Dr. Steven Couch, MD, FACS

Name: Steven Couch, MD, FACS
Last name: Couch
Began aesthetic medicine in: 2010
Years experience: 13
Primary Specialty: Oculoplastic Surgeon
Business: Washington University School of Medicine
Address: 10 Barnes West Drive
Address suite: Suite 200
City: Saint Louis
State: Missouri
Zip Code: 63141
Country: US
Consulting Fees: -1$
Has Sponsored Offer : No
Clinical Privileges: 
  • Barnes Jewish Hospital, Barnes Jewish West County Hospital
Education: 
  • Undergraduate: BA, University of Missouri, Kansas City, Missouri, 2005
  • Medical: MD, University of Missouri School of Medicine, Kansas City, Missouri, 2006
Postdoc 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

Steven Couch, MD, FACS

Member of: 
  • asoprs
GPS coordinates on map: 38.6182,-90.34670258

Primary location: 
Location name: Saint Louis
State: MO
Country: US
Map point: 38.6182,-90.34670258
Treatments: 
  • ActiveFX
  • AlloDerm
  • Belotero
  • Blue Peel
  • Botox
  • Brow Lift
  • Cheek Augmentation
  • Cheek Lift
  • Chemical Peel
  • CO2 Laser
  • DeepFX
  • Double Eyelid Surgery
  • Dysport
  • Eyelid Retraction Repair
  • Eyelid Surgery
  • Facial Fat Transfer
  • Forehead Reduction
  • Juvederm
  • Laser Peel
  • Laser Resurfacing
  • Ptosis Surgery
  • Radiesse
  • Restylane
  • Restylane Silk
  • TCA Peel
  • TotalFX
  • Xeomin

RealSelf Info

Rating: 5.0
Profile views: 4286
Answer count: 15
Review count: 14
5 star count: 1
Total star count: 1
Star rating: 2.403663653132
Profile created: Apr 2, 2015
Profile modified: Oct 2, 2019
Profile promotion: No
Profile inactive: No
Premier status: Free
Tier: Free-Claimed
RealCare Promise: No
Directory link: Oculoplastic Surgeon, Board Certified in Ophthalmology
RealSelf’s PRO: No
Doctor Designation Start Time: Jun 10, 2016
Doctor Designation End Time: Jan 1, 2033

Locations

  • Saint Louis, MO, US. GPS coordinates: 38.6182,-90.34670258

Latest ratings of treatments

  • Eyelid Surgery (Apr 2018) – Overall rating: 5/5
  • Eyelid Surgery (Sep 2023) – Overall rating: 5/5
  • Eyelid Surgery (Feb 2014) – Overall rating: 5/5 (Wait times: 4/5, Doctor’s bedside manner: 5/5, Phone or email responsiveness: 5/5, Payment process: 5/5, Time spent with patient: 5/5, After care follow-up: 5/5, Staff professionalism & courtesy: 5/5, Answered questions: 5/5)
  • Eyelid Surgery (Sep 2023) – Overall rating: 5/5
  • Eyelid Surgery (Sep 2023) – Overall rating: 5/5
  • Eyelid Surgery (Sep 2023) – Overall rating: 5/5
  • Eyelid Surgery (Sep 2023) – Overall rating: 5/5
  • Lip Augmentation (Aug 2016) – Overall rating: 5/5 (Wait times: 5/5, Doctor’s bedside manner: 5/5, Phone or email responsiveness: 5/5, Payment process: 5/5, Time spent with patient: 5/5, After care follow-up: 5/5, Staff professionalism & courtesy: 5/5, Answered questions: 5/5)
  • Eyelid Surgery (Jan 2016) – Overall rating: 5/5 (Wait times: 5/5, Doctor’s bedside manner: 5/5, Phone or email responsiveness: 5/5, Payment process: 5/5, Time spent with patient: 5/5, After care follow-up: 5/5, Staff professionalism & courtesy: 5/5, Answered questions: 5/5)
  • Belotero (Jul 2016) – Overall rating: 5/5 (Wait times: 5/5, Doctor’s bedside manner: 5/5, Phone or email responsiveness: 5/5, Payment process: 5/5, Time spent with patient: 5/5, After care follow-up: 5/5, Staff professionalism & courtesy: 5/5, Answered questions: 5/5)
  • Xeomin (Jul 2016) – Overall rating: 5/5 (Wait times: 5/5, Doctor’s bedside manner: 5/5, Phone or email responsiveness: 5/5, Payment process: 5/5, Time spent with patient: 5/5, After care follow-up: 5/5, Staff professionalism & courtesy: 5/5, Answered questions: 5/5)
  • Botox (Jun 2016) – Overall rating: 5/5 (Wait times: 5/5, Doctor’s bedside manner: 5/5, Phone or email responsiveness: 5/5, Payment process: 5/5, Time spent with patient: 5/5, After care follow-up: 5/5, Staff professionalism & courtesy: 5/5, Answered questions: 5/5)
  • Belotero (Jul 2016) – Overall rating: 5/5 (Wait times: 5/5, Doctor’s bedside manner: 5/5, Phone or email responsiveness: 5/5, Payment process: 5/5, Time spent with patient: 5/5, After care follow-up: 5/5, Staff professionalism & courtesy: 5/5, Answered questions: 5/5)
  • Eyelid Surgery (Jan 2016) – Overall rating: 5/5 (Wait times: 5/5, Doctor’s bedside manner: 5/5, Phone or email responsiveness: 5/5, Payment process: 5/5, Time spent with patient: 5/5, After care follow-up: 5/5, Staff professionalism & courtesy: 5/5, Answered questions: 5/5)
  • Botox (Nov 2020) – Overall rating: 5/5
  • Botox (Nov 2020) – Overall rating: 5/5
  • Botox (Nov 2020) – Overall rating: 5/5
  • Eyelid Surgery (Oct 2020) – Overall rating: 5/5
  • Eyelid Surgery (Oct 2020) – Overall rating: 5/5
  • Eyelid Surgery (Oct 2020) – Overall rating: 5/5
  • Eyelid Surgery (Oct 2020) – Overall rating: 5/5
  • Eyelid Surgery (Apr 2018) – Overall rating: 5/5
  • Eyelid Surgery (Mar 2020) – Overall rating: 5/5
  • Eyelid Surgery (Nov 2019) – Overall rating: 5/5
  • Eyelid Surgery (Nov 2018) – Overall rating: 5/5
  • Eyelid Surgery (Apr 2018) – Overall rating: 5/5
  • Eyelid Surgery (Feb 2018) – Overall rating: 5/5
  • Eyelid Surgery (Feb 2018) – Overall rating: 5/5
  • Eyelid Surgery (Feb 2018) – Overall rating: 5/5

