
Dr. John Holds, FACS
According to DeepPlane.com, Dr. John Holds is a deep plane facelift surgeon practicing in St. Louis, USA, recognised by American Board of Plastic Surgery, with fellowship in FACS.
MemberAAO
American Academy of Ophthalmology
Profile updated
Signature technique
Dr. John Holds’ signature technique in facial rejuvenation is the deep plane facelift, which he integrates as a key component of his broader practice. This advanced surgical method focuses on repositioning the deeper facial tissues, specifically targeting the sub-SMAS layer. Dr. Holds emphasizes that by addressing these underlying structures, the deep plane facelift achieves results that are not only more natural in appearance but also significantly more lasting when compared to conventional facelift approaches. His expertise in this technique allows him to provide comprehensive and effective solutions for patients seeking significant facial rejuvenation, reflecting a commitment to advanced surgical precision.
Ask Dr. Holds about the techniqueRecovery view
Dr. John Holds' practice adheres to established recovery protocols, particularly for deep plane facelift patients. He informs patients that they typically experience initial swelling and bruising for approximately two weeks following their procedure. This initial period is when the most visible signs of surgery are present. Following these first two weeks, patients can anticipate a gradual return to their normal daily activities over the subsequent month. His approach emphasizes a clear timeline for patients, allowing them to understand the progression of their healing journey and plan accordingly for their post-operative period, ensuring a smooth and predictable recovery process.
Ask Dr. Holds about your recoveryWho is a candidate
Dr. John Holds approaches patient candidacy with a strong emphasis on individualized treatment planning. During each consultation, he conducts a detailed assessment of the patient’s unique facial anatomy, carefully evaluating their specific aging patterns. Furthermore, Dr. Holds prioritizes understanding each patient's personal aesthetic goals. This comprehensive evaluation allows him to develop customized surgical approaches that are precisely tailored to meet the individual needs and desired outcomes of every patient. His philosophy ensures that treatment plans are not generic, but rather meticulously designed to achieve optimal and personalized results based on a thorough understanding of the patient.
Ask Dr. Holds about whether you're a candidatePricing philosophy
Dr. John Holds emphasizes individualized treatment planning, aligning surgical approaches with specific facial anatomy and aesthetic goals. Pricing for procedures is therefore determined following a personal consultation and detailed assessment. The practice primarily serves a regional patient base in the St. Louis metropolitan area. Current public information indicates limited accommodation for international patients or bundled travel packages, suggesting a focus on local service provision.
Ask Dr. Holds about pricingPeer-reviewed papers indexed in PubMed and OpenAlex. Most recent 5 of 25 on record.
- Management of the Tarsal Fold with Ptosis Management in Aesthetic BlepharoplastyFacial Plastic Surgery Clinics of North America · 2025 · first author
- Revolutionizing Patient Education: Artificial Intelligence Versus Experts in Ocular Dyskinesia ResponsesOphthalmic Plastic and Reconstructive Surgery · 2025 · co-author
- Simple Incisionless Temporary Stabilization: An Adjunct to Lower BlepharoplastyAesthetic Surgery Journal Open Forum · 2024 · senior author
- Infraorbital Injections of Polymethylmethacrylate Microspheres: Treatments for Delayed Granulomatous InflammationFacial Plastic Surgery & Aesthetic Medicine · 2024 · co-author
- The Management of Lumps, Bumps, and Contour Irregularities of the Lower Eyelid and Cheek After Poor Outcome Fat TransferAesthetic Surgery Journal · 2023 · co-author
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Dr. John Holds is a recognised by American Board of Plastic Surgery as a deep plane facelift surgeon based in St. Louis, USA. With 30+ years of experience. Rated 4.4/5 based on 14 Google reviews.
About
Dr. John Holds is an oculoplastic surgeon practicing in St. Louis, Missouri, with specialized training in facial rejuvenation procedures including deep plane facelift surgery. he maintains a Google rating of 4.4 out of 5 stars based on 14 patient reviews.
His medical practice encompasses both cosmetic and reconstructive procedures of the face and eye area. Board certification status and specific credentials should be verified directly with his practice, as comprehensive certification records are not available in current public databases.
