, and aging skin do not all need the same approach. At Dr. Judith Gurley Plastic Surgery & Medical Spa, patients receive guidance from a team that understands both non-surgical skin tightening treatments and surgical options.

If you are considering Morpheus8, microneedling, IPL, skin tightening, or submental liposuction in the St. Louis area, schedule a consultation with Dr. Gurley and her team. They can help you understand what is changing in your skin and which treatment plan will give you the best chance at smoother, firmer, more refreshed-looking results.


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## The Natural Power of Fat Grafting with Dr. Judith Gurley

**Link:** [The Natural Power of Fat Grafting with Dr. Judith Gurley](https://www.judithgurley.com/blog/natural-fat-grafting-chesterfield-mo/) ([md](https://www.judithgurley.com/blog/natural-fat-grafting-chesterfield-mo/index.html.md))

**Description:** Natural Fat Grafting Ladue MO - Enhance Facial & Breast

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## Needle a little Re-fresh? Have you tried Microneedling?

**Link:** [Needle a little Re-fresh? Have you tried Microneedling?](https://www.judithgurley.com/blog/needle-a-little-re-freshhave-you-tried-microneedling/) ([md](https://www.judithgurley.com/blog/needle-a-little-re-freshhave-you-tried-microneedling/index.html.md))

**Description:** Have you tried Microneedling? It sounds like stabbing your face with needles, right? Well, technically yes. And why is that good for you? The benefits of this treatment come from the healing ability of the skin to improve its overall health and beauty.

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## Not Happy with Your Implants? Let Dr. Gurley Fix the Problem

**Link:** [Not Happy with Your Implants? Let Dr. Gurley Fix the Problem](https://www.judithgurley.com/blog/not-happy-with-your-implants-let-dr-gurley-fix-the-problem/) ([md](https://www.judithgurley.com/blog/not-happy-with-your-implants-let-dr-gurley-fix-the-problem/index.html.md))

**Description:** Breast augmentation procedures don’t always turn out as planned. Sometimes patients have issues with scar tissue. Sometimes they seek to change implant size, improve symmetry or improve the placement of the implant. Let Dr. Gurley help.

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## Patient Abdominoplasty Story

**Link:** [Patient Abdominoplasty Story](https://www.judithgurley.com/blog/patient-abdominoplasty-story/) ([md](https://www.judithgurley.com/blog/patient-abdominoplasty-story/index.html.md))

**Description:** Patient Story Patti, a wife, and mother of two college-age boys, is excited to get out in the world and do things with her family – things she just didn’t feel comfortable doing before shedding ten pounds of skin in her midsection.

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## Perfectly Appropriate As The Seasons Change – A Chemical Peel

**Link:** [Perfectly Appropriate As The Seasons Change – A Chemical Peel](https://www.judithgurley.com/blog/perfectly-appropriate-as-the-seasons-change-a-chemical-peel/) ([md](https://www.judithgurley.com/blog/perfectly-appropriate-as-the-seasons-change-a-chemical-peel/index.html.md))

**Description:** Chemical peels are one of the most popular cosmetic procedures in the world today because they offer nearly immediate results and can be performed as an outpatient procedure at any season of the year.

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## Planning for Your Breast Enhancement Surgery with Dr. Gurley

**Link:** [Planning for Your Breast Enhancement Surgery with Dr. Gurley](https://www.judithgurley.com/blog/planning-for-your-breast-enhancement-surgery-with-dr-gurley/) ([md](https://www.judithgurley.com/blog/planning-for-your-breast-enhancement-surgery-with-dr-gurley/index.html.md))

**Description:** Adequate breast size can make a woman feel proportionate and feminine. Because of that, breast augmentation with Dr. Gurley can change the way a woman feels about herself and can change her life.

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## Plastic Surgery and Spa for St. Louis Area Residents

**Link:** [Plastic Surgery and Spa for St. Louis Area Residents](https://www.judithgurley.com/blog/plastic-surgery-and-spa-for-st-louis-area-residents/) ([md](https://www.judithgurley.com/blog/plastic-surgery-and-spa-for-st-louis-area-residents/index.html.md))

**Description:** St. Louis area residents can now attend the Plastic Surgery and Spa Centre for skin beauty treatments. Run by the highly experienced and loved Dr. Judith Gurley, our clinic provides lifts and surgeries that help you discover a new you.

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## Plastic Surgery and Spa Services for St. Louis Area Residents

**Link:** [Plastic Surgery and Spa Services for St. Louis Area Residents](https://www.judithgurley.com/blog/plastic-surgery-and-spa-services-for-st-louis-area-residents/) ([md](https://www.judithgurley.com/blog/plastic-surgery-and-spa-services-for-st-louis-area-residents/index.html.md))

**Description:** St. Louis area residents can now feel comfortable knowing that there is a top-quality, professional plastic surgery and spa center within reach. Run by the highly experienced and popular Dr. Judith Gurley, our facility provides the lifts and medical procedures to help you discover a new you. Dr. Judith Gurley is a highly revered and reputable, board-certified, plastic surgeon who has been […]

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## Plastic Surgery and Spa Treatments for St. Louis & Ladue Area Residents

**Link:** [Plastic Surgery and Spa Treatments for St. Louis & Ladue Area Residents](https://www.judithgurley.com/blog/plastic-surgery-and-spa-treatments-for-st-louis-chesterfield-area-residents/) ([md](https://www.judithgurley.com/blog/plastic-surgery-and-spa-treatments-for-st-louis-chesterfield-area-residents/index.html.md))

**Description:** Dr. Judith Gurley Plastic Surgery and Spa serving The St. Louis and Ladue area offers a wide range of services and products aimed at enhancing beauty while providing physical, mental, and emotional relaxation.

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## The Bigger the Implant, The Bigger the Risk

**Link:** [The Bigger the Implant, The Bigger the Risk](https://www.judithgurley.com/blog/risks-of-bigger-breast-implants-chesterfield-mo/) ([md](https://www.judithgurley.com/blog/risks-of-bigger-breast-implants-chesterfield-mo/index.html.md))

**Description:** When considering implant size, numerous factors must be taken into account, including your physical frame, anatomy, and skin health, among others. But bigger isn't always better.

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## Say Goodbye to Wrinkles

**Link:** [Say Goodbye to Wrinkles](https://www.judithgurley.com/blog/say-goodbye-to-wrinkles/) ([md](https://www.judithgurley.com/blog/say-goodbye-to-wrinkles/index.html.md))

**Description:** Ever since the FDA approved Botox for the cosmetic treatment of wrinkles back in 2002, it has become a household name. Botox is even more famous than many of the famous faces in Hollywood who use it to keep some of the signs of aging at bay.

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## Summary of Breast Implant Patient Decision Checklist

**Link:** [Summary of Breast Implant Patient Decision Checklist](https://www.judithgurley.com/blog/summary-of-breast-implant-patient-decision-checklist/) ([md](https://www.judithgurley.com/blog/summary-of-breast-implant-patient-decision-checklist/index.html.md))

**Description:** BREAST IMPLANT SAFETY: New FDA Safety Requirements and What They Mean for Our Patients In the fall of 2021, the FDA took several new actions to strengthen breast implant risk communication and help those who are considering breast implants to make informed decisions.

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## Summer’s Fading, But Not Its Damage

**Link:** [Summer’s Fading, But Not Its Damage](https://www.judithgurley.com/blog/summers-fading-but-not-its-damage/) ([md](https://www.judithgurley.com/blog/summers-fading-but-not-its-damage/index.html.md))

**Description:** The effects of the summer sun on your skin — wrinkles, brown spots, and skin discoloration — could be with you for quite some time. If you’re looking for a quick and effective remedy, a CO2 laser treatment may be just the answer.

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## Surgical Artistry with Intention: Dr. Judith Gurley

**Link:** [Surgical Artistry with Intention: Dr. Judith Gurley](https://www.judithgurley.com/blog/surgical-artistry-with-intention-dr-judith-gurley/) ([md](https://www.judithgurley.com/blog/surgical-artistry-with-intention-dr-judith-gurley/index.html.md))

**Description:** Surgical Artistry with Intention: Dr. Judith Gurley

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Dr. Judith Gurley is a premier, board-certified female plastic surgeon with over 25 years of experience. Trained at Washington University School of Medicine, where she also served as an Assistant Professor, she’s contributed 18 peer-reviewed publications to her field and holds active memberships in the American Society of Plastic Surgeons and The Aesthetic Society. Guided by her philosophy, *No One Will Know. Everyone Will Notice.™*, she pairs sharp medical skill with a careful eye for natural balance.

Her practice specializes in breast cosmetic surgery—including breast lifts, breast reductions, breast asymmetry, adolescent breast issues, tubular deformities, and breast augmentation—where she offers the highly sought-after Motiva breast implants. She's equally renowned for custom mommy makeovers, where she blends tummy tucks, mini tummy tucks, and liposuction for body contouring to create smooth, clean lines with minimal scarring. Dr. Gurley has perfected "wide awake plastic surgery" methods for select surgical procedures, which will soon include the innovative Preservé awake breast augmentation technique.

Her work also includes elegant facial rejuvenation, offering a refined mix of procedures like blepharoplasty, fat grafting, submental liposuction, and facial balancing for a refreshed, effortless look. Uniquely, Dr. Gurley personally performs all facial injections, pioneering advanced options like Daxxify® and the RHA® filler collection.

Alongside her surgical work is a state-of-the-art medical spa, which features a full complement of advanced lasers, non-surgical facial rejuvenation techniques, and relaxing spa treatments. It's also home to Gurley Glow®, her signature, medical-grade skincare line made to optimize results and keep skin healthy.

Dr. Gurley truly sets herself apart by focusing on patient safety, exceptional care, and the pursuit of absolute aesthetic excellence. It’s a high-end, welcoming experience designed entirely around you.


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## Targeting Your Tummy — Liposuction or Tuck?

**Link:** [Targeting Your Tummy — Liposuction or Tuck?](https://www.judithgurley.com/blog/targeting-your-tummy-liposuction-or-tuck/) ([md](https://www.judithgurley.com/blog/targeting-your-tummy-liposuction-or-tuck/index.html.md))

**Description:** The stomach/abdomen area is a bane for most people. Weight gain and loss or simply by having a few extra pounds and getting older, a pooch in that area is almost universal - what to do? Liposuction or Tummy Tuck? Which is right for you?

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## Plastic Surgery Recovery Guide

**Link:** [Plastic Surgery Recovery Guide](https://www.judithgurley.com/blog/the-art-of-recovery/) ([md](https://www.judithgurley.com/blog/the-art-of-recovery/index.html.md))

**Description:** Healing looks different for every patient, but having a roadmap helps you feel confident and prepared. Here’s what you can generally expect when it comes to recovery.

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## **The Art of Recovery **
**At Judith Gurley Plastic Surgery & Medical Spa, recovery is not an afterthought — it’s an essential part of achieving the final result you desire**. Every step is designed to support smooth healing, comfort, and natural, lasting beauty.

*No one will know. Everyone will notice.® *

### **What to Expect: A Recovery Roadmap**
Healing looks different for every patient, but having a roadmap helps you feel confident and prepared. Here’s what you can generally expect:

**Pre-Op Appointment **

● Your *plastic surgery recovery* begins before surgery, during your in-person pre-op appointment.

● We’ll walk you step by step through what to expect on the day of surgery and beyond.

● This is your time to ask questions, address any concerns, and leave feeling empowered and ready.

● Our goal is for you to feel fully prepared, both mentally and physically, so you can focus on healing.

**Day of Surgery **

● You’ll go home with detailed written instructions, your garments in place, and my direct recommendations for the first 24 hours.

● We will call once you are settled in at home.

● Hydration, gentle movement, and deep breathing are essential.

● You will be provided with pain medication, though most prescriptions are mild and won’t prevent you from driving as soon as the following day.

● I will see you the very next day to personally examine your surgical sites — I never delegate this touchpoint.

**First Week **

● Walking and light motion are encouraged, but no strenuous exercise.

● Compression garments (if applicable) should be worn as directed for comfortable support.

● Swelling, bruising, and mild discomfort are normal — we’ll review how to manage these.

● Because *recovery is thoughtfully designed around your comfort*, many patients are driving and back to work within just a few days, resuming life at their own pace.

**Weeks 2–6 **

● Gradual return to normal activities, based on your procedure and healing.

● Any restrictions on medications or supplements will be reviewed as we ensure safe, steady progress.

**Beyond 6 Weeks **

● You’ll continue to see me for follow-up appointments throughout the first year (see the Recovery Appointment Timeline below).

● These visits allow us to track your progress, refine aftercare, and ensure your results remain naturally beautiful.

**My Commitment to You **

● **Personal oversight**: I personally examine every patient post-operatively.

● **Early intervention**: By “getting eyes on” your healing, I can prevent small issues from becoming setbacks.

● **Open access**: If something concerns you, it concerns us. We encourage you to call without hesitation.

### **Recovery Appointment Timeline **
To ensure you heal beautifully and predictably, I personally see you at these key milestones:

● **Day 1 **– The day after surgery

● **2 Weeks **– Early healing and suture check (if applicable)

● **6 Weeks **– 2nd healing check and garment fitting (if applicable)

● **3 Months **– Progress evaluation and guidance for activity and long-term care

● **6 Months **– Healing assessment and refinement

● **1 Year **– Final results check and celebration of your transformation

After your 1-year checkup, I enjoy seeing patients periodically to make sure you remain comfortable and confident in your results. Follow-up schedules are personalized for every patient.

### **Long-Term Support **
Your results don’t end at recovery. A healthy lifestyle, clean eating, and good hydration support long-lasting beauty. Many patients also maintain results with skin treatments at our MedSpa and physician-curated products like Gurley Glow®. We may also recommend long-term undergarment options tailored specifically to you.

*Recovery is the first step toward enjoying your renewed confidence — and we’ll be here for you long after your surgery. *

### **Ready to Begin? **
**Your plastic surgery recovery journey begins with a consultation designed around you**. Contact us today to schedule your one-on-one visit.


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## The History of Liposuction

**Link:** [The History of Liposuction](https://www.judithgurley.com/blog/the-history-of-liposuction/) ([md](https://www.judithgurley.com/blog/the-history-of-liposuction/index.html.md))

**Description:** It’s long been tempting to contemplate magically ridding the body of pockets of fat that accumulate in certain areas such as the lower abdomen and thighs. In fact, French surgeon Charles Dujarier tried to do exactly that way back in the 1920s.

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## The Major and Minor of Labiaplasty

**Link:** [The Major and Minor of Labiaplasty](https://www.judithgurley.com/blog/the-major-and-minor-of-labiaplasty/) ([md](https://www.judithgurley.com/blog/the-major-and-minor-of-labiaplasty/index.html.md))

**Description:** Sometimes a woman can be unhappy with her labia, the inner or outer lips of the vagina. Labiaplasty by Dr. Gurley is used to reduce the size of labia that may be too long or large or to reshape labia that are uneven or may be causing physical discomfort.

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## The Plastic Surgery Recovery Process

**Link:** [The Plastic Surgery Recovery Process](https://www.judithgurley.com/blog/the-recovery-process/) ([md](https://www.judithgurley.com/blog/the-recovery-process/index.html.md))

**Description:** Dr Judith Gurley and her dedicated team strive to help patients achieve and maintain their naturally renewed results. Schedule your consultation today.

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## Three Lasers for Three Effective Treatments

**Link:** [Three Lasers for Three Effective Treatments](https://www.judithgurley.com/blog/three-lasers-for-three-effective-treatments/) ([md](https://www.judithgurley.com/blog/three-lasers-for-three-effective-treatments/index.html.md))

**Description:** Dr. Gurley offers her patients three state-of-the-art lasers that can address a wide variety of issues, particularly hair removal, age spot removal, and wrinkle removal

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## Tighten Up Your Upper Arms for Summer

**Link:** [Tighten Up Your Upper Arms for Summer](https://www.judithgurley.com/blog/tighten-up-your-upper-arms-for-summer/) ([md](https://www.judithgurley.com/blog/tighten-up-your-upper-arms-for-summer/index.html.md))

**Description:** The underside of your upper arms is particularly susceptible to the pull of gravity. Plus, your muscles and supporting tissues slacken somewhat with age. The result can be loose, giggly arms that you may have heard referred to as “bat wings.”

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## Tired of droopy or baggy eyes?

**Link:** [Tired of droopy or baggy eyes?](https://www.judithgurley.com/blog/tired-of-droopy-or-baggy-eyes/) ([md](https://www.judithgurley.com/blog/tired-of-droopy-or-baggy-eyes/index.html.md))

**Description:** The eyes are particularly susceptible to showing signs of aging. The muscles weaken. Skin loses some of its former tautness. Genetics and lifestyle choices can make an impact, too. The result can be eyes that make you look perpetually tired.

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## Types of Tummy Tucks

**Link:** [Types of Tummy Tucks](https://www.judithgurley.com/blog/types-of-tummy-tucks/) ([md](https://www.judithgurley.com/blog/types-of-tummy-tucks/index.html.md))

**Description:** If you’ve had children or if you’ve put on a good deal of weight and then lost it, you likely have a pooch. No, not the kind you have to walk every day, the sagging skin that creates a pooch on your lower abdomen. And to handle this, there are many different types of tummy tucks.

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## BIA-ALCL now linked to textured-surface implants

**Link:** [BIA-ALCL now linked to textured-surface implants](https://www.judithgurley.com/blog/uncommon-condition-bia-alcl-now-linked-to-textured-surface-implants/) ([md](https://www.judithgurley.com/blog/uncommon-condition-bia-alcl-now-linked-to-textured-surface-implants/index.html.md))

**Description:** Over the last 20 years, there has been extensive research performed on breast implants. Clearly, women have enjoyed and benefited from these devices. As clinical studies continue, plastic surgeons and the FDA continue to learn more about breast implants and their potential health effects. How Implants Came to Be I’d like to review the history of how […]

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## Unwrap Your Upper Body

**Link:** [Unwrap Your Upper Body](https://www.judithgurley.com/blog/unwrap-your-upper-body/) ([md](https://www.judithgurley.com/blog/unwrap-your-upper-body/index.html.md))

**Description:** Ever found yourself feeling like your top half is taking center stage, with breasts seemingly on a mission to spill out and create a side and back boob extravaganza? Female, Board-Certified Plastic Surgeon Dr. Judith Gurley provides a solution.

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## What are you Putting on Your Face?

**Link:** [What are you Putting on Your Face?](https://www.judithgurley.com/blog/what-are-you-putting-on-your-face/) ([md](https://www.judithgurley.com/blog/what-are-you-putting-on-your-face/index.html.md))

**Description:** Pharmaceutical-grade skincare Versus Mainstream Skincare We all do it! We watch a video of a middle-aged woman on TikTok or Instagram; she gently massages a cream under her eyes and with a time-lapse video, those wrinkles are erased, and the dark circles are replaced with fresh bright skin!

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## What if I Don’t Like My Breast Implants?

**Link:** [What if I Don’t Like My Breast Implants?](https://www.judithgurley.com/blog/what-if-i-dont-like-my-breast-implants/) ([md](https://www.judithgurley.com/blog/what-if-i-dont-like-my-breast-implants/index.html.md))

**Description:** Revision implant surgery is completely different from an initial implant placement surgery. Many surgeons are not comfortable revising breast implants even if they are very comfortable putting them in initially. But what if you don't like them?

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## What Makes Upper and Lower Blepharoplasty Look Natural

**Link:** [What Makes Upper and Lower Blepharoplasty Look Natural](https://www.judithgurley.com/blog/what-makes-upper-and-lower-blepharoplasty-look-natural/) ([md](https://www.judithgurley.com/blog/what-makes-upper-and-lower-blepharoplasty-look-natural/index.html.md))

**Description:** Blepharoplasty by Dr. Judith Gurley can refresh heavy upper lids, under-eye bags, and tired-looking eyes with natural surgical precision.

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Aging doesn’t need to be dramatic to be frustrating, and you certainly don't have to wait until it's severe to give yourself a refresh. A little extra skin on the upper eyelid can make the eyes look smaller, while fullness in the lower lids can create under-eye bags that stay put no matter how much sleep, hydration, or concealer enters the picture.

Blepharoplasty corrects these concerns through careful eyelid surgery. The upper procedure can remove excess skin and sharpen the natural eyelid crease, while the lower procedure can address fat pads, puffiness, and shadows beneath the eyes. For patients who need a more complete correction, quad blepharoplasty treats the upper and lower eyelids together.

At Dr. Judith Gurley Plastic Surgery & Medical Spa, this surgery is performed by Dr. Gurley herself, a board-certified female plastic surgeon with extensive experience in facial surgery. Her work around the eyes is grounded in technical control, artistic planning, and a clear understanding that patients want to look refreshed, never overdone.

## **Why the Eye Area Needs Planning**
The eyelids are small, but they’re connected to a lot of moving parts. The brow, cheeks, fat pads, muscle, and skin quality all support how rested or tired the eyes appear. A heavy upper lid may come from excess eyelid skin, a low brow, eyelid ptosis, or a combination of these concerns. Puffiness beneath the eyes may come from bulging fat pads, loose skin, hollowing, or changes in the cheek beneath it.

That’s why Dr. Gurley doesn’t plan blepharoplasty by looking at one fold of skin and calling it a day. She studies your eyes and the surrounding areas to determine what needs to be removed, what needs to stay, and where the surrounding contours may need support.

Eyelid surgery is technical, but the contour planning is artistic. Removing excess skin from the upper eyelid can help the eyes look more open, but removing too much can create a hollow or pulled appearance. Reducing fat in the lower lids can soften under-eye bags, but taking too much can make the area look older. The best plan of action takes both anatomy and expression into consideration.

## **Upper Blepharoplasty**
Upper blepharoplasty focuses on the upper eyelid, where excess skin can fold over the natural eyelid crease or rest near the lashes. Patients may notice that their eye makeup disappears into the fold, their eyes look smaller in photos, or they feel like they’re lifting their brows throughout the day to compensate for heaviness.

During upper eyelid blepharoplasty, Dr. Gurley places the incision along the natural eyelid crease. This surface incision heals with a very fine line that becomes almost invisible for many patients once healing is complete. Through that incision, she can remove excess eyelid skin, refine the upper lid, and address excess fat when needed.

Some patients who think they need upper eyelid surgery may also have brow ptosis, which means the brow has dropped and is contributing to heaviness. In that case, Dr. Gurley may talk through the role of a brow lift or internal brow support. The point is to correct the actual source of the concern, rather than over-removing eyelid skin to compensate for a brow issue.

## **Lower Blepharoplasty**
Lower blepharoplasty focuses on the lower eyelids, where under-eye bags, puffiness, and shadows can make the face look tired even when the rest of the skin looks healthy. This area needs a measured hand because the lower eyelid has to maintain support, shape, and softness.

Dr. Gurley typically places the lower lid incision inside the eyelid, a technique called a transconjunctival incision. Since the incision is hidden inside the lower lid, it can’t be seen from the outside. This approach also allows her to access bulging fat pockets in a safer, cleaner way without creating an external scar beneath the lash line.

For the right patient, lower eyelid blepharoplasty can smooth puffy fat pads and improve the transition between the lower lids and cheeks. If the area has shadows from volume loss, removing fat alone may leave the under-eye looking hollow. That’s where Dr. Gurley’s planning becomes especially valuable. She evaluates the full contour beneath the eye before deciding how much to remove, how much to preserve, and when volume restoration should be added.

## **Quad Blepharoplasty**
Quad blepharoplasty treats all four eyelids, meaning both upper and lower lids. This option can work well for patients who have heaviness above the eyes and puffiness or bags beneath them. Treating the upper and lower areas together can create a more balanced result because both parts of the eye area are being refreshed in the same surgical plan.

Dr. Gurley’s experience with quad blepharoplasty is important because this procedure requires your surgeon to think across the whole eye area. The upper eyelid, lower eyelid, brow, cheek, and outer corner of the eye all need to work together. When the upper lids are opened, and the lower lids are smoothed with the same level of control, the face can look rested in a way that still feels natural.

A strong quad blepharoplasty plan considers proportion, contour, and where your eye area has lost its younger shape. Depending on the patient, this could mean removing excess skin, adjusting fat pads, adding fat grafting, using laser resurfacing, or combining several small refinements to create one cohesive result.

## **Why Fat Grafting Can Improve the Result**
Dr. Gurley commonly prefers combining blepharoplasty with fat grafting when the under-eye area has shadows, hollowing, or a sharp transition into the cheek. This is especially useful in lower eyelid surgery because aging around the eyes isn’t always caused by extra tissue. Sometimes the issue is loss of support.

The fat used for grafting comes from the patient’s own body through liposuction. This is routine for a board-certified plastic surgeon, but it still requires proper equipment, training, and surgical judgment. Once collected, the fat can be prepared as microfat or nanofat, depending on what the area needs.

Microfat can help restore volume and rebuild youthful contours around the lower lids and cheeks. Nanofat may help improve skin quality, tone, and texture, especially in thin or crepey areas. Around the eyes, small adjustments carry a lot of visual weight, so the goal is precision rather than fullness.

Dr. Gurley uses fat grafting to soften shadows and rebuild the eye area in a natural way. The intention is never to make the under-eye look puffy or filled. The intention is to restore smoother contours so the lower lids and cheeks blend in a more youthful, believable way.

## **CO2 Laser Resurfacing After Lower Blepharoplasty**
Lower blepharoplasty can address bulging fat pads and under-eye bags, but it doesn’t automatically tighten the surface of the skin. If the lower eyelid skin has fine lines, crepiness, sun damage, or laxity, Dr. Gurley may recommend CO2 laser resurfacing as part of the plan.

She considers CO2 laser resurfacing the gold standard for skin tightening and collagen building around the lower eyelids. It can improve texture, soften fine lines, and help the skin contract after the deeper puffiness has been corrected. This combination can make the overall result look more complete, especially for patients whose lower eyelid concerns include both fat pockets and skin looseness.

Because the laser is used near the eyes, protection is essential. Dr. Gurley uses special prepping solutions and mechanical protection to protect the eye during treatment. The same level of care applies if the patient is awake, under twilight anesthesia, or asleep.

## **Awake, Twilight, or Asleep**
Patients tend to feel better when they know they have options. Blepharoplasty can be performed with the patient awake, under twilight anesthesia, or asleep, depending on the procedure, the patient’s comfort level, and the surgical plan.

Some patients feel comfortable having upper blepharoplasty with local anesthesia. Others prefer twilight anesthesia so they’re relaxed but not fully asleep. Patients having quad blepharoplasty, lower eyelid blepharoplasty with fat grafting, or laser resurfacing may prefer deeper anesthesia. Dr. Gurley reviews each patient’s medical history, preferences, and treatment plan before recommending the safest choice.

This part of the conversation is handled with care because surgery around the eyes can make people nervous. Dr. Gurley explains what to expect, how the eyes are protected, and how the procedure will be performed so patients can make a confident decision.

## **Safety Around the Eyes**
The eye area requires a serious safety protocol. Dr. Gurley uses special prep solutions and mechanical protection to protect the eyes during blepharoplasty and laser resurfacing. This protection is used regardless of the anesthesia choice.

This matters because eyelid surgery is performed close to delicate structures. The skin is thin, the muscle is precise, and the eyes need to be protected at every stage. Choosing a board-certified plastic surgeon with experience in facial surgery gives patients a higher level of planning, sterility, and surgical judgment.

For Dr. Gurley, safety and beauty belong in the same conversation. A result has to look good, heal well, and preserve function.

## **Recovery After Blepharoplasty**
Recovery after eyelid surgery is usually easily manageable, though patients should expect some swelling and bruising during the first week. The eyelids may feel tight, dry, or sensitive as healing begins. Some patients notice temporary light sensitivity or blurred vision, and contact lenses may need to be paused until the eyelids feel comfortable again.

Dr. Gurley gives detailed instructions for recovery based on the exact procedure performed. Cold compresses, keeping the head elevated, avoiding strenuous activity, and attending follow-up appointments all help support healing. Patients usually start to look more like themselves as swelling improves through the first few weeks, while final results continue to settle over time.

The eyelids heal in stages. Early improvement can be encouraging, but the refined result takes patience as the tissues soften and the incision lines fade.

## **How Long Does Blepharoplasty Last?**
Blepharoplasty is one of the longer-lasting facial procedures. In many cases, eyelid surgery lasts a lifetime and doesn’t need to be repeated. That’s exactly why Dr. Gurley believes it needs to be done right the first time.

The face will continue to age, and the skin around the eyes will keep changing over the years, but the excess skin and fat pads corrected during surgery generally don’t return in the same way. Good skincare, sun protection, and maintenance treatments can help preserve the result.

Patients who have lower eyelid skin changes may benefit from CO2 laser resurfacing or other skin treatments over time to support collagen and texture. These treatments can help maintain the quality of the eyelid skin without repeating surgery.

## **Revision Blepharoplasty**
Some patients come to Dr. Gurley after having blepharoplasty elsewhere and feeling unhappy with the result. Their eyelids may look hollow, uneven, pulled, rounded, or still too heavy. Revision surgery around the eyes can be complex because the tissue has already been altered, and scar tissue may be present.

Dr. Gurley is well-versed in revision blepharoplasty. She looks carefully at the eyelid crease, remaining skin, fat balance, lower eyelid position, and overall eye shape before recommending a plan. In some cases, revision may involve removing leftover excess skin. In others, it may require restoring volume with fat grafting, improving contour, or supporting the lower lids.

Revision conversations need honesty. Dr. Gurley is careful about what can be improved, what should be left alone, and how to approach the area safely. Patients appreciate that directness, especially when they’ve already been through a surgery that didn’t give them the outcome they wanted.

## **You Don’t Have to Wait for Vision Problems**
Many patients assume they should wait until the upper eyelids interfere with vision before considering blepharoplasty. That’s one path, but it isn’t the only one.

Plenty of patients choose eyelid surgery for cosmetic reasons long before vision becomes an issue. If the upper eyelid feels heavy, the lower lids look puffy, or the eye area makes the face look tired, a consultation can help clarify what’s causing the concern and which options make sense.

Being proactive allows patients to enjoy the look they want now. It also gives Dr. Gurley the chance to create a more refined plan before the tissue becomes more lax or the changes become more advanced.

## **A Female Plastic Surgeon Who Understands the Nuance**
Patients choose Dr. Gurley for her surgical skill, but many also appreciate her presence in the room. As a female plastic surgeon, she understands how personal facial surgery can feel, especially around the eyes. Patients may want improvement without a dramatic change, and they may be worried that eyelid surgery will make them look different instead of rested.

Dr. Gurley’s approach is direct, warm, and thoughtful. She listens to what bothers the patient, explains what she sees, and builds a plan around anatomy rather than pressure. Her goal is to help patients feel informed and comfortable before making any decision.

That welcoming style is part of the practice. Patients are treated with respect, privacy, and patience, from consultation through recovery.

## **The Best Eyelid Surgery Is Precise**
Blepharoplasty can make the whole face look more rested, but the details decide the outcome. Upper blepharoplasty can lighten a heavy upper lid, lower blepharoplasty can soften under-eye bags, quad blepharoplasty can refresh the upper and lower eyelids together, and fat grafting or CO2 laser resurfacing can improve the contours and skin quality around the eyes.

The best plan depends on the patient’s anatomy, goals, and skin quality. Dr. Gurley performs each procedure herself, using careful incision placement, thoughtful contour planning, and the surgical judgment that comes from deep experience with the face.

If you’re considering blepharoplasty, upper blepharoplasty, lower blepharoplasty, or quad blepharoplasty, schedule a consultation with Dr. Judith Gurley Plastic Surgery & Medical Spa. You’ll receive clear guidance from a board-certified female plastic surgeon who understands the technical and personal sides of eyelid surgery.


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## What’s Behind Three Typical Signs of Facial Aging?

**Link:** [What’s Behind Three Typical Signs of Facial Aging?](https://www.judithgurley.com/blog/whats-behind-three-typical-signs-of-facial-aging/) ([md](https://www.judithgurley.com/blog/whats-behind-three-typical-signs-of-facial-aging/index.html.md))

**Description:** Time is especially rough on our skin, particularly our facial skin. Most people would prefer time stood still. Although the signs of aging are unstoppable, fortunately, they can be delayed or their appearance can be lessened.

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## When Breasts Are On the Mind

**Link:** [When Breasts Are On the Mind](https://www.judithgurley.com/blog/when-breasts-are-on-the-mind/) ([md](https://www.judithgurley.com/blog/when-breasts-are-on-the-mind/index.html.md))

**Description:** The transition from girlhood to womanhood is inherently challenging. For some young women, the additional stress of managing abnormal breasts adds another layer of overwhelm. Dr. Judith Gurley wants you to know that when you feel like your breasts are holding you back, she can help.

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## When Enough is Too Much

**Link:** [When Enough is Too Much](https://www.judithgurley.com/blog/when-enough-is-too-much/) ([md](https://www.judithgurley.com/blog/when-enough-is-too-much/index.html.md))

**Description:** These days it may seem odd when a woman wants to have her breast size reduced. After all, in the U.S. breast augmentation was the most popular cosmetic surgery in 2014. But the reality is that for women with overly large breasts, life is negatively impacted on a daily basis by their breasts.

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## When Your Private Area is No Longer Private: FUPA Correction

**Link:** [When Your Private Area is No Longer Private: FUPA Correction](https://www.judithgurley.com/blog/when-your-private-area-is-no-longer-private-fupa-correction/) ([md](https://www.judithgurley.com/blog/when-your-private-area-is-no-longer-private-fupa-correction/index.html.md))

**Description:** Most women want their mons pubis, which is the area just above their labia on the pubic bone to be slim and unnoticeable. When this area enlarges, it is referred to as FUPA, a fatty upper pubic area, which may be difficult to conceal.

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## Who’s Taking Care of Mommy?

**Link:** [Who’s Taking Care of Mommy?](https://www.judithgurley.com/blog/whos-taking-care-of-mommy/) ([md](https://www.judithgurley.com/blog/whos-taking-care-of-mommy/index.html.md))

**Description:** Who’s Taking Care of Mommy? Dr. Gurley is taking care of Mommy! Our unique Mommy Makeover offers myriad physical benefits and has an emotional and psychological impact that is possibly even more significant.

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## Body

**Link:** [Body](https://www.judithgurley.com/body/) ([md](https://www.judithgurley.com/body/index.html.md))

**Description:** At Judith Gurley Plastic Surgery & Medspa in St. Louis, MO, we offer plastic surgery procedures for the body such as the Arm Lift, Liposuction, Tummy Tuck, Mommy Makeover and more.

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## Body Lift

**Link:** [Body Lift](https://www.judithgurley.com/body/body-lift/) ([md](https://www.judithgurley.com/body/body-lift/index.html.md))

**Description:** Considering body lift surgery? Restore your body's shape after weight loss or childbirth with our expert plastic surgeon serving Ladue and St. Louis, MO.

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#### Sculpt Your Dream Silhouette

Congratulations! You lost weight. Now what? For patients who have lost large amounts of weight, had babies, or who have stretched-out skin, hanging skin, a pocket of fat in the lower abdomen, or stretch marks, a **body lift in St. Louis** may be the best way to reverse these changes. Stretched and separated abdominal muscles can be repaired to strengthen the body’s core, and [liposuction](/body/liposuction/) can also be used to refine the figure. The weight of hanging skin will be removed, and you’ll able to see areas that have been hidden by rolls of skin. This procedure truly helps you reacquaint yourself with the underlying you.

#### What You Can Expect

*What does the body lift entail?*

A **body lift** extends the concept of a [tummy tuck](/body/tummy-tuck/) around to the sides of the hip to include removal of more tissue. Muscles can be tightened in the midline if needed and [liposuction](/body/liposuction/) can be added for detailed smoothing.

#### Alternatives

*Are there any alternatives to a body lift?*

*Liposuction* will decrease bulk, but [Dr. Gurley](/about/meet-dr-judith-gurley/) will help you decide if additional skin removal or muscle tightening is needed for your body.

#### Recovery

*What can I expect after a body lift?*

After a **body lift** Ladue & St. Louis patients can expect the recovery process to be about 1-3 weeks depending on the extent of the procedure. However, vigorous activities and exercise are not recommended for 6 weeks. We provide a compression garment to wear for 4-6 weeks after surgery to assist with the healing process.

#### Candidates

*Who is a good candidate?*

You may consider a **body lift** procedure if:

- You have a large amount of loose tissue in one or multiple body areas.
- Your body has undergone major changes due to weight loss or childbirth.
- For excess skin on the upper body, ask Dr. Gurley about an *upper body lift*.

#### Cost

*What is the approximate cost for Body Lift?*

The cost for **body lift** surgery usually falls within this range, however you will receive an exact cost when you meet with Dr. Gurley.

- $10,000-$53,000

Click [here](/contact/) to begin your consultation process with Dr. Gurley today!

#### Real Results

*Real Artistic Outcomes With A Body Lift*

[Dr. Gurley](/blog/board-certified-doctors/) will customize your *body lift procedure* to meet your individual needs. It is a surgery that can provide [drastic results](/gallery/body/body-lift/) due to the ability to personalize the operation for each specific patient. Weight fluctuations affect everybody differently. Dr. Gurley recognizes those differences and designs a treatment plan perfect for you. A **body lift** can help you attain not only a firmer and more sculpted body contour but also a body that is physically and emotionally in keeping with who you are and how you feel. Our [gallery](/gallery/) showcases Dr. Gurley’s patients who have seen radical, impressive results.

#### Let’s Start a Conversation

[Get In Touch](/contact/)


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## Body Procedures

**Link:** [Body Procedures](https://www.judithgurley.com/body/body-procedures/) ([md](https://www.judithgurley.com/body/body-procedures/index.html.md))

**Description:** Explore body contouring procedures that slim, tone, and enhance your body's balance. Dr. Gurley's personalized approach ensures natural-looking results.

### Content

*Body procedures will slenderize, remove bulges, and tighten damaged or excess skin*. Subtle changes in one body area can make noticeable improvements not only in the area being operated on but in other areas as well. Dr. Gurley looks at the body as a whole and recommends procedures that will help *bring your body into balance*.

#### Looking For More?

[Face Procedures](/face/)

[Breast Procedures](/breast/)

[Body Procedures](/body/)

[Male Procedures](/male-procedures/)

#### Patients First, Always

*Our Patient Care Philosophy*

Everybody is individual and unique. Dr. Gurley believes that you deserve the best that plastic surgery has to offer. Your existing body type, bone structure, and personal preferences are just a few of the elements considered and discussed during an initial consultation.

The key is “seeing.”

Dr. Gurley will listen and help you visualize expected surgical outcomes. Her recommendations will be uniquely personal and specific to you and only you. Years of experience incorporating vision into every operation she performs has made a difference. [Dr. Gurley](/about/meet-dr-judith-gurley/) loves what she does. She wants nothing more than to care for her patients the best way she knows how and give them results that exceed their expectations. She redefines what is possible. Let Dr. Gurley mold you into a look and feel that fits you!