Latest Prices

Eyelid Surgery Prices

  • $6000 – Feb 15, 2014 – Saint Louis, MO
  • $3000 – Jan 4, 2016 – Saint Louis, MO
  • $3000 – Jan 4, 2016 – Saint Louis, MO
  • $6000 – Feb 15, 2014 – Saint Louis, MO
  • $6000 – Feb 15, 2014 – Saint Louis, MO
  • $3000 – Jan 4, 2016 – Saint Louis, MO
  • $3000 – Jan 4, 2016 – Saint Louis, MO

Lip Augmentation Prices

  • $1500 – Aug 4, 2016 – Saint Louis, MO
  • $1500 – Aug 4, 2016 – Saint Louis, MO
  • $1500 – Aug 4, 2016 – Saint Louis, MO

Belotero Prices

  • $2500 – Jul 29, 2016 – Saint Louis, MO
  • $2500 – Jul 29, 2016 – Saint Louis, MO
  • $2500 – Jul 29, 2016 – Saint Louis, MO
  • $2500 – Jul 29, 2016 – Saint Louis, MO Washington University

Xeomin Prices

  • $600 – Jul 29, 2016 – Saint Louis, MO
  • $600 – Jul 29, 2016 – Saint Louis, MO
  • $600 – Jul 29, 2016 – Saint Louis, MO
  • $600 – Jul 29, 2016 – Saint Louis, MO

Doctor’s answers

Question
Answer Header & Date
Answer Snippet
Diagnosed with bellspalsy 11 years ago, now I have sykinisis. My eye closes when I smile. Will p
Botulinum toxin is the key
Nov 20, 2016
When synkinesis develops after a facial nerve palsy the affected eye is smaller because it has excess stimulation of the closing muscle (orbicularis). Precise low dose botulinum toxin injection to block this excess stimulation works very well. Ptosis surgery would not be the answer.

I would seek treatment with an ophthalmic plastic surgeon.

Are there different techniques to upper blepharoplasty for hooded eyes?
Crease asymmetry
Sep 7, 2016
Hello, there are a multitude of reasons for your asymmetry – i.e. preexisting asymmetry in the eyelid or crease, subtle blepharoptosis, congenital asymmetry between the orbital apertures, or even occasionally something sinister. Sometimes the best answer is an upper eyelid blepharoplasty to even and reestablish your eyelid crease but that is not the only reason. Occasionally a photo can be helpful if you can post one. I would recommend you have an evaluation with…
Is this my final result???
Give it time
Jul 29, 2016
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 fully mature their eyelid incisions and swelling that occurs below the eyelid fat will can take a month or even longer to fully resolve. Hang in there…
Hoping to get insurance approval for surgery to improve eye lid droop.
Duanes syndrome
Jun 26, 2016
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 obstruction with, photos and physical findings. Concomitant diseases typically are not taken into account for approval but should be strongly taken into account when evaluating patients. Depending on surgeries performed, some of the protective mechanisms for your eye may be faulty and changes in therapy may be required. I would strongly recommend an…
Lower eyelid feels stuck to bone after ZMC surgery
Lower eyelid retraction
Jun 26, 2016
I would recommend you discussing your concerns with your surgeon. Sometimes if caught early in the process, treatments can be offered to prevent it from worsening. Good luck!
Follow up to question on best treatment for eye bags
Prominent orbital fat
Jun 25, 2016
Hello. I reviewed both of your photos. You have relatively prominent eyes with prolapsed orbital fat. A modest benefit may be achieved with filler injections around your eyes. A lower eyelid blepharoplasty with repositioning of the prominent orbital fat would likely lead to the longest lasting and best results. I would be cautious with any surgeon who recommends fat removal, especially given the anatomy of your eyes and eye socket. I would recommend a personal evaluation with an ophthalmic…
I’m 2 weeks post LPS resection on left eye. I was born with congenital ptosis. I have a red eye.
Red eye after surgery
Jun 24, 2016
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 commonly leads to incomplete eye closure. Many times there is a balance between eyelid lifting and incomplete closure. If the eye is irritated and red, you need to be evaluated and treated by an ophthalmologist. This should be arranged urgently as delayed therapy can leave the eye at risk for infection or vision loss. 

Latest Before And After Photos

Last updated on 12/10/2023