Oculofacial Plastic & Reconstructive Surgery
in St. Louis, and St. Peters, MO

Welcome to Ophthalmic Plastic & Cosmetic Surgery, Inc, with locations in St. Louis and St. Peters, Missouri! Our practice is committed to providing the highest quality care to our patients within our area of expertise. This is an ongoing and unwavering commitment. From that perspective, we must roll back to the three “A’s” Dr. Holds learned in medical school over 30 years ago – affable, available and able.

We do our best to provide a friendly and comfortable environment that allows patients to make decisions and undergo treatment in a non-threatening fashion. We must also be available, and the practice has always strived to have access and health insurance participation to allow care to those in need, working hard to see emergency patients whenever needed. Finally, we strive to be the best at everything we do at all times. Imperfect work is never accepted, and continuous improvement is always needed – this defines the “practice” of medicine.

After medical school, Dr. Hold’s learned of a fourth “A” – Affordable. We attempt to fairly price our services and make care accessible.
We look forward to seeing every new patient. It is a privilege for us to be entrusted with your care, and we intend to honor your trust with our best possible work.

Some of the services we specialize in include blepharoplasty, ptosis repair, and eyelid reconstruction. We also offer a variety of spa services including dermal fillers such as Juvederm and Restylane, as well as Botox for non-surgical facial rejuvenation.

Our Ophthalmic Plastic Surgeons & Aesthetic Nurse


John B. Holds, M.D., F.A.C.S.

Dr. Holds is an Ophthalmic Plastic Surgeon who has practiced in St. Louis since 1990. An ophthalmic plastic surgeon is an ophthalmologist or eye surgeon who has specialized in plastic surgery around the eye. Dr. Holds is a Clinical Professor of Ophthalmology and Otolaryngology-Head and Neck Surgery at Saint Louis University. He regularly lectures physicians in courses on topics in cosmetic and reconstructive eyelid and facial surgery, and has been listed in “Best Doctors in America” since 1994.

Dr. Holds’ practice focuses on cosmetic and reconstructive issues surrounding the eye and middle face. Dr. Holds was one of the original researchers in Botox therapies in the 1980’s…

Adam G. Buchanan, M.D.

Adam G. Buchanan, M.D.

Dr. Buchanan is an experienced Oculofacial Plastic Surgeon who returned to Saint Louis in 2018 after 20 years of service in the U.S. Army. He trained under Dr. Holds in the Saint Louis Combined Oculofacial Plastic Surgery Fellowship from 2008 to 2010, and has practiced that subspecialty since…

Sara Reggie, M.D.

Sara Reggie, M.D.

Dr. Sara Reggie Giardina is an oculofacial plastic surgeon in St. Louis, Missouri. She performs various surgeries, ranging from eyelid lifts to reconstructive facial surgery due to skin cancer and trauma, as well as tear duct and orbital surgeries. Dr. Reggie also performs non-invasive rejuvenation procedures, such as injection of Botox and fillers and laser skin resurfacing…


Krista Stoll, RN, BSN, CANS

Krista is a registered nurse and is also certified by the Plastic Surgical Nursing Certification Board as an aesthetic nurse specialist with an extensive background in medical aesthetics and a focus in cosmetic dermatology and facial plastic surgery. She has been mentored by the leading experts in the field of medical aesthetics.


Patient Testimonials

As an operating room nurse, I knew the quality of Dr. Hold’s work so when I decided to consider a blepharoplasty and laser resurfacing I knew who to go to. At my consultation Dr. Holds suggested that I also consider facial fat transfer for the sunken areas of my face. I hadn’t even thought about that but I am glad he suggested it because I feel it contributed to the overall great outcome.... Read More

Two years ago Dr. John Holds performed a blepharoplasty or eye lift procedure on my eyes. I researched many doctors in the St. Louis region and felt Dr. Holds was the best doctor for my situation. Dr. Holds and his staff performed the procedure in his suite, and I had the best possible care from preparing me for the surgery, during the surgery as well as continued follow-up care. The staff is professional,... Read More

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