Saint Louis Oculoplastic Surgeon
10 Barnes West Drive, Suite 200
Saint Louis, Missouri 63141 US
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5.0 out of 5 stars 5.0 stars from 7 reviews See details Hide details
5.0 out of 5 stars Doctor's bedside manner
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5.0 out of 5 stars After care follow-up
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5.0 out of 5 stars Staff professionalism & courtesy
5.0 out of 5 stars Payment process
5.0 out of 5 stars Wait times
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Treatment results may vary

No More Bags! - Creve Coeur, MO

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

Acne Scars - Saint Louis, MO

Great demeanor and did not rush one bit. Went over everything in detail and reassurance from him was comforting. Will highly recommend him to anyone!

5 out of 5 stars Lip Augmentation

Plump Lips! - Saint Louis, MO

Dr. Couch came highly recommended. I have a couple of friends that have seen him for the same procedure and they all look beautiful!

5 out of 5 stars Xeomin

Best Botox Experience... Would Absolutely Recommend - Saint Louis, MO

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

Old and Tired Looking 55 Year Old Woman Needing Eye Opening Experience - Saint Louis, MO

I am a registered nurse, so I did my research before choosing my doctor. When I came across the name of Dr. Steven Couch, MD, I first looked at his credentials. Hmmm, he graduated at the top of his medical school class, did his residency at Mayo Clinic, and fellowship at Washington University. Wow, I wanted to take a closer look at this guy. I made my appointment, went in, and was immediately impressed. Dr. Couch was courteous, attentive, very professional AND he was young looking and handsome! That to me, was a bonus! He made a few recommendations, but at no time did I feel pressured to do something more than what I wanted. I liked that! We decided that what I needed was a brow lift, upper & lower blepharoplasty, and some laser around my eyes. The morning of the surgery, I was given an oral sedative to relax me. Dr. Couch was very good at handling my anxiety. I found his demeanor very comforting. The surgery went off without a hitch. It was relatively painless, with probably the worst part being the laser which felt like a pretty good sunburn. Recuperation was a very short time, and again was relatively painless. I followed all of Dr. Couch's care instructions to a tee and was thrilled with my final results! I look years younger, and I no longer have the bags under my eyes that made me look so tired. I look refreshed and wide awake! I highly recommend Dr. Couch because not only was a a wonderful, caring doctor, but he was a really nice person too!

5 out of 5 stars Botox

CosmeticPatient - Saint Louis, MO

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

Upper Eyelid Blepharoplasty - Saint Louis, MO

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.

*Your results may vary. Any specific claims or permanence length of results vary for each patient and are not guaranteed.

Board Certifications

Board-certified by the American Board of Ophthalmology


American Society of Ophthalmic Plastic and Reconstructive Surgery (ASOPRS)

Hospital Privileges

Dr. Couch has hospital affiliations at Barnes Jewish Hospital, Barnes Jewish West County Hospital.


  • Undergraduate & Medical School

    Undergraduate: BA, University of Missouri, Kansas City, Missouri, 2005
    Medical: MD, University of Missouri School of Medicine, Kansas City, Missouri, 2006
  • Post-Medical School Training

    Internship: 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

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Are there different techniques to upper blepharoplasty for hooded eyes?

Hello, there are a multitude of reasons for your asymmetry - i.e. preexisting asymmetry in the eyelid or crease, subtle blepharoptosis, congenital... READ MORE

Is this my final result??? (photos)

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

Follow up to question on best treatment for eye bags (Photo)

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

Lower Eyebags (Bleph) Revision Surgery?

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

Hoping to get insurance approval for surgery to improve eye lid droop.

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

Lower eyelid feels stuck to bone after ZMC surgery (Photo)

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

How Does the Recovery for Eyelid Ptosis Compare to That of Blepharoplasty?

Hello.  In general, secondary eyelid surgery - ptosis or bleph following previous eyelid surgery leads to a slightly longer recovery time than the ... READ MORE

Ptosis - please tell me the solution

Hello.  Ideally a picture would be provided but it sounds like your physician has provided appropriate advice.  Upper eyelid massage can be employed t... 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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*Your results may vary. Any specific claims or permanence length of results vary for each patient and are not guaranteed.