Dr. Rottler, Your Skill, Talent and bed side manner are the best! Thank you sooooo much.

Love, Dawn

Let us answer your questions today!

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Dr. Rottler, I cannot express enough “Thanks” for what you did for me... I am so lucky to have you as my doctor!

Love, Anne Marie

Come Visit Us At Our New Location

Botox St. Louis - Botox Cosmetic Injection Technique Information

Friday Specials!

Receive Botox injections for a reduced price of $10/unit on Fridays!

(Monday-Thursday price $14/unit)

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

$14.00/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.

Juvederm from St. Louis Plastic Surgeon, Dr. Rottler

Friday Specials!

Receive a Juvederm injection for a reduced price of $500/per syringe on Fridays!

(Monday-Thursday price $ 600/per syringe)

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

$600 per syringe

For more information about Juvederm, please visit their website at www.juvedermusa.com.

Thank you for contacting Dr. Rottler. We will get back to you soon.

New Location
13625 Big Bend Road
St. Louis, Mo 63122

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:

Fifth/Third Bank

For more information:
https://www.53.com
Jeffrey S. Kociscak
Fifth Third Bank
2981 Dougherty Ferry Rd
Valley Park MO. 63122
Tel. 636-825-0843
Fax. 636-825-0882

My Medical Loan

My Medical Loan offers a variety of financing programs with flexible payment options and low monthly payments. My Medical Loan offers:

Rates starting as low as 9.99%
Promotions such as fixed interest rates, deferred interest, and fixed low monthly payments
No prepayment penalty
Bad credit financing available with co-signer
Easy application form with quick approval decisions

Care Credit

Care Credit offers a full range of payment plans. Choose from a variety of options. Care Credit offers:

3,6 & 12 month interest free payment plans
Monthly payments as low as 3% of the balance
Pay within specified time with no interest charges
24, 36, 48, and 60 month extended payment plans with 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 affordable and flexible credit terms. Choose from a wide variety of payment options and programs to best fit your budget and specific financial needs. Reliance offers:

Rates starting at 6.9%
3,6, & 12 month interest free payment plans
Extended plans from 12-60 months with no money down
No prepayment penalties
Rates based on credit score
Offers received from Reliance good for 30 days

Sitemap

Dr. Rottler

Testimonials

Our Office

Before and After Pictures

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.

Cosmetic Surgery, St. Louis - Directions to Office of Dr. Paul Rottler

Paul Rottler, MD, FACS
13625 Big Bend Road
St. Louis, MO 63122

Office: 314-966-8880 Fax: (314) 966-5811

Exchange: (314) 629-8881 or (314) 221-7755

Click for larger image

Traveling north on I-270
Exit Dougherty Ferry Road - Turn Left. Take Dougherty Ferry Road approximately 1.8 miles to Big Bend Road turn right. We are on the corner of Big Bend Road and Dougherty Ferry Road behind the Fifth/Third Bank.

Traveling south on I-270
Exit Dougherty Ferry Road – Turn right. Take Dougherty Ferry Road approximately 1.8 miles to Big Bend Road turn right. We are on the corner of Big Bend Road and Dougherty Ferry Road behind the Fifth/Third Bank.

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

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:

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

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Cosmetic Surgery, St. Louis surgeon, Dr. Rottler - Ecuador Mission Trip

Azogues, Ecuador Mission Trip - October/November 1995

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Cosmetic Surgery, St. Louis Surgeon, Dr. Rottler - Peru Mission Trip

Cuzco, Peru Mission Trip - August 1997, August/September 1998, August/September 1999

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St. Louis Plastic Surgeon – Video of Pokara, Nepal Mission Trip

okara, Nepal Mission Trip - September 2001

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St. Louis Plastic Surgeon – Honduras Mission Trip

San Pedro Sula, Honduras Mission Trip - April 2005

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Plastic Surgeon in St. Louis - Ghana Mission Trip

Accra, Ghana Mission Trip - February 2007

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Cosmetic Surgery, St. Louis surgeon, Dr. Rottler - Haiti Mission Trip

Plastic Surgeon St. Louis, Haiti Interview

Pignon, Haiti Mission Trip - January 2004, January 2005, January 2006, March 2008

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Gel Breast Augmentation Special

Schedule a gel breast augmentation surgery and receive a Free Latisse Kit® and a Free Vivite’ Vibrance Therapy®. The special only applies to gel implants and the offer expires 6/30/10 or while supplies last.

Call our office today to schedule a free consultation

(314) 966-8880

SPRING SPECIAL!

Receive a $100 Victoria’s Secret Gift Card!

Have a breast augmentation, breast lift, or abdominoplasty procedure by March 31, 2010 and receive a $100 Victoria’s Secret Gift Card!

Call today for your free consultation!

314-966-8880

*** this offer can not be used in conjunction with other specials ***

Please print out this page and bring it with you to your consultation.

Latisse Special!

Not enough lashes? GROW them! Longer-Darker-Fuller.

Purchase Latisse for $100/vial and receive a $20 Mail in Rebate

Click here for more Information

Friday Specials!

Receive a Juvederm injection for a reduced price of $500/per syringe on Fridays!

(Monday-Thursday price $ 600/per syringe)

Receive Botox injections for a reduced price of $10/unit on Fridays!

(Monday-Thursday price $14/unit)

Appointments are necessary. Please call our office at 314-966-8880.

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
		43 y/o 5’6” 128# Breast Lift (Mastopexy) Grade III ptosis to Grade I ptosis 4 months post-op


Breast Lift Results Patient 2
		36 y/o 5’2” 140# Breast Lift (Mastopexy) Grade III ptosis to Grade II ptosis 4 months post-op


Breast Lift Results Patient 3
		34 y/o 5’8” 155# Breast Lift (Mastopexy) Grade III ptosis to Grade II ptosis 4 months post-op


Breast Lift Results Patient 4
		41 y/o 5’6” 152 Breast Lift (Mastopexy) Grade III ptosis to Grade II ptosis 4 months post-op


Breast Lift Results Patient 5
		45 y/o 5’3” 120# Breast Lift (Mastopexy) Grade III ptosis to Grade II ptosis 4 months post-op

Learn More About Breast Lift in St. Louis

Breast Reduction St. Louis - Before & After Photos

Breast Reduction Results Patient 1
		18 y/o 5’4’ 145# Breast Reduction (Reduction Mammaplasty) Inferior Pedicle Technique Grade III ptosis to Grade I ptosis 4 months post-op


Breast Reduction Results Patient 2
		32 y/o 5’9” 170# Breast Reduction Inferior Pedicle Technique Grade III ptosis to Grade II ptosis 4 months post-op

Learn More About Breast Reduction in St. Louis

Breast Lift with Enlargement Before & After Patient Photos

Breast Lift with Implants Results Patient 1
		26 y/o 5’2” 140# Inframammary Subpectoral Augmentation & Cresent Mastopexy Smooth Round Low Profile Saline 400cc Bilateral 34 B cup to 34 D cup


Breast Lift with Implants Results Patient 2
		43 y/o 5’7” 132# Inframammary Subpectoral Augmentation & Cresent Mastopexy Smooth Round Low Profile Saline 500cc Bilateral 36 C cup to 36 DD cup

Breast Augmentation, St. Louis - Before & After Patient Photos

Breast Enlargement Results Patient 1
		38 y/o 5’11” 150# Inframammary Subpectoral Smooth Round Moderate Profile Saline 450cc Rt, 430cc Lt Asymmetric 36 A cup to 36 C cup


Breast Enlargement Results Patient 2
		39 y/o 5’4” 102# Transaxillary Subpectoral Smooth Round Moderate Profile Saline 310cc Bilateral 32 A cup to 32 C cup


Breast Enlargement Results Patient 3
		41 y/o Black 5’7” 155# Transaxillary Subpectoral Smooth Round Moderate Profile Saline 340cc Bilateral 34 A cup to 34 C cup


Breast Enlargement Results Patient 4
		39 y/o 5’2” 127# Inframammary Subpectoral Smooth Round Moderate Profile Saline 400cc Bilateral 34 C cup to 34 D cup


Breast Enlargement Results Patient 5
		25 y/o 5’8” 118# Transaxillary Subpectoral Smooth Round Low Profile Saline 290cc Rt, 280cc Lt Asymmetric 32 A cup to 32 B cup


Breast Enlargement Results Patient 6
		28 y/o 5’4” 122# Transaxillary Subpectoral Smooth Round Moderate Profile Saline 400cc Bilateral 34 B cup to 34 C cup


Breast Enlargement Results Patient 7
		22 y/o 5’6” 131# Transaxillary Subpectoral Smooth Round Moderate Profile Saline 450cc Rt, 470cc Lt Asymmetric 34 B cup to 34 D cup


Breast Enlargement Results Patient 8
		39 y/o 5’5 112# Transaxillary Subpectoral Smooth Round Moderate Profile Saline 410cc Bilateral 34 A cup to 34 D cup


Breast Enlargement Results Patient 9
		25 y/o 5’3” 107# Transaxillary Subpectoral Smooth Round Moderate Profile Saline 325cc Bilateral 32 A cup to 32 C cup


Breast Enlargement Results Patient 10
		33 y/o 5’7” 123# Transaxillary Subpectoral Smooth Round Low Profile Saline 300cc Bilateral 34 A cup to 34 C cup


Breast Enlargement Results Patient 11
		34 y/o 5’2” 115# Inframammary Subglandular Smooth Round Moderate Profile Silicone Gel 250cc Bilateral 34 A cup to 34 B cup


Breast Enlargement Results Patient 12
		42 y/o 5’6” 138# Transaxillary Subpectoral Smooth Round Moderate Profile Saline 400cc Bilateral 36 A cup to 36 C cup


Breast Enlargement Results Patient 13
		45 y/o 5’1” 120# Transaxillary Subpectoral Smooth Round Low Profile Saline 340cc Bilateral 34 B cup to 34 C cup


Breast Enlargement Results Patient 14
		19 y/o 5’8” 139# Transaxillary Subpectoral Smooth Round Moderate Profile Saline 390cc Bilateral 34 A cup to 34 D cup


Breast Enlargement Results Patient 15
		22 y/o 5’6” 131# Transaxillary Subpectoral Smooth Round Moderate Profile Saline 450cc Rt, 470cc Lt Asymmetric 34 B cup to 34 D cup


Breast Enlargement Results Patient 16
		24 y/o 5′2″ 126# Inframammary Subpectoral Smooth Round Moderate Profile Saline 490cc Rt, 430cc Lt Asymmetric 34 C cup to 34 DD cup