[Get In Touch](/contact/)


---

## Brachioplasty

**Link:** [Brachioplasty](https://www.judithgurley.com/body/brachioplasty/) ([md](https://www.judithgurley.com/body/brachioplasty/index.html.md))

**Description:** Are you looking for brachioplasty in St. Louis to tighten loose arm skin? Dr. Gurley offers expert care to address saggy upper arms effectively. Call now.

### Content

Over time, skin can lose its elasticity, leading to loose skin that hangs on the upper part of the arm. This lax skin can persist even with diet and exercise. This part of the arm can also be negatively impacted by weight gain or loss, resulting in a full upper arm or a saggy upper arm. Whatever the cause, persistent fullness or loose skin in the upper arm responds well to an *arm lift*, also known as **Brachioplasty**, a procedure that removes fat and tightens the skin.

#### What You Can Expect

*What does a brachioplasty entail?*

During your St. Louis **brachioplasty** surgery,[ Dr. Gurley](/about/meet-dr-judith-gurley/) will design an incision that best addresses the problem. Usually, this incision extends from the armpit down to the elbow area. Sometimes the incision is shorter, depending on the individual. [Liposuction](/body/liposuction/) is used in conjunction if necessary.

#### Alternatives

*Are there any alternatives to brachioplasty?*

Although diet and exercise can’t tighten skin, it can help with fat reduction. It’s important to exercise and eat healthy; we can help with the rest.

#### Recovery

*What can I expect?*

After undergoing **brachioplasty** Ladue & St. Louis patients are given a compression sleeve to wear in order to provide support for the surgical site. Normal activities can be resumed the next day. We prefer that you avoid strenuous exercise for 2-4 weeks after surgery.

[Start a Conversation ](/consultation/)

#### Candidates

*Who is a good candidate for brachioplasty?*

You may consider an *arm lift* if:

- You have loose skin or stretch marks on your arms that diet and exercise cannot improve.
- You feel self-conscious about the “wings” of skin that extend from your elbow to your upper arm.
- You have loose skin from weight loss that you would like removed, or you feel uncomfortable wearing short sleeves or tank tops.

#### Cost

*What is the approximate cost for brachioplasty?*

The cost for **brachioplasty** (*arm lift*) surgery usually falls within this range, however you will receive an exact cost when you meet with Dr. Gurley.

- $16,000-$30,000

Click [here](/contact/) to begin your consultation process with Dr. Gurley today!

#### Real Results

*Real Artistic Outcomes*

When an *arm lift* is performed by a [Board-Certified Surgeon](/blog/board-certified-doctors/), you’ll notice a dramatic improvement in the size and shape of the upper arm. Dr. Gurley works individually with each patient to help shape the look of your arm in a way that works best for you. Depending on your anatomy and what Dr. Gurley sees, she may also suggest *liposuction in tandem with a brachioplasty for the most permanent results*. Our gallery shows the drastic improvements Dr. Gurley is able to offer those undergoing the **brachioplasty** procedure.

#### Let’s Start a Conversation

[Get In Touch](/contact/)

#### Related Articles


---

## C-Section Scar Correction

**Link:** [C-Section Scar Correction](https://www.judithgurley.com/body/c-section-scar-correction/) ([md](https://www.judithgurley.com/body/c-section-scar-correction/index.html.md))

**Description:** Considering scar revision surgery for your C-section scar in Ladue & St. Louis? Smooth out indented or raised scars and remove excess skin for a more even abdomen.

### Content

The miracle of birth is just that: a miracle! Unfortunately, the scars that some birthing processes can leave behind are often less than desirable. Depending on the incision and the healing, some *cesarean section scars* can become indented, lumpy, uneven, or otherwise noticeable. Some women find that after their C-section they get a “pooch” that sits on top of the scar making it hard to wear certain types of clothing. By getting a **C-Section Scar Correction in St. Louis**, excess skin or even sometimes fat can be removed at the same time to smooth out your lower abdomen.

#### What You Can Expect

*C-Section Scar Correction*

During your **C-Section Scar Correction** Ladue & St. Louis patients will have the incision removed and completely re-sewn, using all the principles of *plastic surgery* to manage distortion and visibility.

#### Alternatives

*Are there any alternatives to C-Section Scar Correction?*

Unfortunately, no creams can improve the appearance of an indented, although they may help mitigate a raised scar. A [tummy tuck](/body/tummy-tuck/) can be used in conjunction with *surgical scar correction* if some improvement to the abdominal muscles or skin is also desired by the patient. [Liposuction](/body/liposuction/) to assist in contouring the body can help as well.

#### Recovery

*C-Section Scar Correction*

The surgery can be done under general or local anesthetic, depending on the extent of scarring and if the procedure is combined with another procedure. Our **St. Louis C-Section Scar Correction** patients return home the same day and can usually return to normal activities, including lifting and bending, after about a week of recovery. Exercise should be avoided for 2 weeks following the surgery.

#### Candidates

*C-Section Scar Correction*

You may consider a **C-Section Scar Correction** if:

- You have a *highly visible C-section scar*; your scar is puckered, or bulging.
- There is excessive skin around your scar.
- You are unhappy with the fact that you can see the indentation of the scar through clothing.

#### Cost

What is the *approximate cost for C-Section Scar Correction*?

The cost for **C-Section scar correction surgery** usually falls within this range, however you will receive an exact cost when you meet with Dr. Gurley.

- $11,000-$24,000

Click [here](/contact/) to begin your consultation process with Dr. Gurley today!

#### Real Results

*Real Artistic Outcomes*

[Dr. Gurley](/) understands that scars can be visible in and out of clothing. The contour of the scar is paramount to a plastic surgeon who focuses on form. As a [Board-Certified Plastic Surgeon](https://www.abplasticsurgery.org/), Dr. Gurley has years of experience using precision in surgical techniques so that scarring is minimal. She will consult individually with you to advise you about the [procedures](/in-office-procedures/) that will work best for your body. A **C-section scar correction** can also be used in conjunction with [liposuction](/body/liposuction/) or a [tummy tuck](/body/tummy-tuck/) if there is excess skin around the scar or if there was separation of the abdominal muscles following the birth of your child.

#### Let’s Start a Conversation

[Get In Touch](/contact/)


---

## Labiaplasty

**Link:** [Labiaplasty](https://www.judithgurley.com/body/labiaplasty/) ([md](https://www.judithgurley.com/body/labiaplasty/index.html.md))

**Description:** Discover how labiaplasty surgery in St. Louis & Ladue can reshape and enhance your labia for aesthetic and comfort reasons. Get instant results with minimal downtime.

### Content

**Labiaplasty** is a surgical procedure that helps the vaginal area look and feel better. Puberty, pregnancy, childbirth, weight fluctuations, and age are all reasons why this part of the female anatomy can change. *Labiaplasty surgery is performed on the inner (minora) and/or outer (majora) lips of the vagina, reducing the size, thickness, or length of the labia*. Labiaplasty can also reshape the labia if they are uneven or uncomfortable, thus improving their appearance and reducing associated discomfort. Many women today are seeking a one-time fix for this part of their body so they can wear the outfits they want to wear and feel comfortable both in and out of their clothing. This is an outpatient procedure requiring little to no downtime and the results are instantly apparent. We take pride in the fact that women of all ages are comfortable coming to discuss this topic with us.

#### What You Can Expect

*Labiaplasty*

*Labiaplasty*: This routine surgical procedure is performed for cosmetic, hygienic, pain-relief or functional reasons. It can be performed alone or in conjunction with procedures such as a [tummy tuck](/body/tummy-tuck/), [breast surgery](/breast/), liposuction or a [pubic surgery](https://www.plasticsurgery.org/cosmetic-procedures/aesthetic-genital-plastic-surgery).

*Pubic Surgery*: The mons pubis, or in and around the female/male genitalia, is skin and fatty tissue. This area can be reduced, tightened, and lifted to restore normal secondary sexual characteristics in women or men.

#### Recovery

*Labiaplasty*

Labiaplasty: Immediately after receiving **Labiaplasty** Ladue and St. Louis patients will see a difference. Labia are smaller and more contained. There will be temporary, minimal swelling. Normal routines are established the next day. More physical activities can resume in 3-4 weeks.

Pubic Surgery: *Reduction, lightening, and tightening of the tissues above the genitals instantly make the patient more comfortable*. Downtime is dependent upon the specific surgical technique used, but most patients return to work and routine activities the next day.

#### Candidates

*Labiaplasty*

You may consider **labiaplasty** if:

You *aren’t pleased with the size or shape of your inner or outer labia*; your labia are visible through certain undergarments, swimsuits, or leggings; or if you experience labial irritation in the course of daily activities or during intimate activity.

You may consider *pubic surgery* if:

You are self-conscious about the prominence, size, or swelling in the area above the genitals (pubis).

#### Cost

*What is the approximate cost for Labiaplasty?*

The *cost for labiaplasty surgery* usually falls within this range, however you will receive an exact cost when you meet with Dr. Gurley.

- $10,000-$16,000

Click [here](/contact/) to begin your consultation process with Dr. Gurley today!

#### Real Results

*Real Artistic Outcomes*

**Labiaplasty**: Because of aging, childbirth, or genetics, labia can become irritated and uncomfortable or they may be visible in clothing. [Dr. Gurley](/about/meet-dr-judith-gurley/) understands that your comfort with your most intimate parts is essential. She’s skilled at determining how best to alter your existing labia to provide the aesthetic look and the physical comfort you desire. The technique used is a one-time treatment that is delicate and precise.

*Pubic surgery*: Age, fluctuations in weight, childbirth, or genetics can affect the appearance of our public area. Women might have a droopy or fatty mons pubis which pushes the sensitive body parts lower. In men, accumulation of fat in this area can mask normal, male genitalia.

#### Let’s Start a Conversation

[Get in Touch](/contact/)

#### Related Articles


---

## Liposuction

**Link:** [Liposuction](https://www.judithgurley.com/body/liposuction/) ([md](https://www.judithgurley.com/body/liposuction/index.html.md))

**Description:** Achieve your desired body proportions with effective liposuction in St. Louis & Ladue. Dr. Gurley's expertise ensures safe and painless fat removal for a sculpted appearance.

### Content

We can remove exactly how much fat you need from exactly where you need it removed, almost like a paintbrush, visually sculpting the human body. There is no other procedure that removes inches the way [Dr. Gurley](/about/meet-dr-judith-gurley/) can with **liposuction in St. Louis**. Once fat cells are taken out, they cannot come back! *Liposuction is the best way to permanently remove this fat and feel more like yourself*. Diet and exercise are important tools, but even dramatic weight loss may not affect certain areas. The results are quick, safe, painless, and permanent. *Liposuction* can be performed on the [tummy](/body/tummy-tuck/), waist, hips, back, thighs, [arms](/body/brachioplasty/), [breast](/breast/), pubic area, knees, calves, [chin neck, or face](/face/face-and-neck-lifts/).

#### What You Can Expect

*What does liposuction entail?*

Dr. Gurley performs gold standard liposuction; real **liposuction**. High energy vibrations and sound waves are added when needed. Feathering out the procedure and smoothing out the body is the hallmark feature of this technique. Inches are permanently removed from wherever needed.

#### Liposuction: Permanent Fat Reduction | Fact vs Fiction

#### Elevated Care

*In-Office Plastic Surgery Under Local Anesthesia*

Dr. Judith Gurley offers select procedures in-office under local anesthesia, combining comfort, convenience, and craft. Local anesthesia provides a seamless option, allowing you to remain relaxed and at ease throughout your treatment—without the necessity of general anesthesia or an extended recovery period.

This sophisticated approach is perfect for those who value efficiency and discretion, desiring minimal disruption to their routine while receiving world-class care in a private, boutique setting. Whether opting for a subtle, minimally invasive enhancement or a more precise procedure, Dr. Gurley’s mastery delivers results that reflect refinement and elegance.

By choosing in-office care under local anesthesia, you embrace the same unparalleled attention to detail that defines Dr. Gurley’s practice. From your initial consultation to the final outcome, every facet of your surgery journey is handled with meticulous scrutiny, ensuring that your natural beauty is enhanced safely, swiftly, and with remarkable results.

#### Alternatives

*Are there any alternatives to liposuction?*

*Alternatives to liposuction include coolsculpting or lipodissolve*. Coolsculpting is a freezing device that may remove fat, but it is imprecise, costly, has very mild results (many patients are not satisfied), and some patients experience a rebound swelling of treated areas. With this system, the fat is NOT removed. Instead, *the fat is destroyed* and left where it is with the hope that the body will dispell the discharge.

#### Recovery

*What can I expect after liposuction?*

Most of our St. Louis **liposuction** patients may drive and return to work in one to two days and resume full activities in less than two weeks. A compression garment is recommended for four to six weeks to control swelling and speed recovery. The majority of swelling is gone in three weeks, and the body’s natural healing process continues for several months.

#### Real Patients, Real Results

*Judith Gurley Plastic Surgery & Medical Spa*

#### Candidates

*Who is a good candidate for liposuction?*

If you have diet and exercise-resistant fat pockets, or if you are concerned about your body proportions and have good skin quality, you may be an ideal candidate for **liposuction**. Additionally, if you have tried coolsculpting or lipodissolve and are not satisfied, then *liposuction may be the right choice for you*.

#### Cost

*What is the approximate cost for Liposuction?*

The *cost for liposuction* surgery usually falls within this range, however you will receive an exact cost when you meet with Dr. Gurley.

- $10,000-$42,000

Click [here](/consultation/) to begin your consultation process with Dr. Gurley today!

#### Real Results

*Real Artistic Outcomes*

Dr. Gurley is highly trained and [board-certified](https://www.abplasticsurgery.org/) to perform **liposuction**. There are many types of fat-reducing processes out there, but there is only gold standard. Getting the fat out, seeing it come out, and measuring it- that is real liposuction and that is the gold standard. Dr. Gurley performs different modifications of liposuction on different parts of the body depending on what she wants to achieve. *Ultrasound frequency-assisted liposuction* dissolves the connections between fat compartments (cellulite) and essentially liquifies the fat and connective tissue allowing Dr. Gurley to smoothly remove fullness from precisely the areas where you need it.“In my hands, this is the only system that can sculpt the body effectively,” says Dr. Gurley. “It’s powerful and effective.” Make sure you are asking your Board-Certified Plastic Surgeon for “*real liposuction*.”

#### Let’s Start a Conversation

[Get In Touch](/contact/)

#### Related Articles


---

## Mini Tummy Tuck

**Link:** [Mini Tummy Tuck](https://www.judithgurley.com/body/mini-tummy-tuck/) ([md](https://www.judithgurley.com/body/mini-tummy-tuck/index.html.md))

**Description:** Discover how a mini tummy tuck surgery in Ladue & St. Louis can eliminate excess skin below the belly button, giving you a sculpted tummy and renewed confidence. Book your appointment today.

### Content

After child rearing, weight fluctuations, or genetics, your lower tummy skin may not be as taut as you would like. You may feel good about your weight and body overall but may have extra skin accumulated low on the belly. Many women notice excess tissue or stretch marks below the belly button when wearing panties, a bikini, or while doing planks. Our St. Louis **mini tummy tuck** procedure eliminates excess skin and reconnects abdominal muscles that have separated to give you a tighter, more *sculpted tummy*, giving you confidence both in and out of clothing.

#### What You Can Expect

*mini tummy tuck*

A **mini tummy tuck** is needed when the excess skin is concentrated below the belly button. It is often used to correct [c-section scar](/body/c-section-scar-correction/) deformities or low hanging skin. It does not focus on the upper abdomen musculature or belly button.

#### Procedure

*What does the procedure entail?*

A **mini tummy tuck in St. Louis** is needed when the excess skin is concentrated below the belly button. It is often used to correct [c-section scar](/body/c-section-scar-correction/) deformities or low hanging skin. It does not focus on the upper abdomen musculature or belly button.

#### Alternatives

*mini tummy tuck*

[Dr. Gurley](/about/meet-dr-judith-gurley/) will let you know if a [tummy tuck](/body/tummy-tuck/), a *mini tummy tuck*, or [liposuction](/body/liposuction/) is best for you, given your anatomy and your goals.

#### Recovery

*What can I expect from a mini tummy tuck?*

We support patients through their **mini tummy tuck** recovery process, and encourage them to take notice of the small but gradual improvements that occur as each day goes by. *The recovery process for a mini tummy tuck is shorter than a full tummy tuck*, with most people making a full recovery 1-2 weeks after surgery.

[Start a Conversation ](/consultation/)

#### Candidates

*Who is a good candidate for a mini tummy tuck?*

Many people are good candidates for **mini tummy tuck** surgery. When there is excess skin, stretch marks, bulging or puckering low on the tummy, *a mini tummy tuck may be a great option for you*. Dr. Gurley will help you discern what procedure or combination of [procedures](/body/) is best for you.

#### Cost

*What is the approximate cost for Mini Tummy Tuck?*

The *cost for mini tummy tuck surgery* usually falls within this range, however you will receive an exact cost when you meet with Dr. Gurley.

- $11,000-$24,000

Click [here](/consultation/) to begin your consultation process with Dr. Gurley today!

#### Real Results

*Real Artistic Outcomes*

A *mini tummy tuck* operation can renew your confidence in yourself and make you look as good as you feel. Excess skin below the belly button is removed through an easily hidden, small incision low on the abdomen. With a **mini tummy tuck** Ladue and St. Louis patients can expect results that far exceed non-surgical methods of *body sculpting*. Many patients are encouraged by the results Dr. Gurley is able to achieve.

#### Let’s Start a Conversation

[Get In Touch](/contact/)


---

## Mommy Makeover

**Link:** [Mommy Makeover](https://www.judithgurley.com/body/mommy-makeover/) ([md](https://www.judithgurley.com/body/mommy-makeover/index.html.md))

**Description:** Learn about the unique Mommy Makeover procedures tailored to your needs. Restore balance, beauty, and self with expert care in Ladue & St Louis.

### Content

#### Reclaim Your Pre-Baby Body

*Why Choose Judith Gurley Plastic Surgery & Medical Spa for Your Mommy Makeover?*

While some mothers do not have permanent major changes to their bodies after pregnancy, most women do. Massive weight fluctuations and certain medical conditions can change the body in ways that can’t be addressed by diet and exercise alone. These changes can include breast sagging and deflation, stretch marks, separation of the abdominal muscles (which makes it difficult to hold the abdomen tight), loose or hanging skin, persistent pockets of *unwanted fat*, and changes to the pubic area.

Our St. Louis **mommy makeover** procedure combines multiple procedures into one in order to renew a woman’s body after pregnancy, nursing, C-sections, weight fluctuations, and aging. By targeting breast and abdomen rejuvenation at the same time, patients can see dramatic results without scheduling separate operations. Dr. Judith Gurley brings exceptional technical expertise, compassion, and artistry to every *mommy makeover*, tailoring each treatment to meet the unique goals of her patients.

#### Mommy Makeover at a Glance

- **Duration**: 4-6 hours, depending on the procedures selected
- **Anesthesia**: General anesthesia
- **Downtime**: 1-2 weeks for light activity, 6-8 weeks for full recovery
- **Procedures Included**: Tummy tuck, breast augmentation, breast lift, breast reduction, liposuction, monsplasty and more
- **Results**: Permanent removal of excess tissue and long-lasting youthful contours

#### Celebrate Yourself

*What is a mommy makeover?*

A **mommy makeover** is a comprehensive cosmetic surgery designed to restore and rejuvenate a woman’s body after pregnancy, childbirth, and breastfeeding. Your mommy makeover combination of procedures will vary based on which procedures you and Dr. Gurley decide will work best for you. Often, a mommy makeover combines a [breast lift ](/breast/breast-lift/)with a [tummy tuck](/body/tummy-tuck/), or maybe a [breast augmentation](/breast/breast-augmentation/) with [liposuction](/body/liposuction/), or a breast [augmentation with a lift](/breast/breast-augmentation-and-lift/) and a [mini-tummy tuck](/body/mini-tummy-tuck/)…the possibilities are unique to you. Mommy makeover surgery is also a great moment to address concerns with the pubic area, either through FUPA reduction or [labiaplasty](/body/labiaplasty/).

#### What You Can Expect

*What does the mommy makeover procedure entail?*

On the day of surgery, Dr. Gurley’s team ensures a seamless experience with a focus on your comfort and safety. While you are comfortably asleep under general anesthesia, Dr. Gurley performs the selected procedures, such as a tummy tuck to *remove excess skin and tighten abdominal muscles*, breast surgery to lift or augment sagging breasts, liposuction to contour areas of stubborn fat, or rejuvenation of the pubic area with monsplasty or labiaplasty. The surgery is completed with precision and care, ensuring natural-looking results that enhance the unique beauty of your body’s proportions.

#### Harmony and Balance

*What conditions can a mommy makeover address?*

A **mommy makeover in Ladue & St. Louis** can address multiple conditions caused by pregnancy and childbirth, including:

- **Loose abdominal skin:** A tummy tuck removes excess skin for a smoother, firmer stomach.
- **Separated abdominal muscles (diastasis recti):** Tightened muscles restore core strength and shape.
- **Sagging breasts: **A breast lift elevates and reshapes the breasts for a more youthful contour.
- **Loss of breast volume:** Breast augmentation with implants restores fullness and balance.
- **Stubborn fat deposits: **Liposuction removes fat in areas resistant to diet and exercise.

#### Beyond the Bump | Discover the Mommy Makeover

#### Designed Just for You

*What are the benefits of a mommy makeover?*

The beautiful proportions of the breast, tummy, waist, and hips drive the design of this incredibly powerful operation, which will be enjoyed for a lifetime. Women not only look better, they feel better. They feel whole.

There is no surgery as uniquely individual as the *mommy makeover*. Carefully selected procedures that can include implants, breast lifts, breast reductions, breast re-shaping, liposuction, tummy tucks, body lifts, female pubic rejuvenation, and scar removal are used in combination to achieve an ever-lasting effect of restoring balance, restoring beauty, and restoring self.

#### You Deserve It

*Who is a good candidate for a mommy makeover?*

You may consider a **mommy makeover** if:

- You have loose, separated or weak muscles on your abdomen, or pockets of fatty tissue
- You have loose skin or volume loss in your breasts;
- You have finished building your family, and you want to address some of the physical changes brought on by pregnancy.
- You are in good general health and have realistic expectations about the results of body contouring surgery.

#### One Procedure. One Recovery Period.

*Mommy Makeover Recovery*

Recovery varies based on which procedures are combined. We invite you to start a conversation with us for specific information about your procedure. Most patients experience mild to moderate discomfort during the first week, which can be managed with prescribed pain medication. Light activities can usually resume within 1-2 weeks, while strenuous activities should be avoided for 6-8 weeks. Dr. Gurley’s detailed aftercare plan and regular follow-up appointments ensure smooth healing and exceptional results.

#### Real Results. Real Artistic Outcomes.

*Mommy Makeover Results*

The results of a **mommy makeover** are transformative, with noticeable improvements in body contour, proportions, and comfort immediately after surgery. As swelling subsides, the final results reveal a firmer abdomen, lifted breasts, and a more sculpted silhouette. These long-lasting outcomes help patients feel confident and comfortable in their bodies for years to come.

#### Let’s Start a Conversation

*Schedule Your Mommy Makeover Consultation*

We believe that every woman deserves to feel comfortable and confident in her body, no matter what stage of life she is in. Dr. Judith Gurley brings decades of experience and a deep commitment to excellence to every patient and procedure. Schedule your personal consultation with Dr. Gurley to learn what a **mommy makeover** can do for you!

[Get in Touch](/consultation/)

#### Related Articles

#### Mommy Makeover

*Frequently Asked Questions*


---

## Monsplasty

**Link:** [Monsplasty](https://www.judithgurley.com/body/monsplasty-fupa-reduction/) ([md](https://www.judithgurley.com/body/monsplasty-fupa-reduction/index.html.md))

**Description:** Considering FUPA reduction surgery in St. Louis? Find out about the causes of FUPA, surgical techniques, and non-surgical alternatives like Coolsculpting. Get expert advice from Dr. Gurley.

### Content

#### What Is A FUPA?

Most women want their mons pubis, which is the area just above their labia on the pubic bone, to be slim and unnoticeable. When this area enlarges, it is referred to as *FUPA, a fatty upper pubic area*, which may be difficult to conceal. Weight fluctuations, pregnancy, and genetics can cause a FUPA to form. Stubborn fat and [c-section](/body/c-section-scar-correction/) scars also contribute to the formation of a fatty upper pubis.

We can *correct FUPA with a procedure called Monsplasty*.

#### What is Monsplasty?

At our office serving St. Louis and Ladue **monsplasty** is a procedure that permanently reduces the size and noticeability of this private area by removing fat and/or skin. How this surgical procedure is approached depends on the patient’s unique anatomy. [Liposuction](/body/liposuction/) may be sufficient to remove fullness if there is minimal skin laxity. Skin removal with a small horizontal incision in the bikini area lifts the *sagging mons pubis*. Combining liposuction and skin tightening corrects a deformity involving both fat and skin.

#### What You Can Expect

*What does monsplasty entail?*

This surgical procedure depends on the patient’s anatomy. *In some cases, liposuction alone can treat FUPA*. Some patients may need skin removal in combination with liposuction if there is excess skin.

#### Alternatives

*Are there any alternatives to monsplasty?*

Alternatives to **monsplasty** include *Coolsculpting* or *Lipodissolve*. Coolsculpting is a freezing device that treats fat. However, it is imprecise, costly, has minimal results (many patients are unsatisfied), and some patients experience a rebound swelling of the treated areas. With non-surgical devices, the fat is destroyed and left where it is with the hope that the body will dispel the discharge. Lipodissolve does not guarantee significant improvement, and there would be minimal to no results.

#### Recovery

*What can I expect after monsplasty?*

We recommend compression to help control the swelling and keep the area comfortable. The swelling is gone within a few weeks. No drains are needed, and any stitches placed would be dissolvable. After receiving **monsplasty** St. Louis patients can drive, work, and walk as much as they want the next day but refrain from aggressive activities for several weeks until the healing process is further along.

#### Candidates

*Who is a good candidate?*

A **monsplasty** is the perfect operation for those who want to discreetly contour an area that is bothersome to them where “*No one will know. Everyone will notice. ™*” It prevents patients from wearing supportive undergarments and allows women to wear bathing suits, dresses, and tight-fitted clothing.

#### Cost

*What is the cost for Monsplasty (FUPA Reduction) ?*

The *cost for FUPA reduction surgery* usually falls within this range, however you will receive an exact cost when you meet with Dr. Gurley.

- $11,000-$24,000

Click [here](/contact/) to begin your consultation process with Dr. Gurley today!

#### Real Results

*Real Artistic Outcomes*

Dr. Gurley is well-trained and board-certified to perform **monsplasty** (*FUPA reduction*). Monsplasty focuses on improving the appearance of the mons pubis area, utilizing two primary procedures. Liposuction removes excess fullness to reduce projection and size, while skin removal can further slim and lift the area for an enhanced aesthetic result. This surgical correction can restore your confidence in wearing tighter-fitting clothes and swimwear and alleviate discomfort. Dr. Gurley states, "*This is a great procedure to combine with liposuction, mommy makeovers, and tummy tucks*."

#### Let’s Start a Conversation

[Get In Touch](/contact/)


---

## Tummy Tuck

**Link:** [Tummy Tuck](https://www.judithgurley.com/body/tummy-tuck/) ([md](https://www.judithgurley.com/body/tummy-tuck/index.html.md))

**Description:** Explore the benefits of a tummy tuck in St. Louis to tighten and sculpt your abdomen. Discover how Dr. Gurley's expertise can help you achieve your desired results.

### Content

#### Core Beauty

*Ladue*

Due to aging, childbirth, and other factors, the skin of your abdomen can become loose and you can have stretch marks, bulging in your midsection, or a change in the look of your belly button. With a **tummy tuck** St. Louis patients can eliminate excess skin and reconnect abdominal muscles that have separated to give them a tighter, more sculpted tummy. Women and men can both benefit from this procedure.

Dr. Gurley's expertise in *drainless tummy tuck surgery* sets her apart. Her innovative technique minimizes post-operative discomfort while achieving exceptional results. With decades of surgical experience, Dr. Gurley combines technical precision with an artistic eye to create natural-looking contours that complement your body's proportions.

#### Tummy Tuck at a Glance

- **Duration**: 2-4 hours
- **Anesthesia**: General anesthesia
- **Downtime**: 1-2 weeks for light activity, 4-6 weeks for full recovery
- **Results**: Immediate improvement, with continued refinement as swelling subsides
- **Specialty**: Drainless technique for enhanced comfort and faster healing

#### Smooth, Sleek, and Strong

*What Is A Tummy Tuck?*

A tummy tuck, or *abdominoplasty*, is a cosmetic surgery procedure designed to remove excess skin and fat from the abdominal area while tightening the abdominal muscles. This surgery restores a smoother, firmer abdomen, particularly after pregnancy, significant weight loss, or aging. Patients can choose from different types of tummy tucks, including the [mini tummy tuck](/body/mini-tummy-tuck/), which focuses on the lower abdomen, or a complete **tummy tuck**, which addresses the entire abdominal area. Dr. Gurley customizes each procedure to meet individual goals, ensuring beautiful, natural results.

#### Drainless Tummy Tucks | A Safer, Less Invasive Approach

#### Leading Care in St. Louis

*What does the tummy tuck procedure entail?*

Our St. Louis **tummy tuck** procedure is capable of addressing so many common issues, such as excess skin on the front of the tummy, both above and below the belly button. [Dr. Gurley](/about/meet-dr-judith-gurley/) can combine a tummy tuck with [liposuction](/body/liposuction/) to address any excess hip, back, or waist fullness. This is one of the most life-changing, body-altering procedures we do because this operation provides a 360° result all around the figure—taking off inches and improving waist lines.

This procedure is particularly helpful in *restoring the body after pregnancy* by restoring the pubic area, repairing separated muscles in the abdomen, and permanently removing stretch marks. On the day of surgery, Dr. Gurley and her team ensure your comfort and safety from start to finish. After administering general anesthesia, Dr. Gurley makes a precise incision along the lower abdomen, strategically placed to minimize visibility. She removes excess skin and fat while tightening the abdominal muscles for a firmer, more sculpted core. With her *drainless tummy tuck technique*, specialized sutures eliminate the need for post-operative drains, improving comfort and reducing recovery time. The incisions are carefully closed, and a surgical dressing is applied to support optimal healing.

#### Sculpt Your Silhouette

*What conditions does a tummy tuck address?*

*A tummy tuck addresses several common concerns in the abdominal area*, including:

- **Loose or sagging skin:** Caused by pregnancy, aging, or weight fluctuations.
- **Separated abdominal muscles (diastasis recti):** Resulting in a weakened core and a bulging stomach.
- **Excess fat in the abdominal area:** That is resistant to diet and exercise.
- **Stretch marks:** Located on the lower abdomen, which can be removed or reduced during surgery.

By removing excess skin and fat and tightening the abdominal wall, a **tummy tuck** restores a toned and proportionate appearance.

#### Focused on Your Success

*Who is a good candidate for a tummy tuck?*

*Many people are good candidates for tummy tuck surgery*. This procedure is often sought by women who want to get back the body they had before childbirth. When there is excess skin above and below the belly button and muscle weakness and separation, a **tummy tuck in St. Louis** may be the best solution for you. Dr. Gurley will help you understand your choices.

#### What can I expect?

*Tummy Tuck Recovery*

We support patients through their **tummy tuck** recovery process, and encourage them to take notice of the small but gradual improvements that occur as each day goes by. *Recovery from a tummy tuck varies by individual, but most patients resume light activities within 1-2 weeks*. Dr. Gurley’s drainless technique promotes faster healing and reduces discomfort. You’ll need to wear a compression garment to support your abdomen and minimize swelling. Avoid strenuous activities for at least 4-6 weeks, and follow Dr. Gurley’s detailed aftercare instructions to ensure optimal results. Swelling progressively subsides over months, with the most dramatic changes taking place in the first 2-4 weeks after surgery. Regular follow-up appointments allow Dr. Gurley to monitor your progress and answer any questions.

#### Let’s Start a Conversation

*Schedule Your Tummy Tuck Consultation*

A **tummy tuck** operation can give you renewed confidence in your body and in yourself. Dr. Gurley works individually with each of her patients to determine the type of procedure that works best for them. *The results obtained from a tummy tuck can far exceed non-surgical methods of body sculpting*. Many patients are encouraged by the results Dr. Gurley is able to achieve from not only tightening skin but tightening muscle as well. It is the sum of these procedures when used in combination that becomes one of the most powerful, permanent maneuvers we have to restore the body to its prior unaltered state. Schedule your consultation to discuss your options with Dr. Gurley and get started on a personalized treatment plan for your transformation.

[Get In Touch](/consultation/)

#### Tummy Tuck

*Frequently Asked Questions*

#### Related Articles


---

## Ultrasound Assisted Liposuction

**Link:** [Ultrasound Assisted Liposuction](https://www.judithgurley.com/body/ultrasound-assisted-liposuction/) ([md](https://www.judithgurley.com/body/ultrasound-assisted-liposuction/index.html.md))

**Description:** Sculpt and refine your physique in Ladue and St. Louis with ultrasound assisted liposuction performed by Dr. Judith Gurley.

### Content

#### Unveil Your Sleekest Silhouette

*Why Choose Judith Gurley Plastic Surgery & Medical Spa for Liposuction?*

Everyone has those spots—those areas on their body with stubborn pockets of fat. The fat doesn’t respond to dieting or even the most concentrated exercise. This is where *liposuction can help*.

Specializing in **ultrasound assisted liposuction** St. Louis plastic surgeon, Dr. Gurley, uses precision methods to streamline your body contours, providing exceptional results with minimal downtime. Read on to learn how our modern *liposculpture* techniques can help you achieve your specific goals and embrace new levels of confidence in your body.

#### Ultrasound Assisted Liposuction at a Glance

- **Duration:** 1-3 hours, depending on the areas treated
- **In-office treatments:** For smaller treatment areas
- **Anesthesia:** General, local, or tumescent anesthesia for in-office procedures
- **Downtime:** 1-2 days for light activity; 1-2 weeks for full recovery
- **Techniques:** In-office treatment options, *power-assisted liposuction* (PAL), VASER *ultrasound-assisted liposuction* (UAL)
- **Results:** Long-lasting with healthy lifestyle maintenance

#### Superior Body Sculpting

*What is liposuction with ultrasound?*

*Ultrasound liposuction* is a cutting-edge procedure designed to remove stubborn fat and reveal sleek, sculpted contours with precision. While liposuction has been a trusted body contouring solution for years, modern advancements have elevated the technique. Dr. Gurley favors **ultrasound-assisted liposuction** for its unparalleled accuracy and faster recovery times. This innovative approach uses ultrasound energy to gently soften the fibers surrounding fat cells, allowing for smooth removal with minimal impact on surrounding tissues. Dr. Gurley also offers convenient in-office *liposuction* for smaller areas, making it easier than ever to achieve a refined, confident silhouette.

#### The Next Generation of Lipo

*What is the ultrasound assisted liposuction procedure like?*

Every step of Dr. Gurley’s **ultrasound assisted liposuction** process prioritizes patient comfort and delivers polished results. A local anesthetic is carefully injected into the treatment areas to ensure maximum comfort and minimal swelling. Dr. Gurley then creates a series of tiny, precise incisions to access the targeted fat deposits. She uses *advanced ultrasound technology to break down the fat*, preparing it for smooth and efficient removal. A slender cannula is inserted to gently suction out the fat cells, employing a refined feathering technique that blends the contours seamlessly for a beautifully smooth and natural-looking result.

#### 360-Degree Confidence

*What areas of the body can ultrasound assisted liposuction address?*

Our St. Louis **ultrasound assisted liposuction** procedure can treat a variety of areas, including:

- Jowls and lower face
- Abdomen and waist
- Thighs and hips
- Arms and arm pits
- Back and flanks
- Chin and neck
- Chest (to address enlarged male breast tissue/[gynecomastia](/male-procedures/gynecomastia-correction/)).
- Knees and calves

Dr. Gurley tailors each treatment plan to the patient’s unique goals, ensuring beautifully sculpted results that enhance your natural proportions.

#### Trusted Care for Your Journey

*Am I a candidate for ultrasound assisted liposuction?*

Patients considering liposuction should be in good health and near their ideal weight. *Liposuction is not a weight loss procedure* but focuses on refining localized fat deposits resistant to diet and exercise. Patients with excess skin, often resulting from significant weight loss, may benefit from additional procedures like a [tummy tuck](/body/tummy-tuck/), [breast reduction](/breast/breast-reduction/), or [monsplasty](/body/monsplasty-fupa-reduction/) to achieve a sleeker, more toned contour. During your consultation, Dr. Gurley will assess your medical history, goals, and lifestyle to determine if liposuction is the right option for you.

#### Advanced Methods for an Easy Recovery

*Ultrasound Assisted Liposuction Recovery*

Dr. Gurley’s **ultrasound assisted liposuction** patients can drive and return to work in one or two days, resuming full activities in two weeks. Dr. Gurley recommends wearing a compression garment over the treatment areas to reduce swelling and help the skin and tissue adjust to their new contour. The majority of the swelling is gone within a few weeks, but healing continues for a few months. With detailed aftercare instructions and post-operative checkups, Dr. Gurley’s attentive care extends throughout the recovery process.

#### Find Your Perfect Proportions

*Ultrasound Assisted Liposuction Results*

*Full liposuction results are visible within a few months as localized swelling subsides and the tissues in the treatment area settle into place*. The fat removed is gone for good, although weight gain can lead to fat accumulation in other areas. Exercising regularly and eating a healthy diet ensures lasting results, accentuating and refining your entire body contour.

#### Let’s Start a Conversation

*Schedule Your Liposuction Consultation*

Interested in getting rid of those fat pockets? Call Dr. Gurley and schedule a consultation for **ultrasound assisted liposuction**.

[Get In Touch](/consultation/)

#### Ultrasound Assisted Liposuction

*Frequently Asked Questions*


---

## Surgical Breast Procedures

**Link:** [Surgical Breast Procedures](https://www.judithgurley.com/breast/) ([md](https://www.judithgurley.com/breast/index.html.md))

**Description:** At Judith Gurley Plastic Surgery & Medical Spa serving Ladue and St. Louis, we offer Surgical Breast Procedures such as Breast Augmentation, Breast lift, Breast Reduction & much more

### Content


---

## Adolescent Breast Reduction

**Link:** [Adolescent Breast Reduction](https://www.judithgurley.com/breast/adolescent-breast-reduction/) ([md](https://www.judithgurley.com/breast/adolescent-breast-reduction/index.html.md))

**Description:** Discover the benefits of adolescent breast reduction surgery in St. Louis & Ladue, MO. Regain confidence and comfort with expert procedures.

### Content

[Breast reduction](/breast/breast-reduction/) surgery helps young women feel more comfortable with their bodies, feel less self-conscious, and have their bodies match their chronological age. The physical, social, and psychological impact of large breasts can be overwhelming to young women. An **adolescent breast reduction** can help restore confidence in your well-being by having breasts that match your age and are no longer a concern for you.