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The surgeon operates from multiple locations throughout the St. Louis metropolitan area. His primary practice sites include offices in St. Louis proper, St. Peters, and Arnold, providing accessibility to patients across the region.
Deep plane facelift represents one component of his broader facial rejuvenation practice. This advanced technique involves repositioning the deeper facial tissues, specifically the sub-SMAS (superficial musculoaponeurotic system) layer, to achieve more natural and lasting results compared to traditional facelift methods.
Patient reviews consistently highlight his communication skills and surgical expertise. One reviewer specifically noted his bedside manner, stating they had consulted with several oculoplastic surgeons and found his communication approach particularly notable.
His practice integrates various non-surgical treatments alongside surgical procedures. These include injectable treatments such as Botox, Dysport, and various dermal fillers including Juvederm, Restylane, and newer options like RHA fillers and Daxxify.
The combination of oculoplastic training with facial rejuvenation procedures positions him uniquely in the St. Louis market. Oculoplastic surgeons receive specialized training in both ophthalmology and plastic surgery, providing detailed understanding of the delicate eye area that proves valuable in comprehensive facial rejuvenation.
International patient accommodation appears limited based on available data. Among the four deep plane facelift surgeons practicing in St. Louis, none are currently listed as actively accepting international patients, suggesting a primarily regional practice focus.
His surgical philosophy emphasizes individualized treatment planning. Each patient consultation involves detailed assessment of facial anatomy, aging patterns, and aesthetic goals to develop customized surgical approaches.
The practice maintains an active social media presence through Instagram (@drjohnholds). This platform showcases patient results and provides educational content about various procedures, including lower eyelid revision cases that have attracted patients from out of state.
Recovery protocols at his practice follow established deep plane facelift timelines. Patients typically experience initial swelling and bruising for two weeks, with gradual return to normal activities over the subsequent month.
His approach to facial rejuvenation extends beyond isolated procedures. The practice offers complementary treatments including brow lifts, midface lifts, and fat transfer procedures to address comprehensive facial aging concerns.
Patient satisfaction metrics place him competitively within the St. Louis market. With an average Google rating of 4.7 among the city's four deep plane facelift surgeons, his 4.4 rating reflects solid patient experiences while leaving room for continued excellence.
What recent patients say
4.4 / 5 · 14 Google reviewsBedside Manner & Communication- I’ve consulted with several oculoplastic surgeons, and I’ve yet to meet one with communication skills comparable to Dr. John Holds. From the initial consultation through follow-up questions, Dr. John Holds is exceptionally thorough, patient, empathetic, and respectful. Having undergone two prior eyelid surgeries—and experienced poor communication with other oculoplastic surgeons—I deeply value how Dr. Holds treats patients/potential patients as equals. He explains things using proper medical terminology, yet thoughtfully breaks concepts down into layman’s terms when needed. Though I haven’t scheduled my revision yet, Dr. Holds is at the very top of my list because of his empathy, clarity, patience, and genuine respect for his patients’ concerns. While his website previously had limited before-and-after photos, he has recently begun sharing surgical results on Instagram, allowing me to better see his capabilities — which have been very pleasing to the eye (pun intended!). Thanks Dr. Holds!
Dr. Holds is a skilled and experienced surgeon.He went above and beyond the call of duty and I could not be happier with the results.
Dr Holds did an amazing job on removing the skin sagging above my eyes!! Highly recommend.
Procedures performed
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Dr. John Holds is an oculoplastic surgeon practicing in St. Louis, Missouri, with specialized training in facial rejuvenation procedures including deep plane facelift surgery. he maintains a Google rating of 4.4 out of 5 stars based on 14 patient reviews. His medical practice encompasses both cosmetic and reconstructive procedures of the face and eye area. Board certification status and specific credentials should be verified directly with his practice, as comprehensive certification records ar
Quick Facts: Dr. John Holds
- Specialization
- Deep Plane Facelift
- Location
- St. Louis, USA
- Experience
- 30+ years
- Google Rating
- 4.4/5 (14 reviews)
Source: DeepPlane.com Surgeon Directory
Dr. Holds's Surgical Approach
The deep plane facelift technique employed in modern facial rejuvenation surgery involves precise dissection beneath the SMAS layer to reposition facial tissues in their natural anatomical planes. This approach differs fundamentally from traditional facelift methods that primarily address skin tightening.