Breast Enlargement Results Patient 17
		35 y/o 5′6″ 173# Inframammary Subglandular Smooth Round Moderate Profile Silicone Gel 500cc Bilateral 38 C cup to 38 D cup


Breast Enlargement Results Patient 18
		46 y/o 5′5″ 125# Inframammary Subpectoral Smooth Round Moderate Profile Saline 390cc Rt, 360cc Lt Asymmetric 36 A cup to 36 C cup


Breast Enlargement Results Patient 19
		26 y/o 5′4″ 130# Inframammary Subpectoral Smooth Round High Profile Silicone Gel 375cc Bilateral 34 B cup to 34 C cup


Breast Enlargement Results Patient 20
		26 y/o 5′3″ 202# Inframammary Subglandular Smooth Round Moderate Profile Saline 540cc Bilateral 38 B cup to 38 C cup

Learn More About Breast Augmentation in St. Louis

Tummy Tuck St. Louis - Before & After Photos of Tummy Tuck Surgery

Tummy Tuck Results Patient 1
		38 y/o 5’2” 121# Abdominoplasty (Tummy Tuck) 4 months post-op


Tummy Tuck Results Patient 2
		34 y/o female 5’8” 155# Abdominoplasty (Tummy Tuck) 4 months post-op


Tummy Tuck Results Patient 3
		43 y/o 5’6” 168# Abdominoplasty (Tummy Tuck) 4 months post op


Tummy Tuck Results Patient 4
		32 y/o female 5’2” 130# Abdominoplasty (Tummy Tuck) 4 months post-op


Tummy Tuck Results Patient 5
		41 y/o Black female 5’2” 130# Abdominoplasty (Tummy Tuck) 6 months post-op


Tummy Tuck Results Patient 6
		32 y/o 5’3” 118# Abdominoplasty (Tummy Tuck) 4 months post-op


Tummy Tuck Results Patient 7
		45 y/o 5’4” 130# Abdominoplasty (Tummy Tuck) 4 months post-op

Learn More About Tummy Tuck in St. Louis

St. Louis Liposuction - Before & After Photos of Surgery

LIPO RESULTS PATIENT 1
		30 y/o 5’8” 150# Liposuction Medial & Lateral Thighs 4 months post-op
LIPO RESULTS PATIENT 2
		22 y/o 5’8” 160# Liposuction of the Lateral Thighs (Saddle Bag Area) 4 months post-op
LIPO RESULTS PATIENT 3
		57 y/o 5’6” 138# Liposuction of the Hips and Lateral Thighs 4 months post-op
LIPO RESULTS PATIENT 4
		42 y/o 5’3” 134# Gall Bladder Scar Released along with Liposuction of the Abdomen 4 months post-op

Learn More About Liposuction in St. Louis

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 03-31-09!!

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

BUY ONE AREA GET ONE AREA FREE!

of equal or lesser value

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

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

Friday Specials!

Receive a Juvederm injection for a reduced price of $500/per syringe on Fridays!

(Monday-Thursday price $600/per syringe)

Juvederm Procedure Information

Possible Side Effects from Juvederm

bruising
swelling
asymmetry

Juvederm Injection Fees

$650 per syringe/ $575 per syringe on Fridays only

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

Friday Specials!

Receive Botox injections for a reduced price of $10/unit on Fridays!

(Monday-Thursday price $14/unit)

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

$14.00/Unit

More Botox Information

Botox Injection Technique

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 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

$8900 and up.
Price based on O.R. time used.
Price includes surgeon’s fee, hospital, anesthesia and an overnight stay.

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?

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.

View Tummy Tuck Before & After Patient Photos

Liposuction, St. Louis - Technique, Risks & Complications

Liposuction (Suction-Assisted & Ultrasound-Assisted Lipectomy) has become very popular in recent years largely due to the effectiveness of the procedure. It is a technique used to remove unwanted fat deposits from specific areas of the body. The ideal patient should be close to their ideal body weight. Liposuction can then be used to fine tune areas of diet and exercise resistant, localized fat regions.

Liposuction Procedure Information

By using a tube and high vacuum device, St. Louis plastic surgeon Dr. Rottler can remove unwanted fatty deposits in many areas of the body. The procedure takes 1-2 hours or more, depending on the extent of the surgery. The procedure is performed in an operating room as an outpatient.

Side Effects of Liposuction

Temporary swelling, bruising, numbness, burning sensations and/or soreness.

Recovery from Liposuction Cosmetic Surgery

Back to Work 1-2 weeks
More strenuous activity 2- weeks.
Swelling & bruising 1-6 months or more.
Patient must wear post-operative garment for 4-6 weeks.

Liposuction Surgical Fees

$4000 and up.
Price is based on O.R. time and how many areas of the body are treated. The price includes surgeon’s fee, hospital, anesthesia and 2 compression garments to be worn post-operatively.

More Liposuction Information

Liposuction (lipoplasty) is particularly well-suited for women and men who are of relatively normal weight but have isolated pockets of fat that cause certain areas of their body to appear disproportionate. These localized fat deposits may sometimes be an inherited trait and typically do not respond to dieting or exercise. Liposuction is often the only way to eliminate them.

While it is possible to undergo liposuction at almost any age, you will obtain the best results if your skin still has enough elasticity to achieve a smooth contour following fat removal. When skin is inelastic, as in some older patients, it may not redrape well and a skin tightening procedure may be necessary.

Am I a good candidate for liposuction?

You may be a good candidate for liposuction if you have localized excess fat or if you desire contouring in any of the following areas:

cheeks, jowls and neck
upper arms
back
abdomen and waist
hips and buttocks
inner and outer thighs

Liposuction may sometimes be used to treat a condition called gynecomastia, or male breast enlargement, which frequently occurs among both teenage and adult males. Liposuction should not be considered a substitute for overall weight loss, nor is it an effective treatment for cellulite, a condition that gives the skin an uneven, dimpled appearance. Alternative treatments may be considered, in some instances, to improve this problem. Liposuction can be performed on several areas of the body at the same time, and it can also be done in conjunction with other aesthetic plastic surgery.

How will Dr. Rottler evaluate me for liposuction?

You should come to the consultation prepared to discuss your medical history. This will include information about any medical conditions you may have such as diabetes, high blood pressure or heart disease. Your surgeon will want to know about previous surgeries, medical treatments and medications that you currently take. It is important for you to provide complete information.

How much you currently weigh and whether you plan to lose or gain weight in the future will be factors in evaluating you for liposuction. Your plastic surgeon may ask you about the effects of prior weight loss on the appearance of those areas which you have indicated for contouring. He or she will assess the elasticity of your skin and estimate the amount of fat to be removed for optimal results.

How Liposuction is Performed

Fat is removed by first inserting a small, hollow tube, called a cannula, through one or more tiny incisions near the area to be suctioned. Incisions are usually less than one-quarter inch in length and are placed as inconspicuously as possible, often within skin folds or contour lines. The cannula is connected by tubing to a vacuum pressure unit. Guided by the surgeon, the suction device literally vacuums away the unwanted fat.

What are some variations to the liposuction technique?

Prior to performing liposuction, fluid is instilled into the areas to be suctioned. Plastic surgeons may use a “dry” technique, a “tumescent” technique that introduces large amounts of fluid, or other variations. Your surgeon will discuss with you the particular method that he or she recommends for treating specific areas of your body.

The abdominal area responds well to treatment with liposuction, resulting in a flatter abdominal profile and better-defined waist. In some patients, liposuction of the upper arms may also be effective. These considerations are based in large part upon the goals that you and your plastic surgeon have set for your body contouring surgery. Liposuction can remove fatty deposits in the cheeks, jowls and neck.

Understanding Risks

Fortunately, significant complications from liposuction are infrequent. Every year, many thousands of people undergo liposuction, 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 your surgeon, or with a staff member in your surgeon’s office. Some of the potential complications that may be discussed with you include bleeding, infection and reasons to anesthesia. Blood accumulations under the skin are possible, but these normally resolve themselves and rarely require removal. While numbness of the skin following liposuction is almost always temporary, it is possible for some lack of sensation to persist or for skin discoloration to appear in treated areas. Contour irregularities including depressions or wrinkling of the skin can result in some patients, but treatments are usually available to help minimize these problems if they occur.

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. Depending on the extent of your surgery and the type of anesthesia used, you may need someone to drive you home afterwards and to stay with you at least the first night.

What will the day of surgery be like?

Your liposuction 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. You and your plastic surgeon will have decided in advance what type of anesthesia is to be used, either local anesthesia, intravenous sedation, and epidural block or general anesthesia. For your safety during the operation, various monitors are used to check your heart, blood pressure, pulse and the amount of oxygen circulating in your blood.

When surgery is completed, you will be taken into a recovery area where you will continue to be closely monitored. There may be some discomfort, but this can be controlled by medication which you may continue taking at home. A compressive dressing such as an elasticized bandage, sponge or specially designed garment may have been placed over the areas that were suctioned. Your surgeon will tell you how long you should wear the garment and will instruct you on how to remove it so that you may shower or bathe. You probably will be permitted to go home after a few hours, although some patients may stay overnight in the hospital or surgical facility.

How will I look initially?

It is important to realize that the amount of time it takes for recovery varies greatly among individuals. The day after surgery, you will need to move around a bit to promote blood circulation. Your plastic surgeon will advise you to limit yourself to brief periods of gentle activities for the first few days. Remember, you must not take aspirin or certain anti-inflammatory medications, and you should not smoke for a while following surgery.

Your dressings will be removed the day after surgery so that Dr. Rottler can examine the treated areas. You will notice swelling and bruising, which is to be expected. Swelling usually begins to subside a week or so following surgery, while bruising can last three weeks or longer. There may also be numbness in some areas, and it may take several weeks before feeling returns.

When can I resume my normal activities?

You may be able to return to work in just a few days. In many instances, you can resume most of your normal activities within one or two weeks and begin some form of exercise soon after. The timing of your recovery depends largely on the extent of your surgery.

Results of Your Liposuction

Liposuction surgery will reduce those areas of fatty deposits that previously created unflattering bulges and perhaps made it difficult to feel comfortable in your clothing or caused self-consciousness. Factors such as fluid retention following surgery and prolonged swelling may delay the appearance of your new, slimmer contour. The healing process is gradual, so you should expect to wait a while before fully enjoying the results of your liposuction.

How long will the results last?

The results of liposuction will be permanent, as long as you maintain your postoperative weight. Even if you gain a few extra pounds, you may find that the weight is distributed more evenly instead of accumulating in the areas that were problematic for you in the past.