#### What You Can Expect

*adolescent breast reduction*

Our St. Louis **adolescent breast reduction** procedure is performed on an outpatient basis, meaning you can go home the same day of surgery. You get to pick the size you want to be when [Dr. Gurley](/about/meet-dr-judith-gurley/) helps you envision the possibilities. The incisions produce a scar around the areola, and down from the areola to the crease underneath the breast. There is a limited scar beneath the breast depending on how much excess skin is removed. All stitches are dissolvable and drains are not needed. Even with the post surgical healing you will be able to enjoy more proportionate and *age appropriate breasts* right away.

#### Recovery

*adolescent breast reduction*

Following your **adolescent breast reduction **Ladue & St. Louis patients will have** **no limitation on range of motion of the arms or showering. You may drive and return to work or school within 24 hours. We recommend that you refrain from running, jogging or any strenuous exercise for 4-6 weeks. You will quickly enjoy more perky, lifted, smaller breasts that are more comfortable and will allow you to wear the clothing you’ve always wanted.

#### Candidates

*adolescent breast reduction*

You may want to consider **adolescent breast reduction** if:

You are unable to exercise and play sports because your breasts get in the way or make you uncomfortable; [Your breasts are “droopy”](/breast/breast-lift/) or uneven: You get unwanted attention making you self conscious; You have back, neck, or shoulder pain; You have experienced rashes or chafing underneath your breasts, or You have difficulty finding bras, clothes or swim suits to fit.

#### Cost

*What is the approximate cost for Adolescent Breast Reduction?*

The *cost for adolescent breast reduction surgery* usually falls within this range, however you will receive an exact cost when you meet with Dr. Gurley. This range is dependent upon these size of your breasts and the amount of liposuction that may need to accompany your reduction.

- $18,000-$30,000

Click [here](/contact/) to begin your consultation process with Dr. Gurley today!

#### Real Results

*Real Artistic Outcomes*

Patients who see [Dr. Gurley](/blog/board-certified-doctors/) for **adolescent breast reduction in St. Louis** find a range of benefits from the procedure. Dr. Gurley lightens the weight of the breasts while repositioning and [lifting](/breast/breast-lift/) them higher on the chest wall. This means your bra doesn’t have to work so hard. Patients are able to exercise with greater comfort and wear dresses, swimsuits and other clothing that did not fit well prior to surgery. Dr. Gurley will [consult](/contact/) individually with you to find your perfect size.

Let’s Start a Conversation

[Get In Touch](/contact/)


---

## Areola Reduction

**Link:** [Areola Reduction](https://www.judithgurley.com/breast/areola-reduction/) ([md](https://www.judithgurley.com/breast/areola-reduction/index.html.md))

**Description:** Enhance your breast shape with areola reduction surgery by Dr. Gurley in Ladue & St. Louis. Achieve smaller, symmetrical areolas for a more balanced appearance.

### Content

Proportion and symmetry mean everything when it comes to the body, especially with the breasts. Smaller areolas can enhance the overall shape of the breasts, while *larger areolas* can take up too much of the surface of the breast, emphasizing a pubertal or cone-shaped breast. You may feel self-conscious about the size of your nipples or feel that the pigmentation around the nipple is too spread out. All these issues can be addressed through **areola reduction in St. Louis**.

#### What You Can Expect

*What does the areola reduction procedure entail?*

[Dr. Gurley](/about/meet-the-care-team/) will remove tissue from around the nipple, possibly [lift the breasts](/breast/breast-lift/), or [remove excess breast skin](/breast/breast-reduction/) in order to round out the breast and *create a more normal-appearing areola*.

#### Recovery

*areola reduction*

After their **areola reduction** St. Louis patients can return home the same day. Generally we use stitches that dissolve so you will not need to have stitches removed at the office. Avoid strenuous activity for a few days following the surgery. You should be able to return to normal activity the next day, but refrain from physical activity for 4-6 weeks.

#### Candidates

*areola reduction*

You may want to consider **areola reduction** if:

- You are unhappy with the size or shape of your areolas.
- You feel the size of you areolas detract from the appearance of your breasts.
- You have asymmetrical or discolored areolas.

#### Cost

*What is the cost for areola reduction?*

The *cost for areola reduction surgery* usually falls within this range, however you will receive an exact cost when you meet with Dr. Gurley. This range is dependent upon the symmetry of your breasts.

- $12,000-$19,000

Click [here](/contact/) to begin your consultation process with Dr. Gurley today!

#### Real Results

*Real Artistic Outcomes*

The size and shape of your breasts are just part of the equation when it comes to feeling beautiful. Areola size, color, and symmetry can add to or detract from the appearance of your breasts. Areolas that are larger than they should be give the breast an immature, pointy appearance. At times, the areola can stay “puffy” and swollen-looking, which detracts from the overall beauty of the breasts. *Changing the shape and size of the areola can restore rounder and more normal-looking breasts*.

Let’s Start a Conversation

[Get In Touch](/gallery/breast/areola-reduction/)

#### Related Articles


---

## Breast Asymmetry Correction

**Link:** [Breast Asymmetry Correction](https://www.judithgurley.com/breast/asymmetrical-breast-correction/) ([md](https://www.judithgurley.com/breast/asymmetrical-breast-correction/index.html.md))

**Description:** Discover the best surgical solutions for breast asymmetry correction in Ladue & St. Louis. Dr. Gurley offers personalized approaches for beautiful and proportionate results.

### Content

Women whose breasts are [different shapes](/gallery/breast/tubular-breast-correction/) or sizes may want to consider a [surgical correction](/breast/tubular-breast-correction/). Each patient is evaluated carefully to determine which approach or combination of approaches is necessary to yield the most beautiful and proportionate result. Dr. Gurley’s [background](/about/meet-dr-judith-gurley/) in adolescent plastic surgery at [Washington University Children’s Hospital](https://www.stlouischildrens.org/) affords her the foundation to best understand the complexities of these issues. [Adolescent girls](/breast/adolescent-breast-reduction/) in particular [benefit](/gallery/) from this life-altering surgery to remove the stigma and embarrassment of having uneven breast sizes with **breast asymmetry correction in St. Louis**.

#### What You Can Expect

*breast asymmetry correction*

Our St. Louis **breast asymmetry correction** is performed as an outpatient procedure, which means you’ll be able to return home on the same day. [Dr. Gurley](/about/meet-dr-judith-gurley/) will often recommend a combined approach to *get the best symmetry possible*.

#### What Can Be Done About Breast Asymmetry?

#### Recovery

*breast asymmetry correction*

Following surgery, there is no limitation on range of motion of the arms or showering. You may drive and resume normal activities within 24 hours. We recommend that you refrain from running, jogging or any strenuous exercise for 4-6 weeks.

#### Candidates

*breast asymmetry correction*

You may want to consider **breast asymmetry correction** if:

You may consider this surgery if one breast is much larger or much smaller than the other, or if you have a *noticeable difference in breast size, shape or position*.

#### Cost

*What is the approximate cost for Asymmetry Correction?*

The *cost for breast asymmetry correction surgery* usually falls within this range, however you will receive an exact cost when you meet with Dr. Gurley.

- $18,000-$33,000

Click [here](/contact/) to begin your consultation process with Dr. Gurley today!

#### Real Results

*Real Artistic Outcomes*

Patients who see Dr. Gurley for *breast asymmetry* experience a range of benefits from the procedure. Women with asymmetry often find that traditional bras do not fit them, and they have to be very selective about what they can and cannot wear. Often, there are many options when dealing with asymmetry. We ask lots of questions and find out your ideal goal. Dr. Gurley will counsel you regarding the safety of different options and will suggest what procedure or combination of procedures may be your best and safest option.

Let’s Start a Conversation

[Get In Touch](/contact/)


---

## Breast Augmentation

**Link:** [Breast Augmentation](https://www.judithgurley.com/breast/breast-augmentation/) ([md](https://www.judithgurley.com/breast/breast-augmentation/index.html.md))

**Description:** Discover natural and beautiful breast augmentation results by Dr. Gurley in Ladue & St. Louis. Gain freedom and balance with safe FDA-approved implants.

### Content

#### Embrace Beautiful Contours

*Why Choose Judith Gurley Plastic Surgery & Medical Spa for Breast Augmentation?*

*Breast augmentation offers an empowering transformation by allowing women to enhance their breast size, contour, and symmetry*. With over 25 years of experience, Dr. Judith Gurley has been helping women gain the freedom to wear what they want to wear, to do what they want to do, and to be who they want to be. When the breasts are “enhanced” the whole body comes into balance, thus creating an artistic transformation.” Dr. Gurley’s St. Louis **breast augmentation** surgery results are natural and beautiful. 

[Dr. Gurley’s](/about/meet-dr-judith-gurley/) results stem from her intense attention to detail and keen visual eye. She will always consider your physical stature and proportions in everything that she does. When Dr. Gurley enhances your breasts, you can expect larger, fuller results that look and feel natural—no one will know, but everyone will notice.™ Using safe, smooth, FDA-approved breast implants, your dream will become your reality.

Whether you have always had small or misshapen breasts, or you lost breast tissue from aging, weight fluctuations, or pregnancy, *breast augmentation* by Dr. Gurley will complement your natural beauty and bring your figure back into balance.

#### Breast Augmentation at a Glance

- **Duration**: 1-2 hours
- **Anesthesia**: General anesthesia
- **Downtime**: 1-2 days for light activities; 4-6 weeks for full recovery
- **Results**: Immediate, with final results appearing as swelling subsides
- **Options**: Only FDA-approved devices. Silicone gel is the latest cohesive gel technology.

#### The Most Important Choice You’ll Make

*Choosing a Plastic Surgeon*

When choosing a [board-certified plastic surgeon](https://www.abplasticsurgery.org/), it’s important to understand a surgeon’s background and training, their experience with particular operations, and most importantly, their outcomes. You can begin this process by reviewing the types of procedures a surgeon highlights on their website. You can also investigate a surgeon’s before and after gallery to get a clear picture of their results and the extent of their experience performing breast augmentation surgery.

When considering **breast augmentation** St. Louis patients should also look for a *plastic surgeon* who uses FDA-approved implants for the best results. Smooth surface *breast implants* have the best track record for great long term results. They offer a soft, natural feel and move more freely with the body, creating a more lifelike appearance and sensation. Their sleek surface often leads to a lower risk of rippling, especially in patients with ample breast tissue, and enhances comfort during movement. Dr. Gurley has chosen smooth breast implants for her patients for over 25 years.

#### Are You a Good Breast Augmentation Candidate? What You Need to Know

#### About Dr. Judith Gurley

Dr. Gurley has [extensive surgical experience](/about/meet-dr-judith-gurley/) and is known for breast implants that are feminine, attractive, and tasteful. She specializes in a wide variety of [breast procedures](/breast/), including breast lift, [breast reduction](/breast/breast-reduction/), asymmetry correction, and replacing, removing, and revising breast implants. In many cases, she combines procedures to fit a patient’s specific needs such as [combining breast augmentation with a lift](/breast/breast-augmentation-and-lift/). She will carefully consider your body and your goals, recommending a unique solution built exclusively for you.

As evidenced by her prolific work in her [before and after gallery](/gallery/breast/breast-augmentation/), Dr. Gurley delivers consistently natural and beautiful results. Her unparalleled attention to safety and precision means that every surgery is performed to meticulous standards. With highly-trained staff, intentional aftercare, and years of surgical experience, [Dr. Gurley](/about/meet-dr-judith-gurley/) provides her patients with stunning results that will last a lifetime.

#### Related articles

#### Breast Augmentation

*Frequently Asked Questions*


---

## Breast Augmentation and Lift

**Link:** [Breast Augmentation and Lift](https://www.judithgurley.com/breast/breast-augmentation-and-lift/) ([md](https://www.judithgurley.com/breast/breast-augmentation-and-lift/index.html.md))

**Description:** Considering breast augmentation and lift in Ladue & St. Louis? Reshape, enlarge, and lift your breasts with one surgery. Consult with Dr. Gurley for natural results.

### Content

#### A New Standard of Beauty

*Why Choose Judith Gurley Plastic Surgery & Medical Spa for Breast Augmentation and Lift?*

A *breast augmentation combined with a breast lift* will help reshape, enlarge, and lift the breasts all in one surgery. It is chosen by patients who are looking for an increase in breast size as well as an improvement in the overall shape and positioning of their breasts. Whether you have always had small breasts or you lost breast tissue from aging, weight fluctuations, or pregnancy, a **breast augmentation and lift in St. Louis** will help bring your figure into balance. Dr. Gurley brings decades of experience and a keen artistic eye to each breast surgery, sculpting elegant results you will love for years to come.

#### Breast Augmentation and Lift at a Glance

- **What it is**: A *combination of breast augmentation using implants and a breast lift* to enhance volume, shape, and firmness, improve symmetry, and correct congenital deformities
- **Ideal For**: Women seeking both volume enhancement and rejuvenation of sagging breasts.
- **Downtime**: Recovery typically takes 2-3 days, with most patients returning to normal activities after 4-6 weeks.
- **Duration**: The procedure takes about 2-3 hours, depending on individual needs and goals.

#### Precision-Engineered for Ultimate Elegance

*What conditions do breast augmentation and lift address?*

Our St. Louis **breast augmentation and lift** is a comprehensive solution for various breast concerns, including:

- **Loss of Volume**: Pregnancy, aging, or weight fluctuations can lead to a loss of breast volume, which can be restored with implants.
- **Sagging Breasts**: Gravity, aging, and life changes can cause the breasts to sag. The lift portion of the procedure restores a more youthful position.
- **Asymmetry**: If one breast is significantly smaller or lower than the other, this procedure can restore symmetry and balance.
- **Nipple Positioning**: The lift repositions the nipples to a more youthful and central position, improving the overall breast appearance.
- **Areola Reduction**: If necessary, areola size can be adjusted for beauty and proportion.

#### Redefine Your Curves

*What are the benefits of breast augmentation and lift?*

A **breast augmentation with lift** enhances the volume, shape, and position of the breasts, restoring a youthful and firm look. Dr. Gurley tailors the procedure to your body’s proportions and aesthetic goals for a natural, balanced appearance. *The procedure can also help correct asymmetry by restoring shape, volume, and position to both breasts*. Dr. Gurley’s advanced techniques minimize scarring while ensuring optimal results. Many women experience a boost in self-esteem and confidence after achieving their ideal breast shape and size.

#### Who is a Good Candidate?

*Am I a candidate for breast augmentation and lift?*

With a **breast augmentation and lift** St. Louis patients may consider it if:

- You have small, underdeveloped, or uneven breasts.
- Your breasts have lost their shape due to pregnancy, breastfeeding or the natural aging process.
- You have misshapen or asymmetrical breasts.
- You are in good health and are not currently pregnant or nursing.

#### Perfect Candidate for a Breast Augmentation with Lift

#### Who Should Avoid Breast Augmentation And Lift?

- Women with certain health conditions or infections may not be suitable candidates.
- Women who are planning to become pregnant in the future may want to wait until after childbirth, as pregnancy can affect breast shape and volume.

Dr. Gurley will evaluate your health and aesthetic goals to determine if this procedure is the right choice for you.

#### Where Refinement Meets Confidence

*Breast Augmentation And Lift Recovery*

Initial *recovery from breast augmentation and lift typically takes 2-3 weeks*, during which time you will need to rest and follow Dr. Gurley’s post-operative care instructions. Swelling, bruising, and discomfort are common, but these effects typically subside within a few days. Most patients can return to more strenuous activities after about 6-8 weeks, with full recovery taking a few months. Dr. Gurley will guide you through the healing process and provide recommendations to help ensure the best possible results.

#### Real Results | Real Artistic Outcomes

*Breast Augmentation and Lift Results*

[Dr. Gurley](/about/meet-dr-judith-gurley/) has provided **breast augmentation and lifts** to hundreds of women in her [practice](/contact/). Instead of performing two operations requiring two anesthetics and two recovery periods, Dr. Gurley is able to achieve consistent, safe, and natural-looking results with one operation. Dr. Gurley works with each patient individually to determine the overall outcome while keeping in mind stature, physical structure, and proportions. Patients can *expect larger, fuller breasts that are lifted but still natural in appearance*.

#### Breast Augmentation And Lift

*Frequently Asked Questions*


---

## Breast Implant Removal

**Link:** [Breast Implant Removal](https://www.judithgurley.com/breast/breast-implant-removal/) ([md](https://www.judithgurley.com/breast/breast-implant-removal/index.html.md))

**Description:** Feel like yourself again with expert breast implant removal by Dr. Judith Gurley in St. Louis. Personalized care and natural-looking results.

### Content

#### Safe, Natural, and Thoughtfully Performed

*Why Choose Judith Gurley Plastic Surgery & Medical Spa for Breast Implant Removal?*

Sometimes, your implants just don’t feel like you anymore. Maybe your body has changed, your lifestyle is different, or you simply feel ready to move on from them. Whatever your reason, it’s personal, and you deserve to be heard.

Dr. Judith Gurley has been helping people make thoughtful changes to their appearance for over 25 years. She brings a steady hand, an artistic eye, and a lot of heart to every procedure. Her patients appreciate that she really listens and creates a plan that feels right for them, not a one-size-fits-all solution.

If you’re thinking about **breast implant removal** St. Louis plastic surgeon, Dr. Gurley can help you feel more like yourself again in a way that’s safe, comfortable, and natural-looking. To learn more, schedule your consultation with Dr. Gurley today.

#### Breast Implant Removal at a Glance

- **Duration**: Around 1–3 hours
- **Anesthesia**: General anesthesia
- **Downtime**: Back to light activity in 1-2 days; full recovery takes a 4-6 weeks
- **Options**: Just removal, or removal with a lift, reshaping if needed, or fat grafting
- **Results**: Right away, with more changes as swelling goes down

#### Redefining Your Confidence

*What is Breast Implant Removal?*

**Breast implant removal** is exactly what it sounds like: safely taking out your breast implants. Some people also need scar tissue removed (called a capsulectomy), and others choose to have their breast tissue lifted or reshaped during the same procedure.

This isn’t just about going “back” to how things were. For many, it’s about moving forward and feeling more at home in their body. Dr. Gurley takes the time to talk through your goals so your results reflect who you are today, not who you were when you got your implants.

#### A Thoughtful, Personalized Process

*The Breast Implant Removal Procedure*

If you’re thinking about our St. Louis **breast implant removal** procedure, the first step is meeting with Dr. Gurley for a personal consultation. She’ll ask about your health history, your current implants, and how you’re feeling about your body. From there, she’ll walk you through what’s possible—and what makes sense for you.

During surgery, she’ll usually use your original incision lines to avoid extra scarring. The procedure is done under general anesthesia and usually takes one to three hours. If needed, she can *lift or tighten the breast tissue* during the same surgery, so you leave the operating room with a shape that feels good and looks balanced.

#### Subtle Changes, Big Confidence

*Is Implant Removal Right for You?*

If you are thinking about **breast implant removal** St. Louis patients may be a good candidate if:

- Your implants no longer feel like the right fit for your body or lifestyle
- You’re dealing with discomfort or changes like sagging or asymmetry
- You’re concerned about implant-related issues like rupture or firmness
- You’re just ready for a more natural look

Whatever your reason, Dr. Gurley creates a plan that puts your comfort and your goals first. No pressure, just honest guidance.

#### Support Every Step of the Way

*Recovery After Breast Implant Removal*

Most people feel well enough to move around and go about light daily activities within a day. You’ll need to take it easy for a few weeks, no strenuous workouts, but Dr. Gurley will give you clear instructions for caring for yourself at home. Her team will check in regularly, so you never feel like you’re figuring it out alone.

#### The Shape That Fits Your Life Now

*What to Expect From Your Breast Implant Removal Results*

Your results will be visible immediately and will continue to improve as swelling subsides and tissues recover. If a [breast lift](/breast/breast-lift/) is performed at the same time, you’ll notice a firmer, more youthful contour. Many women feel empowered and confident after **breast implant removal**, embracing a renewed sense of self that aligns with how they feel inside.

#### Let’s Talk

*Schedule Your Consultation*

Dr. Gurley knows this is a personal decision, and there’s no one-size-fits-all answer. That’s why she takes the time to talk things through, learn what matters to you, and help you feel comfortable with whatever choice you make.

📍 Serving Ladue, St. Louis, and surrounding areas.

👉 Start Your Consultation

[Get In Touch](/contact/)

#### Breast Implant Removal

*Frequently Asked Questions*


---

## Breast Implant Removal With Lift

**Link:** [Breast Implant Removal With Lift](https://www.judithgurley.com/breast/breast-implant-removal-with-lift/) ([md](https://www.judithgurley.com/breast/breast-implant-removal-with-lift/index.html.md))

**Description:** Discover the benefits of breast implant removal with Lift in Ladue & St. Louis by Dr. Gurley. Restore your body image and confidence with expert care and personalized results.

### Content

#### No One Will Know. Everyone Will Notice.™

*Why Choose Judith Gurley Plastic Surgery & Medical Spa for Breast Implant Removal with Lift?*

*Women may choose to remove their breast implants for many reasons*, including when they no longer desire implants, their implants have been recalled, or their implants are causing them concern. It's important to *find the best breast implant removal surgeon* to ensure you are in good hands.

When breast implant removal alone is not enough to re-establish a beautiful appearance, consider the **combination of breast implant removal with breast lift**, fat grafting, or both. Dr. Gurley will assess your anatomy and goals to design a surgical plan tailored to you.

#### See the Difference

*Our Before & After Gallery*

Our before-and-after galleries feature real patients of Dr. Gurley. See how she tailors each surgery to each individual patient. Before choosing a plastic surgeon, it is important that you analyze their work.

[View Our Gallery](/gallery/breast/breast-implant-removal-with-lift/)

#### Breast Implant Removal with Lift at a Glance

- **What it is:** The *removal of breast implants* is performed in conjunction with lifting the breast tissue to help recreate the breast.
- **Ideal For:** Individuals whose implants have stretched out their tissues.Downtime: Recovery typically takes 1-2 days, with most patients able to return to normal activities after 2-4 weeks.
- **Duration:** The procedure lasts about 2-3 hours, depending on individual needs.

#### Sacrifice Nothing

*What is breast implant removal with lift?*

Our St. Louis **breast implant removal with lift** procedure gives you the freedom and confidence you deserve while helping you re-establish your body image. Whatever your reason for wanting to remove your implants, you should know that [Dr. Gurley](https:// /about/meet-dr-judith-gurley/) has been *restoring the female breast* to its more natural look and feel for years. You may be wondering if you have enough breast tissue for implant removal or what your breasts will look like after explant. Incorporating a [breast lift](/breast/breast-lift/) into your implant removal procedure can help restore youthful, shapely contours that complement your physique. Dr. Gurley will help you design a treatment plan that provides an aesthetically pleasing result you will love.

#### What You Can Expect

*What does breast implant removal with lift entail?*

During a **breast implant removal with lift** Ladue & St. Louis patients will have the entire implant and its contents removed, usually through the same incision used for their original surgery. The natural breast tissue, nipple and areola, and skin are then brought together, lifted, and sculpted, to compensate for the loss of the implant and re-establish the breast in a more beautiful shape and a more appropriate position. This often involves surface scars on the breast, which tend to heal very well.

Dr. Gurley firmly believes that if the position and shape of the breast are perfect for you, then the scars are less of an issue

#### For a Perky, Sculpted Shape

*What conditions does breast implant removal with lift address?*

**Breast implant removal with lift** is ideal for individuals who are experiencing any of the following:

- **Breasts that are too large:** You may feel like your breasts have changed, getting larger than you want, or your style and idea of beauty have changed. Breast implant removal can give you your body back and restore your idea of natural beauty. Alternative options include downsizing your implants or choosing to include breast fat grafting with your explanation.
- **Implants in the wrong position: **Older implants can migrate away from the cleavage area and sit too far to the sides of the chest. In this case, the implants can be removed, and the natural breast tissue lifted and sculpted. An alternative option is to reposition the implants.

#### Restoring Youthful Contours

*What are the benefits of breast implant removal with lift?*

A **breast implant removal with lift** offers a transformative opportunity to reclaim confidence and comfort while enhancing both the appearance and feel of your breasts. By *removing implants and lifting the natural breast tissue*, this procedure restores a balanced, natural shape that allows the breasts to settle beautifully. Many patients report feeling lighter and more comfortable, with reduced heaviness and tightness, along with a renewed sense of harmony with their bodies. With Dr. Gurley’s advanced techniques, scarring is minimized while achieving optimal contour, making this a seamless and empowering choice for many women.

#### Who is a Good Candidate?

*Is breast implant removal with lift right for me?*

You may want to consider *breast implant removal with lift* if:

- You feel like your [breasts are too large](/breast/adolescent-breast-reduction/) or [too low](/breast/breast-lift/) or have [lost their attractiveness](/breast/breast-augmentation/).
- Your breast tissue has grown and your chest is larger than you want it to be.
- Your breast implants have migrated away from the center and move apart when you lay down.
- You just aren’t happy with the implants any longer.
- Your implants are uncomfortable.

#### Restore Your Natural Shape

*Breast Implant Removal With Lift Recovery*

This is a fairly painless procedure with a rapid recovery. Over the ensuing few weeks after surgery, your tissues will “fluff,” and the shape will improve. Since there are no drains, pain pumps, or tight binding, normal activities and work can be resumed within 24 hours. In most cases, you will need little to no pain medications for this procedure. We have tailored recovery recommendations to make your outcome as predictable and beautiful as possible. This advice is personalized and largely depends upon the surgical techniques used during your operation. Exercise is restricted for 2-4 weeks or until Dr. Gurley indicates it is safe to do so.

#### Real Results | Real Artistic Outcomes

*Breast Implant Removal With Lift Results*

As a reconstructive board-certified[ plastic surgeon](https://www.abplasticsurgery.org/), Dr. Gurley has had the opportunity to care for patients who have lost their breasts due to cancer, underdeveloped [since childhood](/breast/tubular-breast-correction/), or have suffered from changes in the breasts [due to age](/breast/adolescent-breast-reduction/), weight fluctuations, pregnancy, or surgery. In fact, the true sign of a [capable breast plastic surgeon](/blog/board-certified-doctors/) is one who has the ability to create a breast from nothing. Dr. Gurley’s deeply embedded surgical technical skills combined with her uniquely inherent artistic eye are what sets her results apart from those of her colleagues.

[See for yourself](/gallery/breast/breast-implant-removal-with-lift/) the many [happy patients](/testimonials/) who have entrusted Dr. Gurley with their [breast implant concerns](/blog/what-if-i-dont-like-my-breast-implants/).

#### Let's Start a Conversation

[Get in Touch](/contact/)

#### Breast Implant Removal With Lift

*Frequently Asked Questions*


---

## Breast Implant Replacement

**Link:** [Breast Implant Replacement](https://www.judithgurley.com/breast/breast-implant-replacement/) ([md](https://www.judithgurley.com/breast/breast-implant-replacement/index.html.md))

**Description:** Refresh your look in St. Louis, MO with breast implant replacement by Dr. Judith Gurley. Honest guidance, beautiful results, and care that puts you first.

### Content

#### Feel More Like You

*Why People Come to Dr. Gurley for Breast Implant Replacement*

There are all kinds of reasons *someone might want to replace their implants*. Maybe you're thinking about a new size or shape. Maybe your original implants were placed years ago, and you're ready for something that fits your body better now. Or maybe something just doesn't feel quite right, and you want it fixed with care and attention to detail.

Dr. Judith Gurley has been *helping people refine, restore, and refresh their breast implants* for more than 25 years. She combines medical skill with an artistic eye, creating results that feel balanced, soft, and beautifully in sync with the rest of your body. If you've had [breast augmentation](/breast/breast-augmentation/) in the past and want to make a change, Dr. Gurley is the one to call.

#### Breast Implant Replacement at a Glance

- **Surgery Time**: Around 1–3 hours
- **Anesthesia**: You'll be fully asleep
- **Recovery**: Light activity in a day or two; full healing in a few weeks
- **Options**: Replace with a different size, type, or style of implant; lift or reshaping if needed
- **When You'll See Results**: Right away, with continued improvement over time

#### A Fresh Look

*What Is Breast Implant Replacement?*

Our St. Louis **breast implant replacement**, also called *breast revision surgery*, is for people who already have implants and want something different. Some want to change the size or feel of their implants. Others want to *fix issues like asymmetry, capsular contracture, or changes in the position of the implants over time*.

Dr. Gurley carefully removes the old implants and replaces them with new ones. She might also adjust the implant pocket or lift the breast tissue if needed to create a smooth, natural-looking shape. The goal is always the same: to help you feel more confident in your own skin.

#### Built Just for You

*What the Breast Implant Replacement Process Looks Like*

It all starts with a conversation. Dr. Gurley will sit down with you, look at your current implants, and ask what you like, what's changed, and what you hope to get out of the replacement. From there, she builds a plan that works with your anatomy, your lifestyle, and your personal goals.

During **breast implant replacement** St. Louis patients will have their original incisions used, so there's no extra scarring. She'll carefully remove the current implants, clean up any scar tissue, and place the new implants in a way that feels balanced and right for your body. If a [breast lift](/breast/breast-lift/) or reshaping is needed, that can be done at the same time.

#### Updating Implants, the Right Way

*Is Breast Implant Replacement a Good Option for You?*

**Breast implant replacement in St. Louis** might be a good fit if:

- You want a different size, shape, or type of implant
- You're switching from saline to silicone (or vice versa)
- You've had issues like firmness, rippling, or shifting
- You're looking to improve symmetry or correct past results
- You just want something that fits your body better today

Dr. Gurley will help you sort through all the options and guide you toward a plan that feels like the right next step.

#### Healing, Without the Guesswork

*What Recovery Is Like for Breast Implant Replacement*

It's smart to take it easy at first, no lifting, no workouts, but you'll get back to regular life pretty quickly.

Most people feel ready to move around within a day or two. However, full recovery takes about four to six weeks. You'll get all the support and follow-up you need along the way, so you're never left guessing.

#### Soft, Balanced, Beautiful Results

*What You’ll See After Breast Implant Replacement*

Your new look will be noticeable right away, and it'll only get better as you heal. The goal isn't just a better version of your last result, it's a fresh result that reflects who you are now. Whether you're going bigger, smaller, softer, or just more symmetrical, the outcome should feel like you are confident, comfortable, and at ease in your body.

#### Let’s Make a Plan That Feels Right

*Schedule Your Consultation*

If you've been thinking about *replacing your breast implants*, there's no better time to start a conversation. Dr. Gurley understands how personal this decision is and gives you space to explore it without pressure. Just honest advice, thoughtful care, and a focus on what matters to you.

📍 Serving Ladue, St. Louis, and surrounding areas.

👉 Start Your Consultation

#### Breast Implant Replacement

*Frequently Asked Questions*


---

## Breast Lift

**Link:** [Breast Lift](https://www.judithgurley.com/breast/breast-lift/) ([md](https://www.judithgurley.com/breast/breast-lift/index.html.md))

**Description:** Discover the benefits of breast lift surgery without implants in Ladue & St. Louis, MO, with Dr. Gurley. Reshape and lift your breasts for a more youthful appearance.

### Content

#### No one will know. Everyone will notice.™

*Why choose Judith Gurley Plastic Surgery & Medical Spa for your breast lift?*

*The breast lift procedure is a tailored approach to restoring a more youthful shape and position to sagging breasts*. Board-certified plastic surgeon Dr. Judith Gurley brings extensive training, artistic insight, and a caring approach to each St. Louis **breast lift** procedure she performs. With over 25 years in practice and numerous awards, including recognition as one of Newsweek’s Best Plastic Surgeons in America, Dr. Gurley has the experience and technique to deliver beautiful, natural-looking results. Our boutique practice ensures each patient receives personal, dedicated care at every step—from consultation through recovery.

#### Breast Lift at a Glance

- **Duration:** 2-3 hours
- **Anesthesia: **Light general anesthesia
- **Downtime:** 1-2 days for initial recovery
- **Results: **Immediate, with improvements as healing continues
- **Lasting Effects:** Long-term results with healthy lifestyle choice

#### Elevate Your Look With Inspired Care

*What is a breast lift?*

A **breast lift**, or *mastopexy*, raises the breasts, tightens the breast skin, and improves the shape of the breasts for a more youthful appearance. *Breast lift surgery* can also be used in conjunction with [augmentation](/gallery/breast/breast-augmentation/) to add fullness to the upper pole of the breast. Dr. Gurley emphasizes that it is possible to lift the breast without an implant. Implants are only necessary to add volume or emphasize breast fullness. *One of the advantages of a breast lift is that the nipple and areola can be resized, lifted, and re-positioned along with the breast tissue* through very discreet incisions placed on or under the breast. With this procedure, it is possible to change a V-shaped breast to a U-shaped breast, which naturally restores a youthful appearance.

#### What You Can Expect

*What does the breast lift procedure entail?*

The **breast lift** procedure typically takes 2-3 hours and is performed under general anesthesia. During the procedure, incisions are placed around the areola and vertically from the areola to the crease underneath the breast. [Dr. Gurley](/about/meet-dr-judith-gurley/) utilizes a short scar technique which minimizes the incision to limit scarring. Each procedure is carefully designed to reshape the individual patient’s breast tissue into a more youthful, uplifted contour. Breast tissue may or may not be removed depending on your specific anatomy. If more volume is desired, *a breast lift can be combined with augmentation*, incorporating the placement of breast implants into the same surgical procedure.

#### Do Something for You

*Who is a good candidate for a breast lift?*

You may want to consider a **breast lift** if:

- You always need a bra to hold up your breasts.
- Your nipples are low and your breasts sit on your upper tummy.
- Your breasts have lost shape, are flat, and have little projection.
- The top of your breasts have lost fullness, shape, and definition.
- You have excess skin making it difficult to feel confident in swimsuits and low-cut clothing.

#### An Uplifting Transformation

*What are the benefits of a breast lift?*

A *breast lift* provides a long-lasting transformation that enhances your entire silhouette. After a **breast lift** St. Louis patients can expect:

- More youthful, perky breast contour
- Improved breast shape and projection
- Enhanced physical comfort
- Improved breast symmetry
- Restored self-confidence and body image
- Long-lasting results with proper aftercare

#### Guidance and Support When it Matters Most

*What can I expect during breast lift recovery?*

Most patients are off pain medication within 24 hours and can return to their normal daily routines, including showering, driving, and returning to work. In most cases, no pumps, drains, binding, or wrapping are required, simplifying your recovery process. Dr. Gurley will provide you with a few simple post-operative movements you can do to reduce stiffness and promote faster healing. Sports and exercise are not recommended for 6 weeks after the surgery. Your healing will be checked at post-operative visits, ensuring full support and guidance every step of the way.

#### Real Beauty. Real Artistry.

*Breast Lift Results*

Following a **breast lift**, patients notice an immediate improvement in breast shape, with continued refinement as healing progresses. The results are long-lasting, offering an uplifted, youthful breast contour that endures with a stable weight and healthy lifestyle. Most patients enjoy years of enhanced confidence and satisfaction with their new look.

#### Let’s Start a Conversation

*Schedule Your Breast Lift Consultation*

Due to pregnancy, breastfeeding, weight fluctuations, or the natural aging process, breasts can change shape or lose their ideal position. Dr. Gurley is skilled at *reshaping sagging breasts into rounder, more full breasts*. Through one-on-one consultation, she will help you visualize your breasts “lifted” and help determine if a [breast lift in combination with breast augmentation](/breast/breast-augmentation-and-lift/) would be the[ best choice](/gallery/). Her artistic eye will help you achieve the look you desire.

Click [here](/contact/) to begin your consultation process with Dr. Gurley today!

#### Breast Lift

*Frequently Asked Questions*

## **Judith Gurley, MD (Board-Certified Plastic Surgeon)**

                **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.

#### Real Patients, Real Stories


---

## Breast Procedures

**Link:** [Breast Procedures](https://www.judithgurley.com/breast/breast-procedures/) ([md](https://www.judithgurley.com/breast/breast-procedures/index.html.md))

**Description:** Transform your body with specialized breast surgery procedures in Ladue & St. Louis, MO. Achieve a balanced and enhanced appearance tailored to your unique needs.

### Content

#### Breast Procedures

Every woman should feel like her breasts complement her body. *Plastic surgery of the breast* should positively and aesthetically improve the appearance of your entire body, bringing it into balance and helping you look taller and thinner.

#### Looking For More?

[Face Procedures](/face/)

[Body Procedures](/body/)

[Male Procedures](/male-procedures/)

[Spa Procedures](/in-office-procedures/)

#### Patients First, Always

*Our Patient Care Philosophy*

You are unique — not only your body, but your desires and goals. And you also know the look you don’t want.

Dr. Gurley has built a deeply respected and successful practice for two reasons. First, it is her mission to understand the complexities of breast anatomy and physiology. Second, she is committed to truly listening to her patients, hearing what they have to say, and responding empathetically to their needs.

Let’s Start a Conversation about our St. Louis **Breast Procedures**

[Get In Touch](/contact/)


---

## Breast Reduction

**Link:** [Breast Reduction](https://www.judithgurley.com/breast/breast-reduction/) ([md](https://www.judithgurley.com/breast/breast-reduction/index.html.md))

**Description:** Experience relief from neck and back pain in Ladue & St. Louis through breast reduction surgery. Dr. Gurley provides expert care to help you achieve comfort and confidence.

### Content

#### A Comfortable Embrace

*Why Choose Judith Gurley Plastic Surgery & Medical Spa for Breast Reduction?*

The physical, social, and psychological impacts of large breasts can be overwhelming to patients. In fact, many women consider *breast reduction surgery* for years before undergoing the procedure. [What we hear most often from patients](/testimonials/) is that they wish they had made the decision earlier. Our St. Louis **breast reduction** can help reduce neck, back, and shoulder pain while improving the fit of bras and other clothing. Our patients enjoy enhanced comfort and [renewed confidence in their appearance after undergoing breast reduction surgery](/breast/breast-reduction/). Breast reduction surgery can also help [adolescent girls](/breast/adolescent-breast-reduction/) feel more [comfortable with their bodies, feel less self-conscious, and have their bodies match their chronological age.](/gallery/)

Dr. Judith Gurley brings decades of surgical experience—including extensive experience in breast procedures—to each *breast reduction* she performs. Combining technical expertise and artistic vision with a patient-centered approach, she ensures each patient achieves a beautiful, natural-looking outcome.

#### Breast Reduction at a Glance

- **Duration**: 2-3 hours
- **Anesthesia**: General anesthesia
- **Downtime**: 1-2 days for initial recovery
- **Results**: Immediate, with continued improvement as healing progresses
- **Long-Term Comfort**: Significant reduction in neck and back pain

#### Feel Light, Live Free

*What is breast reduction?*

**Breast reduction**, or *reduction mammoplasty*, is designed to reduce excess breast tissue, fat, and skin to achieve a breast size and position that aligns with your body proportions and lifestyle. Patients can choose from various techniques tailored to their anatomy and goals, resulting in a smaller, lifted breast shape. *This procedure not only enhances breast size and shape but also alleviates physical discomfort*, such as neck pain, back pain, and skin irritation caused by overly large breasts.

