Thank you for contacting Dr. Rottler. We will get back to you soon.
Affordable Plastic Surgery in St. Louis, Missouri
Financing Options:
Your cosmetic surgery may be paid by cash, check, money order, cashiers check, Mastercard, Visa, Discover, or American Express. We also have a financing plans available from the following:
Capital One
Attractive rates on cosmetic procedures:
- Fixed rates starting at 1.99%APR*
- Low monthly payments that never change
- Terms up to 60 months
- No prepayment penalty
- No hassle application and online decision in minutes
- Interest-free options available**
Care Credit
CareCredit offers a full range of payment plans. Their 3, 6, 12, and 18 month No Interest payment plans feature monthly payments as low as 3% of the balance and let you pay within the specified time without incurring interest charges. Simply make your minimum monthly payment and pay off your entire balance during the agreed upon time period, and you’ll pay no interest.
For patients/clients with higher treatment fees who would prefer more time to pay with lower monthly payments, our 24, 36, 48, and 60 month extended payment plans offer a low, fixed 11.9% interest rate and an extended term.
Health One
Health One Financial is a leader in providing patient financing services for all types of medical procedures. Health One offers:
- 0% APR for the first six months
- Up to 1% cash back on purchases
- No annual fees with just one purchase/year
- Low interest rates
- Higher credit limits
- 24-hour card member service
Reliance
Reliance offers the most affordable and flexible credit terms in the industry. You can choose from a wide variety of payment options and programs to best fit your budget and specific financial needs. These choices make Reliance the ideal financing source for any medical procedure.
Among the lowest on the market, our rates begin at 6.9%. We also offer interest free plans for the first 3, 6, or 12 months, as well as extended plans from 12-60 months with no money down and no pre-payment penalties! Your rate will be based on your credit score and any offer you receive from Reliance is good for 30 days.*
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St. Louis MO Cosmetic Surgery – Comprehensive Information on Plastic Surgery Procedures
St. Louis Plastic Surgeon Dr. Rottler offers the following plastic surgery procedures.
Facial Rejuvenation and Enhancement
Plastic Surgery of the Breast
Body Contouring Surgery
Best Plastic Surgeon, St. Louis, MO – Thank You Cards from Plastic Surgery Patients
Click on the images to read each testimonial.
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Cosmetic Surgery, St. Louis - Directions to Office of Dr. Paul Rottler
Paul Rottler, MD, FACS
St. Joseph Medical Office Building North
505 Couch Avenue, Suite 120
Kirkwood, Missouri 63122
Office: 314-966-8880 Fax: (314) 966-5811
Exchange: (314) 629-8881 or (314) 221-7755
Traveling south on I-270, exit at Big Bend. Turn left and drive east to Couch Avenue. Turn left on Couch Avenue and drive 3 blocks to St. Joseph Hospital and Medical Buildings.
Traveling north on I-270, take I-44 east exit, but turn onto Watson Road. Turn left on Geyer Road. Go north on Geyer to Big Bend. Turn left on Big Bend. Go west on Big Bend past Meramec Community College to Couch Avenue. Turn right on Couch and drive 3 blocks to St. Joseph Hospital and Medical Buildings.
Or exit from northbound I-270 onto Dougherty Ferry. Turn right and follow signs to St. Joseph Hospital and Medical Buidings.
Cosmetic Surgery St. Louis MO - Office Staff
It is our primary goal to provide you with superior medical and surgical care and thus assure a long and pleasant relationship. We will make every effort to work closely with you and individualize your care.
You are encouraged to ask questions regarding any aspect of your medical treatment.
We hope to exceed your expectations for expert personalized medical and surgical care.
Theresa Twellman - Patient Coordinator
Theresa is our Patient Coordinator and has been with Dr. Rottler for 12 years. She is exceptionally knowledgeable in all areas of Plastic Surgery and will assist you with scheduling your consultation and surgery. She will provide you valuable educational material to help guide you in your decision making process.
Sharon Rottler, RN - Certified Plastic Surgery Nurse
Sharon is a Certified Plastic Surgery Nurse, First Assistant in the OR and Patient Educator. She is knowledgeable in all aspects of Cosmetic Plastic and Reconstructive Surgery and has been associated with Dr. Rottler for 16 years. She is your “go-to” person for any medical questions regarding the surgery you are considering.
Jan Rhoads, RN – Administrative & Clinical Assistant
Jan has been a member of the clinical/administrative services team for 4 years and has worked in plastic surgery for over 30 years.