Occasionally, a touchup may be desired to further improve an area that has been suctioned. The additional treatment can sometimes be performed under local anesthesia in your plastic surgeon’s office. More extensive revisions may require a return to the operating room.

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.

View Liposuction Before & After Patient Photos

Gynecomastia in St. Louis - Male Breast Reduction Surgery Information

Male breast reduction (Gynecomastia) is performed on men with enlarged female-like breasts.

Gynecomastia Reduction Procedure Information

This procedure involves removing the breast tissue through an incision around the areola or by liposuction. The procedure usually takes 1-2 hours and it is performed in the operating room as an outpatient.

Side Effects of Male Breast Reduction

Swelling, bruising and numbness.

Recovery from Male Chest Sculpting

Back to work 5-7 days.
More strenuous activity at 1 month.
Patient must wear compression garment for 3-4 weeks.

Male Breast Reduction Surgical Fees

$8000 and up.
Price based on O.R. time used. Price includes surgeon’s fee, hospital and anesthesia.

More Gynecomastia Information

Gynecomastia is a medical term that originates from the Greek words for “women-like breasts.” This condition is far more common than many realize. Gynecomastia affects an estimated 40 to 60 percent of the male population. It may affect only one breast or both. Although certain drugs such as anabolic steroids, medications containing estrogen, alcohol, marijuana, etc., and medical conditions including cancer, impaired liver function, to name a few, may cause or contribute to enlarged male breasts, it is widely accepted that a large percentage of cases derive from unknown sources.

Men of any age who are healthy and emotionally stable are considered good candidates for male breast reduction surgery. The best candidates are those who have firm, elastic skin that will reshape to the body’s new contours. In some instances, surgery may be discouraged for overweight men who have not first tried an exercise and diet regimen.

Enlarged male breasts can be reduced by liposuction and/or by cutting out excess glandular tissue. The procedure for male breast reduction takes an average of two hours, usually on an outpatient basis, using general or local anesthesia. If excessive glandular tissue, fat and skin is present, it will be removed.

Surgery may be performed alone or in conjunction with lipoplasty, where the suction device will typically be inserted through the existing incisions. For the removal of excess fatty tissue alone, liposuction may be all that is needed; in such cases, scars will be small and barely visible.

Results are permanent, although subsequent obesity can create a gynecomastia-like effect. Some of the benefits of surgery include a firmer, flatter, more contoured chest which may give the male patient a boost in self-confidence. There is little downtime, and you may return to work within one week usually, unless you are involved in strenuous activities.

There will be scarring around the nipple of the breast (areola) from this procedure but will fade over a period of time and be less visible. There will be some post-operative bruising, swelling, and burning sensation. To assist with the healing process, the patient will wear an elastic pressure garment for 3-6 weeks and must avoid exposing scarred areas to the sun for at least 6 months.

Other considerations include temporary numbness or lack of sensation that could last up to a year. Infrequent complications may include infection, skin damage, fluid accumulation, bleeding, scarring or pigment changes.

Breast Reduction St. Louis - Breast Reduction Surgery Information

Breast Reduction in St Louis(Reduction Mammaplasty) is performed for physical relief for patients with overlarge, sagging breasts which may cause back pain, deformities of the back and shoulders, postural problems, skin rashes under the breast and breast pain . Patients should be at or near their ideal body weight.

Breast Reduction Procedure Information

The procedure involves removing excess breast tissue and skin, repositioning the nipple and areola and reshaping the new contour of the breast. The surgery usually takes 3-4 hours and is performed in an operating room as an outpatient or with an overnight stay.

Side Effects from Breast Reduction Surgery

Swelling and bruising, loss of sensation of nipples and breast skin is possible but may improve gradually.

Recovery from Breast Reduction Plastic Surgery

Back to work 7-10 days.
No strenuous activity 2-4 weeks.
Breast sore 2-4 weeks.
Drains in place 3-10 days.
Must wear post-operative bra for 4 weeks.

Breast Reduction Cosmetic Surgical Fees

$8500 and up.
Price based on O.R. time used. Price includes surgeon’s fee, hospital, anesthesia and pathology fee for breast tissue.

More Breast Reduction Information

Patients who undergo breast reduction surgery frequently are seeking relief from physical symptoms caused by the excessive weight of large breasts. Breast reduction usually can solve these problems as well as improve the size and shape of your breasts. Following breast reduction, your breasts will be more proportional to the rest of your body, and clothes will fit you better.

Am I a good candidate for Breast Reduction in St Louis Missouri?

One or more of the following feelings or conditions may indicate that you are a good candidate for Breast Reduction:

Breasts that are too large in proportion to your body frame
Heavy, pendulous breasts with nipples and areolas that point downward
One breast is much larger than the other
Back, neck or shoulder pain caused by the weight of your breasts
Skin irritation beneath your breasts
Indentations in your shoulders from tight bra straps
Restriction of physical activity due to the size and weight of your breasts
Dissatisfaction or self-consciousness about the largeness of your breasts

Breast reduction can be performed at any age, but plastic surgeons usually recommend waiting until breast development has stopped. Childbirth and breast-feeding may have significant and unpredictable effects on the size and shape of your breasts. Nevertheless, many women decide to undergo breast reduction before having children and feel that they can address any subsequent changes later. If you plan to breast-feed in the future, you should discuss this with your plastic surgeon.

During the consultation with Dr. Rottler, you will be asked about your desired breast size as well as anything else about your breasts that you would like to see improved. This will help Dr. Rottler to understand your expectations and determine whether they realistically can be achieved.

How will Dr. Rottler evaluate me for Breast Reduction surgery?

Dr. Rottler will examine your breasts, taking measurements and photographs for your medical record. The size and shape of your breasts, the quality of your skin, and the placement of the nipples and areolas will be carefully evaluated.

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, previous surgeries including breast biopsies, and medications that you currently take. It is important for you to provide complete information.

You should tell your plastic surgeon if you plan to lose a significant amount of weight, particularly if you have noticed that your breasts become smaller with weight loss. Your surgeon may recommend that you stabilize your weight before having surgery.

Individual factors and personal preferences will determine the specific technique selected to reduce the size of your breasts.

Where are the incisions placed?

The most common method of reducing the breasts involves three incisions. One incision is made around the areola. Another runs vertically from the bottom edge of the areola to the crease underneath the breast. The third incision follows the natural curve of the breast crease.

After the surgeon has removed excess breast tissue, fat and skin, the nipple and areola are shifted to a higher position. The areola, which in large breasts usually has been stretched, also is reduced in size. Skin that was formerly located above the nipple is brought down and together to reshape the breast. Liposuction may be used to improve the contour under the arm.

Usually, the nipples and areolas remain attached to underlying mounds of tissue, and this allows for the preservation of sensation. The ability to breast-feed may also be preserved by this method, although this cannot be guaranteed.

What are some variations to the common breast reduction technique?

There are many variations to the design of the incisions for breast reduction. The size and shape of your breasts, as well as the desired amount of reduction, are factors that will help your plastic surgeon determine the best technique for you.

In some instances, it may be possible to avoid the vertical incision that runs from the bottom edge of the areola to the breast crease or the horizontal incision underneath the breast.

Rarely, if your breasts are extremely large, the nipples and areolas may need to be completely detached before they are shifted to a higher level. In such a case, you will need to have made the decision to sacrifice sensation and the possibility of breast-feeding in order to achieve your desired breast size.

Understanding Risks of Breast Reduction Surgery

Fortunately, significant complications from breast reduction are infrequent. Every year, many thousands of women undergo successful breast reduction surgery, experience no major problems and are pleased with the results. Anyone considering surgery, however, should be aware of both the benefits and the 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 your plastic surgeon, or with a staff member in your surgeon’s office.

Some of the potential complications that may be discussed with you include bleeding, infection and reactions to anesthesia. Rarely, a patient may require a blood transfusion during the operation. This usually can be anticipated in advance, and your plastic surgeon may, under certain circumstances, advise you to donate your own blood in preparation for surgery.

Following reduction, sometimes the breasts may not be perfectly symmetrical or the nipple height may vary slightly. If desired, minor adjustments can be made at a later time. Permanent loss of sensation in the nipples or breasts may occur rarely. Revisionary surgery is sometimes helpful in certain instances where incisions may have healed poorly. In the unlikely event of injury to or loss of the nipple and areola, they usually can be satisfactorily reconstructed using skin grafts. You can help to lessen certain risks by following the advice and instructions of your plastic surgeon, both before and after surgery.

How should I prepare for surgery?

Depending on your age, or if you have a history of breast cancer in your family, your plastic surgeon may recommend a baseline mammogram before surgery and another mammographic examination some months after surgery. This will help to detect any future changes in your breast tissue. Following breast reduction, you will still be able to perform breast self-examination. Breast reduction surgery will not increase your risk of developing breast cancer.

Breast reduction surgery may be performed on an inpatient or outpatient basis. If you are to stay in the hospital or surgical facility, it will most likely be for only one night. Whether you are released the day of surgery or the following day, you will need someone to drive you home and to stay with you for the next day or two.

What will the day of surgery be like?

Your breast reduction surgery may be performed in a hospital, free-standing ambulatory facility or office-based surgical suite. Usually, 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. In many instances, small drain tubes will have been placed in your breasts to help avoid the accumulation of fluids. Gauze dressings will be placed on your breasts and covered with an elastic bandage or surgical bra.

How will I look and feel initially?

The day after surgery, you will be encouraged to get out of bed for short periods of time. After several days, you will be able to move about more comfortably. Straining, bending and lifting must be avoided, however, since these activities might cause increased swelling or even bleeding. You may be instructed to sleep on your back to avoid pressure on your breasts.

Any surgical drains will be removed a day or two after surgery, at which time your dressings may also be changed or removed. You will be instructed to wear a support bra for a few weeks, until the swelling and discoloration of your breasts diminishes. Generally, stitches will be removed in stages over a period of approximately three weeks, beginning about one week after surgery.

You may notice that you feel less sensation in the nipple and areola areas. This usually is temporary. It may, however, take weeks, months or even more than a year before sensation returns to normal. Your breasts may also require some time to assume a more natural shape. Incisions will initially be red or pink in color. They will remain this way for many months following surgery.

When can I resume my normal activities?

After breast reduction surgery, it is often possible to return to work within just a couple of weeks, depending on your job. In many instances, you can resume most of your normal activities, including some form of mild exercise, after several weeks. You may continue to experience some mild, periodic discomfort 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 one week, and your plastic surgeon may advise you to wait longer. After that, care must be taken to be extremely gentle with your breasts for at least the next six weeks.