#### What You Can Expect

*What does the breast reduction procedure entail?*

The breast reduction procedure is performed on an outpatient basis, meaning you can go home the same day. On surgery day, Dr. Gurley’s team prepares you for a safe and comfortable experience. With **breast reduction** St. Louis patients will have it performed under general anesthesia, with incisions carefully placed to allow for excess tissue and skin removal. Dr. Gurley reshapes and lifts the remaining breast tissue to create a balanced, naturally contoured appearance. The procedure concludes with meticulous closure of the incisions, ensuring minimal scarring and a rapid recovery experience.

#### Advanced Techniques for a Rapid Recovery

Dr. Gurley has spent decades perfecting her surgical techniques to facilitate a rapid recovery for her patients. Her methods eliminate the need for surgical drains or sutures, helping patients quickly resume normal activities. Most of Dr. Gurley’s patients are off of pain medication and are able to drive, shower, and return to work within 24 hours of their procedure, enjoying a smooth transition back into their regular routine.

#### Real Patients, Real Results

*Judith Gurley Plastic Surgery & Medical Spa*

#### Your Most Beautiful Silhouette

*Who is a good candidate for breast reduction?*

You may want to consider the **breast reduction** procedure if:

- You have back, neck, or shoulder pain due to large breasts
- You feel self-conscious about the size of your breasts
- You have experienced rashes or chafing underneath your breasts
- You have difficulty finding bras or clothes to fit your figure.

#### Surgical Skill. Artistic Vision.

*What are the benefits of breast reduction?*

Patients who see Dr. Gurley for **breast reduction** find a range of benefits from the procedure. Dr. Gurley lightens the weight of the breasts while repositioning and lifting them higher on the chest wall. This means your bra doesn’t have to work so hard. Patients are able to exercise with greater comfort and wear dresses, swimsuits, and other clothing that did not fit well prior to surgery. Dr. Gurley will consult individually with you to find your perfect size.

#### Advanced Techniques. Unparalleled Support.

*Breast Reduction Recovery*

Following the surgery, there is no limitation on range of motion of the arms or showering. You may drive and return to work within 24 hours. We recommend that you refrain from running, jogging, or any strenuous exercise for 4-6 weeks. Dr. Gurley will provide clear aftercare instructions and check your healing at post-operative visits.

The incisions produced leave a scar around the areola, and down from the areola to the crease underneath the breast. There is a limited scar beneath the breast depending on how much excess skin there is. All stitches are dissolvable and drains are not needed.

#### Real Results. Real Artistic Outcomes.

*Breast Reduction Results*

*You’ll immediately be able to see the change after undergoing breast reduction*, with continued improvement as post-operative swelling subsides. Patients enjoy a lighter, more comfortable breast shape that enhances both their body proportions and sense of confidence. With a stable weight and healthy lifestyle, **breast reduction** results are long-lasting, allowing for years of increased comfort and self-assurance.

#### Let’s Start a Conversation

*Schedule Your Consultation*

Experience the personalized care and expertise that Dr. Judith Gurley brings to *breast reduction surgery* by scheduling a one-on-one consultation. Dr. Gurley understands that every patient’s needs, lifestyle, and aesthetic goals are unique, and she takes the time to listen, answer questions, and provide honest, personalized recommendations. In our welcoming St. Louis office, you’ll gain clarity about the options available, the benefits of **breast reduction**, and what to expect on your journey toward a lighter, more balanced silhouette. Take the first step toward lasting comfort and confidence—schedule your consultation with Dr. Gurley today and discover the possibilities for a new you.

[Get In Touch](/contact/)

#### Related Articles

#### Breast Reduction

*Frequently Asked Questions*


---

## Fat Transfer Breast Augmentation

**Link:** [Fat Transfer Breast Augmentation](https://www.judithgurley.com/breast/fat-transfer-breast-augmentation/) ([md](https://www.judithgurley.com/breast/fat-transfer-breast-augmentation/index.html.md))

**Description:** Discover the natural way to increase breast volume with fat transfer breast augmentation in Ladue & St. Louis.

### Content

At our office in St. Louis **fat transfer breast augmentation** is used to add or replace volume in the breasts. This is the most natural way to increase cup size or contour the breasts to achieve the desired shape and fullness.

*Fat grafting breast augmentation is ideal for patients who want to use their own body fat to augment instead of a breast implant*. Grafted fat can be strategically placed to enhance a particular area of the breast such as the cleavage or upper pole. Grafted fat can also be used in other parts of the body and face to create fullness and a more youthful appearance. This procedure pairs well with breast implants if deficiencies persist such as asymmetries, implant visibility, or ripples. Fat also brings living tissue to the breast, adding growth factors and collagen stimulators, which can help with overall skin integrity.

#### What To Expect With

#### Real Results

*Real Artistic Outcomes*

**Fat transfer breast augmentation** naturally adds fullness to the breast in areas most desired by the patient. The advantage over breast implants is that the fat can be concentrated in specific areas if needed to correct imperfections or asymmetries. Fat grafting can add suppleness to the breast in areas desired by the patient, such as the cleavage or upper pole. This procedure pairs well with breast-lifting, correction of tubular breasts, or contour deformities. *An added benefit to fat transfer breast augmentation is the liposuction that is welcomed in areas of unwanted fat*. Dr. Gurley says, “This form of breast augmentation brings volume enhancement to the breast without the concern of implant surveillance and implant replacement.” Breast exams and mammograms are still recommended for women over 35.

#### Let’s Start a Conversation

[Get In Touch](/contact/)


---

## Motiva Breast Implants

**Link:** [Motiva Breast Implants](https://www.judithgurley.com/breast/motiva-breast-implants/) ([md](https://www.judithgurley.com/breast/motiva-breast-implants/index.html.md))

**Description:** Achieve a Beautiful 4-Dimension Result with Motiva Breast Implants in St. Louis, MO. Dr. Gurley specializes in natural, safe breast augmentation with minimal downtime.

### Content

#### Undeniably You

Dr. Judith Gurley has the secret to the future of [breast augmentation](/breast/breast-augmentation/). At Gurley Plastic Surgery in St. Louis, MO, we know true beauty is found in how you move, age, and live. Dr. Gurley approaches *breast surgery* by taking it into the 4th dimension, accounting for time and gravity to provide results that remain natural and beautiful at every stage of life.

Dr. Gurley is proud to be a premier provider of **Motiva Breast Implants in St. Louis**, the latest innovation in silicone breast implants designed to mimic natural breast tissue more closely than ever before. Whether you are seeking primary breast augmentation, restoring volume lost after pregnancy, or correcting asymmetry, Dr. Gurley’s unique touchless technique delivers safety, elegance, and a look so natural that *no one will know, everyone will notice*.

#### Motiva Breast Implants at a Glance

- Duration: 1–2 hours
- Anesthesia: Light general
- Downtime: 1–2 days for initial recovery (most patients can drive and work the next day)
- Placement: Above the muscle placement is now a safe option
- Results: Immediate volume with a natural, 4th Dimension look
- Safety: Blue Seal® technology for leak detection

#### Hello, Curves

*What Are Motiva Implants?*

**Motiva Breast Implants** represent the 6th generation of implant technology. Unlike traditional breast implants, which can sometimes feel firm or look static, Motiva utilizes advanced engineering to prioritize patient safety and natural movement.

These implants are filled with a proprietary silicone gel that adapts to your body’s position, maintaining a round shape when lying down and adopting a natural teardrop shape when standing. They're encased in a nano-surface outer shell (*SmoothSilk*®/*SilkSurface*®), designed to be arguably the most biocompatible implants on the market today.

#### Move How You Move

*Benefits of Motiva Implants*

Dr. Gurley advises patients to choose *Motiva* for their superior blend of safety and aesthetics.

- Natural Movement: The Progressive Gel technology allows the implant to move with you, mimicking the physics of real breast tissue rather than remaining stiff.
- Safety First: Motiva features Blue Seal protection, a unique barrier layer that allows Dr. Gurley to visually verify the implant's integrity before insertion, ensuring the highest level of safety against implant rupture.
- Reduced Complications: The nano-surface technology is designed to cause less inflammation and significantly lower the risk of capsular contracture (hardening of scar tissue) or BIA-ALCL compared to older textured implants.
- Ideal for Above the Muscle: Because of their safety profile and natural feel, these implants are safe enough to be placed *above the muscle*. This serves as a less invasive option that avoids cutting into the pectoral muscle, leading to a quicker recovery.

#### Your Time is Now

*Candidates for Motiva Breast Implants*

This *next-generation implant* is an excellent choice for a wide range of women, specifically those aged 22–70.

For **Motiva Breast Implants** St. Louis patients may be ideal candidates if:

- You are a young woman seeking your first breast augmentation (primary augmentation).
- You have lost breast volume due to weight loss, aging, or breastfeeding (post-partum).
- You want to avoid the longer recovery associated with sub-muscular placement.
- You are looking for natural-looking results that age gracefully with you.
- You are in good general health and have realistic expectations about the outcome.

#### Lift, Volume, Love

*What It Can Address*

Dr. Gurley uses *Motiva implants* to address a variety of aesthetic concerns. She customizes every surgical procedure to create a balanced, proportionate silhouette.

#### Picture This

*Preparation & Consultation*

All it takes to get started is a simple, no-pressure, private consultation with Dr. Gurley. She'll discuss your goals and explain her 4th Dimension philosophy to ensure your results look just as beautiful today as they will several years down the road. Dr. Gurley will carefully evaluate your natural breast tissue, skin quality, and chest wall dimensions to determine the best approach for your body. Together, you will discuss breast volume and projection to find the size that best complements your frame. You will also learn about the specific implant options, such as Round versus Ergonomix, and understand why Dr. Gurley often prefers above the muscle placement for many first-time patients.

#### Gentle & Precise

*The Procedure*

Dr. Gurley is the sole provider at her practice using the specific touchless placement technique. This advanced method involves using a sterile delivery funnel to slide the implant into the breast pocket without it ever touching the skin or surgical gloves. The surgery is typically performed under general anesthesia, and since **Motiva breast implants** are highly flexible, they can be inserted through significantly smaller incisions than traditional implants, which helps minimize scarring. Whenever possible, Dr. Gurley places the implant above the muscle as a preservation approach that respects the integrity of the chest muscle and helps reduce post-operative pain and animation defects.

#### Don’t Press Pause (For Long)

*Recovery & Aftercare*

One of the major benefits of *preservation breast augmentation* (above the muscle) is the reduced recovery time. Most patients experience a much quicker recovery compared to sub-muscular placement and can typically return to light desk work the next day. You will experience less muscle soreness since the pectoral muscle is not cut or stretched during the procedure. While recovery is swift, strenuous body movements and running or jogging should still be avoided for several weeks to ensure proper healing. Throughout your recovery, Dr. Gurley and her team will monitor your progress closely to ensure patient satisfaction and optimal breast health.

#### Heads Will Turn

*Results*

Dr. Gurley’s ultimate goal is to provide a beautiful 4-dimensional result. You'll see an immediate improvement in shape and size following surgery. As any initial swelling subsides, the *Progressive Gel* settles into a natural contour that looks and feels soft, becoming nearly indistinguishable from real breast tissue. Because the surgery accounts for gravity and time, your results are designed to age naturally with you, maintaining a sophisticated and elegant look for years to come.

#### She Just Gets It

*Why Choose Dr. Gurley?*

Dr. Judith Gurley

As a *female board-certified plastic surgeon*, I understand that your body isn’t a static object. It’s a living, breathing part of who you are that changes with time, gravity, and life. I don’t just look at how you’ll look in the recovery room. I look at how you’ll look five, ten, and twenty years from now.

That’s the heart of my 4th Dimension philosophy.

I am proud to be the sole provider in this practice offering the specific combination of our St. Louis **Motiva Breast Implants**, touchless insertion, and above-the-muscle placement. I use this method because I believe you deserve a procedure that respects your body. By placing the implant gently above the muscle using a no-touch technique, I can minimize trauma, reduce inflammation, and prioritize your long-term safety.

This isn’t just surgery to me. What I strive for is a lifelong investment in your confidence. I want to give you a result that feels as natural as it looks: beautiful, elegant, and unmistakably *you*.

[Get In Touch](/contact/)

#### Beauty Isn't Static

*Schedule Your Consultation*

Step away from the plastic look of the past and embrace a result that feels incredible. Reclaim your body or define your curves for the very first time. Dr. Gurley invites you to experience the confidence of the 4th Dimension. Don’t just upgrade your silhouette. Future-proof it with the only implant designed to move with your life.

See what the future of breast aesthetics looks like on you by contacting Gurley Plastic Surgery in St. Louis, MO, today. Let’s create a look that's undeniably beautiful and unmistakably yours.

#### Motiva Breast Implants

*Frequently Asked Questions*


---

## Tubular Breast Correction

**Link:** [Tubular Breast Correction](https://www.judithgurley.com/breast/tubular-breast-correction/) ([md](https://www.judithgurley.com/breast/tubular-breast-correction/index.html.md))

**Description:** Discover how Dr. Gurley specializes in correcting tubular breasts in Ladue & St. Louis, providing natural and balanced results.

### Content

*Tubular or tuberous breasts are a common condition that has numerous impacts on breast shape*. With breast deformity, tubular breasts, constricted breasts, and herniated areolas to name a few the severity and [asymmetry](/blog/breast-asymmetry/) can have a profound effect on *breast aesthetics*, and balance, and can lead to a loss of confidence. [Dr. Gurley](/about/meet-dr-judith-gurley/) specializes in congenital breast deformities and will use her extensive experience to normalize the appearance of the breast as much as possible. This condition becomes obvious to most women during the [early stages of puberty](/breast/adolescent-breast-reduction/). Dr. Gurley and her medical colleagues agree that patients do not need to wait until they are 18 years of age to correct this condition if they are ready mentally and physically. Dr. Gurley will assess each patient’s emotional and developmental maturity.

#### What You Can Expect

*tubular breast correction*

At our office in St. Louis **tubular breast correction** is not a simple procedure. Dr. Gurley’s [Board Certification in Plastic Surgery](https://www.abplasticsurgery.org/) has given her the surgical principals needed to treat this potentially complex condition. Your breasts will be altered, if needed, three dimensionally, taking into account the width, projection, and length of the breast and skin envelope. This is a great opportunity to also *correct breast size* or [misshapen areolas](/breast/areola-reduction/). You will enjoy a more round, full and natural appearing breast not only naked but in clothes as well.

#### Understanding Tubular Breasts | Adolescent Breast Deformities

#### Recovery

*tubular breast correction*

Following **tubular breast correction** St. Louis patients may need a day or two of rest, at which point most patients will return to their normal activities. We recommend that you refrain from running, jogging or any strenuous exercise for 4-6 weeks after the surgery. You will be able to shower right after the surgery. All stiches are dissolvable, and we will provide all the supportive garments needed for your recovery.

#### Candidates

*tubular breast correction*

You may want to consider **tubular breast correction** if:

You have been *diagnosed with tuberous breasts*, [breast asymmetry](/breast/asymmetrical-breast-correction/), or unusually shaped breasts. Most patients with this condition have other underlying abnormalities such as [droopy breasts](/breast/breast-lift/), breasts that are uneven, [areola enlargement](/breast/areola-reduction/), and fatty deposits near the armpit. Very rarely this condition is associated with *Poland’s Syndrome*, which is a congenital absence of the upper extremity musculoskeletal components.

#### Cost

*What is the approximate cost for Tubular Breast Correction?*

The *cost for tubular breast correction surgery* usually falls within this range, however you will receive an exact cost when you meet with Dr. Gurley.

- $18,000-$33,000

(depends if with implant, lift, or both)

Click [here](/contact/) to begin your consultation process with Dr. Gurley today!

#### Real Results

*Real Artistic Outcomes*

Dr. Gurley’s years of experience means that she can work with you to determine the [best course](/breast/) of action for your *tubular breast condition*. There are no two patients alike when it comes to tubular or congenital deformities, so it’s critical to have the experience to be able to tailor surgery for each patient. The outcome results in not only improved physical appearance but also an improvement in self-image, confidence, and well-being.

Let’s Start a Conversation

[Get In Touch](/contact/)


---

## Cancellation Policy

**Link:** [Cancellation Policy](https://www.judithgurley.com/cancellation-policy/) ([md](https://www.judithgurley.com/cancellation-policy/index.html.md))

**Description:** View our Cancellation Policy here. To confirm and secure your appointment, Judith Gurley Plastic Surgery & Medical Spa requires a deposit.

### Content

#### Appointment Cancellation Policy

To confirm and secure your appointment, Judith Gurley Plastic Surgery & Medical Spa requires a deposit.

If you need to cancel or reschedule, please give us at least one week's notice to avoid forfeiting your deposit. Cancellations made with less than one week's notice will result in the loss of your deposit, and a new deposit will be required for future bookings.

To make any changes to your appointment, please contact our office.

We appreciate your understanding and cooperation. This policy allows us to serve our patients better and ensure timely care.


---

## Schedule Your Consultation

**Link:** [Schedule Your Consultation](https://www.judithgurley.com/consultation/) ([md](https://www.judithgurley.com/consultation/index.html.md))

**Description:** Start your transformative journey today! Schedule your personal consultation with Dr. Judith Gurley by phone or online.

### Content

#### Your Journey to Confidence Begins Here

*Schedule a Consultation with Dr. Judith Gurley in St. Louis, MO*

Whether you’re considering a transformative surgical procedure or exploring non-surgical options for rejuvenation, Dr. Judith Gurley is here to guide you every step of the way. With a unique combination of technical expertise and an artistic eye, Dr. Gurley tailors every treatment to your individual goals.

At Judith Gurley Plastic Surgery & Medical Spa, we believe in creating a partnership with our patients. Dr. Gurley provides expert guidance during your consultation, offering honest recommendations and designing personalized treatments that achieve exceptional results. Whether you're seeking a subtle enhancement or dramatic transformation, Dr. Gurley ensures every detail reflects your vision.


---

## Contact Us

**Link:** [Contact Us](https://www.judithgurley.com/contact/) ([md](https://www.judithgurley.com/contact/index.html.md))

**Description:** Discover top plastic surgery and medical spa services in St. Louis, MO. Contact us today for expert consultations and treatments. Call now.

### Content

#### Ready to Schedule your Surgical Consultation?

*Reach out using this form and we'll get back to you soon!*

#### Ready to Schedule your MedSpa Consultation?

*Fill out this form and we'll get back to you soon!*

#### Just want to ask us a question?

*Leave your message, and we’ll get back to you shortly.*


---

## Facial Plastic Surgery

**Link:** [Facial Plastic Surgery](https://www.judithgurley.com/face/) ([md](https://www.judithgurley.com/face/index.html.md))

**Description:** At Judith Gurley Plastic Surgery and MedSpa, we offer Facial Plastic Surgery procedures such as the Facelift, Necklift, Submental Liposuction, Blepharoplasty and more.

### Content

#### Aging Gracefully: Understanding Facial Changes


---

## Blepharoplasty

**Link:** [Blepharoplasty](https://www.judithgurley.com/face/blepharoplasty/) ([md](https://www.judithgurley.com/face/blepharoplasty/index.html.md))

**Description:** Achieve a natural and youthful look with expert blepharoplasty procedures in Ladue & St. Louis. Dr. Gurley combines surgical expertise with facial injections and lasers for exceptional results.

### Content

#### Brighten Your Look

*Why Choose Judith Gurley Plastic Surgery & Medical Spa for an Eyelid Lift?*

As we age, the delicate skin around our eyes loses its elasticity. A **blepharoplasty**, or *eyelid lift*, helps remove extra skin around the eye in order to create a rejuvenated appearance. An eyelid lift can be performed on the upper eyelids, the lower eyelids, or both. Dr. Gurley learns about each patient’s goals to recommend a treatment plan tailored to their needs.

What is even more compelling than a traditional *eyelid lift* is a special combination of treatments very carefully executed by [Dr. Gurley](/about/meet-dr-judith-gurley/), where an even more beautiful and natural result is possible. Dr. Gurley will suggest a treatment plan specific to you to obtain results that will enhance your surgical result. Our technical expertise and patient-focused care translate into beautiful results that highlight your natural vibrancy.

#### Refreshed and Radiant

*What is blepharoplasty?*

Our St. Louis **blepharoplasty** is a surgical procedure that smooths and sculpts away excess skin, fat, and sagging on the upper and/or lower eyelids. *Upper blepharoplasty* focuses on removing drooping skin that can create a tired appearance, or even interfere with your field of vision. *Lower blepharoplasty* targets puffiness and bags beneath the eyes to restore a refreshed, youthful appearance. The goal of blepharoplasty is to refresh the eye area, enhancing both function and aesthetics. Patients can choose to focus on either the upper or lower eyelids, or a combination of both for more comprehensive rejuvenation.

**Combining Techniques**

In addition to performing traditional **blepharoplasty** St. Louis plastic surgeon, Dr. Gurley, offers a combination approach to *eyelid rejuvenation*, blending surgical and non-surgical techniques for the most harmonious result. Dr. Judith Gurley takes pride in her ability to beautifully place injectables and fat, deliver laser treatments, and delicately execute facial operations in such a way that preserves facial function and gracefully restores youth and beauty.

Dr. Gurley says “It is not just having excellent technical skills and knowledge that produce the best results—it’s the unique combination of having an aesthetic eye together with technical strengths that allow me to achieve those unbelievably gorgeous results that we are able to get today! I can’t do it with only surgery anymore. I need the [lasers](/laser-treatments/), [skincare](/skin-treatments/), [neurotoxins](/injectables-fillers/botox/), and [fillers](/injectables-fillers/facial-fillers/) in addition.”

#### A Captivating Gaze

*blepharoplasty*

Dr. Gurley carefully evaluates each patient’s aesthetic goals, facial anatomy, and skin condition to design a procedure that addresses their specific needs. A **blepharoplasty in St. Louis** can address several common concerns in the eye area:

- **Excess skin on the upper eyelids:** Loose skin that folds or hangs, affecting both aesthetics and function.
- **Puffiness in the upper eyelids: **Bulges caused by fat deposits, creating a heavy or aged look.
- **Under-eye bags: **Puffiness or sagging in the lower eyelids that creates a fatigued appearance.
- **Wrinkles or fine lines around the eyes: **Sagging skin that contributes to creases in the eye area.
- **Hollowing under the eyes: **Loss of volume that results in a sunken or shadowed appearance.
- **Asymmetry in the eyelids:** Uneven eyelid contours that affect facial balance and symmetry.

#### Precision + Artistry

*blepharoplasty*

The procedure is outpatient and can take as little as one hour's time. Careful planning, marking and drawings are made before the patient goes to surgery. In the operating room, the eyes are protected. Incisions are carefully hidden in the upper lid crease or within the lower eyelid. After surgery, *patients can return home the same day* with a friend or family member to drive them.

Dr. Gurley will make sure your anatomy will allow the results you are looking for. Dr. Gurley is refreshed to hear from her patients that they don’t want to change the shape of their eyes or drastically change their eyes in any way. She is able to give her patients natural results, simply *restoring freshness and youth to the eye area*.

#### Enhance Your Natural Beauty

*Who is a good candidate for blepharoplasty?*

When considering blepharoplasty Ladue patients may be a good candidate if:

- They have excess skin, wrinkling, or puffiness around the eye
- They find that makeup around the eyes is difficult to put on or does not last long
- Their eyes make them look tired or unrested, even when they have had plenty of sleep

Dr. Gurley will learn about your medical history to ensure you are a good candidate for cosmetic surgery. She will provide you with a clear picture of the results you can expect to achieve, providing thoughtful recommendations tailored to your goals.

#### Minimal Downtime

*What can I expect during eyelid lift recovery?*

After *eyelid surgery*, it may take 1-2 weeks for bruising and swelling to completely resolve. Most patients are comfortable going back to work right away, often wearing glasses to hide any signs of surgery. The stitches stay in for less than a week but are so fine they are virtually invisible. If bruising does develop, camouflage makeup can be worn. We recommend refraining from aggressive physical activities for at least one week. Pain medicine is not needed for this surgery and often eye drops are prescribed.

#### Subtle, Impactful, Splendid

*Blepharoplasty Results*

The results of **blepharoplasty** are immediately visible and become more refined as swelling diminishes. Patients enjoy brighter, more youthful eyes and a rested, refreshed appearance. *Upper eyelid surgery* can also improve vision by removing excess skin, while *lower eyelid surgery* eliminates puffiness and dark circles. The change is subtle but impactful, providing a refreshed, youthful look that can be enjoyed for years to come.

#### Real Results. Real Artistic Outcomes.

*Let’s Start a Conversation*

Our eyes showcase our personality. Dr. Gurley works with you to restore the appearance of your eyes. The goal of an *eyelid lift* (**blepharoplasty**) is not to distort your natural eye shape but, rather, to reveal your natural eye shape. Incisions are carefully placed and often difficult to see. Call to schedule a consultation and come see for yourself.

[Get In Touch](/contact/)

#### Blepharoplasty

*Frequently Asked Questions*


---

## Facelift

**Link:** [Facelift](https://www.judithgurley.com/face/face-and-neck-lifts/) ([md](https://www.judithgurley.com/face/face-and-neck-lifts/index.html.md))

**Description:** Experience the rejuvenating effects of face and neck lifts in St. Louis with Dr. Judith Gurley. Restore your youthful contours naturally and beautifully. Book now!

### Content

The passage of time and the effects of gravity, tanning and sun exposure, smoking, and other lifestyle factors can wear down our skin’s natural elasticity. When elastin and collagen protein in the skin erodes, we lose our youthful, *smooth contours and facial definition*. The skin is no longer as plump as it once was and begins to migrate downward. The lower portion of the face may droop. There may be sagging around the jawline. Beautiful bone structure is obscured.

Fortunately, St. Louis, Missouri, area Board-Certified Plastic Surgeon Dr. Judith Gurley restores facial contours with an array of trusted surgical interventions such as the **facelift** and *necklift*.

#### Face and Neck Lifts

A **facelift** or *rhytidectomy *may be performed using a variety of different techniques. Tissues are largely repositioned through small incisions hidden in areas such as the hairline. Additionally, any “excess” is trimmed away as tissues are repositioned to restore a more sculpted look.

A *neck lift* or *lower rhytidectomy *specifically addresses the chin, neck, and jawline area. It involves redistributing fat and tissue from the jowls and neck. Muscle tightening may also be appropriate.

#### What to Expect

Dr. Gurley evaluates your face and neck and discusses any concerns during a consultation. Some patients may not be good candidates for nonsurgical therapies such as [laser treatments](/laser-treatments/), [dermal fillers](/injectables-fillers/), or [fat grafting](/face/fat-transfer/) alone. In these cases, there may be some limitations. Surgical interventions are generally associated with more dramatic improvements and may be appropriate for more severe laxity. Patients should be healthy and have loose or hanging skin around the chin, mid-face or cheeks, jowls, and neck.

Incisions may also be placed in natural creases if you are an appropriate candidate for a face or neck lift. This helps to minimize the appearance of scarring. Drains are placed for 24 to 48 hours following the repositioning or removal of tissues. Recovering from our St. Louis **facelift** has never been easier or more predictable! Downtime is minimized by introducing new, vegan, and antimicrobial-based topical therapies. Stitches are typically removed in around five to seven days. Our patients usually return to their active lifestyles in around three weeks.

#### What is the Cost for Face and Neck Lifts?

The cost for **facelifts** and *necklifts* usually falls within this range, however you will receive an exact cost when you meet with Dr. Gurley.

- $60,000 – $120,000

#### Schedule Your Consultation Today!

During your visit, we can also go over cost considerations. These transformative procedures generally cost $60,000 to $120,000. Financing is available. 

When Botox® or filler may not be enough, explore better options with Dr. Gurley’s artistry and expertise. Call to speak with our team at Judith Gurley Plastic Surgery & Medical Spa in the St. Louis, MO, area in Ladue. The most natural *face and neck lifts* don’t look like the men and women who got them had anything “done” – they look vibrant and amazing. You just can’t tell “why” they suddenly look so much better. Simply trust your face to us.


---

## Face Consultation

**Link:** [Face Consultation](https://www.judithgurley.com/face/face-consultation/) ([md](https://www.judithgurley.com/face/face-consultation/index.html.md))

**Description:** A strategic blueprint for aging well. Book a personalized face consultation with Dr. Judith Gurley in Ladue for natural, physician-guided results.

### Content

#### A Strategic Blueprint for Natural, Safe Beauty

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.

#### What Is a Face Consultation?

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.

#### The Benefits of a Surgical Approach

Choosing a board-certified plastic surgeon for non-surgical work offers a level of safety and anatomy knowledge that other providers cannot match.

- Total Continuity: Dr. Gurley performs every injection herself. There is no hand-off to a nurse or assistant; every needle is guided by surgical hands.
- The "Aesthetic Eye": Dr. Gurley honestly assesses facial balance, advising on what will (and won't) work. She prioritizes natural beauty over volume.
- Advanced Safety: The practice utilizes cannulas (blunt-tipped needles) for many filler treatments. This highly skilled technique significantly reduces trauma, often resulting in a nearly bruise-free experience with minimal downtime.
- Comprehensive Care: The approach addresses skin health, volume loss, and dynamic wrinkles simultaneously for a cohesive result.

#### Candidates for Facial Rejuvenation

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.

- The 20s (Facial Balancing): Younger patients often seek personalized care for prevention. Small adjustments to correct asymmetry or subtle facial contours can instantly offer a more pleasing appearance.
- The 30s to 50s (Anti-aging): During this stage, the focus is on preventing and addressing early signs of aging—using regenerative techniques, lasers and skin treatments to support skin health, and fillers or surgery to enhance beauty and refine facial structure.
- The 60’s and Up (Restoration): As the face matures, the focus shifts to restoring lost structure. Dr. Gurley works to lift heavy features, improve skin texture, and soften the signs of aging.
- The Active Lifestyle: These treatments are designed for individuals with healthy, active lives who demand lasting results without putting their schedule on pause.

#### What We Address: A Curated Menu of Treatments

Dr. Gurley selects from a specific portfolio of tools to address everything from sun damage to acne prone skin conditions.

#### How to Prepare for the Consultation

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.

- Know your history: Be prepared to discuss prior injections, treatments, skincare routines and full health history, including allergies.
- Bring questions: Dr. Gurley values transparency and takes the time to answer every question regarding goals and concerns.

#### The Procedure Experience

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.

#### Recovery and Aftercare

One of the best aspects of Dr. Gurley’s technique is the lack of downtime.

- Immediately afterwards: Most patients experience minimal downtime. There may be slight redness or swelling at injection sites.
- Bruising: While Dr. Gurley’s cannula technique significantly reduces risk, minor bruising can occur and typically resolves within 7–10 days. It can easily be covered with makeup.
- Sun Exposure: The practice always advises protecting the skin from sun exposure following any treatment to preserve skin health.

#### Results

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.

#### Cost of Face Consultation Treatments

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.

#### Why Choose Dr. Judith Gurley?

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.

#### Face Consultation

*Frequently Asked Questions*


---

## Face Procedures

**Link:** [Face Procedures](https://www.judithgurley.com/face/face-procedures/) ([md](https://www.judithgurley.com/face/face-procedures/index.html.md))

**Description:** Explore face procedures with Dr. Judith Gurley, a compassionate Female Board-Certified Plastic Surgeon dedicated to enhancing your natural beauty. Call now.

### Content

#### Looking For More?

[Male Procedures](/male-procedures/)

[SPA Procedures](/medspa/)

[Body Procedures](/body/)

[Breast Procedures](/breast/)

#### Patients First,Always

*Our Patient Care Philosophy*

Everybody is individual and unique. Dr. Gurley believes that you deserve *the best that plastic surgery* has to offer. Your existing body type, bone structure, and personal preferences are just a few of the elements considered and discussed during an initial consultation.

The key is “seeing.”

Dr. Gurley will listen and help you visualize expected surgical outcomes. Her recommendations will be uniquely personal and specific to you and only you. Years of experience incorporating vision into every operation she performs has made a difference. Dr. Gurley loves what she does. She wants nothing more than to care for her patients the best way she knows how and give them results that exceed their expectations. She redefines what is possible. Let Dr. Gurley mold you into a look and feel that fits you!

[Get In Touch](/contact/)


---

## Facial Liposuction

**Link:** [Facial Liposuction](https://www.judithgurley.com/face/facial-liposuction/) ([md](https://www.judithgurley.com/face/facial-liposuction/index.html.md))

**Description:** Enhance your facial profile with facial liposuction in Ladue & St. Louis. Achieve precise, youthful contours and a sculpted look with expert care from Dr. Judith Gurley.

### Content

#### Sculpted Jawlines and Contoured Cheeks

*Why Choose Dr. Judith Gurley for Facial Liposuction?*

Achieving a sculpted, refined facial profile is no longer a distant aspiration. *Jawline refinement* starts with fat removal (liposuction), and that is one thing most medical spas can’t offer, Dr. Gurley prefers a combined approach for lower face remodeling, which works best when fat is removed when necessary. Dr. Gurley will then consider a variety of treatments, such as lasers, microneedling, Morpheus8 and/or filler to sculpt the face. With this individualized approach, you can elevate your natural beauty and enhance your features, giving your face a youthful, balanced look. At Judith Gurley Plastic Surgery & Medical Spa, we offer advanced facial liposuction treatments that remove excess fat, redefine contours, and bring out the best version of yourself. *Whether it’s refining your jawline, eliminating a double chin, or contouring your cheeks, facial liposuction provides precise results with lasting impact*.

With decades of experience, Dr. Judith Gurley is known for her meticulous, refined approach to facial aesthetics. She takes the time to understand each patient’s unique goals and works to deliver natural, flattering results. Using advanced techniques, Dr. Gurley ensures that her St. Louis **facial liposuction** procedure is performed with precision, minimizing scarring and maximizing results. Whether you’re looking to *contour your chin, neck, or cheeks*, Dr. Gurley provides a tailored treatment that enhances your natural beauty and boosts your confidence.

#### Facial Liposuction at a Glance

- **What it is: **A sculpting procedure that removes excess fat from the chin, jawline, cheeks, or neck to redefine and contour facial features.
- **Ideal For: **Double chin, sagging jawline, and excess fat in the cheeks or neck.
- **Downtime: **Most patients return to their routine in 1-2 days, with full recovery taking a few months.
- **Duration: **Typically 1-2 hours, depending on the areas treated and the scope of the procedure.
- **Complements Other Treatments:** Excellent procedure to combine same-day with lasers, microneedling, Morpheus8, dermal fillers, and other minimally and non-invasive treatments.

#### An Elegant Profile

*What is facial liposuction?*

*Facial liposuction is a targeted procedure designed to eliminate excess fat in specific areas of the face*. Using small incisions, a thin tube (cannula) is inserted into the fat deposits, and the fat is gently suctioned out. Dr. Gurley specializes in ultrasound assisted liposuction, which allows for precision sculpting while causing minimal disruption to the surrounding tissues for a quicker recovery. This technique reshapes and contours areas such as the chin, jawline, cheeks, and neck to provide a more defined and youthful appearance. Unlike other non-surgical fat removal techniques, **facial liposuction in St. Louis** offers more dramatic and long-lasting results for individuals who want to enhance their facial contours.

#### Precision Contouring

*What is the facial liposuction procedure like?*

The journey to a refined, contoured profile begins with a personalized consultation with Dr. Gurley, where your goals will be carefully discussed. With **facial liposuction** St. Louis patients can have it performed under local anesthesia or light sedation, although general anesthesia is available for those who want it. Dr. Gurley will make small, carefully placed incisions to remove fat from the targeted areas. The procedure usually takes 1-2 hours and is designed for maximum precision, minimizing discomfort and ensuring a quick recovery. With advanced techniques, the process leaves minimal scarring and provides natural, flattering results.

#### Refined Features

*What conditions does facial liposuction address?*

**Facial liposuction** is ideal for individuals who are looking to address:

- Double Chin: Remove excess fat beneath the chin for a more defined jawline.
- Jowls or Jawline Contour Issues: Sculpt and define the lower face to create a more youthful and balanced appearance.
- Cheek Fat: Eliminate excess fat in the cheeks that may cause a rounder or fuller face.
- Neck Fat: Define and contour the neck by removing stubborn fat under the chin.

*Facial liposuction can be used alone or in combination with other facial procedures*, such as a [facelift or neck lift](/face/face-and-neck-lifts/), to achieve more comprehensive facial contouring and rejuvenation.

#### Sculpt, Define, Renew

*What are the benefits of facial liposuction?*

**Facial liposuction** refines your facial contours for a more youthful and sculpted look in areas like the chin, jawline, and cheeks. Once the fat is removed, it is gone for good, offering lasting improvements in facial balance and definition. With small incisions and advanced techniques, recovery is quick, and you can return to your normal routine faster. Dr. Gurley’s approach ensures that the results enhance your natural beauty and facial proportions, leaving you looking refreshed, not overdone. For many patients, the results provide a newfound sense of confidence in every area of life.

#### Discover the Art of Facial Liposuction

*Am I a candidate for facial liposuction?*

*Facial liposuction is ideal for individuals who are generally healthy and want to remove excess fat in specific areas of the face*. You may be a good candidate if:

- **You have localized fat** in areas like the chin, jawline, or cheeks that don’t respond to diet or exercise.
- **You want to achieve a more defined and youthful appearance** with minimal downtime.
- **You have good skin elasticity,** which helps the skin naturally tighten after fat removal.

**Who should avoid facial liposuction?**

- Individuals with certain health conditions or active skin infections may not be *suitable candidates for facial liposuction*.
- People with excessively loose or sagging skin may not achieve the desired results and may benefit more from other procedures, such as a facelift.

Dr. Gurley will discuss your options and help determine if **facial liposuction** is right for you.

#### Shape Your Ideal Profile

*Facial Liposuction Recovery*

When recovering from **facial liposuction** St. Louis patients can expect some swelling, bruising, and mild discomfort, which subsides over the course of a few weeks. Most patients are ready to return to light activities and non-strenuous jobs within a couple of days, seeing immediate improvement, with final results seen in several months. Dr. Gurley will provide detailed aftercare instructions to promote optimal healing.

#### Profile Updated

*Facial Liposuction Results*

*The results of facial liposuction are visible immediately after the swelling begins to subside*, with optimal results becoming clearer in the following months. The contoured areas will continue to refine as the skin settles and tightens. Fat removal is permanent, though maintaining a healthy lifestyle is essential to preserve your long-term results.

#### Facial Liposuction

*Frequently Asked Questions*


---

## Fat Transfer

**Link:** [Fat Transfer](https://www.judithgurley.com/face/fat-transfer/) ([md](https://www.judithgurley.com/face/fat-transfer/index.html.md))

**Description:** Want a more youthful appearance in St. Louis? Explore more on fat transfer & fillers to add fullness and freshness to your face. Book your appointment today!