Jan has a nursing degree and can answer your clinical questions and help with any insurance or billing issues related to your plastic surgery procedure.
Mary Inman - Medical Esthetician
Mary has been a Medical Esthetician in association with St. Louis plastic surgeon Dr. Rottler for over 10 years. She performs Micro-dermabrasions, Chemical Peels, Permanent Makeup, Laser Hair Removal and Facial Skin Analysis.
Mary is well known and respected throughout the St. Louis community.
Mandy Meyers - Office Assistant
Mandy has been a member of our St. Louis plastic surgery team for over 4 years and can answer most plastic surgery procedure clinical questions.
Mandy will also help with scheduling your appointment with St. Louis plastic and cosmetic surgeon Dr. Rottler.
Sara Wait - Medical Secretary / Receptionist
Sara is new to the team and started in April of 2007. She is our Front Office Medical Secretary and Receptionist and can assist you with your follow-up appointments with Dr. Rottler and/or direct you to the appropriate team member for any questions you may have regarding your plastic surgery procedure.
Cosmetic Surgery, St. Louis – See the Office & Financing Plans Available
It is our primary goal to provide you with superior medical and surgical care and thus assure a long and pleasant relationship. We will make every effort to work closely with you and individualize your care.
You are encouraged to ask questions regarding any aspect of your medical treatment.
We hope to exceed your expectations for expert personalized medical and surgical care.
Office Hours
- Monday - Thursday 9:00 am - 5:00 pm
- Friday 9:00 am - 12:00 pm
Financing Options:
Your cosmetic surgery may be paid by cash, check, money order, cashiers check, Mastercard, Visa, Discover, or American Express. We also have a financing plans available from the following:
Capital One
Attractive rates on cosmetic procedures:
- Fixed rates starting at 1.99%APR*
- Low monthly payments that never change
- Terms up to 60 months
- No prepayment penalty
- No hassle application and online decision in minutes
- Interest-free options available**
Care Credit
CareCredit offers a full range of payment plans. Their 3, 6, 12, and 18 month No Interest payment plans feature monthly payments as low as 3% of the balance and let you pay within the specified time without incurring interest charges. Simply make your minimum monthly payment and pay off your entire balance during the agreed upon time period, and you’ll pay no interest.
For patients/clients with higher treatment fees who would prefer more time to pay with lower monthly payments, our 24, 36, 48, and 60 month extended payment plans offer a low, fixed 11.9% interest rate and an extended term.
Health One
Health One Financial is a leader in providing patient financing services for all types of medical procedures. Health One offers:
- 0% APR for the first six months
- Up to 1% cash back on purchases
- No annual fees with just one purchase/year
- Low interest rates
- Higher credit limits
- 24-hour card member service
Reliance
Reliance offers the most affordable and flexible credit terms in the industry. You can choose from a wide variety of payment options and programs to best fit your budget and specific financial needs. These choices make Reliance the ideal financing source for any medical procedure.
Among the lowest on the market, our rates begin at 6.9%. We also offer interest free plans for the first 3, 6, or 12 months, as well as extended plans from 12-60 months with no money down and no pre-payment penalties! Your rate will be based on your credit score and any offer you receive from Reliance is good for 30 days.*
Hospital Affiliations
Dr. Rottler is on staff at the following hospitals:
- St. Joseph Hospital - Kirkwood - Chairman Plastic Surgery
- St. Luke’s Hospital - Medical Director of Cleft Lip & Palate Team
- St. Anthony’s Medical Center
- St. John’s Mercy Medical Center
- Des Peres Hospital
Cosmetic Surgery, St. Louis surgeon, Dr. Rottler - Cali Colombia Mission Trip
Cali, Columbia Mission Trip - February 1999
Cosmetic Surgery, St. Louis surgeon, Dr. Rottler - Ecuador Mission Trip
Azogues, Ecuador Mission Trip - October/November 1995
Cosmetic Surgery, St. Louis Surgeon, Dr. Rottler - Peru Mission Trip
Cuzco, Peru Mission Trip - August 1997, August/September 1998, August/September 1999
St. Louis Plastic Surgeon – Video of Pokara, Nepal Mission Trip
okara, Nepal Mission Trip - September 2001
St. Louis Plastic Surgeon – Honduras Mission Trip
San Pedro Sula, Honduras Mission Trip - April 2005
Plastic Surgeon in St. Louis - Ghana Mission Trip
Accra, Ghana Mission Trip - February 2007
Cosmetic Surgery, St. Louis surgeon, Dr. Rottler - Haiti Mission Trip
Pignon, Haiti Mission Trip - January 2004, January 2005, January 2006, March 2008
End of the Year Special
Have your cosmetic surgical procedure by 12/31/08
It’s that time of year when everyone’s thoughts are turning to holiday parties and seeing friends and family that we have not seen for awhile. Why not look your BEST!