How long will the results last?

Unless you gain or lose a significant amount of weight or become pregnant, your breast size should remain fairly constant. However, gravity and the effects of aging will eventually alter the size and shape of virtually every woman’s breasts. If, after a period of years, you become dissatisfied with the appearance of your breasts, you may choose to undergo a breast “lifting” procedure to restore their more youthful contour.

Results of Breast Reduction

Breast reduction surgery will make your breasts smaller and firmer. Without the excessive weight of large breasts, you may find greater enjoyment in playing sports and engaging in physical activity.

The incisions from your breast reduction surgery will heal and fade over time. It is important to realize, however, that the incision lines will be permanently visible, more so in some individuals than others. Fortunately, the incisions for breast reduction are in locations easily concealed by clothing, even low-cut necklines.

Breast reduction often makes a dramatic change in your appearance. For this reason, it may take some time to adjust to your new body image. Most women, however, eventually become comfortable with their smaller breasts and feel very pleased with the results of surgery. In fact, the level of patient satisfaction resulting from breast reduction is among the highest of any plastic surgery procedure.

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. Once the immediate postoperative follow-up is complete, many surgeons encourage their patients to come back for periodic checkups to observe and discuss the long-term results of surgery. 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 Dr. Rottler.

View Breast Reduction Before & After Patient Photos

Breast Lift St. Louis - Breast Lift (Mastopexy) Information

Breast Lift (Mastopexy) is a surgical procedure performed to raise and reshape sagging breasts. Many women elect to have this procedure after having children or losing a considerable amount of weight and their breasts have lost their shape.

Breast Lift Procedure Information

The surgeon will remove excess skin and reposition the nipple and areola to a higher position. This procedure takes 1-2 hours and is performed in an operating room as an outpatient.

Side Effects from Breast Lift Cosmetic Surgery

Temporary bruising, swelling, soreness, numbness.

Recovery from Breast Lift

Back to work in 1 week.
More strenuous activity 1 month.
Fading scars several months to a year.

Breast Lift Surgical Fees

Crescent Lift $3500 and up
V-T Mastopexy $8000 and up
Price based on O.R. time used. The price includes surgeon’s fee, hospital and anesthesia.

More Breast Lift Information

Am I a good candidate for a breast lift?

You may be a good candidate for breast lift surgery if you have one or more of the following conditions:

Breasts that lack substance or firmness
Nipples and areolas that point downward, especially if they are positioned below the breast crease

Sometimes these conditions may be inherited traits. In certain cases, the breasts may have developed differently so that one breast is firm and well positioned while the other is not. There may be differences in the size of your breasts as well as their shape. Breasts that are large and heavy can be lifted, but the results may not be as long-lasting as when the procedure is done on smaller breasts.

A breast lift can be performed at any age, but plastic surgeons usually recommend waiting until breast development has stopped. Pregnancy and breast-feeding may have significant and unpredictable effects on the size and shape of your breasts. Nevertheless, many women decide to undergo breast lift surgery before having children and feel that they can address any subsequent changes later. Since the milk ducts and nipples are left intact, breast lift surgery usually will not affect your ability to breast-feed; however, you should discuss this with your plastic surgeons.

Your Personal Consultation with Dr. Rottler

During the consultation, you will be asked about your desired breast shape and size. Your plastic surgeon will discuss with you how your nipples and areolas will be repositioned. You should mention anything else about your breasts that you would like to see improved. This will help your surgeon to understand your expectations and determine whether they realistically can be achieved.

How will Dr. Rottler evaluate me for breast lift surgery?

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, previous surgeries including breast biopsies, and medications that you currently take. It is important for you to provide complete information.

You should tell your plastic surgeon if you plan to lose a significant amount of weight, particularly if you have noticed that your breasts sag or become smaller with weight loss. Your surgeon may recommend that you stabilize your weight before having surgery.

Will my insurance help cover the cost of surgery?

Breast lift surgery, as an aesthetic (cosmetic) procedure, generally is not covered by insurance. Under certain circumstances, however, insurance coverage may be available. For example, if a breast reconstruction after mastectomy is performed, the opposite breast may need to be modified for symmetry. 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 a Breast Lift Is Performed

Individual factors and personal preferences will determine the specific technique selected to lift your breasts.

Where are the incisions placed?

A common method of lifting the breasts involves three incisions. One incision is made around the areola. Another runs vertically from the bottom edge of the areola to the crease underneath the breast. The third incision is horizontal beneath the breast and follows the natural curve of the breast crease.

After the plastic surgeon has removed excess breast skin, the nipple and areola are shifted to a higher position. The areola, which in a sagging breast may have been stretched, can be reduced in size. Skin that was formerly located above the areola is brought down and together beneath it to reshape the breast.

The nipples and areolas remain attached to underlying mounds of tissue, and this usually allows for the preservation of sensation and the ability to breast-feed.

What are some variations to the common breast lifting technique?

There are many variations to the design of the incisions for breast lift surgery. The size and shape of your breasts, size of your areolas, and extent of sagging are factors that will help your plastic surgeon determine the best technique for you.

In some instances, it may be possible to avoid the horizontal incision beneath the breast. Sometimes a technique may be used that avoids this horizontal incision as well as the vertical incision that runs from the bottom edge of the areola to the breast crease. If you are a good candidate for a modified technique, your plastic surgeon will discuss this with you.

If you and your plastic surgeon have decided that it is desirable to enlarge your breasts at the same time as they are lifted, this will require insertion of breast implants. If this is an option that you wish to consider, your surgeon will review the necessary information with you and may provide you with a brochure on breast augmentation.

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 your plastic surgeon, or with a staff member in your surgeon’s office.

Some of the potential complications that may be discussed with you include bleeding, infection and reactions to anesthesia. Following a breast lift, sometimes the breasts may not be perfectly symmetrical or the nipple height may vary slightly. Minor adjustments often can be made at a later time. Permanent loss of sensation in the nipples or areas of breast skin may occur rarely. Revisionary surgery may sometimes be helpful in certain instances where incisions may have healed poorly. You can help to lessen certain risks by following the advice and instructions of your plastic surgeon, both before and after surgery.

How should I prepare for surgery?

Depending on your age, or if you have a history of breast cancer in your family, your plastic surgeon may recommend a baseline mammogram before surgery and another mammographic examination some months after surgery. This will help to detect any future changes in your breast tissue. Following a breast lift, you will still be able to perform breast self-examination. Breast lift surgery will not increase your risk of developing breast cancer.

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. Breast lift surgery is usually 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 at least the first night.

Breast Augmentation St. Louis - Information on Breast Enlargement & Implant Options

Breast Augmentation (Augmentation Mammaplasty) is typically performed to enhance the size and shape of women’s breasts. It is accomplished by surgically inserting an artificial implant under the breast tissue or pectoralis muscle.

Breast Enlargement Procedure Information

An incision is made either in the armpit, around the areola, or under the breast. The implant is placed either behind the muscles between the breast and chest wall or behind the breast tissue. The surgery usually takes 1-2 hours. Procedure is performed in an operating room as an outpatient.

Side Effects from Breast Implant Surgery

Temporary soreness, swelling, bruising, change in nipple sensation.

Recovery from Breast Enhancement

Back to work 3-4 days.
Scar fading 6 months - 1 year or more.
Patient must wear a post-operative bra for 4 weeks.

Breast Augmentation Surgical Fees

$5700 Saline
$6600 Silicone Gel

Price includes surgeon’s fee, hospital, anesthesia, breast implants, extended warranty on the implants and follow-up visits for LIFE!

More Breast Enlargement Information

Breast augmentation plastic surgery is one of the most common procedures performed annually by members of the American Society for Aesthetic Plastic Surgery. Women may choose to under go breast enlargement surgery for various reasons. These personal reasons may center around breasts that are perceived to be under developed, or because of differences in the sizes of the breasts or from changes after pregnancy or breast feeding. Some women may be happy with their breasts but just want them made fuller. Often after weight loss, aging or childbirth a woman’s breast volume and shape may change. This too can lead a woman to seek a breast augmentation. Breast implant surgery performed by plastic surgeons is the most popular way to improve breast shape and size. Breast enhancement using breast implants can give a woman more proportional shape and may improve self esteem.

Am I a good candidate for breast augmentation?

One or more of the following feelings or conditions may indicate that you are a good candidate for breast augmentation:

You are bothered by the feeling that your breasts are too small
Clothes that fit well around your hips are often too large at the bustline
You feel self-conscious wearing a swimsuit or form-fitting top
Your breasts have become smaller and lost their firmness after having children
Weight loss has changed the size and shape of your breasts
One of your breasts is noticeably smaller than the other

How will Dr. Rottler evaluate me for breast augmentation surgery?

Dr. Rottler will examine your breasts and take photographs for your medical record. He will consider such factors as the size and shape of your breasts, the quality of your skin and the placement of your nipples and areolas (the pigmented skin surrounding the nipples). If your breasts are sagging, a breast lift may be recommended in conjunction with augmentation.

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, previous surgeries including breast biopsies, and medications that you currently take. You will be asked whether you have a family history of breast cancer and about results of any mammograms. It is important for you to provide complete information.

There is no scientific evidence that breast augmentation increases the risk of breast cancer. The presence of breast implants, however, makes it more technically difficult to take and read mammograms. This may be a special consideration for women who perhaps are at higher risk for breast cancer because of their family history or other reasons.

If you are planning to lose a significant amount of weight, be sure to tell Dr. Rottler. He may recommend that you stabilize your weight prior to undergoing surgery.

If you think that you may want to become pregnant in the future, you should mention this to Dr. Rottler. Pregnancy can alter breast size in an unpredictable way and could affect the long-term results of your breast augmentation. There is no evidence that breast implants will affect pregnancy or your ability to breast-feed, but if you have questions about these matters, you should ask Dr. Rottler.

Your Breast Enhancement Surgical Experience

The goal of Dr. Rottler and the entire staff is to make your surgical experience as easy and comfortable for you as possible.

How should I prepare for breast augmentation plastic surgery?

In some instances, your plastic surgeon may recommend a baseline mammogram before surgery and another mammographic examination some months after surgery. This will help to detect any future changes in your breast tissue. Following breast augmentation, you will still be able to perform breast self-examination.

Breast augmentation is usually 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 at least the first night following surgery.

What will the day of breast implant surgery be like?

Your breast augmentation surgery 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. Frequently, local anesthesia and intravenous sedation are used for patients undergoing breast augmentation, although general anesthesia may be desirable in some instances.

How will my breasts look and feel after the breast implants have been placed?

