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.

Facelift (Cheek & Necklift)

Sagging skin of the jowl and neck that comes with age can be aggravated by sun exposure, heredity, smoking, and innate characteristics of your skin. At Koch Facial Plastic Surgery & Spa in West Des Moines, facelift (rhytidectomy) is referred to as a cheek/neck lift, because this more accurately describes the procedure. Performing over 100 facelifts each year, Drs. Brent and Cody Koch specialize in creating a more youthful and rested appearance by removing loose or sagging skin and lifting and tightening the lax muscles and fatty tissues of the lower face and neck. By consistently delivering superior patient care and excellent results, they are considered among the top facial plastic surgeons in Iowa.

If you would like to have a candid conversation about facial plastic surgery, let one of our Des Moines board-certified facial surgeons answer your questions and address your concerns. Request a consultation at Koch Facial Plastic Surgery & Spa, or call our office at (515) 277-5555 to schedule an appointment. Women and men visit us for facelift surgery from Ames, Ankeny, Urbandale, and throughout the Des Moines area.

Before & After Facelift

The excellent results our surgeons achieve are the best testament to their skill and artistry. These facelift before-and-after photos feature actual patients treated in Des Moines at Koch Facial Plastic Surgery & Spa. View additional cheek and neck lift before-and-after cases in our gallery.

About Facelift

A facelift, one of our most commonly performed procedures, provides a remarkable improvement in your appearance. Facelift is the ideal treatment for correcting:

  • A sagging jaw line
  • Falling cheeks
  • A blunted neckline

The amount of change that can be expected depends on the degree of tissue sagging that is present preoperatively. Some patients choose to undergo a facelift earlier in the aging process for a look that is refreshed and less worn. A person who has waited can expect more dramatic results. In any case, our doctors and staff will customize your procedure for results that best suit you.

There are many methods to facelift surgery, and advancements in this procedure have evolved significantly over the last ten years. Today, we have newer and better techniques to create natural looking results, not the tell-tale pulled or windblown look of past facelifts. By carefully relocating the deeper tissues and draping the skin tension-free over the repositioned tissues, a more natural, longer lasting result is produced.

After facelift surgery, you should appear younger, with a well-rested, healthy look. The younger you are, the longer you can expect the facelift results to last. If you are older, results may not last quite as long due to the quality of aging skin.

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
Meet Dr. Brenton Koch
View Before & After Photos Request Your Consultation
Drs. Brenton Koch and Cody 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. Brenton Koch
Meet Dr. Cody Koch
View Before & After Photos Read Patient Testimonials Request Your Consultation

How Much Does a Facelift Cost?

Cosmetic surgery costs depend on a range of factors, including the extent of the procedure, the training, qualifications, and experience of the plastic surgeon, and even the location of the practice. At our practice in Des Moines, our surgeons’ fees for a facelift (cheek and neck lift) are:

  • Facelift (cheek & neck lift): $9,750
  • S-Lift: $8,775
  • Direct neck lift: $3,750

Keep in mind that additional charges for the surgery center/operating room and anesthesia may apply. When you come in for a consultation, you will receive a detailed quote based on our surgeon’s assessment of your aesthetic needs and your own cosmetic goals.

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. Our staff will work with you if you are considering financing the cost of your procedure.

Beyond the cost, it’s important when choosing a facial plastic surgeon to select a qualified specialist who makes you feel comfortable.

Your Facelift Consultation

Your surgeon can discuss all of your options during a comprehensive consultation regarding cheek/neck lift or facelift. People from Des Moines and other central Iowa communities seeking face lift surgery are encouraged to request a consultation online or call our office at (515) 277-5555 to schedule an appointment.

Cosmetic consultations are $150. This payment is applied to the surgeon’s fee should you decide to book your procedure within a year of your consultation. The nominal consultation fee covers an extensive, personal consultation with either Dr. Brent Koch or Dr. Cody Koch. Your surgeon 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.

Your Facelift Procedure

The incisions for a facelift are made in front of and behind the ear, and they curve naturally into the hair. A shorter-incision facelift, or S-Lift, may be an option for those who require a more moderate degree of correction of their lower face and neck. The hair and hairline are left intact.

traditional facelift incision
s-lift incision
A traditional facelift incision begins in the hairline and extends behind the ear.
We may recommend an S-Lift with a shorter incision for patients who need only moderate correction.

The facial skin around the ear and neck is lifted, and the underlying muscle and connective tissue are tightened to give a longer-lasting result than can be achieved by tightening only the skin. The excess skin is removed, and the remaining skin is re-draped for an improved contour of the lower face. Liposuction of excess fat in the jowls and the area under the chin is usually performed with a facelift. In addition, fat and fibrous tissue from in front of the ear may be positioned to fill in the furrows from the nose to the corners of the mouth. If you are concerned about only excess fat causing a double chin and not loose skin, then liposuction alone may be a good alternative.

Will My Facelift Scars Be Noticeable?

Our plastic surgeons place facelift incisions where the resulting fine scars blend into the natural creases of the skin and into the hair of the scalp. The fine scars are so well-concealed, no one should be able to detect that you’ve had a facelift, even if you wear your hair up.

How Long Does It Take to Recover From a Facelift?

Recovery following facelift surgery varies from patient to patient, depending on the specific techniques used and the fact that each person heals at a different rate. Here are some general guidelines:

  • Discomfort can be controlled with prescription pain medication.
  • Expect some bruising and swelling.
  • Sleep with your head elevated for the first 2 weeks.
  • Take short walks to promote good circulation and enhance the healing process.
  • Most patients return to normal social activities or work 10 to 14 days after surgery.
  • Schedule your facelift at least 1 or 2 months before a significant social event, such as a wedding or work presentation, to ensure your recovery is complete.

It’s important to follow as closely as possible the postoperative instructions you receive from your surgeon.

Facelift FAQ

Will a facelift make my whole face look younger?

While a facelift (cheek/neck lift) will provide lasting rejuvenation of your cheeks, jawline, and neck, you may need a brow lift or eyelid surgery to complete your facial rejuvenation. Injectable fillers such as JUVÉDERM VOLUMA® XC may also be necessary to fill out sunken cheeks and hollows around the eyes. Our doctors are experienced in combining facial rejuvenation procedures to help patients look naturally refreshed, and not overdone.

Will a facelift smooth out all of the wrinkles on my face?

A facelift reduces deeper folds around the mouth such as nasolabial folds and marionette lines; however, it is not the answer to fine lines in the skin, crow’s feet, or forehead creases. Non-surgical treatments such as BOTOX® Cosmetic injections and laser skin resurfacing are excellent for addressing remaining wrinkles.

I’m not ready for a facelift. What can I do to look younger without surgery?

A personalized combination of injectable treatments such as BOTOX and dermal fillers can help our patients who have less advanced facial aging look refreshed again. Results last months but are temporary. Laser skin resurfacing may also be included in your non-surgical facial rejuvenation plan to improve the texture, tone, and firmness of your skin.

How can I make my facelift improvements last as long as possible?

A facelift can help you look 5 to 10 years younger, but it doesn’t stop the aging process. We recommend limiting exposure to the sun and wearing a high-quality sunscreen every day. BOTOX injections may also help slow down the development of creases to help you maintain your youthful look as long as possible.