Steven Couch, MD, FACS
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I have always suffered from a tired look, mainly due to the bags on my lower eyelids and very droopy upper eyelids. As years have gone on, things have only gotten worse! I did a lot of reseach on physicians in the area and decided to schedule a consult with Dr. Couch. I knew as soon as I met him, he was going to be the doctor to do my surgery. He was so friendly and comforting. We decided for...
5 out of 5 stars Belotero
Chemical Peel was not an option along with laser treatment due to my pigmentation, olive. Results visible in a couple of days after swelling subsided! Much smoother appearance!!Results were phenomenal, might have to go for second treatment since some are older, deeper scars. Loved how he took the time and explained the procedure thoroughly, answering all of my questions.
5 out of 5 stars Lip Augmentation
Dr. Couch did an exceptional job on my lips. There was very little pain and him and his team were nothing but professional. I am highly satisfied with how my lips turned out. My upper lip was more of the problem but they are perfect now. I would definetely recommend Dr. Couch and will certainly be seeing him again.
5 out of 5 stars Xeomin
Dr. Couch was recommended to me by a friend, who was extremely happy with the botox treatments he had done for her. I discussed with him what I wanted, and he took the time to listen to that and give me his expert opinion on what he thought would be best for me. He was very honest about what he thought I needed, rather than letting me spend money on things I didn't need. In doing a little...
5 out of 5 stars Eyelid Surgery
55 year old woman with big bags under my eyes, brows that hung over my eyelids, and crows feet. Wanted something that would take a few years off my face. Chose Dr. Couch because as an oculoplastic surgeon, eyes were his specialty. His suggestions: upper and lower blepharoplasty, brow lift, and laser. There was no hard sell on any procedure, which I was impressed with. Dr. Couch explained...
5 out of 5 stars Botox
Amazing, caring, thoughtful physician. Dr. Couch took the time to listen to what I wanted and needed. He made sure he understood exactly what I was looking for and made sure he achieved it. I have sent all of my friends and family to see him, and they love him just as much as I did. We could not say more wonderful things about this doctor!
5 out of 5 stars Eyelid Surgery
Dr. Couch performed a cosmetic upper eyelid blepharoplasty on me in the office. He offered me light oral sedation and provided an incredibly comforting and wonderful service. He is a confident, young and unbelievably talented surgeon. I would highly recommend him to anyone considering eyelid surgery in St. Louis.
Undergraduate & Medical SchoolUndergraduate: BA, University of Missouri, Kansas City, Missouri, 2005
Medical: MD, University of Missouri School of Medicine, Kansas City, Missouri, 2006
Post-Medical School TrainingInternship: Internal Medicine, University of Missouri School of Medicine, Kansas City, Missouri, 2007
Residency: Ophthalmology, Mayo Clinic, Rochester, Minnesota, 2010
Fellowship: Oculofacial Plastic and Reconstructive Surgery, Washington University School of Medicine and Ophthalmic Plastic and Cosmetic Inc., St. Louis, Missouri, 2012
Treatments offered at Washington University School of Medicine
Most popular answers from Steven Couch, MD, FACS
Hello, there are a multitude of reasons for your asymmetry - i.e. preexisting asymmetry in the eyelid or crease, subtle blepharoptosis, congenital... READ MORE
I would not be concerned with this. I think it is way too early to get concerned with your final result. Many patients take a multitude of weeks to... READ MORE
Hello. I reviewed both of your photos. You have relatively prominent eyes with prolapsed orbital fat. A modest benefit may be achieved with filler... READ MORE
Hi Reem85,i am am sorry to hear of your dissatisfaction. Depending on the cause of the recurrent "bags" and the technique of the original surgery, I... READ MORE
Diagnosed with bellspalsy 11 years ago, now I have sykinisis. My eye closes when I smile. Will ptosis surgery help?
When synkinesis develops after a facial nerve palsy the affected eye is smaller because it has excess stimulation of the closing muscle (orbicularis).... READ MORE
Hello, I don't think the Duanes syndrome will help your case for insurance approval as most commonly it is based on demonstration of visual... READ MORE
I would recommend you discussing your concerns with your surgeon. Sometimes if caught early in the process, treatments can be offered to prevent it... READ MORE
I'm 2 weeks post LPS resection on left eye. I was born with congenital ptosis. I have a red eye. What can I do?
Hello. I am sorry to hear about your problems. One thing that makes repair of patients with congenital ptosis tough is that tightening of the levator... READ MORE
Hello. In general, secondary eyelid surgery - ptosis or bleph following previous eyelid surgery leads to a slightly longer recovery time than the ... READ MORE
Before and After Photos by Dr. Couch
Steven Couch, MD, FACS has shared 3 before and after pictures with 1 helpful vote from the RealSelf community.
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