A day or two after surgery, you should be up and about. Any dressings will be removed within several days, and you may be instructed to wear a support bra. Dr. Rottler will permit you to shower the day after your surgery. Stitches will be removed in about a week. Some discoloration and swelling will occur initially, but this will disappear quickly. Most residual swelling will resolve within a month.

What should I expect during the recovery process?

At the conclusion of your breast augmentation procedure, you may be placed in a surgical dressing that may include a support bra or garment. You should follow your plastic surgeon’s directions as prescribed. Prior to your discharge, you and your caregiver will be given detailed instructions about your post-surgical care, the normal symptoms you will experience, and any potential signs of complication.

Options for your recovery after undergoing breast augmentation include:

Home: When discharged, you will be released to the care of a responsible adult with safe, licensed transportation home. The adult may be a family member, friend or hired caregiver and must be competent to understand your recovery instructions and to monitor your health. Your caregiver must commit to stay with you at all times for a minimum of 24 hours after surgery.
Licensed Recovery Facility: You will be released to the care of a licensed post-surgical recovery facility where nurses or specially trained medical professionals will monitor your health and comfort until you are able to return home and capably care for yourself.
Hotel or spa: You may wish to recover at a hotel or spa location, where licensed healthcare professionals will monitor your recovery around the clock as recommended by your plastic surgeon.
Overnight Hospital Stay: An overnight hospital stay may be offered to you or may be recommended. In this case your surgery will be performed at the hospital where you will stay overnight. You will be released from the hospital to a capable caregiver to continue your recovery at home, or to a licensed recovery facility.

You should be walking under your own strength immediately after your breast augmentation surgery. It is very important that you walk a few minutes every few hours to reduce the risk of blood clot formation in your legs.

The first 2-5 days following your breast augmentation surgery you may feel stiff and sore in the chest region. Any dressings will be removed within several days, and you may be instructed to wear a support bra. Your breasts may feel tight and sensitive to the touch, and your skin may feel warm or itchy. You may experience difficulty raising your arms. You should not lift, push or pull anything, or engage in any strenuous activity or twisting of the upper body. Some discoloration and swelling will occur initially, but this will disappear quickly. Most residual swelling will resolve within a month.

It is important to follow all patient care instructions as directed.

When can I expect to resume my normal activities after my breast augmentation?

While it will take several days to return to more normal activities after your breast augmentation, it is important to your recovery that you get up and move around. After breast augmentation, it is often possible to return to work within just a few days or a week, depending on the type of activities that are required at your job.

Physical activity should be avoided for at least the first couple of weeks following surgery. After that, care must be taken to be extremely gentle with your breasts for at least the next month.

Breast Implant Options for the 21st Century

Breast augmentation is designed to increase the size of small or underdeveloped breasts. Breast surgery can also restore and enhance your breast volume if it has decreased as a result of pregnancy and breast feeding. In addition, breast implants can serve one or more of a number of purposes; breast cancer victims can use breast implants for reconstructive purposes after mastectomy, or women with asymmetrical breasts may use a single breast implant to balance the difference in size.

The availability of FDA-approved silicone gel implants has created new options for women considering breast surgery for the first time and for those who have had previous surgeries but are seeking new replacements or revision. Now, all women over 22 years old seeking cosmetic breast augmentation and women seeking breast reconstruction surgery will be able to select silicone breast implants.

What type of breast implants can be used for breast augmentation?

The size and type of breast implant recommended for you will be determined by your goals for breast enhancement, your existing body frame, and mass, your existing breast tissue, and the preferences you and your plastic surgeon discuss. All breast implants include a solid silicone rubber outer shell, called a lumen.

Breast implant options include:

Saline breast implants: Filled with sterile salt water. Saline implants may be pre-filled to a predetermined size. Saline may also be filled at the time of surgery to allow for minor modifications in implant size.
Silicone filled breast implants: Filled with soft, elastic gel. All silicone breast implants are pre-filled and may require a longer incision for implant placement.

New scientific data on the safety of breast implants is rapidly being collected. In the future, it is possible that additional types of filler materials may become available as advancements take place. Surgical techniques for breast augmentation and breast implants themselves are continuously being refined, increasing the safety and reliability of the procedure. Your plastic surgeon will be able to provide you with the latest information.

Where are the incisions made for the placement of breast implants?

One of the advantages of a saline-filled implant is that, because it is filled with saltwater after being inserted, only a small incision is needed. Often, an incision of less than one inch is made underneath the breast, just above the crease, where it is usually quite inconspicuous.

Another possible location for the incision is around the lower edge of the areola. A third alternative is to make a small incision within the armpit. Once the incision is made, the surgeon creates a pocket into which the implant will be inserted. This pocket is made either directly behind the breast tissue or underneath the pectoral muscle which is located between the breast tissue and chest wall.

I understand that every plastic 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 your plastic surgeon, or with a staff member in your surgeon’s office.

Some of the potential complications that may be discussed with you include reactions to anesthesia, blood accumulation that may need to be drained surgically and infection. Although rare, an infection that does not subside with appropriate treatment may require temporary removal of the implant. Changes in nipple or breast sensation may result from breast augmentation surgery, although they usually are temporary.

When a breast implant is inserted, a scar capsule forms around it as part of the natural healing process. The capsule may sometimes tighten and compress the implant, causing the breast to feel firmer than normal. Capsular contracture can occur to varying degrees. If it is severe, it can cause discomfort or changes in the breast’s appearance. In such cases, more surgery may be needed to modify or remove the scar tissue, or perhaps remove or replace the implant.

Breast implants are not lifetime devices and cannot be expected to last forever. If a saline-filled implant breaks, its contents are harmlessly absorbed by the body. A definite change in the size of the breast is clearly noticed. Rupture can occur as a result of trauma to the chest, but more commonly it occurs spontaneously with no apparent cause. Surgery will be required to replace the implant, if desired.

If you are at an age when mammographic examinations should be conducted on a periodic basis, it will be important for you to select a radiology technician who is experienced in taking x-rays of augmented breasts. Additional views of your breasts will be required. Dr. Rottler may recommend other types of examinations such as ultrasound or magnetic resonance imaging.

Some women with breast implants have reported problems including certain connective tissue and immune-related diseases. Women without implants also have these disorders, so the key question is whether breast implants increase the risk of developing the conditions. Several large studies have been completed that provide reassurance that women with breast implants do not have a significantly increased risk for these diseases.

Results of Breast Augmentation

Breast augmentation will make your breasts fuller and enhance their shape. You will find it easier to wear certain styles of clothing. Like many women who have had breast augmentation, you may have a boost in self-confidence.

How long will the results last after a breast augmentation?

Except in the event of implant deflation requiring surgical replacement with a new implant, the results of your breast augmentation surgery will be long-lasting. However, gravity and the effects of aging will eventually alter the size and shape of virtually every woman’s breasts. If, after a period of years, you become dissatisfied with the appearance of your breasts, you may choose to undergo a breast “lifting” to restore their more youthful contour.

View Breast Augmentation Before & After Patient Photos

Plastic Surgeon in St. Louis, Dr. Rottler, Offers Lip Augmentation

Lip augmentation creates fuller, plumper lips and reduces fine wrinkles around the mouth. Lips may be injected with filler materials or with fat transferred from another site in the patient’s body. Fillers are absorbed and repeat treatments are necessary to maintain results. Newer, longer-lasting options include implantable materials like AlloDerm and SoftForm.

Lip Augmentation Fees

$500 and up
Implants - $2500 and up (depends on technique and filler material)

Lip Enlargement Surgical Technique

A natural or synthetic biocompatible material, or the patient’s own fat, is injected or implanted in the lips. One injection is usually sufficient to produce the desired result, which may be temporary, depending on the material used. Injections may need to be repeated periodically. Proper placement of the injected material is important. AlloDerm, a natural collagen sheet made from donated skin, is inserted through tiny incisions inside the corners of the mouth. Once the AlloDerm implant is in place, it eventually becomes integrated with the natural tissues. Gore-Tex, SoftForm and soft ePTFE are other synthetic implant options.

Further options include:

HylaForm - a crystal-clear injectable gel; the hyaluronic acid in Hylaform is similar to that naturally found in the body
Radiance - calcium hydroxylapatite
Perlane - crystal-clear injectable gel; the hyaluronic acid in Perlane is very close to that naturally found in the body
Juvederm - hyaluronic acid gel
Collagen

Lip Augmentation Information

Dr. Rottler or his staff will discuss your options during your consultation. Depending on your goals or desires, the appropriate material/filler will be discussed in detail.

Benefits of Lip Enlargement Surgery

Immediate return to normal activities (one-day return if sedated) for nonsurgical procedures; depending on the procedure and materials used, recovery period is within a week for surgical procedures
Gore-Tex implants are permanent, easily inserted and well tolerated by the body
Temporary procedures like fillers can be appealing to patients who want to experiment with a fuller-lipped look, but not necessarily commit to it

Other Considerations for Lip Augmentation

Allergic reactions can range from prolonged redness, swelling or itching, to firmness at the injection site. Other possible complications include bleeding, lip asymmetry, and migration and extrusion of the implant. Normal swelling and bruising lasts from three days to a week
Patients with a reaction to the pre-treatment collagen skin test; who have a serious allergy history; or are allergic to lidocaine (a local anesthetic) should not consider lip augmentation. Treatment is sometimes postponed for patients with active inflammatory skin conditions or with infections
Collagen injections have a short-lived effect (9-12 weeks); fat injections provide longer-lasting results, but are sometimes unpredictable as to the degree of improvement and can have lumping or scarring effects
Soft-form is a foreign body and may become infected or be rejected. While many surgical techniques exist for lip augmentation, none are ideal.

Rhinoplasty in St. Louis

Surgery of the nose (Rhinoplasty) can reshape your nose in numerous ways to improve its appearance and overall facial appearance. Most patients often elect to reduce/increase the size and shape of the nose, remove a hump, or narrow the span between the nostrils. The surgery usually takes 1-2 hours or more.

Rhinoplasty Procedure Information

Incisions are made on the inside of the nose and between the nostrils to allow access to the cartilage and bone. The bones and cartilage are contoured to improve the shape of the nose.

Side Effects from Nasal Surgery

Temporary swelling, bruising and headaches. There may also be some bleeding and stuffiness.

Recovery from Nose Reshaping Plastic Surgery

Back to work 1-2 weeks. More strenuous activity 2-3 weeks. Allow at least 1 year to obtain a final appearance.

Rhinoplasty Surgical Fees

$5000 and up.
Price base on O.R. time used.

