Chemical Peel before and after

If you’re in O’Fallon, Missouri and looking for a dermatology office that’s focused on clear answers and high-quality in-person care, St. Louis Dermatology & Cosmetic Surgery is here to help.

Many patients from O’Fallon and St. Charles County choose our practice in Troy, MO, for a thoughtful, medically guided approach—whether they’re dealing with a long-standing skin issue or a new concern that needs a professional evaluation.

  • Locally owned and patient-centered
    • We’re a community-focused practice, not a corporate chain. Patients often appreciate the continuity of care and our prioritization of communication.
  • Advanced medical training and credentials
  • Evidence-based care without pressure
    • We’ll explain what we see, what it may mean, and what your options are—so you can make an informed decision. No hype. No rushed recommendations.
  • A visit that respects your time
    • Our team works to keep appointments efficient and organized while remaining thorough—especially important for busy families and professionals from O’Fallon.

Medical Dermatology

Our office provides comprehensive medical dermatology for Missouri residents. We treat acne, perform skin cancer screenings, evaluate and remove moles, and manage chronic conditions such as eczema, psoriasis, and rosacea. We also treat warts, cysts, and other benign skin growths. Every diagnosis and treatment plan is tailored to the individual, with a focus on long-term skin health and evidence-based care.

Cosmetic Dermatology

We offer cosmetic dermatology services designed to enhance natural features while maintaining balance and expression. Treatments include dermal fillers for facial restoration; acne scar treatments such as subcision, microneedling, and laser procedures; and laser treatments for pigmentation and sun damage. Each cosmetic consultation includes personalized recommendations based on your goals, skin type, and desired downtime. Results vary, and a consultation is required.

Surgical Procedures

Our practice provides advanced surgical dermatology with careful attention to both medical precision and cosmetic outcome. We perform skin cancer excisions, cyst and lipoma removal, scar revision procedures, and reconstructive repairs when needed following skin cancer removal or trauma. Dr. Beal’s fellowship training in facial plastic and reconstructive surgery allows for thoughtful repair techniques that aim to preserve both function and appearance.

Mohs Surgery

For certain types of skin cancer, Mohs Micrographic Surgery may be recommended. Dr. Beal is fellowship-trained in this specialized, tissue-sparing technique that enables precise removal of cancer while preserving as much healthy tissue as possible. During the procedure, tissue is examined under a microscope in real time to ensure clear margins before reconstruction. When appropriate, repairs are completed the same day to optimize healing and cosmetic outcomes.

If something on your skin is bothering you—persistent, painful, changing, or simply uncertain—it’s reasonable to get it checked. We can evaluate and guide you on the next steps.

Second opinions are welcome. If you have prior records, biopsy results, or photos, bring them along—we’ll incorporate that information into your visit.

Bring your ID, insurance card (if applicable), a medication list, and any relevant history. If you’re concerned about a specific area, note when it started and any changes you’ve observed.

We work with many insurance plans. Coverage varies, so the best next step is to call, and our team can help verify your plan details.

Heidi Owenby
5 days ago
Response from the owner:Thanks for taking the time to share your positive experience. We truly appreciate it!
Secheduling appointment was fast and easy. All staff wonderful! Very friendly and professional. The practitiner was excellent. Took her time and answered all my questions.
Response from the owner:We are thrilled to learn that you had a positive experience with us!
Ralph Miller
5 days ago
This is Mary Kay Miller and I have enjoyed coming here for all my skin needs. From when I arrive to checkout everyone has been kind and pleasant and everyones smiling and very knowledgeable
Response from the owner:Thank you so much for leaving us a stellar review!
Eileen Royal
6 days ago
This was my first visit and Kayleigh NP was my provider. She was absolutely amazing. She knew what the issue was right away and even realized I also had another issue going on and also addressed that. I appreciate her patience, knowledge , and kindness. I will absolutely be following up with her. She gave me realistic expectations. Thank you very much for your time and help.
Response from the owner:Your feedback is highly appreciated. Thank you for the review!
bernie patrico
2 weeks ago
First time going and I’m really satisfied with Dr Beal and staff. Very nice and helpful. Would recommend
Response from the owner:We appreciate the kind words and are glad we could provide you with a positive experience!
Rick Smith
2 weeks ago
Response from the owner:Thanks for taking the time to share your positive experience. We truly appreciate it!
Kayla Terbrock
2 weeks ago
Kayleigh was great! Very kind and explained everything so it was easy to understand
Response from the owner:We are thrilled to learn that you had a positive experience with us!
Dalena Ladd
2 weeks ago
The staff are always friendly and very helpful in answering questions. I love treatment received!
Response from the owner:Thank you so much for leaving us a stellar review!
Steve Mann
2 weeks ago
Great Doctors and staff!!!
They care about you as a patient, not just a number. Very through and knowledgeable. When you leave you have all the information needed for your care.
THANKS To a great staff.
Response from the owner:Your feedback is highly appreciated. Thank you for the review!
Dr. Swofford is very friendly, thorough, professional, and kind. I feel comfortable pointing out my skin concerns because Dr. Swofford never makes me feel stupid. The office staff is friendly and welcoming. The facility is clean and comfortable.
Response from the owner:We appreciate the kind words and are glad we could provide you with a positive experience!

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