So, to make your surgery dreams a reality…to help you get ship-shape and feeling more confident than ever, Dr. Rottler would like to make a special offer to you:
Receive a $100 Victoria Secret Gift Card
…when you complete your surgery between October 1st and December 31, 2008.
Just give us a call to receive this year-end special when you schedule your surgery.
Please call 314-966-8880 for your free cosmetic consultation!
As an added bonus - schedule your procedure on the day of your consultation and receive $100 off your quote.
*** this offer can not be used in conjunction with other specials ***
Please print out this page and bring it with you to your consultation.
Plastic Surgeon St. Louis MO - Mission Trips
Along with his busy solo practice in Kirkwood, Missouri, Dr. Rottler is an active volunteer with Interplast, Inc. and Operation Smile. These organizations offer surgery in other countries free of charge to the patient who would otherwise live their lifetime with birth defects. Dr. Rottler is also the Medical Director & Team Leader of St. Luke’s Cleft Lip & Palate Team at St. Luke’s Hospital, St. Louis, Mo.
Some of the trips Dr. Rottler has been on are as follows:
Interplast Inc
- 02/18/95 - 03/03/95 Trip to Ilo and Tacna, Peru
- 10/20/95 - 11/19/95 Trip to Azogues, Ecuador
- 08/09/97 - 08/24/97 Trip to Cuzco, Peru
- 08/08/98 - 09/11/98 Trip to Cuzco, Peru
- 08/28/99 - 09/11/99 Trip to Cuzco, Peru
- 09/07/01 - 09/23/01 Trip to Pokara, Nepal
- 04/09/05 - 04/16/05 Trip to San Pedro Sula, Honduras
- 02/06/07 - 02/12/07 Visiting Educator Trip to Accra, Ghana
- 03/01/08 - 03/08/08 Trip to Pignon, Haiti
Operation Smile International
- February, 1999 Cali, Columbia
Haiti Medical Mission
- 01/09/04 - 01/19/04 Pignon, Haiti
- 01/08/05 - 01/15/05 Pignon, Haiti
- 01/13/06 - 01/21/06 Pignon, Haiti
View Mission Trip Photos
For more information about these organizations, you may visit them at their websites:
Breast Lift St. Louis - Before & After Photos Breast Lift
Breast Lift Results Patient 1 |
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43 y/o 5’6” 128# Breast Lift (Mastopexy) Grade III ptosis to Grade I ptosis 4 months post-op |
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Breast Lift Results Patient 2 |
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36 y/o 5’2” 140# Breast Lift (Mastopexy) Grade III ptosis to Grade II ptosis 4 months post-op |
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Breast Lift Results Patient 3 |
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34 y/o 5’8” 155# Breast Lift (Mastopexy) Grade III ptosis to Grade II ptosis 4 months post-op |
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Breast Lift Results Patient 4 |
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41 y/o 5’6” 152 Breast Lift (Mastopexy) Grade III ptosis to Grade II ptosis 4 months post-op |
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Breast Lift Results Patient 5 |
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45 y/o 5’3” 120# Breast Lift (Mastopexy) Grade III ptosis to Grade II ptosis 4 months post-op |
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Breast Reduction St. Louis - Before & After Photos
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18 y/o |
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Breast Reduction Results Patient 2 |
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32 y/o |
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Breast Lift with Enlargement Before & After Patient Photos
Breast Lift with Implants Results Patient 1 |
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26 y/o |
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Breast Lift with Implants Results Patient 2 |
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43 y/o |
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Breast Augmentation, St. Louis - Before & After Patient Photos
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38 y/o |
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Breast Enlargement Results Patient 2 |
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39 y/o |
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Breast Enlargement Results Patient 3 |
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41 y/o Black |
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Breast Enlargement Results Patient 4 |
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39 y/o |
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Breast Enlargement Results Patient 5 |
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25 y/o |
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Breast Enlargement Results Patient 6 |
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28 y/o |
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Breast Enlargement Results Patient 7 |
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22 y/o |
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Breast Enlargement Results Patient 8 |
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39 y/o |
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Breast Enlargement Results Patient 9 |
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25 y/o |
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Breast Enlargement Results Patient 10 |
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33 y/o |
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Breast Enlargement Results Patient 11 |
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34 y/o |
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Breast Enlargement Results Patient 12 |
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42 y/o |
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Breast Enlargement Results Patient 13 |
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45 y/o |
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Breast Enlargement Results Patient 14 |
