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Your Premier Plastic Surgery & Med Spa Destination in Iowa
At Koch Facial Plastic Surgery & Spa, we specialize in elevating confidence through facial, breast, and body plastic surgery for patients across West Des Moines, Iowa, and surrounding areas. Our team of board-certified surgeons brings over 45 years of combined experience in facial plastic surgery, breast enhancement, and body contouring. We prioritize personalized care, ensuring every patient feels welcomed, safe, and supported throughout their journey.

Our clinical staff delivers tailored solutions, from surgical procedures like facelifts and tummy tucks to nonsurgical treatments such as BOTOX and laser therapies. We emphasize natural-looking results using advanced techniques and state-of-the-art technology, backed by a commitment to transparency, ethical standards, and patient satisfaction. Our facility is designed to provide a stress-free experience, with a focus on comfort and exceptional outcomes.
Services
Facelift Breast Augmentation Tummy Tuck Liposuction BOTOX Rhinoplasty Eyelid Surgery Breast Lift Laser Hair Removal Hormone Optimization
Highlights and features
  • We offer over 45 years of combined experience in facial and body plastic surgery.
  • Our board-certified surgeons specialize in natural-looking, personalized results.
  • We provide comprehensive care from surgical procedures to nonsurgical med spa treatments.
  • Our team prioritizes patient comfort, safety, and satisfaction throughout the journey.
  • We serve patients from West Des Moines, Ankeny, Ames, Davenport, and beyond.
What people say
TOP service Good service Wonderful Pam did great Amazing results
Services
Facelift
Facelift surgery addresses sagging skin and wrinkles in the face and neck, restoring a youthful appearance. Ideal for patients with moderate to advanced aging signs, this procedure tightens underlying tissues and removes excess skin. Results are natural-looking and long-lasting, with techniques like S-Lift and deep plane lifts tailored to individual needs. Recovery typically takes 2-3 weeks, with final outcomes visible after 3-6 months.
Breast Augmentation
Breast augmentation enhances size and shape using implants or fat transfer. Options include silicone, saline, or gummy bear implants placed submuscularly for natural results. The procedure addresses asymmetry, volume loss, or desire for larger breasts. Recovery involves 3-5 days off work and 4-6 weeks for full activity resumption. Scarring is minimal and strategically placed for concealment.
Tummy Tuck
Tummy tuck surgery removes excess abdominal skin and tightens muscles for a flatter profile. It addresses post-pregnancy changes or weight loss effects. Full and mini tummy tuck options are available, with liposuction often combined for enhanced contouring. Recovery requires 2-3 weeks off work and 6-8 weeks for strenuous activities. Scars are low-profile and fade over time.
BOTOX
BOTOX, Jeuveau, and DAXXIFY injections reduce dynamic wrinkles by temporarily relaxing facial muscles. Treatments target frown lines, forehead creases, and crows feet, with results appearing in 3-7 days and lasting 3-6 months. The procedure is minimally invasive, requiring no downtime, and can be combined with other aesthetic treatments for comprehensive rejuvenation.
Liposuction
Liposuction contours stubborn fat deposits in areas like the abdomen, thighs, and flanks. Techniques include traditional suction and advanced methods like Aveli cellulite reduction. Ideal for patients near their goal weight, it offers permanent fat removal with results visible after 3-6 months. Recovery involves wearing compression garments and avoiding strenuous activity for 4-6 weeks.
People
Dr. Brenton Koch
Board-Certified Facial Plastic Surgeon
Dr. Koch specializes in facial plastic and reconstructive surgery, with expertise in facelifts, rhinoplasty, and nonsurgical treatments. He combines technical precision with a focus on natural aesthetics.
Dr. Cody Koch
Board-Certified Facial Plastic Surgeon
Dr. Cody Koch is double board-certified in facial plastic surgery and otolaryngology, offering comprehensive expertise in facial rejuvenation and complex reconstructive procedures.
Dr. Michael Carlisle
Board-Certified Plastic Surgeon
Dr. Carlisle specializes in breast and body procedures, including augmentation, tummy tucks, and liposuction, with a focus on personalized, natural outcomes for each patient.
Pam Banyas
Certified Physician Assistant
Pam provides nonsurgical injectables and aesthetic treatments, leveraging over a decade of experience to deliver subtle, refreshed results tailored to patient goals.
Patty Tigges
Aesthetic Nurse Injector
Patty specializes in injectables and med spa services, combining an artistic eye with clinical expertise to enhance facial harmony and skin health.
Questions
What plastic surgery procedures are most popular in West Des Moines?
Facelifts, breast augmentation, tummy tucks, and BOTOX injections are among the most sought-after procedures for facial and body rejuvenation.
How do I prepare for a plastic surgery consultation?
Bring a list of goals, medical history, and questions. Our surgeons will assess your needs and create a customized treatment plan.
What nonsurgical options complement plastic surgery?
BOTOX, laser treatments, and skincare regimens enhance surgical results and maintain long-term skin health and youthfulness.
How long do plastic surgery results last?
Results vary: facelifts last 5+ years, implants 10-15 years, and nonsurgical treatments 3-12 months with proper maintenance.
Does insurance cover plastic surgery?
Most cosmetic procedures are not covered, but reconstructive surgeries (e.g., post-cancer repair) may qualify for partial coverage.
Can I combine multiple procedures?
Yes! Mommy makeovers, facial rejuvenation packages, and body contouring combinations optimize results during a single recovery period.