More Nasal Surgery Information

Plastic surgeons usually recommend that patients wait until they are at least 14 or 15, and possibly older for boys, before undergoing rhinoplasty. This is because the nose may not be fully developed at a younger age. If you are a teen, your plastic surgeon will want to be certain that you have thought carefully about surgery and that the desire to change your appearance is based on your own feelings rather than those of your parents or friends.

Assuming you are in good health, there is no upper age limit for having your nose reshaped. Rhinoplasty is sometimes performed in conjunction with a facelift or other rejuvenate surgery to correct aging changes of the nose such as a drooping tip. Sometimes certain breathing problems related to the internal nasal structures can be corrected at the same time as nose reshaping is performed. Your plastic surgeon will be able to help you determine whether these structures should be modified along with reshaping your nose.

Am I a good candidate for rhinoplasty?

Some of the indications that you may be a good candidate for rhinoplasty are:

your nose appears too large for your face
there is a bump on the nasal bridge when viewed in profile
your nose seems too wide when viewed from the front
the nasal tip droops or plunges
the tip is thickened or enlarged
your nostrils are excessively flared
your nose is off-center or crooked
previous injury has made your nose asymmetrical

It is important that you have a clear idea of how you would like your nose to look and, at the same time, realize that there are limitations to the procedure. Patients with sufficient physical and emotional maturity who undergo rhinoplasty because they want to enhance their self-image are usually very satisfied with their decision. Your plastic surgeon can provide further information if you have an interest in any of these additional procedures.

How will Dr. Rottler evaluate me for rhinoplasty?

You should come to the consultation prepared to discuss your medical history. This will include information about any medical conditions you may have, medical treatments you have received, previous surgeries including repair of nasal injuries, and medications that you currently take. Dr. Rottler may also ask whether you have difficulty breathing through your nose, suffer from allergies that may cause nasal stuffiness, or are a chronic user of nasal spray. It is important for you to provide complete information.

In evaluating you for rhinoplasty, Dr. Rottler will conduct a routine and painless examination of your internal nasal structures. Your skin quality as well as the size and shape of your nose and its relationship to your other facial features will be carefully studied. In some instances, your plastic surgeon may recommend surgery of your chin, making it either more or less prominent, to improve facial balance. This procedure can be done at the same as your rhinoplasty.

How Rhinoplasty is Performed

Because of individual factors, not everyone will achieve the same results from rhinoplasty. Your surgeon’s goal is to obtain the best possible results for you.

Where are the rhinoplasty incisions placed?

Alterations may be made to increase or decrease the nasal bridge, reduce the size or width of the nose, narrow the nostrils, change the angle between the nose and upper lip, or reshape the tip.

The surgical techniques employed will depend primarily on the goals established by you and your plastic surgeon. In many instances, all of the incisions will be placed inside your nose, where they will not be visible. If the base of the nose is narrowed or the nostrils reduced, small wedges of skin at the base of the nostrils will be removed. Incisions are hidden in the natural crease where the nostril joins the cheek.

Sometimes a very short incision is made across the vertical strip of tissue that separates the nostrils, called the columella. This technique is called an “open rhinoplasty.” Whatever incisions are used to reshape your nose, they will ultimately be very inconspicuous.

Understanding Risks of Nasal Surgery

Fortunately, significant complications from rhinoplasty are infrequent. Every year, many thousands of people have their noses reshaped, experience no major problems and are pleased with the results. Anyone considering surgery, however, should be aware of both the benefits and risks.

How is Dr. Rottler able to reshape my nose?

Through the small incisions described previously, work is done on the cartilage and bone that form the framework of your nose. Sometimes, the position of certain bones may need to be altered slightly in order to make your nose look narrower and straighter. If your nose needs to be built up in some areas, this can be done using nasal cartilage, or perhaps bone or cartilage from another site. The skin and soft tissues then redrape themselves over this new “scaffolding.”

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 Dr. Rottler’s office.

Some of the potential complications that may be discussed with you include hematoma (an accumulation of blood under the skin that may require removal), infection and reactions to anesthesia. Numbness of the skin following rhinoplasty may occur but is usually temporary. Occasionally, if the surgical outcome needs further improvement, additional surgery may be necessary. You can help minimize certain risks by following the advice and instructions of your plastic surgeon, both before and after your surgery.

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. If your rhinoplasty will be performed on an outpatient basis, be sure to arrange for someone to drive you home after surgery and to stay with you at least the first night following surgery.

What will the day of surgery be like?

Your rhinoplasty 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. Frequently, local anesthesia and intravenous sedation are used for patients undergoing nose reshaping, although general anesthesia may be desirable in some instances. For your safety during the operation, various monitors are used to check your heart, blood pressure, pulse and the amount of oxygen circulating in your blood.

When surgery is completed, you will be taken into a recovery area where you will continue to be closely monitored. There may be some discomfort, but this can be controlled by medication which you may continue taking at home. Depending on the surgical technique used, a splint may have been placed on the bridge of your nose for the purpose of holding the tissues in place until they have stabilized. The splint will protect your nose while you sleep and shield it from accidental bumps. Frequently, you may also have a small triangular bandage beneath the tip of your nose. Packing or soft internal splints are sometimes used inside the nostrils, especially if work has been done to improve your breathing. You probably will be permitted to go home after a few hours, although some patients may stay overnight in the hospital or surgical facility.

How will I look initially?

It is important to realize that the amount of time it takes for recovery varies greatly among individuals. The first couple of days after surgery, you should restrict your activities and sleep with your head elevated. This will help to minimize swelling and reduce the possibility of minor bleeding, which is not uncommon. Remember, you must not take aspirin or certain anti-flammatory medications.

Generally, bruising around the eyes and cheeks is most apparent during the first three days following surgery. Most discoloration will disappear within a week. A few days after surgery, you can begin to use makeup as a concealer, if desired. Noticeable swelling may last for several weeks. Minor residual swelling, most frequently affecting the nasal tip, may continue for many months, but generally this should not be apparent to others. If packing was used, it will either dissolve by itself or be removed three to seven days after surgery. Stitches may also be removed at that time. You may need to continue wearing the nasal splint for up to a week, during which time you should avoid getting it wet.

Results of Your Rhinoplasty

The goal of rhinoplasty is a nose that looks natural and blends harmoniously with your other facial features. Since the healing process is gradual, you should expect to wait up to one year to see the final results of your rhinoplasty. You are likely, however, to begin enjoying your new look within weeks of your surgery. Occasionally, a touchup may be desired to further improve the results. If this is the case, the additional procedure is usually less extensive than the original operation.

When can I resume my normal activities?

Straining, bending and lifting should be avoided during the early postoperative period. In many instances, you may be able to return to work within a week or ten days after surgery. Most normal activities including exercise can usually be resumed within three weeks. It will be a few months before you can expose your reshaped nose to direct sunlight. Your nose will be sensitive during this time, and you must be conscientious about using a sunblock to protect your skin. If the bones of your nose were altered, it may be a number of weeks before you can wear glasses without special support such as tape.

Maintaining a Relationship with Your Plastic Surgeon

Cosmetic Surgery, St. Louis - Eyelid Lift

Eyelid surgery (Blepharoplasty) can give the face a more youthful appearance by correcting drooping eyelids and puffy bags below the eyes. Since the eyes are the focal point of the face, this surgery can brighten your face and improve their overall appearance. The eyelid lift procedure usually takes 1-2 hours.

Eyelid Lift Procedure Information

This surgical procedure involves making incisions along the natural contour lines in the upper and lower eyelids. Excess skin is removed along with the fatty deposits that cause the bags and puffiness. This procedure may be done with a laser and may be performed in an office surgery suite as an outpatient or in an operating room.

Side Effects from Eyelid Lift Surgery

Swelling, bruising, sensitivity to light, excess tearing or dryness.

Recovery from Eyelid Lift Cosmetic Surgery

Back to work in 7-10 days. Reading 2-3 days, more strenuous activity 3 weeks. Swelling and bruising 2-3 weeks. Patient may need someone to stay with them for the first couple post-op days in case of moderate swelling.

Eyelid Lift Surgical Fees

Upper Lids: $3550 and up.
Lower Lids: $3550 and up.
Upper & Lower Lids: $6200 and up.
Price based on O.R. time used. Price includes surgeon’s fee, hospital and anesthesia.

More Eyelid Lift Surgery Information

Am I a good candidate for eyelid surgery?

Aesthetic eyelid surgery is performed on adults of all ages. Some people have eyelid surgery to correct problems that are a result of aging, while others have inherited traits that cause them to seek treatment as early as their 20s or 30s.

Any one or combination of the following conditions may indicate that you are a good candidate for eyelid surgery:

excess skin obscuring the natural fold of the upper eyelids
loose skin hanging down from the upper eyelids, perhaps impairing vision
a puffy appearance to the upper eyelids, making the eyes look tired
excess skin and fine, crepey wrinkles of the lower eyelids
bags and dark circles under the eyes, often with a depression along the bony border of the lower eyelids
droopiness of the lower eyelids, showing white below the iris (colored portion of the eye)

Aesthetic eyelid surgery can usually correct these problems, though other treatments may also need to be considered. For example, if the upper eyelid condition is accompanied by sagging of the eyebrows, then a forehead lift may be recommended. Smoothing of crow’s feet may require chemical peeling or laser resurfacing procedures. Circles beneath the eyes caused by dark pigmentation may be treated with a bleaching solution or chemical peel. Your plastic surgeon can provide further information if you have an interest in any of these additional procedures.

How will Dr. Rottler evaluate me for aesthetic eyelid surgery?

You should come to the consultation prepared to discuss your medical history including previous surgeries, past and present medical conditions and current medications. It is important for you to provide complete information. High blood pressure, thyroid problems or diabetes are among the medical conditions that may increase the risks associated with eyelid surgery. Your plastic surgeon will want to know if you have allergies, especially if they affect your eyes. He may ask whether you have ever tried and were unable to wear contact lenses, you should bring them with you in case your surgeon wants to test your vision.

It will be necessary for Dr. Rottler to know if you were ever told by an ophthalmologist that you have a condition called “dry eye” or if you have any other problems with your eyes. One of several surgical techniques may be suggested to improve the appearance of your eyelids. The particular technique that your plastic surgeon recommends will depend on may factors such as the amount of excess fat and skin in the eyelid areas, the position of your eyebrows, and the condition of muscles around your eyelids.

How is Dr. Rottler able to improve the appearance of my upper eyelids?