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19 y/o |
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Breast Enlargement Results Patient 15 |
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22 y/o |
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Breast Enlargement Results Patient 16 |
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24 y/o |
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Breast Enlargement Results Patient 17 |
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35 y/o |
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Breast Enlargement Results Patient 18 |
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46 y/o |
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Breast Enlargement Results Patient 19 |
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26 y/o |
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Breast Enlargement Results Patient 20 |
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26 y/o |
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Tummy Tuck St. Louis - Before & After Photos of Tummy Tuck Surgery
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38 y/o |
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34 y/o female |
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Tummy Tuck Results Patient 3 |
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43 y/o |
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Tummy Tuck Results Patient 4 |
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32 y/o female |
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Tummy Tuck Results Patient 5 |
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41 y/o Black female |
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Tummy Tuck Results Patient 6 |
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32 y/o |
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Tummy Tuck Results Patient 7 |
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45 y/o |
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St. Louis Liposuction - Before & After Photos of Surgery
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30 y/o |
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LIPO RESULTS PATIENT 2 |
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22 y/o |
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LIPO RESULTS PATIENT 3 |
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57 y/o |
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LIPO RESULTS PATIENT 4 |
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42 y/o |
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St. Louis Plastic Surgery – Before & After Pictures Of Cosmetic Surgery Patients
We hope you enjoy this opportunity to view plastic surgery before & after photos of St. Louis plastic surgeon Dr. Rottler’s patients. These plastic surgery patients have generously permitted us to share their before and after plastic surgery pictures online. When you visit our St. Louis office for a cosmetic surgery consultation we will be able to show you additional before and after photos.
Please choose from the links below to see plastic surgery before and after pictures:
Skin Care, St. Louis - Specialized Skin Care Products to Treat Damaged Skin
Information coming soon!
Skin Rejuvenation in St. Louis – Aesthetic Skin Treatments St. Louis
Medical skin treatments are performed in our comfortable St. Louis office by Medical Aesthetician Mary Inman, in association with Dr. Rottler.
20% Off all Peels and Microdermabrasions thru 10-31-08!!
Chemical Peels
Glycolic
- Depending on the concentration, you can receive a gentle exfoliation or a deeper peel. You must start out with lower concentrations and step up to the higher concentrations, 20% - 70%
- $65.00 - $100.00
Salicylic
- Salicylic Acid is used in concentrations from 10% - 30%
- $100.00
Jessners Peel
- Jessners - Resorcinol, Lactic, and Salicylic (14%)
- Lite modified - Lactic, Salicylic, and Glycolic (7%)
- Ultra - Standard plus 2% hydroquinone
- Solutions are applied in layers to create a peel with significant amount of exfoliation
- $125.00
Obagi Blue Peel
- T.C.A. this revolutionary peel can lessen fine lines, scars and hyperpigmentation. It can also be used on the arms and hands.
- $500.00
- For more information visit www.obagi.com
Microdermabrasion
Microdermabrasion is an abrasive treatment that polishes your skin with micro-crystals. After one treatment your skin will glow. Your skin conditions will determine how many treatments you will need, and how aggressively you need to be treated.
Treatable Conditions
- Sun damage
- Fine line wrinkles
- Age-spot pigmentation
- Enlarged pores
- Acne scars
- Blackheads and whiteheads
- $100.00
Medical Microdermabrasion
- By adding glycolic acid before or after the Microdermabrasion you create a more effective peel.
- $125.00
Laser Hair Removal, St. Louis, with GentleLASE System Hair Removal Treatment
What is the Candela GentleLASE laser and why is it a safe treatment?
Lasers have been used for many years for a variety of medical cosmetic procedures including treatment of facial and leg veins, age spots and rejuvenating the skin on the face. The GentleLASE System is a revolutionary long-pulse high energy alexandrite laser that emits a gentle beam of light that passes through the skin to the hair follicle where is absorbed. The laser energy is transformed into heat, which destroys the hair follicle leaving the surrounding skin unaffected. The skin is further protected during treatment by a Dynamic Cooling Device™ where cryogen is sprayed onto the skin cooling the upper layers and providing patients with increased comfort. The GentleLASE selectivity helps to protect the skin, while effectively treating the unwanted hair.
What precautions should be taken before and after treatment?
- Avoid the sun 4-6 weeks before and after treatment or until your practitioner allows it.