### Content

#### Natural Volume | Timeless Beauty

*Why Choose Judith Gurley Plastic Surgery & Medical Spa for facial fat transfer?*

At Judith Gurley Plastic Surgery & Medical Spa, we specialize in enhancing natural beauty through advanced, personalized treatments like **fat transfer in St. Louis**. Dr. Judith Gurley’s decades of experience and commitment to precision and patient-centered care make her the ideal choice for this transformative procedure. *Facial fat transfer* offers a non-invasive regenerative solution to *restoration of facial volume*, shape, tightness and youth. Whether you're seeking to enhance your cheeks, restore volume to your temples or lips, or rejuvenate the under-eye area, Dr. Gurley’s expertise ensures optimal, lasting results that align with your goals.

#### Facial Fat Transfer at a Glance

- **What it is: **A procedure where fat is harvested from one area of the body (typically the abdomen or thighs) and injected into the face to restore volume, smooth lines, and enhance facial contours.
- **Ideal For: **Rejuvenating the cheeks, temples, under-eye area and restoring volume to areas that have lost fullness due to aging or weight loss.
- **Downtime: **Swelling and bruising in the donor area and treatment area resolve within 1-2 weeks.
- **Duration: **The procedure typically takes 1-2 hours, depending on the areas being treated, with long-lasting results.

#### A Non-Surgical Procedure

*What is fat grafting?*

*Fat grafting* is an elegant, lasting solution for those looking to rejuvenate their facial features with natural, subtle results. It is used to add volume to the face. Since fat comes from you, it’s full of natural growth factors and tissue stimulators, bringing volume, brightness, and wellness to your skin. At our office serving St. Louis and Ladue **fat transfer** is the most natural and long-lasting way to fill and sculpt the face, giving a “lifted,” more rested, youthful appearance.

#### What You Can Expect

*What is the facial fat transfer procedure like?*

**Facial fat transfer** encompasses two treatments: harvesting fat [(liposuction](/face/facial-liposuction/)) from one part of your body and putting fat into (grafting) another part of the body. The liposuction portion of fat grafting adds the benefit of fat removal from an area of *unwanted fat*. You and Dr. Gurley will discuss the location from where you would like the fat removed. Fat can be removed in the office using numbing medications and small cannulas. However, if you prefer, general anesthesia may be used for a painless procedure.

**Alternatives**

The best alternative to *facial fat grafting* is [dermal filler](/injectables-fillers/facial-fillers/). Unlike fat, dermal fillers can “fill” hollow areas and augment others. Non-fat fillers are temporary sources of volume that do not require liposuction and can be done readily and conveniently in the office. Because there are so many differences between fat and fillers, it is important that you are carefully examined and counseled so that you are well-informed and can make the best decision.

#### Restore Balance and Harmony

*What conditions does fat transfer address?*

With **fat transfer** St. Louis patients get an ideal solution for a variety of facial concerns, providing natural volume and contour. Common conditions treated by *fat grafting* include:

- **Volume Loss: **Fat grafting restores volume to sunken or hollow areas, such as the cheeks, temples, and under-eye regions.
- **Aging Skin: **Added volume helps smooth wrinkles and restore youthful contours, particularly around the mouth and jawline.
- **Facial Asymmetry: **Fat grafting helps balance facial features by adding volume to areas that may be uneven.
- **Post-Surgical Volume Loss: **This treatment can enhance areas that have lost volume after surgery or trauma.
- **Skin Texture and Tone: ***Facial fat grafting* brings natural growth factors and substances into the area, giving your skin nourishment and vibrancy.

#### Sculpt and Lift Your Face

*What areas can fat transfer address?*

*Fat transfer enhances multiple areas of the face, including the cheeks, temples, under-eye area, jawline, lips, and nasolabial folds*.

#### Revitalize Your Facial Contours

*What are the benefits of fat transfer?*

As we age, we often lose volume in areas like the cheeks, under-eyes, and temples, leading to a hollowed or tired look. **Fat transfer** rejuvenates these areas by restoring volume, giving you a fresher, more youthful appearance. *Fat transfer can also address facial asymmetries or imbalances, creating more balanced, harmonious features*. Enhancing the cheeks or correcting volume loss around the mouth or jawline helps bring your features into perfect proportion.

*Unlike synthetic fillers, fat grafting uses your own fat to enhance facial contours*. The results tend to last longer because the transferred fat integrates with your skin and tissue. Fat grafting offers the added benefit of body contouring. By harvesting fat from areas like the abdomen or thighs, the procedure restores volume to the face and helps slim down problem areas, providing a refined, balanced appearance.

The procedure is minimally invasive, and most patients experience only mild swelling or bruising, which typically resolves within a week or two. You can return to your daily routine quickly, and noticeable improvements last for years.

#### Customized Facial Fat Grafting

*Am I a candidate for fat grafting?*

**Facial fat transfer** is ideal for patients who want to use their own body fat as a “filler.” This grafted fat lasts longer than other fillers and ages with the patient. Using your fat for delicate areas such as under the eyes, cheeks, chin, and temples can create the most natural look that lasts for years. Grafted fat can also be used to create smoothness, fill in defects, or correct asymmetry. *Facial fat grafting pairs well with other treatments*, such as [laser resurfacing](/laser-treatments/), [microneedling](/skin-treatments/microneedling/), and [dermal fillers](/injectables-fillers/), and brings living tissue and regeneration abilities to the areas treated.

#### Natural Beauty Enhanced

*Fat Grafting Recovery*

The recovery process is fairly swift. There will be some temporary bruising and swelling from where the fat is placed and from where it is removed. Makeup can be worn within a few days to hide any bruising. Usually, by 1-2 weeks, these areas will have no bruising, but mild swelling will persist for several weeks. Support garments help control swelling and speed up recovery from where fat is harvested in the[ liposuction](/face/facial-liposuction/) areas.

#### Real Results | Real Artistic Outcomes

*Fat Transfer Results*

Dr. Gurley uses fat to *re-establish cheekbones*, *fill in tear troughs* (under-eye hollows), and *lift the soft tissues of the face naturally*. This method of facial balancing adds volume to different areas and enhances the luster and luminosity of the skin’s surface with its inherent deposition of growth factors and collagen stimulators. Careful attention to detail, safety, and beauty is a must. While other fillers are temporary and may leave behind scar tissue, fat can last for decades. Dr. Gurley is an expert in determining what type of filler is best for each patient and will consult with you to *determine how best to reach your aesthetic goals*.

#### Fat Transfer

*Frequently Asked Questions*


---

## Nanofat Grafting

**Link:** [Nanofat Grafting](https://www.judithgurley.com/face/nanofat-grafting/) ([md](https://www.judithgurley.com/face/nanofat-grafting/index.html.md))

**Description:** Nanofat Grafting in St. Louis with Dr. Judith Gurley is where beauty meets expert artistry. Restore glow, smooth scars, and refresh your look - naturally.

in St. Louis, MO

### Content

#### Experience and Reputation Matter

*Why Choose Dr. Judith Gurley for Nanofat Grafting?*

When it comes to trusting someone with your face (or any part of your body), credentials and reliability are everything. That's where Dr. Judith Gurley truly shines. A Missouri-based, *board-certified plastic surgeon* with over 20 years of experience and an eye for natural beauty, Dr. Gurley blends advanced medical technique with aesthetic intuition.

At her St. Louis, MO, practice, you're not just getting a treatment; you're getting the thoughtful, customized work of a surgeon who deeply understands what it means to look refreshed, not "done." Whether you're looking to brighten tired eyes, smooth scars, or give your skin a little glow-up, Dr. Gurley's technique is subtle, precise, and always focused on enhancing your natural beauty, not changing it.

#### Nanofat Grafting At A Glance

- **Natural Rejuvenation**: Utilizes your own fat, eliminating the risk of allergic reactions.
- **Versatile Treatment**: Addresses under-eye circles, fine lines, scars, and overall skin quality.
- **Minimal Downtime**: Quick recovery with long-lasting results.
- **Tailored Approach**: Customized to your specific needs and aesthetic desires.

#### Glowy, Youthful Skin Awaits

*What is Nanofat Grafting?*

At our office in St. Louis **nanofat grafting** is an advanced aesthetic technique that involves taking a small amount of fat from areas like the abdomen, thighs, hips, waist, back or arms, processing it into a fine emulsion, and injecting it back into targeted areas to rejuvenate the skin and restore volume. Where traditional fat grafting focuses on adding volume and shape, *nanofat* focuses on improving skin quality. The processed fat is rich in regenerative cells and growth factors that enhance skin texture and tone through a *boost in collagen production*.

#### From Dull to Dazzling—Naturally

*Nanofat Grafting Benefits*

**Nanofat grafting** has many natural benefits, making it a popular choice for those looking for long-lasting, natural rejuvenation:

- **Improved Skin Texture**: Enhances skin smoothness and elasticity.
- **Reduction of Fine Lines**: Minimizes the appearance of wrinkles and fine lines.
- **Scar Revision**: Helps in softening and reducing the visibility of scars.
- **Under-Eye Rejuvenation**: Addresses dark circles and hollows under the eyes.
- **Natural Results**: Uses your body's own tissue for a more organic outcome.
- **Long-Lasting Effects**: Stimulates collagen production for sustained improvements.

#### Explore The Possibilities

*What areas of the body can be treated with Nanofat Grafting Benefits?*

With **nanofat grafting** St. Louis patients get a versatile treatment that can be applied to various areas:

- **Face**: Under-eye areas, cheeks, nasolabial folds, and lips.
- **Neck and Décolletage**: Enhances skin texture and reduces signs of aging.
- **Scars and Stretch Marks**: Improves the appearance and texture of scarred or stretched skin.

#### Subtle, Yet Stunning

*Nanofat Grafting Candidates*

**Nanofat grafting in St. Louis** is great for people looking to boost the quality of their skin and address concerns like fine lines, scars, or under-eye hollows. If you are considering this treatment, it's important that you are in good overall health and have realistic expectations about the outcomes. It's essential to have sufficient fat reserves for harvesting, although only a small amount is needed for *nanofat procedures*.

#### You’ve Got Options

*What issues does Nanofat Grafting address?*

*Nanofat grafting is effective* for treating:

#### Before We Jump In

*Consultation and Preparation*

Before you're able to jump right into **nanofat grafting**, you'll have to sit down for a private consultation with Dr. Gurley or one of our other skilled aesthetic providers. This initial appointment will allow us to assess your concerns and create a tailored game plan for your treatment.

A medical evaluation may be done to review your history and address any underlying conditions before your treatment. We will give you all the information you need to prepare for your treatment, such as advising you to stop certain medications, supplements, or lifestyle factors that could interfere with your results.

#### Simple, Straight-Forward Enhancement

*Your Nanofat Grafting Procedure*

The **nanofat grafting** procedure involves:

- **Fat Harvesting**: Using liposuction techniques to extract fat from spots like the abdomen, thighs, hips, waist back or arms.
- **Processing**: Purifying and emulsifying the harvested fat into a fine, injectable form.
- **Injection**: Carefully injecting the nanofat into targeted areas using fine cannulas for precision.

The procedure is typically done with local anesthesia, awake, and patients can drive themselves home.

#### Results, Recovery, and Aftercare

After your procedure, you may notice mild swelling or bruising. This should subside within a few days. Results become more noticeable over weeks as the regenerative effects take hold. To maintain and enhance results, make sure to follow aftercare instructions carefully, maintain a healthy and balanced diet, and always use sunscreen to protect treated areas.

#### Schedule Your Ladue Nanofat Grafting Consultation at Dr. Judith Gurley Plastic Surgery & Medical Spa Today

This *minimally invasive treatment* will leave you feeling confident in your own skin again without looking like you've had any work done. Schedule a consultation with Dr. Judith Gurley to explore how **nanofat grafting** can help you achieve your aesthetic goals naturally without having to go under the knife. Contact us today online or by phone.

#### Nanofat Grafting

*Frequently Asked Questions*


---

## Skin Consultation

**Link:** [Skin Consultation](https://www.judithgurley.com/face/skin-consultation/) ([md](https://www.judithgurley.com/face/skin-consultation/index.html.md))

**Description:** Visit Dr. Judith Gurley Plastic Surgery & Medical Spa in St. Louis, MO for expert skin consultations, facial rejuvenation, and lasting confidence.

in St. Louis, MO

### Content

#### Confidence Starts With Clarity

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 St. Louis **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.

#### A Smarter Kind of Consultation

*Skin Consultation with Dr. Judith Gurley*

This isn’t a run-of-the-mill spa. Your initial **skin 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](/laser-treatments/) to target pigmentation, or a customized [chemical peel](/skin-treatments/chemical-peels/) 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](/injectables-fillers/) or [botox](/injectables-fillers/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.

#### Who We See

*Skin Consultation Candidates*

*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.

#### Start With Insight

*What Happens at Your Visit*

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.

#### Smart Technology. Softer Skin.

*Advanced Treatments & Technology*

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.

- Morpheus8 combines microneedling and radiofrequency to improve skin texture, tighten, and encourage new collagen growth.
- Lumenis IPL is a powerful light treatment that fades sun damage, redness, and discoloration.
- DiamondGlow and Dermaplane treatments exfoliate and revive, giving an instant radiance and smoothness, which is perfect before an event or as part of regular skin rejuvenation treatments.
- Chemical Peels gently renew the skin surface for radiant skin without irritation.
- Laser hair removal helps patients enjoy smoother legs, underarms, or bikini areas—fast and effective, with minimal downtime.
- ResurFX and Active FX are two lasers that treat fine lines and wrinkles.
- DermaPen microneedling with PRF injections or topical PRF helps with skin regeneration, correcting damage and scarring, and couples well with laser treatments.
- Vasculaze targets spider veins and broken capillaries to remove staining and purple discoloration from the ankles, legs and face

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.

#### Results That Feel Like You <br>For Pure, Scientifically Proven Skincare.

*Benefits*

One-on-one **consultations for skincare** can open a door to healthy skin that simple over-the-counter products can’t compare to.

- Guided by a female board-certified plastic surgeon with over two decades of experience
- Personalized, evidence-based treatment plan
- Safe, sterile environment and compassionate team
- Custom facials, chemical peels, and laser treatments for all skin types
- Vasculaze used to treat spider veins and broken capillaries
- Laser hair removal for unwanted hair
- Noticeable improvement in fine lines, wrinkles, and overall tone
- Options that deliver results with minimal downtime
- Long-term focus on skin health and prevention

#### Experience You Can See And Feel

*Why Patients Trust Dr. Gurley*

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 of your **skin consultation in St. Louis**. 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.

#### Glow That Lasts

*What to Expect After Treatment*

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](/laser-treatments/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*.

#### A Few Tips Before You Arrive

*Preparing for Your Appointment*

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.

#### A Med Spa That Feels Different

*Why Choose Dr. Judith Gurley?*

Our *St. Louis med 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.

#### Your Skin Deserves This

*Schedule Your Skin Consultation today*

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. To schedule your **skin consultation** St. Louis patients should call Dr. Judith Gurley Plastic Surgery & Medical Spa today.

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.

#### Skin Consultation

*Frequently Asked Questions*


---

## Injectables & Fillers

**Link:** [Injectables & Fillers](https://www.judithgurley.com/injectables-fillers/) ([md](https://www.judithgurley.com/injectables-fillers/index.html.md))

**Description:** At Judith Gurley Plastic Surgery and MedSpa serving Ladue and St. Louis, we offer Injectables & Fillers such as Botox, Daxxify, Cheek Fillers, Chin Fillers and much more.

### Content


---

## Biofillers

**Link:** [Biofillers](https://www.judithgurley.com/injectables-fillers/biofillers/) ([md](https://www.judithgurley.com/injectables-fillers/biofillers/index.html.md))

**Description:** Restore natural volume and contour with personalized biofiller treatments by Dr. Judith Gurley in St. Louis. Subtle, sculpted results—never overdone.

St. Louis, MO

### Content

#### A Thoughtfully Sculpted Look

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 St. Louis, 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.

#### What Are Biofillers?

At our office in St. Louis **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.

#### Meet Dr. Judith Gurley

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.

#### Why Fillers Are So Popular in the St. Louis Area

*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.

#### What Areas Can Be Treated?

With **biofillers** St. Louis patients can use it 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.

#### Benefits of Biofillers

**Biofillers in St. Louis** offer a long list of aesthetic and practical benefits. Patients often choose them because they are:

- Minimally invasive with no incisions or stitches
- Customizable to match each person’s facial structure
- Capable of producing immediate, visible results
- Helpful in delaying the need for surgical procedures
- Useful for correcting asymmetry or contour irregularities
- Improves the quality of skin and surrounding tissues
- Safe when administered by a qualified physician
- Well tolerated as there is nothing foreign

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.

#### Who Makes a Good Candidate?

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.

#### What to Expect from Treatment

#### When You’ll See Results

*<br>*

Most **biofillers** 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.

#### Cost of Fillers in St. Louis, MO

**Biofiller** 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.

#### Why Choose Dr. Gurley Over a Med Spa?

In St. Louis and Ladue, 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.

#### Biofillers

*Frequently Asked Questions*


---

## Botox

**Link:** [Botox](https://www.judithgurley.com/injectables-fillers/botox/) ([md](https://www.judithgurley.com/injectables-fillers/botox/index.html.md))

**Description:** Discover the benefits of Botox injections in Ladue & St. Louis by skilled plastic surgeon Dr. Judith Gurley. Get natural-looking results for wrinkle correction and smooth skin.

### Content

#### Erase Fine Lines and Wrinkles

*Why Choose Judith Gurley Plastic Surgery & Medical Spa for Botox?*

Botox® Cosmetic has been associated with treating the signs of aging for more than 20 years. While other products in its treatment category have entered the market in more recent years, **Botox** remains a pioneer in improving the appearance of expression lines on the forehead, between the eyebrows, and around the eyes. At the office of Judith Gurley Plastic Surgery & Medical Spa in St. Louis, we treat individuals from the St. Louis area and beyond with *Botox* as well as [Daxxify](/injectables-fillers/daxxify/)®, another neuromodulator, and additional aesthetic [injectable treatments](/injectables-fillers/). While Dr. Gurley is a skilled plastic surgeon, she is also proud to offer many nonsurgical treatments for patients.

#### See the Difference

*Our Before & After Gallery*

Our before and after **Botox** galleries feature real patients of Dr. Gurley. See how she tailors each treatment to each individual patient. Before choosing a plastic surgeon, it is important that you spend time analyzing their work.

[View Our Gallery](/gallery/face/neurotoxin-botox-and-daxxify/)

#### Botox at a Glance

- **What it is:** A non-surgical injectable treatment that temporarily relaxes the muscles responsible for wrinkles, resulting in smoother, younger-looking skin.
- **Ideal For: **Forehead lines, crow’s feet, frown lines, jaw muscles, and
- neck bands.
- **Downtime: **Minimal. Some swelling or bruising may occur but typically resolves within a few hours to days.
- **Duration: **Results typically last 3 months, after which touch-up treatments are recommended.

#### Botox For Beautifully Smooth Skin

*What is Botox?*

The structural components responsible for skin elasticity and firmness change as we age. Formerly “dynamic” lines that were only present when squinting, frowning, or otherwise expressing yourself now appear as “static” or permanent features of the face. As the skin loses elastin, it can no longer bounce back and retain its pre-movement form. Fortunately, Dr. Gurley can combat this loss of elasticity and erase or *improve the appearance of crow’s feet*, forehead, and worry lines with *neuromodulators* like Botox. Also known as *neurotoxins*, Botox and other neuromodulators like [Daxxify](/injectables-fillers/daxxify/)™ are specially formulated to disrupt the muscle activity responsible for static expression lines. Only the muscles injected with *Botox* are affected. So, you look natural and only more well-rested and rejuvenated because a muscle that cannot contract and remains at rest does not contribute to the process that leads to lines and furrows in the skin.

Our St. Louis **Botox** procedure is quick, non-invasive, and with minimal downtime. It can be used alone or combined with other aesthetic treatments, such as [dermal fillers](/injectables-fillers/), for comprehensive rejuvenation.

[Get In Touch](/contact/)

#### What to Expect

*What is the Botox procedure like?*

During your consultation, Dr. Gurley will assess your facial anatomy and discuss your aesthetic goals to determine the best approach for your *Botox* treatment. The procedure takes about 15-30 minutes, depending on the treated areas. **Botox** is injected using a fine needle into the muscles that cause wrinkles. Most patients find the procedure very tolerable, and a numbing agent can be used for extra comfort if desired.

Once injected, *Botox begins to take effect within a few days*, with full results visible within 1-2 weeks. The treatment typically lasts for 3-4 months, at which point a touch-up session can help maintain a smooth, youthful appearance.

#### For a Fresh, Vibrant Look

*What conditions does Botox address?*

*Botox is highly effective for treating various types of wrinkles and facial lines* caused by muscle contractions. With **Botox** St. Louis patients can treat common conditions that include:

- **Forehead Lines: **Smooths horizontal lines that form from raising the eyebrows.
- **Crow’s Feet: **Reduces wrinkles around the outer corners of the eyes, often caused by smiling or squinting.
- **Frown Lines: **Softens vertical lines between the eyebrows that appear when frowning.
- **Bunny Lines: **Smooths wrinkles on the nose caused by repeated scrunching.
- **Smoker’s Lines:** Reduces fine lines above the upper lip caused by pursing the lips.
- **Chin Dimples: **Softens the appearance of a dimpled or wrinkled chin.

#### The Key to Smoother, Brighter Skin

*What areas of the body can Botox address?*

*Botox is commonly used throughout the face for facial rejuvenation*. Common treatment areas include:

- **Forehead: **For smoothing out horizontal lines.
- **Eyes: **Crow’s feet, bunny lines, and under-eye wrinkles.
- **Brows: **Frown lines and brow lift.
- **Mouth:** Smoker’s lines and marionette lines.
- **Chin: **“Orange peel” chin dimples and wrinkles.
- **Neck: **To reduce neck bands or tighten the skin around the neck area.
- **Jawline: **To relax the masseter muscles for jawline slimming.

#### Enhance Your Natural Beauty

*What are the benefits of Botox?*

*Botox* is a non-invasive procedure that requires no surgery or downtime, making it a popular choice for busy individuals. Treatments take only about 15-30 minutes, making it easy to fit into your schedule. Dr. Gurley uses a personalized approach to achieve results that are subtle and natural, allowing you to look refreshed, not “frozen.” **Botox** is FDA-approved and has been used safely for years to address wrinkles and lines. While results are not permanent, *Botox offers long-lasting improvements, with results typically lasting 3-4 months*.

#### Botox from Dr. Gurley

*Schedule your consultation today!*

Few nonsurgical, injectable cosmetic treatments have been studied and analyzed for as long as *Botox* has, and it truly has a robust track record of effectively and safely transforming the appearance of the skin for the better. There is one caveat here: Botox and related products and procedures are also truly “technique-specific.”

The outcomes, experience, and safety associated with **Botox** are only as “good” as the skill and experience of the person injecting it. You can trust Dr. Gurley’s considerable artistry and experience with cosmetic treatments. She prides herself in getting natural-looking results that are true to our tagline: “No one will know. Everyone will notice.®” Our practice and *medical spa in Ladue* serves the St. Louis, MO area and welcomes your call to [(314) 200-2910](tel:+13142793343).

#### The Non-Surgical Solution

*Am I a candidate for Botox?*

Botox is suitable for most adults who want to reduce the appearance of fine lines and wrinkles caused by muscle movements. Younger people can also benefit from **Botox**. Dr. Gurley believes it’s better to prevent the lines from forming than it is to remove the lines once they have formed.

You may be a good candidate if:

- **You have dynamic wrinkles** caused by facial expressions such as frowning, smiling, or squinting.
- **You’re looking for a non-surgical way to smooth wrinkles and refresh your appearance.**
- **You’re in good overall health** and have realistic expectations for the results.

**Who should avoid Botox?**

- Pregnant or breastfeeding women should avoid Botox treatments.
- People with certain medical conditions, such as neuromuscular disorders, may not be suitable candidates for Botox.

Dr. Gurley will assess your health and goals during your consultation to *determine if Botox is right for you*.

#### See Smoother, Rejuvenated Skin

*Botox Recovery*

One key advantage of **Botox** is the minimal recovery time. You may experience some mild swelling, bruising, or redness at the injection sites, but these effects usually resolve within a few hours to days. Most patients can return to normal activities immediately, though it’s recommended to avoid intense physical activity or lying down for the first few hours after treatment. Dr. Gurley will provide detailed aftercare instructions to ensure the best results.

#### Turn Back the Clock

*Botox Results*

**Botox** results typically appear within 3-5 days of treatment, with full effects visible within 1-2 weeks. The smoothness and softness of the treated areas can last for 3-4 months, after which a touch-up session can help maintain your youthful appearance. With regular treatments, some patients find that the effects last longer over time. *Botox is also an excellent wrinkle preventative*, helping slow the formation of new lines.

#### Botox

*Frequently Asked Questions*


---

## Cheek Filler

**Link:** [Cheek Filler](https://www.judithgurley.com/injectables-fillers/cheek-filler/) ([md](https://www.judithgurley.com/injectables-fillers/cheek-filler/index.html.md))

**Description:** Enhance your facial contours with cheek filler in St. Louis. Restore volume, lift, and youthful definition with minimal downtime and natural-looking results.

### Content

#### Non-Surgical Cheek Enhancement

*Why Choose Dr. Judith Gurley for Cheek Filler Injections?*

The cheeks play a pivotal role in creating a youthful and balanced appearance. Over time, volume loss in the cheek area can contribute to a sunken, tired look, leading to a less vibrant appearance. *Cheek filler* injections are a non-surgical solution designed to restore volume, lift the face, and enhance your natural contours with subtle, yet impactful results. Dr. Judith Gurley offers expert treatments with **cheek filler in Ladue** & St. Louis, MO, to help you achieve a more youthful, refreshed look that complements your natural beauty.

#### Cheek Filler at a Glance

- **What it is: **A non-surgical treatment using dermal fillers to restore volume and lift in the cheek area.
- **Ideal For: **Individuals looking to enhance cheek volume, improve contour, or restore youthful fullness.
- **Downtime: **Minimal to none. Some swelling or bruising may occur but usually resolves within a few days.
- **Duration:** Results can last anywhere from 6 months to a year, depending on the type of filler used.

#### Lift, Define, and Contour

*What is cheek filler?*

*Cheek filler is a cosmetic injectable treatment designed to restore volume and lift to the cheeks*. The fillers are made from hyaluronic acid, a substance naturally found in the skin that attracts moisture and helps maintain structure. When injected into the cheek area, these fillers provide immediate volume, improving the shape and contours of the cheeks. Whether you're looking to enhance cheekbones or restore lost volume, **cheek fillers** offer a quick and effective solution with minimal downtime.

#### Subtle Volume and Lift

*What is the cheek filler procedure like?*

The procedure begins with a consultation where Dr. Gurley will evaluate your facial features and discuss your aesthetic goals. Our St. Louis **cheek filler** treatment is performed in-office, and a topical numbing cream may be applied to ensure your comfort during the procedure. Dr. Gurley will then strategically inject the filler into specific areas of the cheek to achieve the desired effect. The entire process typically takes between 30 to 45 minutes, making it an ideal option for patients looking for a quick, effective solution.

#### Achieve Sculpted Status

*What conditions do cheek fillers address?*

*Cheek fillers are an effective treatment for a variety of conditions, helping to restore volume, enhance definition, and rejuvenate the face*. Here are some common conditions that cheek filler can address:

- **Volume Loss: **As we age, the natural loss of fat and collagen in the cheeks can result in a hollow or sunken appearance. Cheek fillers restore volume to the mid-face, offering a more youthful and lifted look.
- **Flat Cheeks or Cheekbones: **Some individuals naturally have flatter cheekbones, which can create a less defined profile. *Cheek fillers* can sculpt and lift the cheeks, enhancing bone structure and creating a more contoured facial appearance.
- **Sagging Skin:** As skin loses elasticity, the cheeks can begin to sag, creating an older or tired appearance. Cheek fillers help lift and firm the cheeks, providing a subtle but impactful lift to the lower face.
- **Fine Lines and Wrinkles: **Hollow cheeks can sometimes lead to deeper lines or wrinkles around the mouth and jaw. By restoring volume, *cheek fillers* can soften these lines and provide a smoother, more youthful complexion.
- **Facial Asymmetry:** If one cheek is less pronounced than the other, cheek fillers can help restore balance, creating a more symmetrical appearance to the face.

With **cheek fillers** St. Louis patients are offered a versatile and non-invasive solution to address these concerns, providing natural-looking enhancements with minimal downtime.

#### Contours Now

*What are the benefits of cheek filler?*

- **Restores Volume:** Adds youthful fullness to the cheeks, restoring a lifted, refreshed appearance.
- **Contours the Face: **Enhances cheekbones and creates a more defined facial profile.
- **Non-surgical: **No need for incisions or lengthy recovery times.
- **Immediate Results:** See the benefits right after the treatment, with optimal results appearing in a few days.
- **Natural-Looking: **Filler injections provide subtle enhancement for a naturally beautiful look.

Dr. Gurley’s extensive experience and refined techniques make her a leader in delivering exceptional, natural-looking results. With over 26 years in practice, she provides personalized care tailored to each patient’s unique facial structure and aesthetic goals. Whether you're looking to restore volume or create a lifted, sculpted look, Dr. Gurley’s precise approach ensures beautiful, harmonious results.

#### Elevate Your Elegance

*Am I a candidate for cheek filler?*

*Cheek filler is ideal for individuals seeking to restore volume, lift, and definition to the cheeks without surgery*. You may be a good candidate if:

- **You’ve experienced volume loss** in the cheeks or mid-face due to aging or genetics.
- **You desire a more contoured,** youthful appearance or a subtle lift to the face.
- **You want non-surgical facial enhancement **with minimal downtime and natural-looking results.

**Who should avoid cheek filler?**

- Individuals with active skin infections or certain allergies may not be suitable candidates.
- Pregnant or breastfeeding women should typically postpone treatment.

If you're looking to enhance your natural contours and restore youthful volume, **cheek filler** may be the perfect solution. During your consultation, Dr. Gurley will help determine if it’s right for you.

#### For a Refined, Youthful Appearance

*Cheek Filler Recovery*

Most patients experience minimal downtime after **cheek filler** treatment. Swelling or bruising at the injection sites is common but usually resolves within a few days. There’s no need for an extensive recovery period, and most people can resume their normal activities immediately. Dr. Gurley will provide detailed aftercare instructions to help ensure you achieve the best possible results.

#### Achieve Sophisticated Definition

*Cheek Filler Results*

*The results of cheek filler are visible immediately after treatment*, with optimal effects becoming apparent in the days following as swelling subsides. Full results can last between 6 months to a year, depending on the type of filler used and your body’s response. Regular touch-up treatments will maintain your youthful, refreshed appearance.

#### Cheek Filler

*Frequently Asked Questions*


---

## Chin Filler

**Link:** [Chin Filler](https://www.judithgurley.com/injectables-fillers/chin-filler/) ([md](https://www.judithgurley.com/injectables-fillers/chin-filler/index.html.md))

**Description:** Define your chin and jawline with chin filler in Ladue & St. Louis. Achieve a balanced, sculpted look with minimal downtime and natural-looking results.

### Content

#### Refine Your Jawline

*Why Choose Judith Gurley Plastic Surgery & Medical Spa for Chin Filler?*

A well-defined chin plays a significant role in creating facial balance and enhancing profile symmetry. If you’ve always wished for a stronger, more sculpted chin, chin filler offers a non-surgical solution that can make a difference. At Judith Gurley Plastic Surgery & Medical Spa, we provide expert *chin filler treatments in St. Louis, MO*, to help you achieve a more harmonious facial profile and restore youthful definition. With minimal downtime and natural-looking results, chin filler is a refined way to enhance your appearance without surgery. Dr. Gurley’s decades of experience and attention to detail ensures your **chin filler** treatment is customized to create subtle, elegant results.

#### Chin Filler at a Glance

- **What it is: **A non-surgical treatment using dermal fillers to define and sculpt the chin and jawline.
- **Ideal For: **Patients who desire a stronger, more balanced chin or a more defined jawline.
- **Downtime:** Minimal to none. Some swelling or bruising may occur, but it resolves quickly.
- **Duration: **Results can last 6 months to a year, depending on the type of filler used.

#### Sculpt Your Best Look

*What is chin filler?*

*Chin filler is a non-invasive cosmetic procedure designed to enhance the shape and projection of the chin*. Dr. Gurley can add volume and definition by injecting hyaluronic acid-based fillers into specific areas of the chin and jawline, creating a more sculpted appearance. **Chin filler** is an ideal solution for patients who desire a stronger chin, a more symmetrical profile, or an improved jawline definition—without the need for surgery.

#### Experience a Real Chin Up

*What is the chin filler procedure like?*

The *chin filler* procedure begins with a consultation, during which Dr. Gurley assesses your facial structure and discusses your aesthetic goals. Based on your desired outcome, she injects the filler into the chin and jawline to create the desired shape and contour. The procedure typically takes 20-30 minutes, and a topical numbing cream is applied to minimize any discomfort. There’s no need for stitches or incisions, making your St. Louis **chin filler** treatment a quick and convenient option.

#### Elevate Your Confidence

*What conditions do chin fillers address?*

*Chin filler is an effective solution for addressing several common aesthetic concerns related to facial balance and definition*. Here are the conditions that chin filler can help treat:

- **Weak or Underdone Chin: **If you have a receding or less prominent chin, chin filler can add volume and projection, giving your profile more balance and strength.
- **Facial Asymmetry: ***Chin filler* can address uneven features by creating a more symmetrical and proportionate chin and jawline, improving overall facial harmony.
- **Jawline Definition: **Adding filler to the chin area can also enhance the jawline, making it more defined and sculpted, creating a stronger and more youthful appearance.
- **Lack of Chin Projection: **For those with a flatter or less projecting chin, fillers can help create a more angular, contoured chin that enhances facial proportions.
- **Age-Related Volume Loss: **The chin and lower face can lose volume as we age, leading to a sagging or hollow appearance. *Chin fillers* restore this lost volume, rejuvenating the area.

**Chin filler** provides a non-surgical, minimally invasive way to address these concerns, creating a more balanced and youthful appearance with minimal downtime.

#### Invest in Yourself

*What are the benefits of chin fillers?*

- **Enhanced Definition: **Chin filler helps define the jawline and chin, creating a more sculpted, balanced appearance.
- **Non-Surgical: **A quick and effective way to enhance your profile without invasive surgery.
- **Natural-Looking Results:** The results blend seamlessly with your natural facial features for a subtle enhancement.
- **Minimal Downtime:** Most patients can return to normal activities immediately, with minimal swelling or bruising that resolves within a few days.
- **Customizable: ***Chin filler* can be tailored to your specific needs, whether you're looking to strengthen the chin or create a more defined jawline.

#### Defining Success

*Am I a candidate for chin fillers?*

With **chin fillers** Ladue patients can seek to enhance chin definition, restore balance to the face, or improve jawline contours without surgery. You may be a good candidate if:

- **You have a weak or recessed chin** that you’d like to enhance for better facial balance.
- **You want a more defined jawline** or improved symmetry in the lower face.
- **You prefer a non-surgical solution** with minimal downtime and natural-looking results.

**Who should avoid chin fillers?**

- Individuals with active skin infections or certain allergies may not be suitable candidates.
- Pregnant or breastfeeding women are advised to wait until after these stages.

During your consultation, Dr. Gurley will assess your facial structure and aesthetic goals to *determine if chin filler is the right choice for you*.

#### Unlock a More Powerful You

*Chin Filler Recovery*

After the procedure, you may experience mild swelling, redness, or bruising at the injection sites. These side effects typically resolve within a few days. There is no significant downtime, and most patients can resume their regular activities immediately. Dr. Gurley will provide aftercare instructions to help you achieve the best results and ensure a smooth recovery.

#### Live High Profile

*Chin Filler Results*

The results of chin filler are noticeable immediately after the treatment, though optimal results will be seen within a few days as any swelling subsides. Full effects can last anywhere from 6 months to a year, depending on the type of filler used and your body’s response. Maintenance treatments may be recommended for lasting results.

#### Chin Filler

*Frequently Asked Questions*


---

## Daxxify

**Link:** [Daxxify](https://www.judithgurley.com/injectables-fillers/daxxify/) ([md](https://www.judithgurley.com/injectables-fillers/daxxify/index.html.md))

**Description:** Looking for a Botox® alternative in Ladue & St. Louis? Explore Daxxify, the longest-lasting FDA-approved injectable treatment for crow’s feet and frown lines.

### Content

#### This Is A Non-Surgical Procedure

Dr. Judith M. Gurley supports dazzling-looking skin and vibrant contours for patients in St. Louis, Missouri, and beyond, and she does so non-surgically with injectable treatments like **Daxxify.** This *neurotoxin *distinguishes itself from other similar cosmetic products, like [Botox®](/injectables-fillers/botox/), in terms of duration*. *It is the newest and longest-lasting, FDA-approved Botox® alternative on the market today, and it is conveniently available at our St. Louis office, courtesy of our talented and experienced *Board-Certified Plastic Surgeon*, Dr. Gurley.

#### See The Difference

*Daxxify*

Our Before and After galleries feature real patients of Dr. Gurley. See how she tailors each of her St. Louis **Daxxify** treatments to each individual patient. Before choosing a Plastic Surgeon, it is important that you spend time analyzing their work.

[View Our Gallery](/gallery/face/neurotoxin-botox-and-daxxify/)

#### Get To Know Daxxify

As a neurotoxin or *neuromodulator, *Daxxify™ is designed to disrupt the muscle activity responsible for expression lines. This special formulation is injected precisely into the targeted muscles. A treated muscle cannot contract. So, it does not produce lines on the forehead, around the eyes, and between the eyebrows. Furthermore, **Daxxify** differs from other neuromodulators like *Botox*®, *Dysport*®, and *Xeomin*® in positive ways, including:

- On average, in clinical studies, Daxxify results lasted six to eight weeks longer than the results associated with their counterparts.
- Daxxify™ is powered by peptide technology that does not use animal or human byproducts to stabilize the active ingredient. Other neurotoxins use blood- or animal-derived products to stabilize the botulinum toxin that relaxes the muscles and improves the appearance of expression lines.

#### Daxxify

Daxxify can be completed in one quick visit to our practice and medical spa. Dr. Gurley first ensures your utmost comfort before injecting just the right amount of **Daxxify** into precise points of the face. So, it is exceptionally well tolerated, and you can express yourself freely and naturally post-treatment. Also, there is no downtime**. **Side effects are minimal and temporary and can generally be covered up with makeup or concealer.

Additionally, you can get results* *quickly.** **Those results stick around for up to nine months. While *Daxxify supports long-lasting results*, no neuromodulator treatment is permanent. We will discuss maintenance injections and how to sustain your results with you during a consultation.

