- Brow lift surgery to elevate sagging eyebrows
- Facelift surgery to improve overall facial appearance
- Liposuction to enhance the contours of the lower face and neck
Koch Facial Plastic Surgery & Spa
4855 Mills Civic Parkway #100
West Des Moines, IA 50265
Phone: (515) 277-5555
Fax: (515) 277-0060
Monday-Friday: 8:15 a.m.- 5 p.m.
- Home |Facial Cosmetic Surgery|Eyelid Surgery
Eyelid Surgery
The eyes are a center of facial expression, conveying a great deal about your mood and feelings to others. Extra folds of skin, bags and fullness of the eyelids can make you appear older and more tired than you feel. Eyelid surgery in West Des Moines at the facial plastic surgery practice of Drs. Brent and Cody Koch corrects the sags and bags of the eyelids that develop with age. Also called blepharoplasty, this procedure results in a refreshed, yet natural-looking appearance.
If you live in Ames, Ankeny, Urbandale, or another city in the Des Moines area, an eyelid surgery consultation at Koch Facial Plastic Surgery & Spa can answer your questions and address your concerns. Request a consultation with one of our board-certified facial plastic surgeons or call our office at (515) 277-5555 to schedule an appointment.
Featured Cases
The excellent results our surgeons achieve are the best testament to their skill and artistry. Our providers have more than 45 years of combined experience in performing facial procedures. These expert surgeons have performed more cosmetic upper eyelid lifts and lower eyelid lifts than any other provider in Iowa. These eyelid surgery before-and-after photos feature actual patients treated in Des Moines at Koch Facial Plastic Surgery & Spa. View additional blepharoplasty surgery cases in our gallery.
About Eyelid Surgery
Inviting eyes are essential to a youthful appearance. The eyes are what create uniqueness and depth, and we typically want others to focus on this area. Much of what facial plastic surgeons do is divert attention from other parts of the face to the eyes.
Unfortunately, the eyes are also one of the first parts of the face to show aging. In certain families, aging eyelids are hereditary, with hooded lids or prominent under-eye bags emerging as early as the late teens to early 20s. Some individuals may experience obstructed vision from excess upper eyelid skin, making blepharoplasty a medically necessary procedure. In such cases, insurance may cover eyelid surgery.
Meet Our Doctors
With artistic eyes, precise hands, and understanding hearts, board-certified facial plastic surgeons Drs. Brenton and Cody Koch enhance faces and change lives.
Meet Dr. Brenton Koch

Meet Our Doctors
With artistic eyes, precise hands, and understanding hearts, board-certified facial plastic surgeons Drs. Brenton and Cody Koch enhance faces and change lives.
Meet Dr. Cody Koch
The Procedure
Our doctors restore a firmer, smoother appearance to the upper eyelids through upper blepharoplasty. The incision is placed within the upper lid crease, and extends slightly beyond the corner of the eye to remove the loose skin often present in this location. Underlying fat is removed to eliminate fullness.
Lower blepharoplasty removes bags that cast shadows beneath the eyes. Excess skin is also eliminated to create a smoother look. The incision to remove excess lower lid fat can be made on the inside of the eyelid. An incision just below the eyelashes is used to remove the extra skin. To correct concerns that eyelid surgery alone cannot address, blepharoplasty may be combined with complementary procedures including:
In most cases, eyelid surgery takes 1 to 3 hours, and is performed in an outpatient surgery center under general anesthesia. In some instances, however, this procedure can be performed in our office with local anesthesia.
After eyelid surgery, our patients typically report that they can return to their normal activities within a few days of their procedure. Any slight bruising or swelling typically vanishes in 10 to 14 days. Most patients can resume exercising 3 to 4 weeks after their blepharoplasty procedure. You will be provided with thorough aftercare instructions.
A Reputation Built on Results
You deserve the highest caliber of service, care, and results, and at Koch Facial Plastic Surgery & Spa, we're committed to providing all that and more. But don't take our word for it—see for yourself what our actual patients have to say about their experiences with us.
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Eyelid Surgery Cost
At our Des Moines practice, surgeon’s fees for eyelid surgery are:
- Upper eyelids: $3,875
- Lower eyelids: $4,975
Keep in mind that additional charges for the surgery center/operating room and anesthesia may apply. Cosmetic consultations with Dr. Brent or Dr. Cody Koch are $150. This payment is applied to the surgeon’s fee should you decide to book your procedure within a year of your consultation.
Be aware, these are ballpark prices only and subject to change. No information presented on our website replaces the value of an actual face-to-face consultation and in-office quote presentation.
Your Consultation
Your surgeon can discuss all of your options during a comprehensive consultation regarding eyelid surgery. If you’re interested in blepharoplasty, we encourage you to request a consultation online or call our office at (515) 277-5555 to schedule an appointment.
The nominal consultation fee covers an extensive, personal consultation with one of our board-certified facial plastic surgeons. Your doctor will spend a great deal of time with you, discussing your goals, concerns, and physical and lifestyle considerations. He will listen intently to what you have to say, and together the two of you will develop the best approach to your treatment. Women and men who schedule their surgery at the time of consultation will have their consultation fee applied toward their procedure.
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