- You must avoid electrolysis, plucking or waxing hair for 6 weeks prior to treatment.
- If you have had a history of perioral herpes, prophylactic antiviral therapy may be prescribed.
- If you have a dark skin type, a bleaching cream may be started 4-6 weeks before treatment to optimize results.
- You should discuss your desired results and the improvements you expect to achieve with you practitioner. Together you can decide if your expectations will be met and if this laser treatment is the best option.
How many treatments will I need?
Hair grows in cycles. The number of treatments required depends upon your skin color, hair color and coarseness of the hair. Everyone will require at least 5-6 treatments as the process is only effective on hair during the early growing cycle, repeat sessions will be necessary to treat these follicles when they re-enter the early growth phase.
Is laser hair removal covered by insurance?
Most insurance companies do not offer reimbursement for cosmetic procedures.
Laser Hair Removal Fees
- Bikini line - $90 per treatment
- Underarms - $50 per treatment
- Upper Lip - $50 per treatment
- Chin - $50 per treatment
- Lower Legs - $180-$220 per treatment
- Full Legs - $360-$440 per treatment
These are the most common areas requested. Please call for pricing on all other areas or to schedule a free consultation.
Plastic Surgeon, St Louis, Offers Permanent Makeup for Eyebrows, Eyeliner, & Lips
20 % Off Permanent Make-up Application thru: 10-31-08
The process of permanent makeup involves implanting natural pigments into the uppermost dermal layer of the skin with a specially designed “microsized” sterile probe.
- An extremely effective topical anesthetic is used for comfort. Most patients experience only a normal plucking sensation.
- These procedures allow for more activity and personal freedom.
- Following are some of the areas we specialize in: thin, light, sparse or nonexistent eyebrows; lash enhancement and eyeliner for faded or sparse lashes; lip lining defining the lip border; areola complex restoration.
- Permanent cosmetic procedures are widely used to address many other physical conditions, such as: visual impairment, alopecia, allergies to cosmetics, chemotherapy “brows before chemo”, unsteady hands due to arthritis, Multiple Sclerosis, Parkinsons, etc.
Permanent Makeup Fees
- Eyebrows: $ 450.00
- Eyeliner: Upper - $ 300.00 ; Lower - $ 250.00
- Lip Liner: $ 500.00
- Full Lips: $ 850.00
Juvederm from St. Louis Plastic Surgeon, Dr. Rottler
Our Gift to You for the Holidays
Receive a Juvederm injection for a reduced price of $450/per syringe!
Call for your appointment today: 314-966-8880
Juvederm™ is a natural dermal filler that actually fills facial wrinkles and folds for non-surgical wrinkle treatment. Made from a smooth consistency, water soluble substance that is already present in your skin called hyaluronic acid, Juvederm restores volume to your skin and smoothes out wrinkles. Juvederm wrinkle treatment can help you look younger and more relaxed without surgery. Juvederm is also used for lip enhancement.
Juvederm Procedure Information
Juvederm is injected into the skin with thin needles, causing facial wrinkles and folds to be “filled,” adding volume to areas that have become creased as a result of aging. The injection process only takes about ten minutes, and most patients need anesthesia. The wrinkle-reducing effects of Juvederm injections are not permanent, but results are instant. Although results vary, they typically last six months or longer, and can be repeated as necessary.
St. Louis plastic surgeon Dr. Rottler will discuss your concerns with you and explain the details about wrinkle treatment with Juvederm. There are a number of facial injectable products available in St. Louis, and Dr. Rottler or a member of his staff will help you determine the non-surgical wrinkle treatment that is best for you.
Possible Side Effects from Juvederm
- bruising
- swelling
- asymmetry
Juvederm Injection Fees
- $550 per syringe
For more information about Juvederm, please visit their website at www.juvedermusa.com.
Restylane, St. Louis MO
Restylane® is fast becoming a popular choice as an injectable filler for treating facial wrinkles, as well as for plumping up lips. Because it is water-soluble, it fills wrinkles and depressions in the skin with a natural substance while slowly being reabsorbed by the body.
Restylane Injections Information
Restylane is a crystal-clear, non-animal, biodegradable gel based on a natural substance present in the human body called hyaluronic acid. The gel is injected into the skin in tiny amounts with a very fine needle. The result is instantaneous and produces a long-lasting, natural enhancement that is gentle and safe to your skin.
Restylane is very effective for diminishing wrinkles around the corners of the mouth, the lips, the nasolabial folds (commonly referred to as “parentheses”), and the frown lines (between the eyebrows). Results will last from 6 to 12 months.