#### Daxxify

Nonsurgical injectable treatments like **Daxxify** are technique-specific. That means the treatment results depend on the artistry, skill, and knowledge of the “injector.” You can trust Dr. Gurley’s considerable specialized training and experience in facial anatomy, function, and with neuromodulator treatments. Book a one-on-one evaluation today to experience the benefits of partnering with Judith Gurley Plastic Surgery &** **Medical Spa.** **Contact our St. Louis, MO area office in Ladue.

#### Let’s Start a Conversation

[Get In Touch](/contact/)


---

## Facial Balancing

**Link:** [Facial Balancing](https://www.judithgurley.com/injectables-fillers/facial-balancing/) ([md](https://www.judithgurley.com/injectables-fillers/facial-balancing/index.html.md))

**Description:** Enhance facial symmetry with non-surgical facial balancing in St. Louis. Cheek, chin, jawline fillers, and liquid rhinoplasty for a harmonious look.

### Content

#### The Beauty of Symmetry

*Why Choose Dr. Judith Gurley for Facial Balancing?*

Achieving harmony and balance in your facial features is an art form—and at Dr. Judith Gurley Plastic Surgery & Medical Spa, we specialize in refining and enhancing your natural beauty with a comprehensive, customized approach. At our office in St. Louis **facial balancing** goes beyond [dermal fillers](/injectables-fillers/facial-fillers/); it’s a highly individualized process that considers your entire facial structure and skin health to create a look that is refreshed, youthful, and uniquely you.

Dr. Gurley carefully evaluates your facial proportions and aesthetic goals, then recommends the right combination of treatments, which may include [dermal fillers](/injectables-fillers/facial-fillers/), [neurotoxin injections](/gallery/face/neurotoxin-botox-and-daxxify/), [fat grafting](/face/fat-transfer/), nano-fat, [PRF](/injectables-fillers/prf/), [submental liposuction](/face/facial-liposuction/), [blepharoplasty](/face/blepharoplasty/), [CO2 laser resurfacing](/laser-treatments/ultrapulse-co2/), [Medspa treatments](/medspa/) for skin health and integrity, and a tailored [Gurley Glow®](https://gurleyglow.com/) skincare regimen for long-lasting results. Whether you want to enhance your cheeks, lips, temples, chin, or jawline—or refine your facial contour—Dr. Gurley’s expert eye and advanced techniques ensure results that are both subtle and transformative. **No one will know. Everyone will notice.®**

Not sure what would best enhance your appearance? Ask Dr. Gurley what she thinks! With her artful eye and deep understanding of facial anatomy, she makes safe, precise adjustments that will leave you saying, “Wow!” And the best part? No one will know why you look so radiant.

#### Facial Balancing at a Glance

- **What it is: **A non-surgical way to enhance facial features using dermal fillers.
- **Ideal For: **Improving facial symmetry and contours, achieving a more harmonious appearance.
- **Treatment Areas: **Cheeks, chin, jawline, mouth area, temples, and nose.
- **Downtime: **Minimal to none. Some mild swelling or bruising may occur.
- **Duration: **Results typically last 6 months to 1 year, depending on the area treated.

#### Refine Your Features

*What is Facial Balancing?*

*Facial balancing uses dermal fillers to enhance or reshape specific features of the face, creating a more harmonious and youthful appearance*. Dr. Gurley can refine your natural proportions by targeting areas like the cheeks, chin, jawline, and nose, enhancing your overall facial symmetry without requiring invasive surgery. The fillers are made of hyaluronic acid, a substance naturally found in the skin, ensuring a smooth, natural result that integrates seamlessly with your facial structure.

#### Delivering Timeless Elegance

*What is the facial balancing procedure like?*

Each **facial balancing** treatment begins with a comprehensive consultation. Dr. Gurley will assess your facial features, listen to your goals, and discuss *the best filler options* to achieve your desired outcome. Whether you're looking for subtle volume in the cheeks or a more defined jawline, each filler is injected with precision to ensure beautiful, natural-looking results.

#### A Harmonious Look

*What conditions does facial balancing address?*

*Facial balancing with dermal fillers* is an effective solution for a variety of aesthetic concerns. It helps to restore harmony and symmetry to the face, enhancing natural features with subtle precision. Here are the most common conditions treated by **facial balancing in St. Louis**:

- **Flat or Sunken Cheeks: **Cheek fillers restore volume to the mid-face, lifting and defining the cheeks for a more youthful and refreshed appearance.
- **Weak Chin or Lack of Definition: **Chin filler creates a stronger, more defined chin, improving facial profile and balance, especially when viewed in profile.
- **Unbalanced Jawline: **Jawline fillers enhance the contours of the jaw, providing a sharper, more sculpted look and improving facial symmetry.
- **Nasal Imbalance: **Liquid rhinoplasty can address mild imperfections in the nose, such as a dorsal hump or asymmetry, providing subtle refinement without surgery.
- **Overall Facial Asymmetry: **Dermal fillers can address facial imbalances by enhancing or reshaping features to create a more harmonious and balanced appearance.

By strategically enhancing these areas, *facial balancing* creates a naturally youthful and symmetrical look, all with minimal downtime and no need for invasive surgery.

#### Transform Your Profile

*What areas of the body can facial balancing address?*

If you're interested in more details about each filler treatment, stay tuned for upcoming pages that will dive deeper into each of the following procedures: 

- [Cheek Filler](/injectables-fillers/cheek-filler/)
- [Chin Filler](/injectables-fillers/chin-filler/)
- [Jawline Filler ](/injectables-fillers/jawline-filler/)
- Liquid Rhinoplasty

Each page will provide a more in-depth look at these advanced procedures and how they contribute to achieving a balanced, youthful appearance.

#### Discover Subtle Refinement

*What are the benefits of facial balancing?*

- **Enhanced Symmetry:** Targeted filler injections can restore balance to the face, making features more proportionate.
- **Non-surgical: **No need for invasive procedures or long recovery times.
- **Customizable: **Treatments are tailored to each patient’s specific facial structure and aesthetic goals.
- **Natural Results:** Filler treatments enhance your natural beauty, providing subtle yet impactful changes.

If you're looking for a refined and customized approach to enhance your features and achieve a more harmonious appearance, **facial balancing** may be the perfect solution for you. Dr. Gurley will guide you through the process and determine if you're a good candidate during your consultation.

#### Embrace Masterfully Crafted Balance

*Am I a candidate for facial balancing?*

With **facial balancing** St. Louis patients may be ideal candidates if they are seeking subtle, non-surgical enhancements to improve facial symmetry and proportions. You may be a good candidate if:

- **You have noticeable asymmetry** in your facial features or desire more balance between different areas of the face.
- **You want to enhance certain areas, **such as the cheeks, chin, jawline, or nose, without undergoing surgery.
- **You want a youthful, refreshed appearance **with minimal downtime and natural-looking results.

**Who should avoid facial balancing?**

- Individuals with active skin infections or certain allergies may not be suitable candidates.
- Pregnant or breastfeeding women are advised to wait until after they have completed these stages.

**Ready to Achieve a Harmonious Look?**

Schedule a consultation with Dr. Judith Gurley in St. Louis, MO. With her refined skills and personalized approach, Dr. Gurley will help you achieve the symmetry and rejuvenation you desire, all without the need for surgery.

Contact us today to learn more about *facial balancing* and how dermal fillers can enhance your appearance!

#### Natural Beauty Elevated

*Facial Balancing Recovery*

After a **facial balancing** treatment, patients may experience mild swelling, redness, or bruising at the injection sites, but this typically subsides within a few days. There is minimal downtime, and most patients resume normal activities immediately. Dr. Gurley will provide detailed aftercare instructions to ensure optimal results.

#### Sculpted to Perfection

*Facial Balancing Results*

*The results of facial balancing are immediate*, with optimal results developing over the next few days as swelling decreases. Most patients can expect the effects to last between 6 months to a year, depending on the area treated. Regular maintenance treatments will ensure that your facial features remain in balance, keeping you looking refreshed and rejuvenated.

#### Facial Balancing

*Frequently Asked Questions*


---

## Facial Fillers

**Link:** [Facial Fillers](https://www.judithgurley.com/injectables-fillers/facial-fillers/) ([md](https://www.judithgurley.com/injectables-fillers/facial-fillers/index.html.md))

**Description:** Revitalize your appearance with facial fillers in St. Louis. Dr. Gurley offers expert injections to reduce wrinkles and add volume.

### Content

#### This is a Non-Surgical Procedure

Collagen decreases as you age, leading to lines, wrinkles, and creases around the nose and mouth. As our natural fat depletes, a loss of volume in the mid-face also contributes to fine lines. At our office in St. Louis **facial fillers** add volume back into targeted areas to renew the appearance of the face and to minimize wrinkles.

#### See the Difference

*Our Before & After Gallery*

Our Before and After galleries feature real patients of Dr. Gurley. See how she tailors each surgery to each individual patient. Before choosing a Plastic Surgeon, it is important that you spend time analyzing their work.

[View Our Gallery](/gallery/face/facial-filler/)

#### The RHA® Collection

While options to suit every patient’s unique desires are available, Dr. Gurley prefers to use the *RHA® Collection of dermal fillers* from *Revance* and *Teoxane*. These resilient hyaluronic acid fillers are globally recognized as the most natural option on the market. Their molecular structure closely mimics our own hyaluronic acid, allowing these fillers to not only look beautiful but also function and maintain their appearance exceptionally well. Dr. Gurley chooses the RHA® Collection of **facial fillers** because they hold up well, look natural, and perform well in dynamic areas of the face. Dr. Gurley says, “My patients love that no one can tell they have even had filler!”

#### Procedure

*What does facial fillers entail?*

A **facial filler**, or *dermal filler*, is a product that has been formulated with ingredients that add volume to a specific area. A good percentage of fillers used today are made with hyaluronic acid which is a natural sugar compound that reintroduces volume by binding to water molecules. [Dr. Gurley](/about/meet-dr-judith-gurley/) will inject the solution into targeted areas for the best results for your face.

#### Recovery

*What can I expect after facial fillers?*

After receiving **facial fillers** St. Louis patients will have minimal recovery time. You could expect a few bruises that should dissipate within one week.

#### Candidates

*Who is a good candidate for facial fillers?*

You may be a candidate for this procedure if:

You have deep creases around the nose and mouth; you have hollowing under your eyes, or if you want to address scarring, flattened cheekbones, or shallow lines around the corners of the eyes.

#### Real Results

*Real Artistic Outcomes*

Can you think of anyone better trained to place your filler than a [Board Certified Plastic Surgeon?](/about/meet-dr-judith-gurley/) When it comes to dermal fillers, more is not always better. Dr. Gurley herself injects filler, taking it very seriously. She ensures that you receive the proper amount of volume and she accurately places it for optimal results. The importance of the correct placement of the **facial filler** cannot be over-emphasized. Can you imagine having filler put in the wrong spot? Dr. Gurley’s knowledge of blood vessels and nerves allows her to safely and accurately add volume. “As a surgeon, I know where the vital structures are; I don’t guess,” says Dr. Gurley. Incorrect placement of filler not only leads to poor aesthetic outcomes, it can also affect vision and movement.

[Get In Touch](/contact/)


---

## Jawline Filler

**Link:** [Jawline Filler](https://www.judithgurley.com/injectables-fillers/jawline-filler/) ([md](https://www.judithgurley.com/injectables-fillers/jawline-filler/index.html.md))

**Description:** Enhance your jawline with non-surgical jawline filler in St. Louis. Achieve a more defined, sculpted look with minimal downtime and natural, lasting results.

### Content

#### Sculpted, Defined, & Naturally Yours

*Why choose Judith Gurley Plastic Surgery & Medical Spa for jawline filler?*

A sculpted, *well-defined jawline* can create a more youthful and balanced appearance, enhancing facial symmetry and boosting confidence. Jawline filler offers a non-surgical solution for individuals seeking to define and contour their jawline, creating a strong, more refined profile. Dr. Judith Gurley provides expert **jawline filler in Ladue** & St. Louis, MO, offering personalized care and exceptional results with minimal downtime.

Dr. Gurley’s extensive experience and commitment to precision make her the ideal choice for *jawline enhancement*. Whether you’re looking to define your jawline or correct any asymmetry, Dr. Gurley’s meticulous approach guarantees beautiful, lasting results.

#### Jawline Filler at a Glance

- **What it is: **A non-surgical treatment using dermal fillers to define and contour the jawline.
- **Ideal For: **Those seeking a more defined, sculpted jawline and balanced facial profile.
- **Downtime: **Minimal. Some swelling or bruising may occur but typically resolves within a few days.
- **Duration: **Results can last from 6 months to 1 year, depending on the type of filler used.

#### Enhance Facial Definition Without Surgery

*What is Jawline Filler?*

**Jawline filler** is a noninvasive procedure designed to enhance and define the jawline using *injectable dermal fillers*. It involves carefully placing filler along the jawline to restore volume, improve contours, and create a more chiseled, youthful appearance. This treatment is ideal for individuals who want a more sculpted look without surgery or extensive downtime.

#### Chiseled and Refined

*What is the jawline filler procedure like?*

The **jawline filler** treatment begins with a consultation, during which Dr. Gurley will assess your facial features and discuss your aesthetic goals. Using a topical numbing agent to minimize discomfort, Dr. Gurley will carefully inject the filler into strategic areas of the jawline. The procedure typically takes 30 to 45 minutes, making it a quick and *effective solution for patients looking to enhance their profile without surgery*. Results are immediate, and there is minimal downtime involved.

#### For a More Youthful Look

*What conditions does jawline filler address?*

With **jawline filler** Ladue patients can address a variety of concerns, including:

- **Weak Jawline Definition: **For individuals with a less defined or receding jawline, filler can add volume and create a more sculpted, chiseled look.
- **Facial Asymmetry: **Jawline fillers can balance and correct asymmetrical features, creating a more harmonious profile.
- **Aging Jawline: **As we age, the jawline can lose definition and volume. *Jawline fillers* restore lost volume, tightening and lifting the area to provide a youthful appearance.

#### Perfect Your Profile

*What are the benefits of jawline filler?*

**Enhanced Definition: **Jawline fillers add definition to a soft or weak jawline, giving the face a more structured and sculpted appearance.

**Non-Surgical Solution: **No need for invasive surgery or lengthy recovery times.

**Immediate Results: **Achieve noticeable results immediately, with optimal effects appearing within a few days.

**Minimal Downtime: **Most patients return to normal activities immediately, with only mild swelling or bruising that subsides quickly.

**Customizable Treatment: **Dr. Gurley tailors each treatment to your facial structure and aesthetic goals, ensuring the most natural-looking, personalized results.

#### Transform Your Jawline

*Am I a candidate for jawline filler?*

*Jawline filler is ideal for individuals who want to enhance their jawline's definition without surgery*. You may be a good candidate if:

- **You have a less defined or receding jawline** and wish to create a more sculpted appearance.
- **You want to restore volume** to the jawline and chin area, especially if aging has caused a loss of definition.
- **You desire a non-surgical solution **with minimal downtime and natural-looking results.

**Who should avoid jawline filler?**

- Those with active skin infections, allergies to hyaluronic acid, or certain medical conditions may not be suitable candidates.
- Pregnant or breastfeeding women are typically advised to wait.

#### Create a Balanced Look

*Jawline Filler Recovery*

Recovery from our St. Louis **jawline filler** treatment is typically minimal. You may experience mild swelling or bruising around the injection sites, but these effects usually resolve within a few days. Most patients can return to their regular routine immediately. Dr. Gurley will provide aftercare instructions to ensure optimal results and help you maintain a smooth, *sculpted jawline*.

#### Subtle and Natural-Looking

*Jawline Filler Results*

*Jawline filler results are visible immediately after the procedure*, with the full effect becoming more apparent as swelling subsides. The results can last anywhere from 6 months to a year, depending on the type of filler used and your individual response. Touch-up treatments may be recommended to maintain a defined jawline.

#### Jawline Filler

*Frequently Asked Questions*


---

## Lip Filler

**Link:** [Lip Filler](https://www.judithgurley.com/injectables-fillers/lip-filler/) ([md](https://www.judithgurley.com/injectables-fillers/lip-filler/index.html.md))

**Description:** Achieve fuller, smoother lips with lip filler in St. Louis. Dr. Gurley offers natural, customized enhancements for lasting results and boosted confidence.

### Content

#### Boost and define your lips … naturally!

*Why Choose Lip Filler at Judith Gurley Plastic Surgery & Medical Spa?*

Injectable fillers are among the most versatile cosmetic treatments available at Dr. Judith Gurley Plastic Surgery & Medical Spa. With over two decades of experience, Dr. Judith Gurley combines precision, artistry, and the latest advancements in **lip filler** technology to provide the most natural and beautiful results. Using premium *hyaluronic acid-based fillers*, Dr. Gurley carefully customizes each treatment to enhance the lips without making them look overdone. She focuses on creating a balanced, proportionate look that complements the rest of your features, so your lips appear refreshed, youthful, and naturally enhanced.

#### Lip Filler at a Glance

- **What it is: **A non-surgical treatment using injectable fillers to plump, define, and rejuvenate the lips.
- **Ideal For: **Thin lips, lip lines, volume loss, or enhancing lip shape and symmetry.
- **Downtime: Minimal. **Some swelling or bruising may occur, but it typically resolves within a few days.
- **Duration: **Results can last 6-18 months, depending on the product used and individual factors.

#### The RHA® Collection

*What is lip filler?*

At our office serving St. Louis & Ladue **lip filler** is a simple yet highly effective cosmetic procedure designed to add volume, definition, and shape to the lips. The treatment involves injecting a gel-like substance made from hyaluronic acid (a substance naturally found in the skin) into targeted areas of the lips. *This filler not only plumps up the lips but also helps to soften fine lines around the mouth, giving a smoother, more youthful appearance*.

Dr. Gurley prefers to use the *RHA® Collection* of dynamic dermal fillers from *Revance*. These resilient hyaluronic acid fillers are globally recognized as the most natural option on the market. Their molecular structure closely mimics our own hyaluronic acid, allowing these fillers to not only look beautiful but also function and maintain their appearance exceptionally well. Dr. Gurley chooses the RHA® Collection of injectable fillers because they hold up well, look natural, and perform well in dynamic areas of the face.

#### The Process

*What is the lip filler treatment like?*

During your consultation for **lip filler** St. Louis plastic surgeon, Dr. Gurley, will discuss your aesthetic goals, evaluate your facial features, and choose the appropriate filler for your needs. The procedure itself takes about 30 minutes, and because Dr. Gurley uses numbing agents, you should experience minimal discomfort. The injection sites are carefully evaluated throughout the procedure, and Dr. Gurley will ensure that your lips are enhanced to achieve the most natural, balanced result possible.

Dr. Gurley’s goal is always to *create lips that look full and youthful* but never overfilled. She focuses on subtle, harmonious changes that enhance your natural beauty. After the procedure, you may experience some swelling or bruising, which will subside within a few days.

#### Lip filler to the rescue!

*What conditions does lip filler address?*

With **lip filler** St. Louis patients can address a variety of concerns, including:

- **Thin Lips: **For individuals who have naturally thin lips or have lost volume over time, lip filler can add fullness and definition.
- **Perioral Lines (Lip Wrinkles): **Filler can smooth out fine lines around the mouth, especially vertical lines above the lips (often called “smoker’s lines”).
- **Asymmetry: **If one lip is slightly larger or positioned differently than the other, lip filler can help achieve better symmetry and balance.
- **Volume Loss: **As we age, lips can lose volume and elasticity. *Lip filler* restores this volume for a more youthful appearance.
- **Lip Contouring: **Lip filler can enhance the shape and contour of the lips, creating a more balanced and aesthetically pleasing look.

#### No “Duck Lips” Here!

*What are the benefits of lip filler?*

- **Natural, Youthful Look: **Lip filler enhances the lips while maintaining a natural, balanced appearance that complements the rest of your face.
- **Non-Surgical:** Lip filler is a quick, non-invasive treatment with minimal downtime, so you can get back to your day without interruption.
- **Customizable Results: **Whether you want subtle enhancement or more noticeable plumping, lip filler is fully customizable to achieve the look you desire.
- **Boosted Confidence: **Fuller, well-defined lips can significantly enhance your overall appearance and boost self-esteem.
- **Long-Lasting Results:** With the right filler and maintenance, results can last anywhere from 6-18 months.

#### Experience Expert Lip Filler Treatment

*Am I a candidate for lip filler?*

*Lip filler is suitable for individuals who want to enhance the fullness and definition of their lips*. You may be a good candidate if:

- **You have thin or uneven lips** that could benefit from added volume and symmetry.
- **You want to smooth out lines around the mouth,** such as fine vertical lines or “smoker’s lines.”
- **You desire a subtle, natural enhancement** that doesn’t look overdone.

**Who should avoid lip filler?**

- Those with active lip infections or cold sores may need to wait until the condition clears before undergoing treatment.
- If you’re pregnant or breastfeeding, it’s best to postpone cosmetic treatments like *lip filler* until after these stages.

Dr. Gurley will assess your needs during your consultation and provide recommendations based on your goals and facial features.

#### Embrace Natural Volume and Smoothness

*Lip Filler Recovery*

The recovery process for **lip filler** is minimal. You may experience some swelling, bruising, or tenderness immediately after the treatment. These side effects typically subside within a few days. It’s important to follow Dr. Gurley’s aftercare instructions, which include avoiding strenuous exercise, direct sun exposure, and alcohol for 24-48 hours after your procedure.

#### Subtle, Beautiful Results

*Lip Filler Results*

You’ll see immediate results from your **lip filler** treatment, with lips appearing fuller and smoother. As swelling subsides, the final results become clearer. Depending on the filler used, *lip filler results can last between 12-18 months*. Regular touch-ups are recommended to maintain your desired appearance.

#### Lip Filler

*Frequently Asked Questions*


---

## Platelet-Rich Fibrin (PRF)

**Link:** [Platelet-Rich Fibrin (PRF)](https://www.judithgurley.com/injectables-fillers/prf/) ([md](https://www.judithgurley.com/injectables-fillers/prf/index.html.md))

**Description:** Revitalize your skin with PRF in St. Louis. Target fine lines, volume loss, & more with natural, non-surgical treatments tailored to your needs.

### Content

#### Refined Beauty, Naturally

*Why Choose Judith Gurley Plastic Surgery & Medical Spa for PRF?*

Are you looking for a natural, effective treatment to rejuvenate your look? *Platelet-rich fibrin* (**PRF**) may be the perfect solution. Dr. Judith Gurley offers this cutting-edge procedure in her St. Louis practice to help restore your youthful appearance, whether you're targeting the under-eye area, lips, or the full face.

*Platelet-rich fibrin (PRF) is a next-generation, natural treatment derived from the patient's own blood that contains seven times more growth factors compared to platelet-rich plasma (PRP)*. PRF can be combined with microneedling, injected directly, used alongside lasers, or even mixed with fillers or fat for versatile results. With over two and a half decades in practice, Dr. Gurley’s *PRF treatments* come with the experience of a seasoned surgeon who tailors your treatment to your unique skin needs and aesthetic goals.

#### PRF at a Glance

- **What is PRF?** A natural regenerative treatment using your body’s own growth factors to enhance skin texture, tone, and volume.
- **Ideal Areas: **Under eyes, lips, full face
- **Treatment Options: **Can be combined with microneedling, lasers, or fillers.
- **Downtime:** Minimal to none; most patients resume daily activities immediately.
- **Duration: **Results can last from 6 months to a year or longer, depending on location and method.

#### Transform Your Skin

*What is a PRF treatment?*

A platelet-rich fibrin (*PRF*) treatment is an advanced, non-surgical procedure that uses your own blood to stimulate collagen production and accelerate skin rejuvenation. Unlike *PRP* (Platelet-Rich Plasma), **PRF** leaves platelets intact in the fibrin matrix, enhancing their effectiveness. This innovative treatment addresses fine lines, wrinkles, skin texture, and volume loss.

#### The Allure of Revitalization

*What is the PRF procedure like?*

At our office in St. Louis **PRF** treatment is typically performed under local anesthesia for your comfort. Dr. Gurley will draw a small amount of your blood, which will then be processed to concentrate the platelets. *The PRF is injected into targeted areas or applied after microneedling, laser treatments, or mixed with dermal fillers or fat for more significant volume restoration*. The entire procedure is quick, with minimal discomfort and no need for recovery time.

#### Discover the Fibrin of Youth

*What conditions does PRF address?*

With **PRF** St. Louis patients have a highly effective treatment for a variety of skin concerns, including:

- **Fine Lines and Wrinkles: **Stimulates collagen production to reduce the appearance of fine lines and wrinkles, particularly around the eyes, mouth, and forehead.
- **Volume Loss: **Restores natural volume to the face, particularly in the under-eye area, cheeks, and lips, helping to rejuvenate a more youthful contour.
- **Uneven Skin Texture and Tone:** Improves skin texture and radiance, addressing roughness, dullness, and uneven pigmentation.
- **Dark Circles: **The under-eye area is particularly responsive to *PRF*, with visible improvements in reducing puffiness and dark circles.
- **Post-Surgical or Post-Treatment Healing: **Enhances recovery and minimizes scarring by accelerating the healing process and stimulating skin regeneration.
- **Scars:** PRF can visibly improve the appearance of existing scars.
- **Hair Growth: **Provides a natural, non-surgical path to hair regrowth on the scalp.

#### Elevate Your Skin

*What areas of the body can PRF address?*

**PRF** can be used to rejuvenate multiple areas of the face, including the under-eye area, lips, full face, and neck. It can also enhance the results of other treatments, such as *microneedling*, *lasers*, or *dermal fillers*, providing a holistic approach to *facial rejuvenation*.

#### Natural Radiance, Engineered to Last

*What are the benefits of PRF?*

**Natural Rejuvenation: **PRF uses your body’s own platelets to enhance skin texture, tone, and volume, providing subtle yet impactful results.

**Minimal Downtime: **Since *PRF is a non-invasive procedure*, most patients return to daily activities immediately after treatment.

**Long-Lasting Results: **Expect your results to last between 6 months to a year, depending on the treatment area and skin response.

**Versatile Treatment: **Can be used on multiple areas, including the under-eye area, lips, and full face.

**Collagen Stimulation: **Stimulates your body’s natural collagen production, leading to smoother, more youthful-looking skin.

#### Crafted for Perfection, Designed for You

*Am I a candidate for platelet-rich fibrin treatments?*

*PRF is ideal for individuals looking for a natural, non-surgical solution to rejuvenate their skin and restore a youthful appearance*. It's perfect for those who want to improve fine lines, wrinkles, volume loss, and skin texture with little to no downtime.

**Who should consider PRF?**

- People seeking subtle, natural-looking improvements without the need for invasive surgery.
- Those looking to address signs of aging, such as fine lines, wrinkles, and skin thinning.
- Patients who want to enhance their appearance using their own body’s natural healing properties.

**Who should avoid PRF?**

- Individuals with certain blood disorders, active skin infections, or allergies to blood products may not be suitable candidates.
- Pregnant or breastfeeding women are typically advised to postpone this treatment.

Consult with Dr. Gurley to determine if **PRF** is the right choice based on your unique skin concerns and aesthetic goals.

**Ready to Revitalize Your Skin with PRF?**

If you’re looking for a natural, effective way to rejuvenate your skin, schedule a consultation with Dr. Judith Gurley in St. Louis, MO. Her expertise and patient-centered approach ensure you receive the best care and results tailored specifically for you.

Contact us today to learn more about how *PRF* can help you achieve youthful, radiant skin!

#### Where Innovation Meets Natural Rejuvenation

*PRF Recovery*

Recovery from **PRF** is minimal. There is no need for downtime, and patients can return to their normal routine immediately. Some mild redness, swelling, or bruising may occur, but these effects typically resolve within a few days. Dr. Gurley will provide aftercare instructions to ensure optimal results, including moisturizing the treated area and avoiding strenuous activity for 24 hours.

#### Achieve Effortless Youthfulness

*PRF Results*

You can expect to see some improvement immediately following your **PRF treatment**, but the full benefits will develop over the next several weeks as collagen production increases. Results are gradual, giving a natural and refreshed appearance. With consistent treatments, the effects can last up to a year. The treatment is highly customizable to your needs, ensuring your skin looks revitalized without an overdone appearance.

#### PRF

*Frequently Asked Questions*


---

## Elevated Care

**Link:** [Elevated Care](https://www.judithgurley.com/in-office-include/) ([md](https://www.judithgurley.com/in-office-include/index.html.md))

**Description:** Elevated Care

### Content

#### In-Office Plastic Surgery Under Local Anesthesia

Dr. Judith Gurley offers select procedures in-office under local anesthesia, combining comfort, convenience, and craft. Local anesthesia provides a seamless option, allowing you to remain relaxed and at ease throughout your treatment—without the necessity of general anesthesia or an extended recovery period.

This sophisticated approach is perfect for those who value efficiency and discretion, desiring minimal disruption to their routine while receiving world-class care in a private, boutique setting. Whether opting for a subtle, minimally invasive enhancement or a more precise procedure, Dr. Gurley’s mastery delivers results that reflect refinement and elegance.

By choosing in-office care under local anesthesia, you embrace the same unparalleled attention to detail that defines Dr. Gurley’s practice. From your initial consultation to the final outcome, every facet of your surgery journey is handled with meticulous scrutiny, ensuring that your natural beauty is enhanced safely, swiftly, and with remarkable results.


---

## In Office Procedures

**Link:** [In Office Procedures](https://www.judithgurley.com/in-office-procedures/) ([md](https://www.judithgurley.com/in-office-procedures/index.html.md))

**Description:** Choose from the list of Dr. Gurley's In Office Procedures at her practice serving Ladue & St. Louis.

### Content

Dr. Judith Gurley offers the following select procedures in-office under local anesthesia, allowing you to experience world-class care with minimal downtime:

Each procedure, performed in the privacy and comfort of Dr. Gurley’s boutique practice, ensures a personalized experience with world-class results—safely, efficiently, and without the need for general anesthesia.


---

## Laser Treatments

**Link:** [Laser Treatments](https://www.judithgurley.com/laser-treatments/) ([md](https://www.judithgurley.com/laser-treatments/index.html.md))

**Description:** At Dr. Judith Gurley Plastic Surgery and Medical Spa, Ladue & St. Louis patients can choose from Laser Treatments such as Morpheus8, Laser Hair Removal, ResurfX, and more.

### Content


---

## Fractional RF Microneedling

**Link:** [Fractional RF Microneedling](https://www.judithgurley.com/laser-treatments/fractional-rf-microneedling/) ([md](https://www.judithgurley.com/laser-treatments/fractional-rf-microneedling/index.html.md))

**Description:** Enhance your skin’s texture and tightness with RF microneedling in Ladue & St. Louis. With minimal downtime, you can minimize wrinkles, scars, and sagging.

### Content

#### Smooth, Tighten, and Rejuvenate

*Why Choose Dr. Judith Gurley for Fractional RF Microneedling?*

*Fractional RF Microneedling* is an advanced, non-invasive treatment that combines the power of radiofrequency (RF) energy with *microneedling* to rejuvenate and refresh the skin. At Dr. Judith Gurley Plastic Surgery & Medical Spa, we offer a cutting-edge procedure using *ResurFX*™ and RF microneedling to address a variety of skin concerns and deliver smoother, more youthful skin. Whether you're looking to improve skin texture, tighten sagging skin, or reduce wrinkles, this treatment offers noticeable results with minimal downtime.

Dr. Gurley’s expertise and refined approach ensure that you receive the highest standard of care for your skin rejuvenation needs. With over 26 years of experience, Dr. Gurley is committed to providing you with the best possible outcome, utilizing the latest technologies to achieve optimal results. At our office in St. Louis **Fractional RF microneedling** is one of the most effective, non-surgical methods for enhancing skin texture and addressing signs of aging.

#### RF Microneedling at a Glance

- **What it is: **A combination of microneedling and RF energy to promote collagen production and improve skin texture.
- **Ideal For: **Skin rejuvenation, fine lines, wrinkles, scars, and skin tightening.
- **Downtime: Minimal. **Some redness and swelling may occur, but it resolves within a few days.
- **Duration: **Results typically appear after 2-3 sessions, with improvements continuing over several weeks.

#### Revitalize Your Skin

*What is Fractional RF Microneedling?*

*RF microneedling combines two powerful technologies: microneedling and radiofrequency energy*. The microneedles create microchannels in the skin, stimulating collagen production and allowing deeper penetration of the RF energy. This energy heats the dermal layers, which further stimulates collagen and elastin production, leading to tighter, smoother, and more youthful skin. The [ResurFX](/laser-treatments/resurfx/)™ component adds fractional resurfacing, helping to improve texture and tone, while RF energy enhances the results for deeper, more lasting effects.

#### A Non-Surgical Path to Smooth Skin

*Your Fractional RF Microneedling Treatment*

The procedure begins with a consultation where our staff will assess your skin and discuss your goals. The treatment area will be numbed with a topical anesthetic to ensure comfort throughout the procedure. During the session, microneedles will be gently applied to the skin, and RF energy will be delivered into the deeper layers of the skin. The procedure typically lasts 30-60 minutes, depending on the area treated. After the procedure, you may experience some redness or swelling, which will subside in a few days. There is minimal downtime, and you can return to your normal activities shortly after.

#### The Power of Fractional RF Microneedling

*What conditions does Fractional RF microneedling address?*

**Fractional RF microneedling in St. Louis** is effective for a range of skin concerns, including:

- **Fine Lines and Wrinkles: **Stimulates collagen production to reduce the appearance of fine lines and wrinkles, giving the skin a smoother and more youthful look.
- **Skin Laxity:** Tightens loose or sagging skin by promoting collagen and elastin production.
- **Acne Scarring:** Improves skin texture and reduces the appearance of acne scars by stimulating healing in the deeper layers of the skin.
- **Uneven Skin Tone: **Reduces pigmentation issues, including sunspots, melasma, and general discoloration.
- **Large Pores: **Helps to shrink the appearance of large pores by boosting collagen and tightening the skin.

#### Enhance Skin Texture and Tightness

*What areas of the body can fractional Fractional RF microneedling address?*

*Fractional RF Microneedling is primarily used on the face, but it can also be effective for the neck, décolletage, and hands*. It can treat areas with fine lines, wrinkles, scarring, and loose skin, providing comprehensive skin rejuvenation.

#### Achieve Glowing, Firm Skin

*What are the benefits of Fractional RF microneedling?*

- **Non-Surgical Skin Rejuvenation:** A minimally invasive procedure that delivers powerful results without the need for surgery.
- **Improved Skin Texture and Tone: **Reduces fine lines, wrinkles, acne scars, and other skin imperfections.
- **Collagen Stimulation: **Enhances collagen and elastin production for firmer, smoother skin.
- **Minimal Downtime:** Most patients experience only slight redness or swelling, which typically resolves within a few days.
- **Long-Lasting Results: **With continued collagen production, the results of **Fractional RF microneedling** improve over time and last for months.

#### Perfecting Your Skin, One Treatment at a Time

*Am I a candidate for fractional RF microneedling?*

Wtih **Fractional RF Microneedling** St. Louis patients may be good candidates if they are looking to improve skin texture, tighten skin, and address signs of aging or scarring without undergoing surgery. Consider *RF microneedling* if:

- **You have fine lines, wrinkles, or sagging skin** and want to enhance your skin’s firmness and smoothness.
- **You have acne scars, stretch marks, or other skin imperfections **that you would like to improve.
- **You are looking for a non-invasive solution **with minimal downtime and natural-looking results.

**Who should avoid fractional RF microneedling?**

- Individuals with active skin infections, open wounds, or certain skin conditions like eczema or psoriasis may not be suitable candidates.
- Pregnant or breastfeeding women should typically avoid this treatment.

#### Discover Youthful Resilience

*Fractional RF Microneedling Recovery*

After the procedure, you may experience mild redness, swelling, or a sensation similar to a mild sunburn. These side effects typically resolve within 24-48 hours. It’s important to follow Dr. Gurley’s aftercare instructions, including avoiding direct sun exposure and using gentle skincare products. Most patients can resume normal activities immediately after the treatment, with noticeable improvements appearing over the following weeks.

#### Transform Your Skin

*Fractional RF Microneedling Results*

Results from *fractional RF microneedling* become visible after a few weeks, as collagen production continues and the skin heals. Improvements in skin texture, tightness, and overall appearance will continue to develop for several months following the treatment. For optimal results, multiple sessions may be recommended, with maintenance treatments every 6-12 months.

#### Fractional RF Microneedling

*Frequently Asked Questions*


---

## IPL Photofacial

**Link:** [IPL Photofacial](https://www.judithgurley.com/laser-treatments/ipl-photofacial/) ([md](https://www.judithgurley.com/laser-treatments/ipl-photofacial/index.html.md))

**Description:** Reduce signs of aging and sun damage with an IPL Photofacial at our office serving Ladue & St. Louis. Rejuvenate your skin on a cellular level.

### Content

At the office of Judith Gurley Plastic Surgery & Medical Spa, our team in St. Louis understands the damage that can be wrought by exposure to harmful ultraviolet light from the sun’s rays or artificial sources, such as pollutants or tanning beds.

We reverse this damage among our valued patients with our St. Louis **IPL Photofacial** treatment. Skin deterioration and imperfections can manifest as red and brown discoloration, visible broken capillaries, redness, dullness, or an overall dry, aged, and tired-looking complexion.

#### IPL Photofacial To The Rescue!

The good news is we can harness healthy light rays to restore the youthful and healthy softness, radiance, tone, and overall quality of your skin. Also known as “*photodynamic therapy*,” the **IPL Photofacial** service may be recommended by our board-certified plastic surgeon, Dr. Gurley. It is a non-surgical, minimally invasive alternative to other laser therapy options. IPL utilizes a multitude of programmed wavelengths of light beams allowing it to target varying tones of pigment while leaving healthy skin untouched. *IPL* is the gold standard within the medical spa community because of its:

- Versatility
- Gentleness
- Associated with fewer side effects
- Minimal risk of complications
- Natural Profile
- Minimal downtime
- Fast and predictable healing

#### Real IPL Results

#### The Process

If, after an evaluation with Dr. Gurley, you decide to move forward with the **IPL Photofacial**, a topical numbing anesthetic may be applied for utmost comfort as the therapeutic light is applied and delivered to pigmented or otherwise damaged areas of the face and neck. It can also be used on parts of the body, such as the chest, arms, or hands.

The side effects following treatment have sometimes been compared to sunburn. There may be some temporary tenderness, flaking, and redness. As always, protecting your skin from the sun is essential – especially since it may be more sensitive to UV light following treatment. Downtime is minimal since it is a tissue-preserving procedure that leaves the skin intact. Dr. Gurley says, “*IPL not only is the best physical treatment for abnormal skin pigment, it also builds collagen with regular treatments*. Not only can you have fewer spots but you can achieve dewier, more supple skin!”