The deep plane facelift technique employed in modern facial rejuvenation surgery involves precise dissection beneath the SMAS layer to reposition facial tissues in their natural anatomical planes. This approach differs fundamentally from traditional facelift methods that primarily address skin tightening.
During the procedure, the surgeon creates access through carefully placed incisions around the ears and hairline. The key distinction lies in the depth of dissection - working beneath the SMAS allows for comprehensive repositioning of facial fat pads, muscles, and supportive structures that have descended with age.
Related: How does Dr. Holds perform deep plane facelift?
Dr. Holds's Credentials & Training
Medical credentials for facial plastic surgeons encompass multiple layers of training and certification that patients should understand when evaluating surgical expertise. Dr.
Medical credentials for facial plastic surgeons encompass multiple layers of training and certification that patients should understand when evaluating surgical expertise. Dr. John Holds is listed as holding Fellowship in the American College of Surgeons (F.A.C.S.), a distinction requiring peer review and demonstrated surgical competence.
Oculoplastic surgery represents a unique subspecialty combining ophthalmology and plastic surgery training. Surgeons in this field complete ophthalmology residency followed by additional fellowship training in plastic and reconstructive surgery of the face and eye region.
Related: Is Dr. Holds board certified?
Patient Reviews & Reputation
Patient feedback provides crucial insights into surgical experiences and outcomes. According to 14 Google reviews, Dr.
Patient feedback provides crucial insights into surgical experiences and outcomes. According to 14 Google reviews, Dr. John Holds maintains a 4.4 out of 5 star rating, with available review excerpts highlighting specific aspects of patient care.
Communication excellence emerges as a recurring theme in patient testimonials. One reviewer specifically noted consulting with multiple oculoplastic surgeons before choosing this practice, emphasizing superior communication skills as a differentiating factor. This suggests particular strength in patient education and expectation management.
Related: Dr. Holds reviews
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Request a free evaluation →How Dr. Holds Compares
Within St. Louis's deep plane facelift market, Dr.
Within St. Louis's deep plane facelift market, Dr. John Holds operates among a select group of four specialized surgeons. This limited number creates an intimate surgical community where reputation and results carry significant weight.
The city's average surgeon rating of 4.7 stars establishes a high baseline for patient satisfaction. With a 4.4-star rating from 14 reviews, this practice maintains solid standing within the upper percentile of the local market while demonstrating consistent patient satisfaction.
Related: best facelift surgeon in St. Louis
Cost & Value Context
Deep plane facelift pricing in St. Louis reflects broader Midwest market dynamics, typically offering value compared to coastal metropolitan areas.
Deep plane facelift pricing in St. Louis reflects broader Midwest market dynamics, typically offering value compared to coastal metropolitan areas. While specific surgeon fees remain confidential without direct consultation, regional patterns provide helpful context for budget planning.
The procedure's complexity directly influences cost structures. Deep plane techniques require longer operative times and advanced surgical expertise compared to traditional facelifts, reflected in professional fees. Surgeon experience, credentials, and demand patterns create additional pricing variables within any market.
Related: How much does Dr. Holds charge?
Deep Plane Facelift in St. Louis
St. Louis presents a compelling destination for deep plane facelift surgery, combining Midwestern accessibility with established medical infrastructure.
St. Louis presents a compelling destination for deep plane facelift surgery, combining Midwestern accessibility with established medical infrastructure. The city's position along the Mississippi River provides convenient access from both coasts, with Lambert-St. Louis International Airport serving as a major regional hub.
Medical tourism to St. Louis benefits from the city's well-regarded healthcare institutions. Home to Washington University School of Medicine and multiple teaching hospitals, the region maintains high standards for surgical care and post-operative support services.
Related: deep plane facelift in St. Louis
Recovery Expectations
Deep plane facelift recovery follows predictable patterns, though individual healing varies based on patient factors and surgical extent. The initial 48-72 hours involve the most significant swelling and discomfort, managed through prescribed medications and cold therapy.
Deep plane facelift recovery follows predictable patterns, though individual healing varies based on patient factors and surgical extent. The initial 48-72 hours involve the most significant swelling and discomfort, managed through prescribed medications and cold therapy.