Restylane is also an excellent temporary filler for lip augmentation. Experience shows that Restylane is effective for up to six months when injected in the lips. Because the effects of Restylane are not permanent, you have the option to discontinue use if your tastes or fashion trends change.
Dr. Rottler or a member of his staff will discuss your options with you for dealing with wrinkles and/or lip augmentation. He will help you understand the pros and cons of each wrinkle treatment, enabling you to make your own decision about wrinkle treatment.
Possible Side Effects from Restylane
- bruising
- swelling
- asymmetry
Restylane Injection Fees
- $550 per syringe
For more information about Restylane, please visit their website at www.restylaneusa.com.
Botox St. Louis - Botox Cosmetic Injection Technique Information
BOTOX SPECIAL: 15% Off the price of Botox thru December 31, 2008
BOTOX® Cosmetic is a simple, non-surgical procedure that smoothes the deep, persistent lines between your brows.
Botox Procedure Information
- A few tiny injections relaxes the muscles that cause the lines to form and keeps them relaxed for up to 4 months.
Side Effects from Botox
- Possible slight temporary bruising at the injection site.
- Possible headache, asymmetry, twitching, drooping of the eyelids or eyebrows.
Recovery from Botox Injections
- Most patients return to work or normal activity immediately following the treatment.
Botox Injection Fees
- Up to 25 units - $14.00/Unit
- 26 to 50 units - $11.00/Unit
- 51 to 75 units - $10.00/Unit
More Botox Information
BOTOX® Cosmetic injections are biological toxins (botulinum toxin) transformed into a therapeutic agent. Work with Botox began in the late 1960s to treat neurological disorders. Today, Botox is used for the treatment of frown lines, forehead furrows, “crow’s feet,” lines and wrinkles of the lower face, and even nasal muscles (to decrease nostril flaring). Botox injections have proven to be a very popular nonsurgical cosmetic procedure; see current American Society for Aesthetic Plastic Surgery (ASAPS) statistics. Aesthetic plastic surgeons have found that the type of lines and wrinkles that respond to Botox injections are those caused by the muscles-specifically those muscles that contract during facial expressions such as frowning or squinting.
Botox Injection Technique
The patient is asked to contract the muscles in the area being treated to determine the proper location for injection. In most cases, Botox is injected directly into the muscle with a tiny needle. It takes a few days to realize the effect of Botox injections.
Benefits of Botox Injections
- No downtime. Patients can immediately resume normal activities.
- Long experience has proven Botox to be safe. To date, no systemic complications associated with Botox injections have been documented.
- Treatment is reversible within several months.
- May be beneficial for treatment of migraine headaches.
Other Considerations
- Botox injections are a temporary solution for the treatment of wrinkles. The effects last from 3-4 months and require repeat treatments.
- Possible side effects include local numbness, swelling, bruising, or a burning sensation during injection. Some patients have reported temporary headache and nausea. Most complications are of short duration and can be avoided with proper injection techniques.
- A small percentage of patients are reported to experience no improvement at all.
For more information about Botox, please visit their website at www.botoxcosmetic.com.
Post Weight Loss Body Lift Surgery in St. Louis
Lower Body Lift
In one procedure, the sagging skin of the abdomen, outer thighs, buttocks, hips, and waist is corrected. Incisions extend completely around the body to remove a “belt” of excess skin and fat. Another common name for this procedure is a “belt lipectomy.”
Medial Thigh Lift
The medial thigh lift will lift and tighten the sagging skin of the inner thigh. Incisions are usually placed in the groin.
Panniculectomy
A panniculectomy is performed to remove the hanging pannus, or apron of skin, from the lower abdomen below the belly button. The excess skin and fat above the belly button are not removed. A panniculectomy is often performed on patients who are still significantly overweight but have skin irritation from their hanging skin. After surgery, these patients have less skin problems but have little improvement in the contour of their bellies
Tummy Tuck St. Louis - Abdominoplasty
Abdominoplasty (Tummy Tuck) is a surgical procedure used to tighten the abdominal wall muscles and remove excess fat and skin from the abdominal region. This procedure is common in men and women. Women often have the procedure after multiple pregnancies to improve their abdominal appearance. Patients should be near or at their ideal body weight.
Abdominoplasty Procedure Information
- Dr. Rottler will make an incision along the pubic area and around the navel. The abdominal muscles are tightened with sutures. Excess skin is removed after the abdominal skin is drawn downward. This procedure usually takes 2-5 hours and is performed in an operating room with an overnight stay.