#### Find Out More Today!

For skin spots, topical treatments may not be enough. Pigment removal may require the targeted use of IPL (Intense Pulse Light) – a highly sophisticated light treatment that only targets damaged skin – to *reduce signs of aging* and improve the appearance of sun-exposed skin. If you are concerned about brown spots, rosacea, broken capillaries, and stretch marks, contact Judith Gurley Plastic Surgery & Medical Spa. Recently, advancements have demonstrated that an **IPL Photofacial** can stimulate and rejuvenate the skin on a cellular level, increasing elasticity and boosting collagen production. Our St. Louis, MO area team in Ladue looks forward to customizing a treatment that aligns with your one-of-a-kind needs, goals, and preferences.

#### Let’s Start a Conversation

[Get In Touch](/contact/)


---

## Laser Hair Removal

**Link:** [Laser Hair Removal](https://www.judithgurley.com/laser-treatments/laser-hair-removal/) ([md](https://www.judithgurley.com/laser-treatments/laser-hair-removal/index.html.md))

**Description:** Experience smooth, hair-free skin with Lumenis Quattro laser hair removal in Ladue & St. Louis. Safe, effective, and long-lasting results for all skin types.

### Content

#### A Fast, Effective Solution for Unwanted Hair

*Why Choose Judith Gurley Plastic Surgery & Medical Spa for Laser Hair Removal?*

Say goodbye to the hassle of shaving, waxing, and tweezing. With our advanced *laser hair removal* technologies Fusion Light and Fusion Dark, you can enjoy smooth, hair-free skin with long-lasting results. At Judith Gurley Plastic Surgery & Medical Spa, we offer cutting-edge, comfortable, and effective hair removal solutions tailored to your needs. Using the InMode Fusion systems, two of the most advanced technologies available, we help you achieve flawless skin without the inconvenience of traditional hair removal methods.

Dr. Judith Gurley and her experienced team specialize in delivering top-tier aesthetic treatments, including **laser hair removal in St. Louis**. With over 26 years of experience, Dr. Gurley’s approach is always centered around precision, comfort, and patient care. We use both the InModde Fusion technology, which is known for safety, effectiveness, and ability to treat all skin types. Whether you're looking to *remove unwanted hair on the face, legs, arms, or bikini area*, you can trust that your treatment will be customized for optimal results.

#### Laser Hair Removal at a Glance

- **What it is: **A non-invasive procedure that uses advanced laser technology to remove unwanted hair by targeting hair follicles with focused light energy.
- **Ideal For: **Individuals seeking a long-term solution to unwanted hair on any part of the body.
- **Downtime: Minimal. **You may experience slight redness or swelling immediately after treatment, but this subsides quickly.
- **Duration: **Each session typically takes 15-60 minutes, depending on the area being treated. Results are often visible after just a few treatments.

#### Achieve Silky Smooth Skin

*What is laser hair removal?*

**Laser hair removal** with the InMode Fusion Light and Fusion Dark use advanced technologies to target and destroy hair follicles, preventing future hair growth. Our systems combine multiple wavelengths and a unique cooling system to deliver effective treatments with minimal discomfort. They are designed to work on all skin types, providing precise and lasting results. The energy from the laser is absorbed by the pigment in the hair follicles, effectively *stopping hair from growing back* and leaving you with smoother, hair-free skin.

#### Hair Removal Has A New Look

*What is the laser hair removal treatment like?*

The treatment begins with a consultation, during which our staff assesses your skin type, hair type, and treatment goals. During the procedure, a handheld device is used to target the hair follicles with focused light. Most patients report minimal discomfort during the procedure, and many find it far *less painful than traditional hair removal methods*.

Each of our St. Louis **laser hair removal** sessions typically lasts 15 to 60 minutes, depending on the treated area. After the treatment, you may notice some redness or swelling in the treated area, but this will subside within a few hours. There is no downtime, and you can resume normal activities immediately.

#### Long-Lasting Reduction

*What conditions does laser hair removal address?*

With **laser hair removal** St. Louis patients can address unwanted hair on various areas of the body, including:

- **Unwanted facial hair: **Chin, upper lip, and sideburns.
- **Body hair: **Legs, arms, underarms, back, and chest.
- **Bikini area: **Including Brazilian and bikini line treatments.
- **Sensitive skin areas: **The advanced cooling systems available with the InMode Fusion Light and Fusion Dark effectively treat sensitive areas like the upper lip, bikini line, and underarms.

#### Effortless Smoothness

*What areas of the body can laser hair removal address?*

*Laser hair removal is effective on a variety of areas of the body*, including:

- Face (upper lip, chin, cheeks)
- Arms and legs
- Underarms
- Back and chest
- Bikini line and Brazilian area

It’s suitable for small and large treatment areas, providing smooth, hair-free skin wherever needed.

#### Flawless, Hair-Free Skin

*What are the benefits of laser hair removal?*

**Long-Lasting Results: **After a series of treatments, many patients experience permanent hair reduction.

**Time-Saving: **Say goodbye to shaving, waxing, or plucking—*laser hair removal* provides a lasting solution that saves you time.

**Suitable for All Skin Types: **Our systems are safe and effective for all skin types, even sensitive skin.

**Comfortable Treatment: **With built-in cooling technologies, discomfort is minimized.

**Quick and Convenient: **Each session is fast, and there’s minimal downtime, allowing you to return to your day immediately.

#### Smoother Skin, Longer

*Am I a candidate for laser hair removal?*

*Laser hair removal is ideal for individuals who are looking for a long-term solution to unwanted hair*. You may be a good candidate if:

- **You have unwanted hair** in areas like the face, arms, legs, bikini line, or back.
- **You want a long-lasting solution** to eliminate the need for regular waxing, shaving, or plucking.
- **You have dark hair and light skin** (laser hair removal works best on dark hair with light skin, but advancements in technology have made it effective for a wider range of skin tones).

**Who should avoid laser hair removal?**

- Pregnant women or individuals with certain medical conditions may need to avoid laser hair removal. Our team will assess your eligibility during your consultation.
- Laser hair removal is generally not recommended for light, gray, or very fine hair, as the laser targets pigment in the hair follicle.

One of our providers will evaluate your skin and hair type to determine if **laser hair removal** is the right choice for you.

#### Quick, Painless, and Effective

*Laser Hair Removal Recovery*

*Laser hair removal requires minimal recovery time*. After the treatment, you may experience slight redness or swelling in the treated area, similar to a mild sunburn. These effects usually subside within a few hours. To ensure optimal results, avoid sun exposure in the treated area for a few days following the procedure, and refrain from waxing or plucking hair between treatments.

#### Effortless Smoothness

*Laser Hair Removal Results*

Most patients notice a reduction in hair growth after just one session, but multiple treatments are typically required for optimal results. **Laser Hair Removal** works by targeting hair follicles during their growth phase, and because hair grows in cycles, it may take several treatments (usually 6-8 sessions) to achieve permanent hair reduction. After the full course of treatments, many patients experience smooth, hair-free skin for months or even years.

#### Laser Hair Removal

*Frequently Asked Questions*


---

## Hyperpigmentation Treatment

**Link:** [Hyperpigmentation Treatment](https://www.judithgurley.com/laser-treatments/lumenis-q-switch-ndyag/) ([md](https://www.judithgurley.com/laser-treatments/lumenis-q-switch-ndyag/index.html.md))

**Description:** Get rid of dark spots with tailored laser Hyperpigmentation Treatments in Ladue & St. Louis. Learn how Q-Switch technology fades pigmentation safely.

### Content

#### YAG laser system

*Hyperpigmentation Treatment with the Lumenis® Q-Switch ND: YAG Laser System*

[**Dr. Judith Gurley**](/about/meet-dr-judith-gurley/)** **Plastic Surgery & Medical Spa** **supports surgical and nonsurgical interventions for outcomes that **No one will know. Everyone will notice.®** You deserve to get results that look natural – like a better-rested, more radiant, and healthier version of yourself. Lasers represent one of the most powerful, customizable, and versatile energy-based technologies to facilitate these natural and dazzling improvements without cutting.

#### Get to know the Lumenis® Q-Switch ND: YAG

In St. Louis, Missouri, our talented providers have many laser systems to choose from, and Dr. Gurley has carefully selected each option for its clinical safety and efficacy. She stays on top of the latest innovations in laser technology. So, patients across a diverse range of skin types and complexions can benefit from all that modern lasers have to offer for cosmetic enhancement without the risk.

The Q-Switch technology allows us to tailor your **hyperpigmentation treatment** to your skin type and needs. For instance, this *ND: YAG laser* may be directed precisely toward the treatment site to effectively and safely target the dark pigments. This pigmentation is broken up into small particles. Eventually, these tiny particles are absorbed by the body as part of a natural and safe process. Since treatment in our skilled providers’ hands is so precise, the *Q-Switch ND: YAG* keeps healthy, undamaged skin outside the treatment area untouched and intact.

#### What to expect from a Hyperpigmentation Treatment

During a consultation, our staff will assess “treatable” conditions, such as *unwanted pigmentation or dark spots* that stand out from the rest of the skin and detract from an otherwise even, smooth, attractive tone. Settings are customized based on the nature and severity of the condition you wish to improve or eliminate. The laser “seeks out” and precisely targets the pigments responsible for “age spots,” freckles, dark areas caused by past acne breakouts, and larger patches of stubborn discoloration (melasma).

Depending on the depth of penetration that is required to *break up and fade your spots*, two to three treatment sessions may be necessary to get the desired results. As your spots lighten, you may also notice a more glowing appearance and overall better skin quality. *Q-Switch technology* has the added benefit of stimulating collagen and elastin renewal deep within the skin. This supports generally brighter, more rejuvenated skin.

Since hyperpigmentation and dark spots can come back due to exposure to harmful UV light from the sun, [**Dr. Judith Gurley**](/about/meet-dr-judith-gurley/)** **Plastic Surgery & Medical Spa** **works with you on products and routines to protect the health and beauty of your treated skin. Proper UVA-UVB sun protection is a must.

To learn more about many options for **Hyperpigmentation Treatment** Ladue patients can call our office today.


---

## Morpheus8 Burst

**Link:** [Morpheus8 Burst](https://www.judithgurley.com/laser-treatments/morpheus8/) ([md](https://www.judithgurley.com/laser-treatments/morpheus8/index.html.md))

**Description:** Discover Morpheus8, a cutting-edge skin rejuvenation treatment using microneedles and radiofrequency to stimulate collagen.

### Content

#### What You Can Expect

*The Morpheus8 Burst Procedure*

What does the procedure entail?

Our St. Louis **Morpheus8 Burst** treatment uses microneedles to penetrate the skin’s surface, delivering radiofrequency energy deep into the skin and fat layers. *This combination stimulates collagen production, encouraging your skin to heal and rejuvenate naturally*.

While the treatment is generally comfortable, a topical anesthetic is applied to ensure minimal discomfort. After the numbing takes effect, the *Morpheus8 Burst* handpiece is placed on the targeted area to perform the procedure. The most common areas treated include the face, neck, chest, arms, and abdomen.

#### Versatility

*Personalized Rejuvenation for Face & Body*

**Morpheus8 Burst** is an advanced radiofrequency microneedling treatment that delivers remarkable versatility, treating areas across the face and body with precision and customization. From the jawline, neck, and cheeks to the abdomen, arms, and knees, treatment plans are tailored to your unique concerns and goals.

By stimulating collagen and elastin production deep within the skin, Morpheus8 Burst helps tighten laxity, soften fine lines and wrinkles, and improve overall skin quality. It also refines texture, minimizes the appearance of acne scars, and supports clearer skin by addressing active acne at its source.

The result is smoother, firmer, more radiant skin—with natural-looking rejuvenation that evolves beautifully over time.

#### Alternatives

*Are there any alternatives?*

*Microneedling* is a common alternative to Morpheus8 Burst. For added benefits to **Morpheus8 Burst** St. Louis patient can also combine this procedure with IPL treatments.

#### Morpheus8 Burst Cost

Call the office today for pricing.

#### Recovery

*What can I expect during recovery?*

*Morpheus8 Burst is known for its minimal downtime*. After treatment, patients often experience mild redness, swelling, or a slight sandpaper-like texture on the skin, which typically resolves in 1-3 days. Sometimes, bruising may occur. If so, they could last up to 2 weeks but can be easily covered with a good concealer. At-home skincare routines, such as products like Illume Exfo Pads, or Illuminate, can further enhance your results.

While social downtime is minimal, it’s important to avoid direct sun exposure and strenuous activities and follow post-procedure care as directed by your provider. Patients can usually resume normal activities quickly, and many notice improvements shortly after treatment.

Long-term results become apparent as collagen production increases over the weeks following the procedure. For optimal results, a series of 3 sessions spaced 4-6 weeks apart is recommended.

#### Candidates

*Who is a good candidate?*

When considering **Morpheus8 Burst** St. Louis patients may be a candidate for this procedure if:

- You want to improve the health and wellness of your skin.
- You want to reduce the appearance of scars, pore size, wrinkles, or UV damage.
- You are looking for skin with more bounce, elasticity, and a smoother texture.
- You’re interested in non-invasive facial and body procedures with minimal downtime and long-lasting results.
- Without surgical intervention, you want to contour body areas like the abdomen or thighs.


---

## ResurFX

**Link:** [ResurFX](https://www.judithgurley.com/laser-treatments/resurfx/) ([md](https://www.judithgurley.com/laser-treatments/resurfx/index.html.md))

**Description:** ResurFX at our office serving Ladue & St. Louis offers safe and effective laser skin resurfacing with minimal side effects. Renew your skin with long-lasting results.

### Content

*What is ResurFX?*

Our staff specializes in *non-surgical facial rejuvenation* to promote fresh, unblemished skin with an array of different techniques. Using everything from targeted chemicals to special devices to remove damaged skin cells and bring new cells to the surface. *ResurFX uses advanced technology to resurface the skin, turning over dead cells for new healthy cells*. In doing so, patients notice improvements in the appearance of sun damage, such as brown spots, wrinkles, fine lines, melasma, stretch marks, and some scars.

Due to the design of the ResurFX™ laser system, it presents a low-risk and minimal downtime alternative to more aggressive ablative (“wounding”) laser systems. In fact, **ResurFX** is all the buzz right now with the natural glowing results obtainable with little to no downtime. This unique skin laser is characterized as a “non-ablative” fractional laser. As the device is aimed at the treatment site, the laser beam targets only a fraction of the skin at a time. This ensures precise treatment while leaving surrounding areas untouched and intact, supporting the safest experience. Side effects are minimal, and sequential treatments are recommended for the best results. We suggest starting with a package of three, spaced out monthly.

#### What To Expect

The **ResurFX** platform is customizable for every individual. Dr. Gurley will diagnose your skin’s condition and develop a treatment plan to achieve optimal results. The highly skilled Dr. The Gurley team, including an expert certified esthetician and a registered nurse, will determine the settings that align with the prescribed treatment and adjust the depth of penetration as necessary to improve these concerns. Such customization also helps to support a comfortable, safe, and pleasant experience.

Generally, a topical anesthetic is applied to the targeted tissues. You should be comfortable as the handpiece is expertly passed over the treatment zones. The system features a built-in cooling system to aid in the well-tolerated therapy. Most patients simply describe the treatment as a temporary sensation of warmth. The device itself produces controlled and therapeutic injuries leaving you feeling invigorated during the process. *Collagen and elastin are renewed as the healing process is stimulated to close the wounds made by the laser*. It is this renewal that offers changes you can both see and feel after receiving this treatment.

#### Resurface Without The Risk!

Typically, *laser skin resurfacing* is associated with minimal downtime, and side effects are limited to swelling, red irritation, and sensitivity. As true partners in your skin health, the office of Dr. Judith Gurley Plastic Surgery & Medical Spa will advise you on ways to manage any side effects or discomfort and protect your post-treatment, photosensitive skin. Our office will further support your healing by recommending Gurley Glow® medical grade, safe skincare products to calm, soothe, and protect your skin during this renewal process.

While you will likely notice improved clarity, softness, and tone after a single treatment session at our office in St. Louis **ResurfX** results ramp up after 2-3 sessions and as collagen and elastin are produced. By taking good care of the skin and following up as advised, our patients in the St. Louis, MO area and beyond can enjoy their lovely results for up to *two years! *Call today to schedule your one-on-one consultation.


---

## RF Microneedling

**Link:** [RF Microneedling](https://www.judithgurley.com/laser-treatments/rf-microneedling/) ([md](https://www.judithgurley.com/laser-treatments/rf-microneedling/index.html.md))

**Description:** Considering RF Microneedling in Ladue & St. Louis? Stimulate collagen production and improve skin texture with this quick and comfortable treatment.

### Content

*What is RF Microneedling*

**RF Microneedling** utilizes highly focused energy into the superficial and deep layers of the skin to stimulate collagen production which improves the overall health of the skin.

This device creates micro channels into the skin’s surface creating a healthy healing process that reduces wrinkles and improves the skin’s texture. There is no need for topical numbing of the skin because this treatment is quick and comfortable. Patients will experience minimal downtime and continue to see skin improvements for weeks to come.

#### Procedure

*What does RF Microneedling entail?*

The esthetician will cleanse your face and apply the *Microneedling* probe to your skin creating micro wounds while the RF energy heats up the tissues to begin the tightening effects.

#### Alternatives

*Are there any alternatives to RF Microneedling?*

*Microdermabrasion* and *Microneedling* are alternatives to **RF Microneedling in St. Louis**. RF Microneedling can also be used in conjunction with IPL ([SmoothGlo™](/laser-treatments/smoothglo/)), and at home skincare to further enhance results (rO, illume glo, illume Exfo Pads, to name a few).

#### Recovery

*What can I expect after RF Microneedling?*

With **RF Microneedling** St. Louis patients will experience a short recovery as they will have minimal redness, swelling and a light sandpaper fee to their skin by the next day. You are free to use gentle products in your daily routine until 3 days post treatment. We recommend daily use of a physical SPF that is safe for post procedure skin.

#### Candidates

*Who is a good candidate for RF Microneedling?*

You may be a candidate for **RF Microneedling** if:

You would like to *reduce the appearance of scars, pore size, wrinkles, UV damage, or rosacea*; you want your skin to have more bounce and elasticity; you are looking for greater skin improvements than a facial can offer; you’re interested in a noninvasive, nonsurgical procedure, and you would like a treatment with a quick recovery time.

#### Cost

*What is the approximate cost for RF Microneedling?*

The *cost for RF Microneedling* ranges from:

- $350-$750

Click [here](/contact/) to begin your consultation process today!

#### Real Results

*Real Artistic Outcomes*

Radio Frequency Microneedling creates tiny punctures in your skin while heating up the tissues to encourage collagen and elastin production. The heat that is generated stimulates a natural healing process to improve skin tone and texture. This procedure can be done every 4 weeks until you achieve the lasting results you are looking for. Experience this treatment in a [plastic surgeon’s](/about/meet-dr-judith-gurley/) [office](/contact/) where health, sterility, and safety is paramount.

#### Let’s Start a Conversation

[Get In Touch](/contact/)


---

## SmoothGlo

**Link:** [SmoothGlo](https://www.judithgurley.com/laser-treatments/smoothglo/) ([md](https://www.judithgurley.com/laser-treatments/smoothglo/index.html.md))

**Description:** Experience advanced skin rejuvenation with SmoothGlo in Ladue & St. Louis, resulting in smoother, brighter skin. Learn about the procedure, recovery, and ideal candidates.

### Content

SmoothGlo™ combines two of the most sought-after treatments in one. It utilizes two different types of energy to *stimulate the skin in a unique way to reverse the signs of aging and damage*. This innovative approach improves tone, texture, and skin health in a single treatment. You can now reclaim the taut, healthy skin of years gone by with **SmoothGlo in St. Louis**.

#### Procedure

*What does the SmoothGlo procedure entail?*

We will prepare your skin with the first phase of energy which will even out your pigmentation as well as enhance the procedures to follow. You will feel a flash of heat as your skin is being stimulated and at the same time experience the coolness of the gel that was previously applied. Once this phase is completed we will move on to the second phase which will involve a stamping method that feels like slight pin pricks and mild heat. After your treatment with **SmoothGlo** St. Louis patients will have products applied to their skin and then reviewed for post treatment care.

#### Recovery

*What can I expect after SmoothGlo?*

You will feel warm for a couple hours after your **SmoothGlo** procedure. You can have redness and mild swelling for up to 4 days. Your skin texture will feel like sandpaper and up-close you will notice micro bumps that mimic the look of and feel of dry skin. This texturing can last between 4-5 days.

#### Candidates

*Am I a Candidate for SmoothGlo?*

When considering **SmoothGlo** St. Louis patients may be candidates if they:

Are looking for smoother, brighter, even skin. The ideal candidate for this treatment would not mind a mild amount of recovery time and could avoid sun exposure for up to 2 weeks after the treatment. Tanning, sunless tanners, retinols are advised to be postponed 2 weeks prior to your scheduled treatment.

#### Cost

*What is the approximate cost for SmoothGlo?*

The *cost for SmoothGlo* ranges from:

- $575-$1100

Click [here](/contact/) to begin your consultation process today!

#### Real Results

*Real Artistic Outcomes*

Our Ladue **SmoothGlo** treatment creates tiny punctures in your skin. To repair these micro-tears, the skin produces collagen and elastin. By using the skin’s self-repairing process, the natural healing properties of the body are harnessed to improve skin tone and texture. The result is *glowing skin that lasts four to six weeks*. Experience this treatment in the only office in the St. Louis area that has this groundbreaking procedure.

#### Let’s Start a Conversation

[Get In Touch](/contact/)


---

## Lumenis UltraPulse

**Link:** [Lumenis UltraPulse](https://www.judithgurley.com/laser-treatments/ultrapulse-co2/) ([md](https://www.judithgurley.com/laser-treatments/ultrapulse-co2/index.html.md))

**Description:** Transform your skin with our St. Louis Lumentis UltraPulse treatment. Learn about the benefits of this innovative CO2 Laser Skin Resurfacing Treatment.

### Content

#### The Power Of The Pulse

*From fine lines to deep scars, UltraPulse® does it all without the risk*

There is no substitute for the expertise of a talented *board-certified plastic surgeon* like [**Dr. Judith Gurley**](/about/meet-dr-judith-gurley/)**; **however, the latest technologies help Dr. Gurley and her skilled team provide care that supports a safe, effective, and comfortable treatment experience. Additionally, the technology to *enhance the skin without surgery* is constantly evolving. As lasers and other systems get better with time, these innovations may be appropriate for more types of patients in St. Louis, Missouri, and beyond.

#### Shining a light on Lumenis UltraPulse

**Lumenis UltraPulse** is not just any CO2 laser. It is designed to penetrate the skin more deeply than any other laser of its kind. This characteristic, along with its varied settings, allows for the hyper-customized and *versatile treatment of everything from fine lines to deep acne scars*.

#### What to expect

Following a consultation at our office, the staff may determine that you are a good candidate for our St. Louis **Lumenis UltraPulse** treatment in its many forms. The energy from the *UltraPulse laser* beam/light may be applied to remove damaged or dead skin cells. Due to its depth of penetration, UltraPulse® triggers the production of collagen within the underlying skin layers. Furthermore, the fractionated nature of this technology balances utmost safety and effectiveness.

These ultra-short pulses of light affect a fraction of the skin at a time for a lower-risk and more predictable treatment. Areas outside the highly targeted treatment zones are also unaffected and remain intact. Additionally, natural healing is encouraged due to the process of creating “micro-injuries” in a controlled manner. Your body’s collagen remodeling process is triggered to close the tiny microchannels or thermal zones produced by the laser. Your new skin comes back unblemished and better than ever.

#### Experience Lumenis UltraPulse today!

The team at [**Dr. Judith Gurley**](/about/meet-dr-judith-gurley/)** **Plastic Surgery & Medical Spa** **may select the **Lumenis UltraPulse** treatment to improve benign syringomas on the eyelids, resurface and awaken a tired eye area (for a “nonsurgical blepharoplasty”), resolve rhinophymas resulting from untreated rosacea on the nose, and dramatically diminish the appearance of even deep scars.

With so many options within one system, there is sure to be a way to restore a look that exudes confidence and health without surgical intervention—call to schedule your consultation.


---

## Vasculaze

**Link:** [Vasculaze](https://www.judithgurley.com/laser-treatments/vasculaze/) ([md](https://www.judithgurley.com/laser-treatments/vasculaze/index.html.md))

**Description:** Patients in Ladue & St. Louis can reduce the appearance of spider veins, broken capillaries, and other vascular lesions with Vasculaze. Contact us today!

### Content

*What is Vasculaze?*

*Vasculaze is an advanced, non-invasive treatment designed to target and reduce the appearance of vascular lesions*. While these vascular issues do not harm your health, they can negatively impact your skin’s appearance. At our office in St. Louis **Vasculaze** is one of the best treatments for spider veins, broken capillaries, angiomas and other facial and body lesions. Using high peak power that specifically targets hemoglobin, Vasculaze effectively and safely treats these irregularities without damaging surrounding tissue.

Whether dealing with spider veins on the legs or broken capillaries on the face, *Vasculaze* is a non-surgical solution for those seeking clearer, healthier-looking skin.

#### What You Can Expect?

After receiving **Vasculaze** St. Louis patients can expect mild redness, swelling, and a slight warming sensation immediately after treatment, which typically subsides within a few hours to a day. In the first few days, the targeted veins may darken temporarily before fading, and some areas might experience mild bruising or sensitivity. Over the next one to three weeks, the treated veins gradually fade as your body reabsorbs them, with final results typically visible in four to six weeks. *Most people can resume normal activities immediately, though it’s best to avoid strenuous exercise, hot baths, and sun exposure for a few days*. While some veins may disappear completely after one session, others may require multiple treatments, and occasional maintenance may be needed to address new vascular lesions over time.

#### What Does The Procedure Entail?

*Vasculaze is a quick, in-office treatment requiring no downtime*. The procedure uses targeted light energy to break down vascular lesions beneath the skin. Depending on the size and location of your vascular lesions. Our esthetician will recommend a series of Vasculaze treatments to achieve optimal results. Typically, three sessions are performed every 4-8 weeks, though some lesions may require more treatments for complete clearance.

Improvements are often visible after the first treatment, and regular sessions help to prevent the growth of new blood vessels. If you’re looking for the best non-invasive spider vein treatment, **Vasculaze** offers noticeable results with minimal commitment.

#### Cost

Call the office for pricing.

#### Are There Any Alternatives?

*Sclerotherapy is an alternative to Vasculaze for treating spider veins*, and vein stripping is another option for larger varicose veins. However, for those seeking a non-invasive option for treating vascular lesions like spider veins and broken capillaries, **Vasculaze** is often preferred due to its effectiveness and lack of downtime.

#### What Can I Expect During Recovery?

*Vasculaze is a quick, non-invasive procedure, with most treatment sessions lasting 15-30 minutes*. After each session, it is important to avoid heavy exercise or activities that increase blood flow to the treated area. To protect your skin and aid healing, it is best to use sunscreen on the treated areas.

#### Who Is A Good Candidate?

You may be a candidate for **Vasculaze** if:

- You want to reduce the appearance of visible spider veins or broken capillaries.
- You seek to improve skin tone and texture on the face or body.
- You are interested in a non-surgical treatment for vascular lesions with quick recovery.
- You prefer a non-invasive vascular lesion treatment that fits easily into a busy lifestyle

#### Long-lasting Results and Versatility

*Vasculaze not only provides immediate results for some lesions, many lesions can be eradicated with a series of treatments*. When treatments are performed at regular intervals, it also prevents the growth of new vascular lesions. It’s ideal for treating various vascular concerns across different body parts, including spider veins on the legs, broken capillaries on the face, and more.


---

## Male Plastic Surgery

**Link:** [Male Plastic Surgery](https://www.judithgurley.com/male-procedures/) ([md](https://www.judithgurley.com/male-procedures/index.html.md))

**Description:** Seeking plastic surgery for men in St. Louis? Dr. Gurley offers personalized treatment plans for reversing signs of aging and achieving the look you desire.

### Content

*Male cosmetic plastic surgery* is on the rise. Many male patients are realizing that diet and exercise alone may not be enough to give them the look they want. *More men are seeking plastic surgery to help reverse early signs of aging, eliminate stubborn fat pockets, or correct overdeveloped or enlarged breasts*.

[View Our Gallery](/gallery/breast/gynecomastia-correction/)

#### Looking For More?

[Spa Procedures](/medspa/)

[Face Procedures](/face/)

[Body Procedures](/body/)

[Breast Procedures](/breast/)

#### Patients First, Always

*Our Patient Care Philosophy*

Everybody is individual and unique. Dr. Gurley believes that you deserve the best that plastic surgery has to offer. Your existing body type, bone structure and personal preferences are just a few of the elements considered and discussed during an initial consultation.

Dr. Gurley will listen and help you visualize expected surgical outcomes with personalized recommendations. Men often feel hesitant to undergo plastic surgery. Dr. Gurley has years of experience guiding men through procedures that make them feel more confident and comfortable with their bodies.

Let’s Start a Conversation about **Male Plastic Surgery in St. Louis** today!

[Get In Touch](/contact/)

#### Related Articles


---

## Gynecomastia Correction

**Link:** [Gynecomastia Correction](https://www.judithgurley.com/male-procedures/gynecomastia-correction/) ([md](https://www.judithgurley.com/male-procedures/gynecomastia-correction/index.html.md))

**Description:** Restore confidence with gynecomastia correction in St. Louis by board-certified plastic surgeon Dr. Gurley. Expert care for male breast tissue correction.

### Content

#### Gynecomastia Correction

Judith Gurley Plastic Surgery & Medical Spa** **is proud to restore an appearance that exudes confidence and well-being among diverse patients from all walks of life in St. Louis, Missouri, and beyond. As a Board-Certified Plastic Surgeon, Dr. Gurley’s expertise in procedures such as **gynecomastia* *correction** cannot be overstated. She abides by the highest quality and safety standards. Additionally, it is not an overstatement to say that this *surgical procedure to address excessive breast tissue among men* is truly life-changing*. *

#### See the Difference

*Our Before & After Gallery*

Our Before and After galleries feature real patients of Dr. Gurley. See how she tailors each surgery to each individual patient. Before choosing a Plastic Surgeon, it is important that you spend time analyzing their work.

[View Our Gallery](/gallery/breast/gynecomastia-correction/)

#### Transformative and Trusted Care

*Gynecomastia, overdeveloped or enlarged breast tissue in male patients, may be caused by hormonal fluctuations, excess weight, certain medications, and have a genetic component*. During a consultation, Dr. Gurley will consider the root cause and contributors to excess localized fat or glandular tissue development. Additionally, analysis by another specialist or *endocrinologist* can get to the bottom of potential hormonal contributors to male breast development.

If correction at our office is recommended, techniques to remove excess tissue may include [liposuction](/body/liposuction/) or “excision,” the surgical removal of the breast tissue and skin as needed - the procedure is called [gynecomastia surgery](/male-procedures/gynecomastia-surgery/).

#### What to Expect

*From Gynecomastia Correction*

*Surgery for gynecomastia* is performed with anesthesia on an outpatient basis. As noted, lipo alone may be adequate to reduce the appearance of excess in the chest area. But, for many patients, the tissue behind the nipple is firm. It can’t be removed by suctioning out the fatty tissue alone using the [liposuction](/body/liposuction/) technique. We can use excisional and repositioning techniques to remove tissues and alter the areola or nipple for a more natural and attractive male contour.

Post-operative discomfort is typically short-lived. The minimal pain associated with this treatment often disappears within a couple of days. It is important to follow any instructions provided by our office. Notably, you will wear a compressive surgical garment following surgery. Additionally, certain physical activities and exercise will be restricted for several days. These steps are vital to ensure a speedy recovery and optimal outcomes from treatment.

#### Your Improved Appearance And Outlook On Life Await!

*Schedule your Gynecomastia Correction Consultation*

Schedule a consultation with Dr. Gurley at our office in St. Louis, MO today. During your visit, she may also answer any questions about treatment. These include financial considerations. Generally, a **gynecomastia correction** procedure costs about $22,000-$40,000. Financing through CareCredit® is available.

Find out how you can benefit from the tremendous artistic talents and skills of a Board-Certified Plastic Surgeon with extensive expertise in tissue contouring. Dr. Gurley can not only reduce excess tissue but also support a more masculine chest shape.


---

## Gynecomastia Surgery

**Link:** [Gynecomastia Surgery](https://www.judithgurley.com/male-procedures/gynecomastia-surgery/) ([md](https://www.judithgurley.com/male-procedures/gynecomastia-surgery/index.html.md))

**Description:** Achieve a sculpted, masculine chest with gynecomastia surgery in Ladue & St. Louis. Dr. Judith Gurley offers expert male breast reduction for lasting, natural results.

### Content

#### A Natural, Masculine Chest Awaits

*Why Choose Judith Gurley Plastic Surgery & Medical Spa for Breast Reduction for Men?*

For men who experience excess breast tissue or *enlarged male breasts*, gynecomastia surgery offers a transformative solution. Whether caused by hormonal imbalances, genetics, or other factors, gynecomastia can impact your self-confidence and body image. *Male breast reduction*, also known as gynecomastia surgery, removes excess tissue and reshapes the chest, giving men a firmer, more masculine appearance. At Judith Gurley Plastic Surgery & Medical Spa in St. Louis **gynecomastia surgery** that is tailored to each patient's unique needs, helping you feel more comfortable and confident in your body.

With over two decades of experience, Dr. Judith Gurley is known for her skillful, personalized approach to male breast reduction. She understands the emotional impact that *gynecomastia* can have on men and takes the time to develop a treatment plan that restores a natural, masculine chest contour. Dr. Gurley combines her extensive expertise with the latest surgical techniques to deliver results that are both aesthetically pleasing and long-lasting.

#### Gynecomastia Surgery at a Glance

- **What it is**: A surgical procedure that removes excess breast tissue, fat, and skin from the chest to achieve a flatter, more sculpted chest.
- **Ideal For**: Men with enlarged breasts due to gynecomastia or excess fat in the chest area.
- **Downtime**: Most patients can return to normal activities in 1-2 weeks, with full recovery taking 4-6 weeks.
- **Duration**: The surgery typically takes 1-2 hours, depending on the extent of tissue removal.

#### Flatter, Firmer, More Defined

*What is breast reduction for men?*

Women are not alone when it comes to having breasts. Surgical gynecomastia treatment or [breast reduction surgery](/male-procedures/gynecomastia-correction/) is designed to address excess tissue or fat in the chest, restoring a more masculine, contoured appearance. The procedure involves removing the surplus tissue and sculpting the chest for a flatter, firmer profile. Dr. Gurley uses advanced techniques to ensure minimal scarring and the most natural-looking results. Depending on the severity of the gynecomastia, [liposuction](/body/liposuction/) may also be used to remove fat deposits or excess skin may be removed to create a more defined contour.

[Dr. Gurley](/about/meet-dr-judith-gurley/) specializes in *the treatment of gynecomastia*. If you are interested in male breast reduction, call her office to make an appointment for a consultation. During the [consultation](/consultation/), Dr. Gurley will explain the procedure to you. She will determine whether or not you are a candidate for this surgery, and she will answer any questions you might have.

#### Achieve a Sculpted Chest

*What is the gynecomastia procedure like?*

The procedure is usually done in a surgical suite. It will require general anesthesia. Incisions are carefully placed in inconspicuous locations to minimize scarring. After excess fat and tissue are removed, the chest is contoured to create a more defined, masculine appearance.

Upon discharge, you will be given instructions on the care of your surgical site. In addition, you will be given a follow-up appointment to see Dr. Gurley in her office so she can be certain you are [progressing as you should](/gallery/breast/gynecomastia-correction/).

#### Reclaim Maximum Confidence

*What conditions does gynecomastia surgery address?*

When considering **gynecomastia surgery** St. Louis patients may be ideal if they experience:

- **Excess Breast Tissue**: Men with enlarged breast tissue, whether from hormonal imbalances or genetic factors, can benefit from male breast reduction.
- **Excess Fat:** Men who carry excess fat in the chest area (sometimes referred to as "*pseudogynecomastia*") may also benefit from liposuction or fat removal to achieve a more sculpted chest. Many patients have both gynecomastia and pseudogynecomastia.
- **Breast Tissue Symmetry:** For men with uneven or asymmetrical breasts, *gynecomastia surgery* can help create a balanced and natural look.
- **Emotional and Physical Discomfort:** Men with gynecomastia may feel self-conscious, which can impact their quality of life. Surgery can help restore confidence and alleviate the physical discomfort that sometimes accompanies gynecomastia.

#### Feel Empowered

*What are the benefits of gynecomastia surgery?*

*Gynecomastia surgery focuses on the chest area, specifically the breasts and surrounding tissue*. The procedure removes excess tissue, fat, and skin from the chest to restore a firmer, more masculine contour. For more extensive cases, liposuction may also be used to remove fat from the chest or surrounding areas.

Additional benefits include:

- **Restored Confidence**: Gynecomastia surgery can have a profound impact on self-esteem, helping men feel more confident in their bodies and reducing the emotional distress caused by enlarged breasts.
- **Natural-Looking Results**: The procedure is designed to create a naturally contoured chest that looks both balanced and masculine.
- **Long-Lasting Effects**: Once the tissue is removed, it is unlikely to return, and proper lifestyle maintenance provides lasting results.
- **Minimal Scarring**: Dr. Gurley uses advanced surgical techniques to ensure minimal scarring, which usually fades over time.
- **Improved Physical Comfort**: Reducing excess breast tissue often leads to improved comfort, especially in tight-fitting clothes or during physical activities.

#### Sculpt a More Confident, Defined You

*Am I a candidate for gynecomastia surgery?*

**Gynecomastia surgery** is ideal for healthy men who are self-conscious about enlarged breasts and want to *restore a more masculine chest*. You may be a good candidate if:

- **You have excess breast tissue** or fat in the chest area that doesn’t improve with diet or exercise.
- **You are in good overall health** and have realistic expectations for the surgery.
- **You are bothered by the appearance** of your chest or feel self-conscious about your body image.

#### Who should avoid gynecomastia surgery?

- Men with active infections, serious health conditions, or those who are still undergoing puberty may not be suitable candidates for the procedure.
- Dr. Gurley will assess your health and aesthetic goals during the consultation to determine if this surgery is the best option for you.

#### Feel Good Again

*Gynecomastia Surgery Recovery*

The downtime for *male breast reduction* is minimal. There will be scarring, but over time, it will become less and less visible. Dr. Gurley will provide you with detailed aftercare instructions, including wearing a compression garment to help shape and support the chest during the healing process. Most patients can return to light activities within a few days, but more strenuous exercise should be avoided for at least 4-6 weeks. Full recovery and final results will become apparent as swelling subsides over the next few months.

#### Restore Balance and Confidence

*Gynecomastia Surgery Results*

The results of **gynecomastia surgery** are typically visible immediately after the swelling starts to subside, with the final contour taking shape within 3-6 months. Once the excess tissue is removed, the chest remains firm and sculpted, providing long-lasting results. Maintaining a healthy lifestyle is essential to preserving your results, as weight fluctuations can affect the appearance of your chest.