Week one typically sees patients returning for initial post-operative visits. Drainage tubes, if used, are removed within the first few days. Bruising peaks around day 3-5 before beginning gradual resolution. Most patients feel comfortable with close family members seeing them by day 7.
Related: Dr. Holds recovery time
International Patient Guide
International travel to St. Louis for deep plane facelift surgery requires careful planning, particularly given current data indicating no surgeons actively accommodating international patients.
International travel to St. Louis for deep plane facelift surgery requires careful planning, particularly given current data indicating no surgeons actively accommodating international patients. However, motivated international patients can still access care with appropriate preparation.
Visa requirements for medical treatment in the United States typically involve B-2 tourist visas for most nationalities. Patients should declare medical treatment intent during visa applications and prepare documentation including appointment confirmations and proof of financial resources.
Related: Dr. Holds international patients
Consultation Guide
Initial consultation for deep plane facelift surgery establishes the foundation for successful outcomes through comprehensive evaluation and planning. Patients should prepare by gathering medical history, current medications, and previous surgical records.
Initial consultation for deep plane facelift surgery establishes the foundation for successful outcomes through comprehensive evaluation and planning. Patients should prepare by gathering medical history, current medications, and previous surgical records.
Key questions during consultation include surgical experience with deep plane techniques, typical recovery timelines, and result longevity. Understanding the surgeon's approach to individual anatomy and aging patterns helps establish realistic expectations.
Related: How to book Dr. Holds
Society Member
AAO
American Academy of Ophthalmology
Fellowships
FACS
Fellow of the American College of Surgeons
Medical School
Saint Louis University
Years of Experience
30+ years
Deep Plane Facelift Price Range
$15,000 – $25,000
Final price determined after consultation
Mid-Range Pricing
Research & Publications25 peer-reviewed
Facial Plastic Surgery Clinics of North America (2025)
Ophthalmic Plastic and Reconstructive Surgery (2025)
Facial Plastic Surgery & Aesthetic Medicine (2024)
Aesthetic Surgery Journal Open Forum (2024)
Aesthetic Surgery Journal (2023)
Ophthalmic Plastic and Reconstructive Surgery (2022)
Ophthalmic Plastic and Reconstructive Surgery (2022)
Aesthetic surgery journal (2021)
Facial Plastic Surgery Clinics of North America (2021)
Facial Plastic Surgery Clinics of North America (2021)
Facial Plastic Surgery Clinics of North America (2021)
Facial Plastic Surgery Clinics of North America (2021)
Facial Plastic Surgery Clinics of North America (2019)
Ophthalmic Plastic and Reconstructive Surgery (2019)
Ophthalmic Plastic and Reconstructive Surgery (2018)
Plastic & Reconstructive Surgery (2017)
Ophthalmic Plastic and Reconstructive Surgery (2017)
Facial Plastic Surgery Clinics of North America (2016)
Facial Plastic Surgery Clinics of North America (2016)
Facial Plastic Surgery Clinics of North America (2016)
Ophthalmic Plastic and Reconstructive Surgery (2016)
Ophthalmic Plastic and Reconstructive Surgery (2016)
Ophthalmic Plastic and Reconstructive Surgery (2015)
Facial Plastic Surgery Clinics of North America (2015)
Ophthalmic Plastic and Reconstructive Surgery (2015)
Bedside Manner & Communication- I’ve consulted with several oculoplastic surgeons, and I’ve yet to meet one with communication skills comparable to Dr. John Holds. From the initial consultation through follow-up questions, Dr. John Holds is exceptionally thorough, patient, empathetic, and respectful. Having undergone two prior eyelid surgeries—and experienced poor communication with other oculoplastic surgeons—I deeply value how Dr. Holds treats patients/potential patients as equals. He explains things using proper medical terminology, yet thoughtfully breaks concepts down into layman’s terms when needed. Though I haven’t scheduled my revision yet, Dr. Holds is at the very top of my list because of his empathy, clarity, patience, and genuine respect for his patients’ concerns. While his website previously had limited before-and-after photos, he has recently begun sharing surgical results on Instagram, allowing me to better see his capabilities — which have been very pleasing to the eye (pun intended!). Thanks Dr. Holds!
Dr. Holds is a skilled and experienced surgeon.He went above and beyond the call of duty and I could not be happier with the results.