Side Effects from Abdominoplasty Cosmetic Surgery
- Swelling, bruising, soreness, weakness for several weeks or months.
Recovery from Abdominoplasty Surgery
- Back to work 2-4 weeks.
- More strenuous activity 4-6 weeks.
- Scar fading 3 months to 2 years.
- Drains are in place for 3-10 days.
- Patient must wear a post-operative garment for 4 weeks.
- Patients must not stand up straight for 1-2 weeks.
Abdominoplasty Surgical Fees
- $8800 and up.
Price based on O.R. time used. Price includes surgeon’s fee, hospital, anesthesia, an overnight stay at the hospital and 2 compression garments to be worn post-operatively.
More Abdominoplasty Information
During the consultation with St. Louis plastic surgeon Dr. Rottler, you will be asked about the results you would like to achieve from abdominoplasty. This will help your surgeon to understand your expectations and determine whether they realistically can be achieved.
Am I a good candidate for abdominoplasty?
You may be a good candidate for abdominoplasty if you have one or more of the following conditions:
- excess or sagging abdominal skin
- an abdomen that protrudes and is out of proportion to the rest of your body
- abdominal muscles that have been separated and weakened
- excess fatty tissue that is concentrated in your abdomen
If you plan to become pregnant or lose weight in the future, you should discuss this with your plastic surgeon. Scarring from previous abdominal surgery may limit the results of your abdominoplasty.
How will Dr. Rottler evaluate me for abdominoplasty?
Dr. Rottler may examine your abdomen while you are standing as well as lying down. Your skin tone and the degree of loose skin in the abdominal region will be assessed. Dr. Rottler also will evaluate the amount of excess fat in your abdomen and the condition of your abdominal muscles.
You should come to the consultation prepared to discuss your medical history. This will include information about any medical conditions, drug allergies, medical treatments you have received, pregnancies, previous surgeries and medications that you currently take. It is important for you to provide complete information.
Will my insurance help cover the cost of surgery?
Abdominoplasty, as an aesthetic (cosmetic) procedure, generally is not covered by insurance. In some instances, however, a patient may have a hernia and not just a spreading of the abdominal muscles. Insurance reimbursement may be available for that portion of the procedure that is not cosmetic.
Many factors determine your eligibility for coverage, including the specific terms of your insurance policy. A letter of predetermination may be required by your insurance company prior to surgery. Your plastic surgeon or a staff member in your surgeon’s office will discuss these matters with you.
How Abdominoplasty Is Performed
Individual factors and personal preferences will determine the specific technique selected to smooth and flatten your abdomen.
Where are the incisions placed?
Generally, a horizontal incision is placed just within or above the pubic area. The length of the incision, which extends laterally toward the pelvic bones, depends largely on the amount of skin to be removed. The contour of this incision will vary somewhat according to the structure of your abdomen and the style of bathing suit or undergarments that you prefer. Your plastic surgeon will try to keep the incision within your bathing suit lines, but this may not always be possible.
Dr. Rottler will make a second incision around the navel so that the redundant skin above it can be pulled down. The excess abdominal skin is then removed. The position of the navel remains unchanged.
Skin of the lower abdomen that contains stretch marks may be removed as well. Any remaining stretch marks may be somewhat flattened and improved, but you should not expect a dramatic change in their appearance.
The procedure may include tightening of the underlying abdominal muscles using sutures.
What are some variations to the common abdominoplasty technique?
There are many variations both to the design of the incisions and the technique itself. In some instances, it may be possible to avoid an incision around the navel. When the amount of loose skin is minimal and the excess fat deposits are located below the navel, a short horizontal incision is all that is necessary. This procedure is called a partial, or “mini,” abdominoplasty.
Sometimes liposuction may be used alone, or in conjunction with abdominoplasty, to remove abdominal fat. Endoscopic abdominoplasty is another technique for minimizing scars and may be useful when patients have only a mild degree of excess fat and muscle laxity.
Dr. Rottler will discuss with you the particular method that he or she recommends for achieving the best result in your particular case.
Understanding Risks of Abdominoplasty
Fortunately, significant complications from abdominoplasty are infrequent. Every year, many thousands of people undergo successful aesthetic surgery of the abdomen, experience no major problems and are pleased with the results. Anyone considering surgery, however, should be aware of both the benefits and risks.
I understand that every surgical procedure has risks, but how will I learn more so that I can make an informed decision?
The subject of risks and potential complications of surgery is best discussed on a personal basis between you and Dr. Rottler, or with a staff member in his St. Louis office.