For upper eyelid surgery, generally an incision is hidden within the natural fold of the upper eyelid and extends slightly beyond the outside corner into the laugh lines or other existing creases. Through this incision, excess skin and fatty tissue are removed. Because the incision follows the natural contour of the upper eyelid, it will be well camouflaged when healed.

What is done to improve the appearance of my lower eyelids?

For lower eyelid surgery, often an incision is hidden just below the lower lashes. Through this incision, excess skin, muscle and fat are removed, or fat may be redistributed to eliminate puffiness or bulges. Other adjustments to correct special problems such as muscle laxity may be performed. As in upper eyelid surgery, the incision is well camouflaged by natural creases.

In some cases, you and Dr. Rottler may decide that the best approach for removing excess fat is through an incision placed inside the lower eyelid. This technique requires no external incision, but it cannot be used to remove excess skin. A laser may sometimes be used in conjunction with this method to tighten the lower eyelid skin.

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 Dr. Rottler’s office.

Some of the potential complications that may be discussed with you include hematoma (an accumulation of blood under the skin that may require removal), infection and reactions to anesthesia. Following the surgery, there can be a feeling of dryness or irritation in the eye that requires treatment. There is a possibility of a temporary decrease in sensation of the eyelid skin or impaired eyelid function that sometimes may need to be corrected by additional surgery. You can help minimize certain risks by following the advice and instructions of your plastic surgeon, both before and after your eyelid surgery.

Brow Lift in St. Louis MO – Information on Forehead Lift Techniques

A forehead lift is often performed to treat conditions associated with aging. It may be done in conjunction with other rejuvenative surgery to achieve a more harmonious facial appearance. A forehead lift is also appropriate for treatment of certain inherited traits. Younger adults who have a low brow or who already have deep frown lines due to stress or overactivity of muscles may benefit from the procedure.

Am I a good candidate for a Browlift?

Any one or combination of the following conditions may indicate that you are a good candidate for a brow lift:

sagging or low position of the eyebrows, creating a tired or sad appearance
deep horizontal creases across the forehead
frown lines, or furrows, between the eyebrows and sometimes across the top of the nose

A forehead lift can improve all of these problems. It may often be performed at the same time as a facelift which removes excess skin and tightens muscles in the mid and lower face. if there is significant skin overhang in the upper eyelids, or puffy bags beneath your eyes, eyelid surgery may be recommended in addition to a forehead lift. Dr. Rottler will provide further information if you have an interest in these procedures.

Your Personal Consultation with Dr. Rottler

During the initial consultation, your plastic surgeon may ask you to look in a mirror and point out exactly what you would like to see improved. Sometimes, patients may focus their attention on excess skin in the upper eyelids and not realize that sagging of their eyebrows contributes to this skin redundancy. You should be very frank in discussing anything about your appearance that bothers you, as well as what you hope to achieve with surgery. This will help your surgeon to understand your expectations and determine whether they can realistically be achieved.

How will Dr. Rottler evaluate me for browlift surgery?

There are a variety of ways to elevate the brows and correct aging changes in the forehead area. Your plastic surgeon will closely examine your entire forehead and upper eyelid region, noting the muscle activity when you assume various facial expressions. The particular surgical technique that Dr. Rottler recommends will depend on many factors such as the position of your eyebrows, the amount of excess upper eyelid skin and the height of your hairline.

How is Dr. Rottler able to improve my frown lines and the position of my eyebrows?

In many instances, an incision is made across the top of the scalp, beginning above the ears and hidden within the hair. Sometimes, the incision may be placed at the front of the hairline or, in some cases, toward the middle of the scalp. The incision is designed to be inconspicuous when healed. Through the forehead lift incision, Dr. Rottler can modify or remove parts of the muscles that cause wrinkling and frown lines, remove excess skin, and lift your eyebrows to a more pleasing level.

Sometimes, if your main concern is frown lines between your eyebrows or across the top of your nose, a limited endoscopic procedure to correct these problems can be done. Alternatively, if you are having upper eyelid surgery performed to remove excess skin, it may be possible to treat your frown lines by the same upper eyelid incisions.

More Brow Lift Cosmetic Surgery Information

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 your surgeon, or with a staff member in your surgeon’s office.

Some of the potential complications that may be discussed with you include hematoma (an accumulation of blood under the skin that may require removal), infection and reactions to anesthesia. Following the surgery, there can be a feeling of dryness or irritation in the eye that requires treatment. There is a possibility of a temporary decrease in sensation of the eyelid skin or impaired eyelid function that sometimes may need to be corrected by additional surgery. You can help minimize certain risks by following the advice and instructions of Dr. Rottler, both before and after your eyelid surgery.

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. Forehead lift surgery is usually 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 at least the first night following surgery.

What will the day of surgery be like?

Your forehead surgery 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. Frequently, local anesthesia and intravenous sedation are used for patients undergoing forehead surgery, although general anesthesia may be desirable in some instances. For your safety during the operation, various monitors are used to check your heart, blood pressure, pulse and the amount of oxygen circulating in your blood.

When surgery is completed, you will be taken into a recovery area where you will continue to be closely monitored. Your vision may be blurry as a result of ointment used to soothe and protect the eye during surgery as well as from the swelling that is a normal aftermath of facial procedures. There is surprisingly little discomfort, however, from the surgery. You probably will be permitted to go home after a few hours, although some patients may stay overnight in the hospital or surgical facility.

How will I look and feel initially?

It is important to realize that the amount of time it takes for recovery varies greatly. The first evening after surgery, you should rest quietly with your head elevated. Initially, you may experience some mild discomfort that can be controlled with oral medication. Remember, you must not take aspirin or certain anti-inflammatory medications, and you should not smoke or be exposed to heavy secondary smoke for a while following surgery.

You will notice some temporary puffiness and discoloration that may involve the eyelid and cheek areas as well. Typically, swelling and bruising will be almost totally resolved within a couple of weeks. You may use camouflage makeup almost immediately. If incisions were placed in front of the hairline, you should be careful not to apply makeup directly on any stitches. Expect temporary numbness and possibly some itching of the scalp as the nerves heal. Any head dressings and drain tubes that have been inserted are usually removed one or two days after surgery. Showering and washing your hair will be delayed a day or two later. Stitches or clips, if used, will be removed within a couple of weeks.

When can I resume my normal activities?

You should avoid straining, bending and lifting during the early postoperative period. In many instances, however, you will be able to resume most of your normal activities in ten days or less. You will be advised to wait several weeks before resuming strenuous activity and exercise. You should temporarily avoid exposure to direct sunlight and, for the long-term, be conscientious about the use of a sunblock to protect your skin.

Results of Your Forehead Surgery

A forehead lift eliminates the tired, worried or angry expression often caused by low eyebrow position and deep forehead furrows. Since the healing process is gradual, you should expect to wait at least several weeks to get an accurate picture of how you look.

How long the results of your forehead lift will last depends on many variables including your heredity and lifestyle factors. Even though the aging process continues, patients are usually happy with their appearance for many years following a forehead lift. Some patients find that they want to make additional improvements at a later time.

Maintaining a Relationship with Your Plastic Surgeon

You will return to Dr. Rottler’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 your surgeon.

$5400 and up.

Price based on OR time. Price includes surgeon’s fee, hospital and anesthesia.

Facelift Surgeon St. Louis - Face Lift Surgery Information

A facelift (Rhytidectomy) can improve sagging facial skin and loose neck skin. A facelift may be combined with a brow lift or eyelid surgery, depending on your desired results. Your face will appear firmer and fresher giving you a younger appearance.

Facelift Procedure Information

The incision is made along the hairline and around the ear. The loose skin is then pulled up and backward, and the excess skin is removed. The surgery usually takes 2-4 hours and is performed in an operating room and requires an overnight stay.

Side Effects from Facelift Surgery

Temporary skin discoloration, tightness and numbness in the face and neck. Also temporary bruising, swelling and tenderness.

Recovery from Facelift Surgery

Back to work 10-14 days. More strenuous activity after 2 weeks. Healing is gradual, expect several months for complete healing and optimal results.

Facelift Surgical Fees

$10,000 and up.
Price based on O.R. time used. Price includes surgeon’s fee, hospital, anesthesia & overnight stay.

More Facelift Information

How a Face Lift is Performed

Because of individual factors, not everyone will achieve the same results from a facelift. Your plastic surgeon will select the surgical technique that he or she feels will obtain the best outcome for you.

Where are the facelift incisions placed?

Although there are many variations to the facelift procedure, generally an incision is hidden in the natural contour of your ear, then extends around the earlobe and back into the hairline. Following surgery, incisions can be easily concealed by your hair or with makeup. There may also be a small incision hidden underneath your chin.

Through the discreet facelift incisions, Dr. Rottler is able to free the skin from the underlying tissues to the extent necessary for the particular surgical technique selected. After the skin has been pulled up and back, the excess is removed. In some instances, the deeper tissues may also need to be repositioned in order to restore a more youthful contour to your face. If necessary, a small incision beneath the chin permits the removal of fatty tissue in that area and smoothing of the cord-like structures of the underlying muscle in the neck.

Understanding Risks of Facelift Cosmetic Surgery

Fortunately, significant complications from facelifts are infrequent. Every year, many thousands of people undergo successful facelift surgery, 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 your surgeon, or with a staff member in Dr. Rottler’s office.

Some of the potential complications that may be discussed with you include hematoma (an accumulation of blood under the skin that may require removal), infection and reactions to anesthesia. While plastic surgeons are trained in techniques for safely manipulating facial skin and tissue, injury to underlying structures is possible, though it is usually only temporary. Facelift incisions are most often inconspicuous, but this is not entirely predicable due to individual variations in healing. You can help minimize certain risks by following the advice and instructions of Dr. Rottler, both before and after surgery.

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. Dr. Rottler will advise you and provide additional preoperative instructions. If your hair if very short, you may want to let it grow enough to cover your incisions while they heal. If you are overweight and you have a realistic desire to lose more than 15 pounds, you should discuss this with your surgeon.

What will the day of surgery be like?

Your facelift 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. You and your plastic surgeon will have decided in advance what type of anesthesia is to be used, either intravenous sedation or general anesthesia. For your safety during the operation, various monitors are used to check your heart, blood pressure, pulse and the amount of oxygen circulation in your blood.

When surgery is completed, you will be taken into a recovery area where you will continue to be closely monitored. Sometimes small tubes will have been inserted beneath the skin to drain away fluids that might otherwise accumulate, but you will not feel these at all. It fact, there is surprisingly little discomfort from the surgery. You will stay overnight in the hospital or surgical facility.

How will I look and feel initially?