#### Gynecomastia Surgery

*Frequently Asked Questions*


---

## Medical Spa Treatments

**Link:** [Medical Spa Treatments](https://www.judithgurley.com/medspa/) ([md](https://www.judithgurley.com/medspa/index.html.md))

**Description:** Our Medical Spa serving Ladue & St. Louis combines surgical correction, light treatments, and expert care to reveal healthier and more beautiful skin.

### Content

How many **med spas** have a Board-Certified Plastic Surgeon at the helm? Dr. Judith Gurley understands the underlying biology of beautiful, healthy skin and is able to make recommendations customized to you. For some, good *skin care* and *light treatments* are sufficient; for others, surgical correction or *laser treatments* will reveal a difference in your skin’s health and appearance. We believe in reversing damage and preserving the skin that you’re in.

This is a Non-Surgical Procedure

#### Looking For More?

[Face Procedures](/face/)

[Breast Procedures](/breast/)

[Body Procedures](/body/)

[Male Procedures](/male-procedures/)

Patients First, Always

**Our Patient Care Philosophy**

Everyone is individual and unique. In our St. Louis **medical spa**, we pride ourselves on individualizing your skin plan. Our services range from injectibles, lasers, microneedling, and peels to skincare or surgery.

All of our treatments and procedures are medically guided to help you *look and feel your best while restoring your skin and your face* to their healthiest condition. The thing is, we do it all so you will know that our recommendations are ideal for you and your condition with no restrictions or limitations.

Let’s Start a Conversation

[Get In Touch](/contact/)


---

## Open Payment Database Notice

**Link:** [Open Payment Database Notice](https://www.judithgurley.com/open-payment-database-notice/) ([md](https://www.judithgurley.com/open-payment-database-notice/index.html.md))

**Description:** Open Payments Database | Judith Gurley Plastic Surgery & Medspa

### Content

For informational purposes only, a link to the federal Centers for Medicare and Medicaid Services (CMS) Open Payments web page is provided here. The federal Physician Payments Sunshine Act requires that detailed information about payment and other payments of value worth over ten dollars ($10) from manufacturers of drugs, medical devices, and biologics to physicians and teaching hospital be made available to the public.

You may search this federal database for payments made to physicians and teaching hospitals by visiting this website: [https://openpaymentsdata.cms.gov/](https://openpaymentsdata.cms.gov/)


---

## Missouri Privacy Policy

**Link:** [Missouri Privacy Policy](https://www.judithgurley.com/privacy-policy/) ([md](https://www.judithgurley.com/privacy-policy/index.html.md))

**Description:** Missouri Privacy Policy - Judith Gurley Plastic Surgery & Medical Spa

### Content

#### Judith Gurley Plastic Surgery, LLC Patient Privacy Notice

THIS NOTICE DESCRIBES HOW YOUR INFORMATION MAY BE USED AND DISCLOSED. PLEASE REVIEW IT CAREFULLY.

If you have questions about this notice or want more information, please contact our Privacy Officer at 314-200-2910. The effective date of this notice is July 1, 2019.

We provide services entirely on a self-pay basis. We do not engage in any electronic transactions with health plans and, therefore, we are not a “covered entity” as defined by the Health Insurance Portability and Accountability Act of 1996, as amended, and its implementing regulations found at 45 C.F.R. Parts 160 to 164 (“HIPAA”). As such, we are not subject to HIPAA requirements.

We take the privacy and security of our patients’ information seriously and provide this Notice to inform you of how we will use and disclose your information, consistent with ethical medical practice and requirements under Missouri law. To help you understand how we will use and disclose your information we have put the different uses and disclosures into categories and give examples of each. All of the ways we use or disclose your information will fit into one of the categories listed below, but we cannot list all of the uses and discloses in each category.

We may use and disclose your health information for certain functions related to your healthcare:

- **Treatment**. We may use and disclose your information to provide you with medical treatment and services. Your information may be disclosed to individuals and facilities providing care to you. These individuals and facilities need your information to provide care, and to coordinate and provide services (such as prescriptions, lab tests, meals, and x-rays). Please note that the medical facilities where your care is provided may have separate policies and procedures regarding how they use and disclose your information. Please contact your healthcare facility with any questions regarding their policies.
- **Payment**. We may use and disclose your information to receive payment for the services and treatment provided to you. For example, if you pay for services by credit card, our office information and the amount paid will be disclosed to your credit card company for purposes of processing the payment.
- **Health Care Operations**. We may use and disclose your information for health care operation purposes. Health care operations includes review of the care you receive for quality assessment, educational, business planning, and compliance plan purposes. For example, we may discuss outcomes of your procedure with the healthcare facility where services are performed in order to evaluate and improve the quality of the services we offer.
- **Appointment Reminders**. We may provide appointment reminders to you. You may request in writing that we send reminders to a confidential or alternative address.
- **Treatment Alternatives**. We may provide you with information about treatment alternatives and other health related benefits and services.
- We may provide your information to parties with whom we have a contract to perform some of the functions described above. Where we use a vendor to perform services, we will require that they maintain the privacy and security of your information.

We may also disclose your health information to outside entities without your consent or authorization in the following circumstances as authorized by law:

- **Required by Law**. We disclose information as required by law.
- **Public Health Purposes**. We disclose information to health agencies as required by law for preventing or controlling disease. Examples are reporting of sexually transmitted, communicable, and infectious diseases.
- **To Prevent a Serious Threat to Health or Safety**. We may disclose information about you to law enforcement or an identified victim to prevent a serious threat to your health or safety or the health or safety of another individual or the public.
- **Research**. Your information may be used by or disclosed to researchers for research approved by a privacy board or an institutional review board.
- **Health Oversight Activities**. Your health information may be disclosed to governmental agencies and boards for investigations, audits, licensing, and compliance purposes.
- **Judicial and Administrative Proceedings**. We may be required to disclose your health information to a court or for an administrative proceeding, consistent with the obligations of a court order, subpoena, or similar legal process.
- **Law Enforcement Activities**. We may be required to disclose your information as required by law for certain law enforcement activities.
- **Deceased Individual**. We may disclose information for the identification of the body or to determine the cause of death.
- **Military and Veterans**. If you are a member of the armed forces we may release information about you as required by military command authorities. We may also release information about foreign military personnel to the appropriate foreign military authority.
- **Inmates**. If you are an inmate of a correctional institution or under the custody of a law enforcement official. This release must be necessary (1) for the institution to provide you with health care; (2) to protect your health and safety or the health and safety of others; or (3) for the safety or security of the correctional institution.
- **Organ and Tissue Donation**. If you are an organ donor, we may release your medical information to organizations that handle organ procurement or organ, eye or tissue transplantation or to an organ bank, as necessary to facilitate organ or tissue donation.
- **Workers’ Compensation**. We may release medical information about you for workers’ compensation or similar programs.
- **Specialized Governmental Functions**. We may release information about you to authorized Federal officials for intelligence, counterintelligence, and other national security activities authorized by law.

We will give you the opportunity to object to the following uses and disclosure of your information:

- **Individuals Involved in Care**. We may tell your friends, relatives and other caretakers limited information which is relevant to their involvement in your care.
- **Disaster Relief**. We may disclose information about you to public or private agencies for disaster relief purposes.

Except as provided above, we will obtain your written authorization prior to disclosure of your information for any other purpose. Specifically, written authorization is required prior to the disclosure of your information:

Where a disclosure is made under your written authorization, you have the right to revoke the authorization at any time. Revocation of an authorization must be in writing. The revocation is effective as of the date you provide it to us and does not affect any prior disclosures made under the authorization.

If a state or federal law provides additional restrictions or protections to your information, we will comply with the most stringent requirement.

Your Rights

- You have the right to obtain a copy of your medical record. To inspect and copy your medical record a request must be made in writing to our office. We may charge a fee for the copy of your information.
- You have the right to request a paper copy of this Notice.
- You have the right to be notified in the event of a breach to your personal information, consistent with obligations under Missouri law.

Changes

We may change the terms of this Notice and the revised Notice will apply to all health information in our possession. If we revise this Notice, a copy of the revised Notice will be posted on our website and a copy may be requested from our Privacy Officer at the number listed at the beginning of this form.

Complaints

If you believe your privacy rights have been violated you may contact our Privacy Officer at the number at the beginning of this Notice.


---

## Plastic Surgery Procedures

**Link:** [Plastic Surgery Procedures](https://www.judithgurley.com/procedures/) ([md](https://www.judithgurley.com/procedures/index.html.md))

**Description:** We offer: Breast Procedures - Body Procedures - Face Procedure - Male Procedures & more × This page contains sensitive images. Please proceed with caution. Proceed

### Content

#### Breast Procedures

#### Body Procedures

#### Face Procedures

#### Male Procedure


---

## Patient Resources

**Link:** [Patient Resources](https://www.judithgurley.com/resources/) ([md](https://www.judithgurley.com/resources/index.html.md))

**Description:** Patient Resources

### Content


---

## Career Application

**Link:** [Career Application](https://www.judithgurley.com/resources/career-application/) ([md](https://www.judithgurley.com/resources/career-application/index.html.md))

**Description:** Discover exciting career opportunities in plastic surgery and medical aesthetics in St. Louis, MO. Join our team today!

### Content

#### Career Application

*Thank you for your interest in Judith Gurley Plastic Surgery and Medical Spa*


---

## Out-of-Town Patients

**Link:** [Out-of-Town Patients](https://www.judithgurley.com/resources/out-of-town-patients/) ([md](https://www.judithgurley.com/resources/out-of-town-patients/index.html.md))

**Description:** Traveling to St. Louis for plastic surgery? Our renowned plastic surgeon offers a range of procedures tailored to out-of-town patients seeking quality care and results.

### Content

#### Out-of-Town Patient? We Welcome You!

[**Dr. Judith Gurley**](/about/meet-dr-judith-gurley/)** Plastic Surgery & Medical Spa **may be located in the St. Louis suburb of Ladue; however, Dr. Gurley’s reputation spans far beyond the borders of the metro area. Patients reach out from across Missouri, the U.S., and even from other parts of the globe to benefit from her unique expertise and approach to care as one of the nation’s top board-certified plastic surgeons.

#### Out-of-Town Plastic Surgery | Virtual Consults & Personalized Care

#### We Welcome Out-of-Town Patients!

The healthcare market is not unlike other industries or parts of our lives – it is truly global. In fact, you may be among those who found us on our social media. Regardless of how you became acquainted with us, we are glad you are here. Wherever your “home” may be, all of our patients should expect natural and exceptional outcomes from their respective treatments – the type of results summed up in our tagline: **No one will know. Everyone will notice.®**

#### Don’t Take Our Word For It.

Our international patient base is a testament to the high level of care and skill that **Dr. Gurley** and our professionals provide. It is a source of pride and validation that patients are willing to travel from other parts of the state, let alone from farther-flung states or other countries, to benefit from our expertise. If their trust in us wavered, we understand that they wouldn’t invest the time to visit our office.

We encourage you to visit our gallery if you haven’t done so already. Take a look at our actual patients’ authentic results and “before” and “after” photos. As you’ll see, they maintain their authentic appearance, feeling healthier, more attractive, and confident, without appearing drastically different.

#### Schedule Your Consultation Today!

During your visit, **Dr. Gurley** evaluates the condition and quality of your skin and any specific concerns or needs. Even before the in-person consultation, we conduct a thorough assessment to ensure you are comfortable and confident about committing to travel plans to see us. We thoroughly review your health and complete detailed pre-consultation phone conversations before any “offline” appointments. Many patients wish to submit photos of areas of interest to get Dr. Gurley’s recommendation as well as a closer estimate of cost for surgical correction.

This level of support and personalized attention and care is a thread that weaves through every step of the process.

You are well prepared for surgery and recovery. The day following your procedure, we conduct a thorough evaluation before traveling home. We continue to keep a close eye on your healing through proactive check-ins. And, of course, [**Dr. Judith Gurley**](/about/meet-dr-judith-gurley/)** Plastic Surgery & Medical Spa** is always available to answer your questions and address any concerns that may arise during all phases of the treatment experience.

Our team in St. Louis, MO, looks forward to being a part of the travel plans to transform your look naturally and so much more.


---

## Sitemap

**Link:** [Sitemap](https://www.judithgurley.com/sitemap/) ([md](https://www.judithgurley.com/sitemap/index.html.md))

**Description:** Sitemap | Judith Gurley Plastic Surgery & Medspa

### Content


---

## Skin Treatments

**Link:** [Skin Treatments](https://www.judithgurley.com/skin-treatments/) ([md](https://www.judithgurley.com/skin-treatments/index.html.md))

**Description:** At Judith Gurley Plastic Surgery & Medical Spa in St. Louis, we offer Skin Treatments such as Chemical Peels, Microneedling, Dermaplaning & more

### Content


---

## Chemical Peels

**Link:** [Chemical Peels](https://www.judithgurley.com/skin-treatments/chemical-peels/) ([md](https://www.judithgurley.com/skin-treatments/chemical-peels/index.html.md))

**Description:** Discover the benefits of our Ladue & St. Louis chemical peels. Our professional treatments target wrinkles, acne, and signs of aging for healthier, glowing skin.

### Content

At Gurley Plastic Surgery & Medical Spa in St. Louis, we believe that healthy skin is beautiful skin. Our medical-grade **chemical peels** are designed to be painless, deeply therapeutic, and highly effective, giving you a luminous, youthful glow. These pure, therapeutic treatments do exactly what they say they do: stepping up your skin health so your at-home products penetrate better while dramatically enhancing the results of your other cosmetic investments.

#### What Are Chemical Peels?

*A chemical peel treatment involves applying a specialized chemical solution to the skin to gently exfoliate and remove damaged, dead cells while enhancing the healthy, deeper skin cells.*

There are several types of **chemical peels in St. Louis**, ranging from a *light chemical peel* (or superficial peels) to *medium peels* and intense *deep peels*. Depending on your specific needs, the solution might utilize alpha hydroxy acid (such as those derived from sugar cane), lactic acid, glycolic acid, salicylic acid, trichloroacetic acid (TCA), or even carbolic acid. While some practices rely on extremely aggressive deep chemical peels, our focus is on providing highly effective, customized treatments that deliver beautiful, glowing results without unnecessary trauma to the treated skin.

#### Chemical Peel Benefits

Our peels offer a multitude of benefits to help you achieve healthier skin and a remarkably smoother texture. They effectively *sweep away dullness to promote youthful skin* and drastically improve your overall skin appearance. Beyond providing a beautiful glow, our peels are specifically formulated to maximize the efficacy of your daily skincare routine by allowing products to penetrate deeper.

- Comfort & Results: Achieve a luminous, youthful glow without unnecessary discomfort.
- Deep Hydration: Relieve dryness and irritation while boosting natural collagen production.
- Targeted Correction: Effectively address discoloration, hyperpigmentation, and age spots.
- Acne Management: Clear breakouts, minimize enlarged pores, and smooth superficial acne scars.
- Enhanced Product Efficacy: Step up your skin health, allowing your at-home products (like our Gurley Glow brightening line) to penetrate deeper and work better.

Our St. Louis **chemical peels** perfectly complement our proprietary [Gurley Glow skincare line](/blog/common-skincare-misconceptions-qa-with-dr-gurley-of-gurley-glow/) (Anti-Aging, Brightening, Acne, Sensitive Skin, Mens, and Post-Procedure collections). They also serve as an ideal enhancement alongside our other advanced in-office cosmetic procedures, including [IPL](/laser-treatments/ipl-photofacial/), [SmoothGlo](/laser-treatments/smoothglo/), [Morpheus8](/laser-treatments/morpheus8/), [ResurFX](/laser-treatments/resurfx/), and [UltraPulse CO2](/laser-treatments/ultrapulse-co2/).

#### Chemical Peel Candidates

We offer customized **chemical peel** treatments for anyone who is seeking a clearer, more vibrant complexion. Whether you have oily skin, or are dealing with dull, rough skin, we have a solution for you. Our advanced formulas are rigorously tested and proven safe for all skin types, and for individuals with sensitive skin conditions like rosacea.

#### What Chemical Peels Can Address

*Chemical peels are highly versatile for a wide range of skin concerns*. They can expertly address fine lines and wrinkles, moderate lines, and even help soften the look of deeper wrinkles. If you struggle with uneven skin tone, skin color irregularities, post-inflammatory hyperpigmentation, or age spots caused by sun damage and UV rays, a peel can restore your natural brilliance.

They are also an excellent *acne treatment*, helping to clear breakouts, minimize enlarged pores, and smooth out superficial acne scars (though severely deep scars may require additional laser therapies). In some cases, **chemical peels** can even help manage precancerous skin growths like actinic keratosis.

To target these diverse needs, we proudly offer three specific levels of peels:

#### Preparation & Consultation

What truly sets our practice apart is the high level of medical oversight and expertly trained staff. Dr. Gurley is on sight and directly engaged in our medical spa, providing any and all assistance and guidance to maximize your results. During your consultation, we will review your medical and skin health history. Proper preparation ensures the safest and most beautiful outcome.

#### The Chemical Peel Treatment

For your **chemical peel** St. Louis patients will have it performed by one of our highly trained professionals, either an expert esthetician or a specialized nurse, who are always in direct communication with Dr. Gurley. During the 30-minute appointment, your skin will be thoroughly cleansed. The targeted chemical solution is then carefully applied to the treatment area, sometimes using a soft cotton-tipped applicator or specialized brush. *Our chemical peels are uniquely formulated to be as painless and comfortable as possible*.

#### Recovery & Aftercare

Following your peel, proper aftercare is essential as your skin heals. For our lighter options such as the Micro Illume Peel, downtime is almost non-existent with maybe 1-2 days of a very delicate rolling peel. For medium-depth *chemical peels* like our Advanced Illume Peel, you may experience flaking for about a week. We recommend washing your face with a gentle cleanser and waiting to wear makeup until the skin has settled.

Crucially, you must avoid direct sun exposure. The fresh skin post peel is delicate, so applying rigorous sun protection is non-negotiable. From the GG Skincare line, we recommend So Clear SPF 35, Protect SPF 50+ or Sun Drops SPF 50 for all our peel clients.

Note: A **chemical peel** is also highly therapeutic as part of post-surgical care. Once cleared by Dr. Gurley, a peel is a fantastic way to revitalize the skin after facial or eyelid surgery.

#### Chemical Peel Results

Depending on the depth of the treatment and your ongoing skincare habits, the results of your peel can offer either a temporary or permanent change. Patients consistently report a dramatic improvement in skin tone and a radiant, glass-like finish. Because our pure, *medical-grade chemical peels* step up your overall skin health, your at-home products will continue to enhance these beautiful, lasting results for months to come. Dr. Gurley highly recommends her Gurley Glow Skincare line for long lasting, enhanced results. You will receive expert at-home skincare advice while in our office.

#### Cost of Chemical Peels

*The cost for our chemical peel treatments range from $165 to $425*, depending on the specific level of peel chosen and any accompanying at-home kits required for optimal treatment results.

We will give you exact pricing during your consultation. Since this is an elective aesthetic treatment, it is not covered by insurance.

#### Why Choose Gurley Plastic Surgery

While many *medspas* offer standard **chemical peels**, few can provide the comprehensive, medically backed oversight of a [board-certified plastic surgeon](/about/meet-dr-judith-gurley/). Dr. Judith Gurley’s deep understanding of facial skin physiology ensures that you receive a pure, medical-grade treatment tailored to your exact needs. Our estheticians and nurses work in lockstep with Dr. Gurley, offering you the safety, communication, and expertise you should always expect from a top-tier plastic surgeon.

#### Chemical Peels

*Frequently Asked Questions*


---

## Dermaplaning

**Link:** [Dermaplaning](https://www.judithgurley.com/skin-treatments/dermaplaning/) ([md](https://www.judithgurley.com/skin-treatments/dermaplaning/index.html.md))

**Description:** Experience the benefits of Dermaplaning in Ladue & St. Louis, a noninvasive skin rejuvenation procedure that reveals fresher, more radiant skin.

### Content

At our office in St. Louis **dermaplaning** physically removes the accumulation of old skin cells and has the added benefit of *removing vellus hair on the skin*. It can be used in conjunction with [chemical treatments](/skin-treatments/chemical-peels/) or lasers to provide added benefits and rejuvenation. You’ll see fresher, more radiant skin with this noninvasive, no-downtime procedure.

#### Treatment

*What does the dermaplaning entail?*

**Dermaplaning** involves the use of a specialized tool to remove older skin cell growth and reveal new layers of skin. *It is a simple exfoliation procedure* with a quick recovery time and no preparation of extensive aftercare needed. It can also be used in combination with other therapies, such as [chemical peels](/skin-treatments/chemical-peels/).

#### Alternatives

*Are there any alternatives to dermaplaning?*

*Microdermabrasion* is a more aggressive exfoliation tool that can be used when **dermaplaning** is not enough.

#### Recovery

*What can I expect after dermaplaning?*

After receiving **dermaplaning** St. Louis patients will have no downtime or recovery period.

#### Candidates

*Who is a good candidate for dermaplaning?*

You may be a candidate for this procedure if:

You want to improve the tone and texture of your skin; you’re looking for a less aggressive form of *microdermabrasion*, or you want a noninvasive, nonsurgical procedure that has very little downtime afterwards.

#### Cost

*What is the approximate cost for What is the approximate cost for Dermaplaning?*

The *cost for Dermaplaning is $150*.

Click [here](/contact/) to begin your consultation process today!

#### Real Results

*Real Artistic Outcomes*

You’ll see more radiant, youthful skin after your St. Louis **dermaplaning** session, and the skin that has been dermaplaned will also be hair-free. It lends a dewy, polished look to the skin and the benefits can be seen long after the procedure is completed. By *boosting your skin’s own collagen production*, a dull complexion with uneven skin tone and texture can be revitalized through the use of this treatment. It’s a lower-intensity option to *microdermabrasion* and is perfect for patients seeking real results with minimal downtime.

#### Let’s Start a Conversation

[Get In Touch](/contact/)


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## DiamondGlow

**Link:** [DiamondGlow](https://www.judithgurley.com/skin-treatments/diamondglow/) ([md](https://www.judithgurley.com/skin-treatments/diamondglow/index.html.md))

**Description:** Discover the benefits of our DiamondGlow facial treatment in Ladue & St. Louis, MO. Improve hydration, reduce fine lines, and achieve clearer, more beautiful skin with our 4-step procedure.

### Content

#### Glow Like Never Before

*Why Choose Judith Gurley Plastic Surgery & Medical Spa for a DiamondGlow Facial?*

At Judith Gurley Plastic Surgery & Medical Spa, we specialize in providing the highest quality skincare treatments, including the transformative **DiamondGlow facial in St. Louis**. With Dr. Gurley’s extensive experience in aesthetic procedures and a focus on delivering natural, glowing results, you can trust that your *DiamondGlow* facial will be performed with precision and care. Our advanced technology, personalized approach, and commitment to your skin’s health ensure you’ll achieve the radiant, smooth complexion you desire. Whether you want to brighten dull skin, reduce fine lines, or improve texture, we have the expertise to help you achieve your skin goals. The cost of this treatment is $180.

#### DiamondGlow® Facial at a Glance

- What it is: A multi-step, non-invasive treatment combining exfoliation, extraction, and infusion to deeply hydrate, cleanse, and rejuvenate your skin.
- Ideal For: Dull or dry skin, uneven skin tone, fine lines, acne scars, and enlarged pores.
- Downtime: None. There’s no recovery period, and most patients experience a radiant glow immediately after the treatment.
- Duration: The treatment takes about 30-45 minutes, making it perfect for a quick skin refresh during your lunch break.
- Benefits: Instantly brighter, smoother, and more hydrated skin, reduced fine lines, smaller pores, and an overall glowing complexion.
- Cost for this treatment: $180

#### Achieve Instant Glow and Smoothness

*What is a DiamondGlow Treatment?*

With **DiamondGlow** Ladue patients can improve the look of their skin and, with frequent treatments, can restore their skin’s health. This hydrating facial delivers both instant and long-lasting results. With ongoing treatments, you’ll notice improved hydration, minimized dark spots, and a reduction in the appearance of fine lines and wrinkles. Our customized 4-step treatment has taken *DiamondGlow* technology to a new level.

#### Experience Youthful, Hydrated Skin

*What is the DiamondGlow Facial like?*

Our *DiamondGlow facial treatment* combines cleansing, exfoliation, extraction, hydration, and antioxidant protection, leaving you with clearer, more beautiful skin. The gentle procedure vacuums out pores while simultaneously infusing potent actives to moisturize, brighten, plump, and protect. Our chemical-free treatment is soothing, moisturizing, non-invasive, and non-irritating.

**Alternatives**

Although **DiamondGlow** is incredibly versatile, if you are looking for a more targeted alternative, you could consider *microdermabrasion* or [chemical peels](/skin-treatments/chemical-peels/). Make sure you go to a *medical spa* with a doctor on site so you can be properly assessed and treated appropriately.

#### The Ultimate Solution for Smooth, Glowing Skin

*What conditions does DiamondGlow® Facial address?*

*The DiamondGlow facial is an advanced treatment designed to address a wide range of skin concerns*. By combining exfoliation, extraction, and infusion, it helps rejuvenate the skin and restore a healthy, radiant appearance. Common conditions treated by **DiamondGlow** include:

- **Dull, Dry Skin: **The treatment deeply hydrates the skin, removing dead skin cells and infusing nourishing serums to restore moisture, leaving the skin glowing and refreshed.
- **Uneven Skin Tone and Texture: **The exfoliation and serum infusion improve skin texture, reducing the appearance of uneven skin tone, pigmentation, and rough patches for smoother, more even skin.
- **Fine Lines and Wrinkles: **The rejuvenating effects of DiamondGlow® stimulate collagen production, helping to minimize the appearance of fine lines and wrinkles over time.
- **Congested Pores: **The treatment removes dead skin and excess oils, helping to clear clogged pores, reduce blackheads, and prevent future breakouts, improving the overall clarity of the skin.
- **Sun Damage and Hyperpigmentation: **DiamondGlow® helps fade sunspots, age spots, and other forms of hyperpigmentation, leaving the skin looking brighter and more even-toned.
- **Acne and Post-Acne Scarring: **By exfoliating and extracting impurities from the skin, DiamondGlow® helps clear acne and smooths out post-acne scars, giving the skin a smoother, clearer appearance.

*The DiamondGlow facial is effective for all skin types and can be customized to address your unique skin needs*. It provides instant, visible results with no downtime.

#### Unleash Radiance with a Non-Invasive Facial

*What are the benefits of DiamondGlow?*

One of the many benefits of this treatment is that nearly everyone is a candidate because this hydrating facial addresses almost any skincare need.

*A good candidate would have wrinkles, fine lines, or dehydrated skin; uneven skin tone; hyper-pigmentation, sun damage or brown spots; blackheads, whiteheads, enlarged pores, congested pores, acne, or oily-prone skin*.

You are not a candidate if you have active rashes, sunburn, rosacea or if you are pregnant (some ingredients have not been proven safe during pregnancy.)

#### Smoother, Brighter Skin Awaits

*Am I a candidate for DiamondGlow?*

**DiamondGlow** would be ideal for anyone looking to improve skin texture, tone, and hydration. You may be a good candidate if:

- **You have dull, uneven skin** and want to restore a glowing, youthful appearance.
- **You want to address fine lines, acne scars, or hyperpigmentation** for smoother, clearer skin.
- **You seek a non-invasive, no-downtime facial **that provides immediate results.

**Who should avoid the DiamondGlow® Facial?**

- Individuals with active skin conditions like open wounds or severe acne may need to wait until their skin has healed.
- Those with certain allergies to the treatment serums should consult with Dr. Gurley before scheduling.

Our staff will assess your skin during your consultation to determine if this treatment is right for you.

#### This is your go-to treatment before a big event.

*DiamondGlow Recovery*

There is no downtime or recovery period; you will just be left with smooth, hydrated skin and a healthy glow. You can enjoy this procedure about every three to four weeks, which is how long it takes your skin to complete its full life cycle of skin cell growth and exfoliation.

#### The Perfect Glow

*DiamondGlow Results*

The results of the *DiamondGlow facial* are visible immediately after the treatment, with your skin looking instantly brighter, smoother, and more hydrated. As the treatment stimulates collagen production, you'll notice continued improvement in texture and tone over the next few weeks.

**How long do the results last?**

The immediate radiance typically lasts 3-5 days, while the long-term benefits, like improved skin texture and clarity, continue to develop with regular treatments. For optimal, lasting results, Dr. Gurley may recommend a series of facials spaced a few weeks apart.

**What results can I expect?**

- A glowing, fresh complexion
- Reduced fine lines and wrinkles
- Smoother skin texture
- More even skin tone
- Smaller pores and clearer skin

**DiamondGlow** is an effective, non-invasive solution for maintaining youthful, radiant skin with minimal downtime.

#### Real Results

*Real Artistic Outcomes*

Routine **DiamondGlow** treatments can reduce the appearance of wrinkles and fine lines, hyperpigmentation, brown spots, and pore size. They gently and effectively hydrate dry skin, even skin tone and produce deeply cleansed, glowing skin.

No one will know… everyone will notice.™

#### Let’s Start a Conversation

[Get In Touch](/contact/)

#### DiamondGlow

*Frequently Asked Questions*


---

## Microneedling

**Link:** [Microneedling](https://www.judithgurley.com/skin-treatments/microneedling/) ([md](https://www.judithgurley.com/skin-treatments/microneedling/index.html.md))

**Description:** Experience the benefits of microneedling for discoloration, pores, and more with Dr. Judith Gurley in Ladue & St. Louis. Schedule a consultation for youthful skin today!

### Content

*Heal your skin from within via microneedling!*

Dr. Judith Gurley** **is an experienced and talented **board-certified plastic surgeon**. So, you know that your treatment in the St. Louis, Missouri, area is in exceptional hands by partnering with her office in Ladue. However, Dr. Gurley also understands that not every patient is ready for surgery, nor wants or is a good candidate for surgical interventions. Fortunately, they don’t have to “go under the knife” to renew their exuberant, healthy, and youthful look!

#### Microneedling to the rescue

At our office in St. Louis **microneedling** represents one of numerous nonsurgical therapies to improve signs of aging, UV damage, and other skin conditions and concerns. This treatment is gently applied with a special device to the area of concern – be it wrinkles, brown spots, the redness of rosacea, scars, big pores, laxity, or stretch marks. This device is equipped with dozens of tiny “microneedles.”

When applied to the skin, these sterile and tiny needles create thousand of microscopic channels in the skin. These controlled perforations then encourage highly beneficial healing and tissue regeneration. Fresh collagen and elastin are triggered and sent to these areas to promote healing and new tissue that is firm, strong, and supple.

Dr. Gurley herself performs *microneedling* and injections with *prf* or *laser therapy* to enhance results and speed up the healing process.

#### What To Expect from microneedling

Most patients experience little more than slight redness or swelling in the treatment area. The treatment is very precise. So, areas outside of the treated tissues remain untouched. Most side effects will dissipate within three days. You can also cover any discoloration with regular makeup and return to your usual routine the following day.

Skin is often more sensitive to UV light following **microneedling** and other therapies at our office. So, it is all the more important to retain good “sun protection hygiene,” wear a good physical UVA-UVB broad-spectrum sunscreen, and adhere to other sun avoidance measures. With good skin care, results can last for *up to four to six weeks longer *than a “standard” [facial](/skin-treatments/diamondglow/).

#### Contact Judith Gurley Plastic Surgery & Medical Spa today!

Facials can only do so much. Unlock your skin’s natural properties from within via **microneedling in St. Louis**. Schedule a consultation at our office serving the greater St. Louis, MO area.


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## Regenerative Medicine

**Link:** [Regenerative Medicine](https://www.judithgurley.com/skin-treatments/regenerative-medicine/) ([md](https://www.judithgurley.com/skin-treatments/regenerative-medicine/index.html.md))

**Description:** Restore and rejuvenate naturally with Dr. Gurley’s expert regenerative medicine treatments, including fat grafting, PRF, and lasers for youthful, lasting results.

in St. Louis, MO

### Content

#### Natural Beauty, Perfected by Experience

*Why Choose Dr. Judith Gurley for Regenerative Medicine?*

When it comes to **regenerative medicine in St. Louis**, precision and artistry matter just as much as science. Dr. Judith Gurley is a board-certified plastic surgeon with over 25 years of experience, bringing an unparalleled level of expertise to aesthetic and reconstructive treatments. Unlike many providers, Dr. Gurley personally performs each procedure, ensuring the highest level of safety and customization.

Her ability to combine advanced techniques—[fat grafting](/face/fat-transfer/), *nano-fat grafting*, liquid and solid [PRF](/injectables-fillers/prf/) —to create a bespoke treatment plan tailored to each patient’s unique needs sets her apart. Whether you want to restore youthful volume, improve skin quality, or enhance your natural beauty, Dr. Gurley’s approach is all about achieving long-lasting, natural-looking results tailored to you.

#### Regenerative Medicine At A Glance

- Uses your body’s natural healing properties to reverse the signs of aging by restoring volume, smoothing wrinkles, and improving skin texture and quality
- A completely customizable approach, combining fat, PRF, and lasers for tailored results.
- Minimally invasive techniques with little downtime and long-term benefits.
- Performed by Dr. Gurley herself for expert precision and artistry.

#### Harnessing Your Body’s Power to Rejuvenate

*What is Regenerative Medicine?*

**Regenerative medicine** is the future of aesthetics—harnessing your body’s own healing potential to restore, rejuvenate, and refine. Unlike traditional fillers or surgery alone, regenerative techniques use natural elements—like purified fat and *platelet-rich fibrin (PRF)*—to enhance facial and body contours, improve skin tone, and stimulate collagen production. Combined with [cutting-edge laser technology](/laser-treatments/), these treatments offer a comprehensive approach to aging gracefully.

Think of it as a personalized “recipe” designed just for you. Whether used alone or in combination, these treatments work together to rebuild and refine, delivering naturally beautiful results.

#### Regenerative Medicine in Plastic Surgery & Med Spas | Natural Rejuvenation

#### Restore, Revive, and Rejuvenate—Naturally

*Regenerative Medicine Benefits*

Our St. Louis **regenerative medicine** treatments go beyond surface-level enhancements—it actively restores and revitalizes. Whether smoothing wrinkles, refining skin tone, or restoring lost volume, these treatments offer long-term benefits.

*Benefits of regenerative medicine* include:

- Stimulates natural collagen production for firmer, more youthful skin.
- Restores lost volume with natural fat transfer instead of synthetic fillers.
- Improves skin texture and tone, reducing fine lines, sun damage, and discoloration.
- Enhances skin elasticity for a smoother, more lifted appearance.
- Provides long-lasting results by using the body’s own regenerative properties.
- Minimally invasive with little downtime, making it an easy, effective alternative to surgery.

#### A Customized Approach for Every Body

*Am I a candidate for Regenerative Medicine?*

Ideal candidates for **regenerative treatments** are those looking for natural, long-lasting results without extensive surgery. These procedures are perfect for individuals who:

- Want to restore lost volume or improve skin quality.
- Prefer non-surgical or minimally invasive solutions.
- Are in overall good health with realistic expectations.

Not ideal for:

- Individuals with severe medical conditions affecting healing.
- Those expecting dramatic, overnight changes—these treatments work gradually.

#### A Solution for Every Stage of Aging

*What issues does Regenerative Medicine address?*

With **regenerative medicine** Ladue patients aren't just getting aesthetic treatments—it’s about restoring and enhancing your skin and facial structure in a way that looks natural and lasts. These treatments can help with a variety of concerns, including:

- Loss of Volume – Fat grafting and PRF restore youthful fullness in the face, hands, and body.
- Fine Lines & Wrinkles – Stimulates collagen to smooth out lines and creases.
- Dull, Uneven Skin Tone – Laser treatments and PRF help brighten and even out skin.
- Sun Damage & Hyperpigmentation – Laser resurfacing reduces pigmentation and refreshes skin.
- Acne Scars & Texture Irregularities – Nanofat grafting and laser medicine improve skin quality.
- Skin Laxity – Treatments tighten and firm aging or sagging skin for a more lifted look.

By combining fat transfer, nanofat, liquid PRF, and solid PRF, Dr. Gurley creates a customized plan to address your unique concerns and help you achieve radiant, youthful results.

#### Your Personalized Path to Radiance

#### What Happens During Your Treatment?

*Your Regenerative Medicine Procedure*

Each **regenerative treatment** is performed with precision and care. Depending on the technique used, numbing agents or mild sedation may be applied for comfort. *Fat grafting* and *PRF injections* are minimally invasive and usually handled in-office under local anesthesia.

#### Beautiful Results That Keep Getting Better

*Regenerative Medicine Results, Recovery, and Aftercare*

Results from *regenerative treatments* develop gradually as collagen production and healing take place. Swelling and mild redness are common initially, but downtime varies based on the procedure.

- Fat Grafting and Solid PRF: Results become visible over weeks as swelling subsides.
- Nanofat & Liquid PRF: Skin quality continues to improve over several months.

To maintain results, follow Dr. Gurley’s aftercare recommendations, including sun protection and proper skincare.

#### Schedule Your Ladue Regenerative Medicine Consultation at Dr. Judith Gurley Plastic Surgery & Medical Spa Today

Ready to experience the power of **regenerative medicine**? Dr. Judith Gurley combines science and artistry to create natural, long-lasting results. Schedule your consultation today and take the first step toward radiant, youthful skin.

📞 Call: (314) 200-2910

📍 Visit: 9910 Clayton Rd., St. Louis, MO 63124

📅 Book Online: [judithgurley.com/contact/](/contact/)

#### Regenerative Medicine

*Frequently Asked Questions*


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## Reviews

**Link:** [Reviews](https://www.judithgurley.com/testimonials/) ([md](https://www.judithgurley.com/testimonials/index.html.md))

**Description:** Explore authentic reviews of leading plastic surgery and medical spa services in St. Louis, MO. Find out what our clients have to say about their experiences.

### Content


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## Contact Us

**Link:** [Contact Us](https://www.judithgurley.com/vip-contact/) ([md](https://www.judithgurley.com/vip-contact/index.html.md))

**Description:** Discover our VIP plastic surgery and medical spa services in St. Louis, MO. Contact us today for expert consultations and treatments. Call now (314) 200-2910.

### Content

#### Ready to Schedule your Surgical Consultation?

*Reach out using this form and we'll get back to you soon!*

#### Ready to Schedule your MedSpa Consultation?

*Fill out this form and we'll get back to you soon!*

#### Just want to ask us a question?

*Leave your message, and we’ll get back to you shortly.*


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## Breast

**Link:** [Breast](https://www.judithgurley.com/gallery/breast/) ([md](https://www.judithgurley.com/gallery/breast/index.html.md))

**Type:** Gallery


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## Body

**Link:** [Body](https://www.judithgurley.com/gallery/body/) ([md](https://www.judithgurley.com/gallery/body/index.html.md))

**Type:** Gallery


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## Face

**Link:** [Face](https://www.judithgurley.com/gallery/face/) ([md](https://www.judithgurley.com/gallery/face/index.html.md))

**Type:** Gallery


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