Some of the potential complications that may be discussed with you include bleeding, infection and reactions to anesthesia. Tissue loss along portions of the horizontal incision is a possibility when the abdominoplasty is very extensive. This complication, which delays healing and prolongs recovery, is more common in patients who smoke or have medical conditions such as diabetes. Revisionary surgery is sometimes helpful in certain instances where incisions may have healed poorly.
Following surgery, occasionally, fluid may accumulate under the skin. Removal of this serum is a painless process but may require several visits to the plastic surgeon’s office.
You can help to lessen certain risks by following the advice and instructions of Dr. Rottler, both before and after surgery.
Your Surgical Experience
The goal of your plastic surgeon and the entire staff is to make your surgical experience as easy and comfortable for you as possible.
How should I prepare for surgery?
If you are a smoker, you will be asked to stop smoking well in advance of surgery. Aspirin and certain anti-inflammatory drugs can cause increased bleeding, so you should avoid taking these medications for a period of time before surgery. Your surgeon will provide you with additional preoperative instructions.
Abdominoplasty may be performed on an outpatient basis. If this is the case, be sure to arrange for someone to drive you home after surgery and to stay with you for at least the next day or two. When abdominoplasty is performed in conjunction with medically necessary procedures such as hysterectomy or hernia repair, a short hospitalization may be required.
What will the day of surgery be like?
Your abdominoplasty may be performed in a hospital, free-standing ambulatory facility or office-based surgical suite.
Medications are administered for your comfort during the surgical procedure. A general anesthetic is administered, so that you will be asleep throughout the procedure. When surgery is completed, you will be taken into a recovery area where you will continue to be closely monitored. Gauze or other dressings may be applied to your abdomen and covered with tape or an elastic bandage.
You may be permitted to go home after a few hours, unless you and your plastic surgeon have determined that you will stay in the hospital or surgical facility overnight.
How will I look and feel initially?
The day after surgery, you will be encouraged to get out of bed for short walks to promote blood circulation. Although you may not be able to stand up completely straight, it is best if you do not sit for long periods of time during the first several days. Straining, bending and lifting must be avoided, since these activities might cause increased swelling or even bleeding. You may be instructed to sleep on your back with a pillow under your knees.
Depending on the abdominoplasty technique used, you may be instructed to wear a support garment for several weeks. Generally, stitches will be removed in stages over a period of approximately one or two weeks.
You will notice swelling and bruising, which is to be expected. The bruising and much of the swelling will disappear over a period of weeks. However, it may be months before all swelling subsides and you see the final result of your abdominoplasty. You may also notice some numbness over portions of the abdominal area, and this may persist for several months. Incisions will initially be red or pink in color. They will remain this way for many months following surgery and may even appear to worsen before they finally begin to fade.
When can I resume my normal activities?
It is important to realize that the amount of time it takes for recovery varies greatly among individuals. Depending on the extent of your abdominoplasty and your general physical condition, you may be able to return to non-strenuous work anywhere from one to three weeks after surgery. In many instances, you can resume most of your normal activities, including some form of mild exercise, after a few weeks. You may continue to experience some mild, periodic discomfort and swelling during this time, but such feelings are normal. Severe pain should be reported to your doctor.
Any sexual activity should be avoided for a minimum of two weeks, and your plastic surgeon may advise you to wait longer.
Results of Your Abdominoplasty
Abdominoplasty will enhance your body contour by making your abdomen firmer and flatter. You may find that you feel more comfortable in your clothing and are more confident about your appearance.
The incisions from the procedure will heal and fade over time. It is important to realize, however, that the incision lines will be permanently visible. In some instances, they will eventually be only faint lines. Certain individuals may have incision lines that are more noticeable. Fortunately, the incisions for your abdominoplasty are usually in locations concealed by most bathing suits and undergarments.
How long will the results last?
Unless you gain or lose a significant amount of weight or become pregnant, your abdomen should remain firmer and flatter for many years. However, gravity and the effects of aging will eventually take their toll. If, after a period of years, you again become dissatisfied with the appearance of your abdomen, you may choose to undergo a second procedure to restore a more youthful body contour.
Maintaining a Relationship with Your Plastic Surgeon
You will return to your plastic surgeon’s office for follow-up care at prescribed intervals, at which time your progress will be evaluated.
Please remember that the relationship with your plastic surgeon does not end when you leave the operating room. If you have questions or concerns during your recovery, or need additional information at a later time, you should contact St. Louis plastic surgeon Dr. Rottler.
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