It is important to realize that the amount of time it takes for recovery varies greatly among individuals. After surgery, you will be asked to restrict your activities and simply relax for a few days. Elevating your head when you sleep will help to minimize swelling and bruising. Remember, you must not take aspirin or certain anti-inflammatory medications, and you should not smoke or be exposed to heavy secondary smoke for a while.

Any bandages and drain tubes will usually be removed in one or two days. At that time, you will notice puffiness and discoloration which may be more pronounced in some portions of your face than others. Do not be alarmed by any unevenness or temporary asymmetry caused by this variance in swelling and bruising, which is perfectly normal. Generally, the greatest amount of swelling occurs 24 to 48 hours after surgery, but it may take several weeks before all puffiness is resolved. Most bruising will disappear within two weeks. After a few days, you will be permitted to wear makeup which will help conceal any discoloration. You will also experience some numbness in the facial area, which may be present for several weeks or longer. Your stitches will be removed from four to seven days after surgery.

When can I resume my normal activities?

Straining, bending and lifting should be avoided during the early postoperative period. In many instances, you will be able to resume most of your normal activities within two weeks and begin to exercise three to four weeks after surgery. You will be instructed to temporarily avoid exposure to direct sunlight and, for the long-term, to be conscientious about the use of a sunblock to protect your skin.

Results of Your Facelift

The results of your facelift may be dramatic or subtle, depending on how you look before surgery as well as the specific goals that you and Dr. Rottler have established. Since the healing process is gradual, you should expect to wait at least several weeks for an accurate picture of your “new look.” Additional minor changes, or settling, may occur over several months.

Skin Rejuvenation in St. Louis - Skin Treatments that Boost Your Beauty

Botox Cosmetic, wrinkle fillers, and skin care are all popular ways to refresh and refine your look. We offer a full range of non-surgical options for patients who desire a non-surgical beauty boost. These quick and easy treatments can also compliment your surgical procedures.

Choose from the links below to learn more about St. Louis Botox, skin care, and wrinkle fillers:

Cosmetic Surgery St. Louis - Dr. Rottler - Body Contour

St. Louis plastic surgeon Dr. Rottler has nearly two decades of experience in body contouring surgery. Moms, weight loss patients, and people who simply want to refine their curves may benefit from tummy tuck or liposuction surgery. Choose from the links below to read more:

Breast Enhancement, St. Louis with Board Certified Plastic Surgeon, Dr. Rottler

St. Louis plastic surgeon Dr. Rottler has over 18 years of experience in plastic surgery of the breast. Dr. Rottler can help if you desire more ample curves or need a lift. Dr. Rottler is also experienced in breast reduction surgery, as well as gynecomastia reduction for men.

Facial Plastic Surgery - St. Louis - Dr. Rottler

St. Louis plastic surgeon Dr. Rottler offers the following facial rejuvenation plastic surgery procedures to help you look as young as you feel.

Cosmetic Surgery St. Louis - St. Louis Plastic Surgeon, Dr. Rottler, Welcomes You

St Louis plastic surgeon Paul Rottler MD is one of the premier board certified plastic surgeons in St. Louis, Missouri. He specializes in several cosmetic procedures, particularly breast augmentation, liposuction and tummy tucks or abdominoplasty. Facelifts, eyelid lifts, BOTOX treatments, Juvederm, Restylane and Collagen injections are also performed. Mary Inman, our medical esthetician, can evaluate your skin and make recommendations. Permanent makeup, laser hair removal, chemical peels, Obaji blue peels, collagen injections, microdermabrasion and several lines of the highest quality skin care products are available.

Our cosmetic consultations are confidential, informative and free of charge. If you want to look and feel better about yourself, Dr. Rottler can discuss any plastic surgery procedures you are considering.

St. Louis Plastic Surgery - Breast Augmentation

Breast Augmentation in St Louis Missouri is typically performed to enhance the size and shape of women’s breasts. It is accomplished by surgically inserting an artificial implant under the breast tissue or pectoralis muscle. An incision is made either in the armpit, around the areola, or under the breast. Breast Implants in St Louis Missouri are placed either behind the muscles between the breast and chest wall or behind the breast tissue. The surgery usually takes 1-2 hours. The procedure is performed in an operating room as an outpatient. Continue reading about breast augmentation in St. Louis, Missouri.

St. Louis Plastic Surgery - Liposuction

St. Louis Plastic Surgery - Tummy Tuck

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. 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. Continue reading about tummy tucks in St. Louis, Missouri.

To learn more about plastic surgery in St. Louis, browse our site or call 314-966-8880 to schedule your consultation.

Board Certified Plastic Surgeon in St. Louis, Dr. Paul Rottler

St. Louis Plastic Surgeon Dr. Rottler

Paul Rottler, MD, FACS has over eighteen years of experience in cosmetic surgery of the face, breasts, and body as well as extensive experience in reconstructive surgery. His kind and friendly manner puts his patients at ease. We encourage you to come in for a personal consultation, during which Dr. Rottler will listen to your desires and goals and then make recommendations.

View video of Dr. Rottler

Medical School:

University of Missouri Columbia, 1980-84
AOA (1983) Medical Honor Society

General Surgery:

Internship:

University of California, San Diego; 1984-85

Residency:

Cedars-Sinai Medical Center,
Los Angeles, Ca. 1985-87

Fellowship:

Microvascular SurgeryUniversity of Missouri-Columbia; 1987-88

Plastic Surgery Residency:

University of Missouri-Columbia; 1988-90

Certification:

1993 American Board of Plastic and Reconstructive Surgeons
1994 CAQ Hand Surgery

Private Practice:

1990-Present

Medical Society Memberships:

Dr Rottler believes that active membership in
professional societies is a necessary tool in staying
current with the latest surgical techniques and medical
developments. He has achieved membership in many
professional societies, some of which are listed below:

Paul Rottler, M.D., F.A.C.S - Board Certified in Plastic & Reconstructive Surgery

Personal Note:

Along with his busy solo practice in Kirkwood, Missouri, Dr. Rottler is an active volunteer and team leader with Interplast, Inc., Operation Smile and the Haiti Medical Mission. 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.

Dr. Rottler is an avid sports fan and enjoys baseball, football, and hockey. Dr. Rottler is a native of St. Louis, Missouri and enjoys spending his free time with his family.

Brow Lift in St. Louis MO – Information on Forehead Lift Techniques & Results

Am I a good candidate for a Browlift?

Any one or combination of the following conditions may indicate that you are a good candidate for a Brow lift:

sagging or low position of the eyebrows, creating a tired or sad appearance
deep horizontal creases across the forehead
frown lines, or furrows, between the eyebrows and sometimes across the top of the nose

A forehead lift can improve all of these problems. It may often be performed at the same time as a facelift which removes excess skin and tightens muscles in the mid and lower face. if there is significant skin overhang in the upper eyelids, or puffy bags beneath your eyes, eyelid surgery may be recommended in addition to a forehead lift. Your plastic surgeon will provide further information if you have an interest in these procedures.

Your Personal Consultation

How will my plastic surgeon evaluate me for browlift surgery?

There are a variety of ways to elevate the brows and correct aging changes in the forehead area. Your plastic surgeon will closely examine your entire forehead and upper eyelid region, noting the muscle activity when you assume various facial expressions. The particular surgical technique that your surgeon recommends will depend on many factors such as the position of your eyebrows, the amount of excess upper eyelid skin and the height of your hairline.

How is my plastic surgeon able to improve my frown lines and the position of my eyebrows?

In many instances, an incision is made across the top of the scalp, beginning above the ears and hidden within the hair. Sometimes, the incision may be placed at the front of the hairline or, in some cases, toward the middle of the scalp. The incision is designed to be inconspicuous when healed. Through the forehead lift incision, your plastic surgeon can modify or remove parts of the muscles that cause wrinkling and frown lines, remove excess skin, and lift your eyebrows to a more pleasing level.

Another forehead lift technique uses an endoscope, a long, thin tube with a light on the end, attached to a video camera. The endoscope is inserted through several tiny incisions in the scalp and allows the plastic surgeon to see and work on the various internal structures of the forehead. The endoscopic technique has the advantage of requiring very minimal incisions, but it may not be equally beneficial for all patients. In some instances, alternate methods may be preferable, or a combination of endoscopic and other techniques may be used.

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 your surgeon, or with a staff member in your surgeon’s office.

Some of the potential complications that may be discussed with you include hematoma (an accumulation of blood under the skin that may require removal), infection and reactions to anesthesia. Following the surgery, there can be a feeling of dryness or irritation in the eye that requires treatment. There is a possibility of a temporary decrease in sensation of the eyelid skin or impaired eyelid function that sometimes may need to be corrected by additional surgery. You can help minimize certain risks by following the advice and instructions of your plastic surgeon, both before and after your eyelid surgery.

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. Forehead lift surgery is usually 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 at least the first night following surgery.

What will the day of surgery be like?

Your eyelid surgery 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. Frequently, local anesthesia and intravenous sedation are used for patients undergoing eyelid surgery, although general anesthesia may be desirable in some instances. For your safety during the operation, various monitors are used to check your heart, blood pressure, pulse and the amount of oxygen circulating in your blood.

When surgery is completed, you will be taken into a recovery area where you will continue to be closely monitored. Your vision will be blurry as a result of ointment used to soothe and protect the eye during surgery as well as from the swelling that is a normal aftermath of eyelid procedures. There is surprisingly little discomfort, however, from the surgery. You probably will be permitted to go home after a few hours, although some patients may stay overnight in the hospital or surgical facility.

How will I look and feel initially?

When can I resume my normal activities?

Results of Your Forehead Surgery

How long the results of your forehead lift will last depends on many variables including your heredity and lifestyle factors. Even though the aging process continues, patients are usualy happy with their apperance for many years following a forehead lift. Some patients find that they want to make additional improvements at a later time.

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. Your surgeon will encourage you to schedule routine mammographic evaluations at the frequency recommended for your age group. 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 your surgeon.

All rights reserved. Do not duplicate or redistribute the contents of this web site for commercial use. This website does not contain medical advice and use of this website does not create a physician/patient relationship between you and Dr. Rottler. The photographs of models displayed on the headings and borders of this web site are for decorative purposes only. Link to before & after photos of Dr. Rottler's plastic surgery patients in the before & after photo section.

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Cosmetic Surgery, St. Louis surgeon, Dr. Rottler - Cali Colombia Mission Trip

Cali, Columbia Mission Trip - February 1999

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Breast Lift St. Louis - Before & After Photos Breast Lift

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Breast Reduction St. Louis - Before & After Photos

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Breast Lift with Implants Results Patient 1