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.

Facial Plastic Surgery FAQ

It’s natural for patients to have questions when they come to Koch Facial Plastic Surgery & Spa in West Des Moines. Our surgeons are dedicated to providing insight on any concern you have. Some of the most common questions patients have are listed here along with our answers.

We invite you to call us at (515) 277-5555 or request a consultation online to meet with one of our surgeons if you’re considering facial plastic surgery. Patients from Ames, Ankeny, Des Moines and throughout Iowa travel to our practice for excellent care.

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.

Read More Patient Reviews
Google
5.0/5
Jul 28, 2020
Excellent, professional and friendly service from the moment I walked through the door. Pam was knowledgeable, insightful and offered me multiple treatment options during my consultation. She explained in detail the process, costs and what to expect after treatment. I opted to receive services the same day and am so happy that I did! The girls at the front desk were very friendly and helpful. Overall first appointment and treatment took less than 20 minutes. I am so happy that I chose Koch Facial and Plastic Surgery for my treatment and am already a lifetime customer after my first service!
Google
5.0/5
Jul 28, 2020
Dr. Koch and staff were extremely welcoming and friendly. They were very open and honest with details of procedures and great to answer my questions. I felt very comfortable with the team and look forward to working with them in the future.
Google
5.0/5
Jul 27, 2020
This was my 1st time visiting Koch Facial Plastic Surgery & Spa and I will definitely return! Dr. Brent Koch was not only extremely knowledgable and helpful, but was also a great listener. He truly took the time to understand my concerns and was very patient with me, as I asked a whole bunch of questions. Highly recommend Dr. Koch and the whole team!
Google
5.0/5
Jul 24, 2020
Best medical spa in Des Moines. The physicians and staff are excellent. At Koch, I've had Botox, Sciton MicroLaserPeel, HydraFacial, and BBL - all done perfectly.
Google
5.0/5
Jul 15, 2020
I went to Koch Facial & Spa for Botox treatment. The offices are beautiful and the staff is friendly and very professional. I saw Dr. Brenton Koch for my treatment it was fast, easy and he has a great eye for knowing what will look great. Recommend for any of your Botox treatments! Will definitely be a loyal customer!!
Google
5.0/5
Jun 24, 2020
I had my rhinoplasty 2 weeks ago with Dr. Brent Koch and I’m already so pleased with the results. The entire process was a breeze. Brent made me feel at ease and answered all my questions from the day of my consultation to my post op visits. Traci made scheduling the appointment, payments and coordinating with the surgery center and anesthesia so simple on my end. The surgery itself was not as bad as I expected, I had very little pain (only needed a pain pill the night of surgery) and I felt like my normal self by day 3-4. I would highly recommend Koch Plastic Surgery.
Google
5.0/5
Jun 5, 2020
I went here for the first time after being recommended by a friend. The PA who assisted me was very personable and knowledgeable. I felt extremely satisfied after leaving. I will definitely be going back!
Facebook
5.0/5
May 6, 2020
We refer all of our patients here and I have referred several friends!
Facebook
5.0/5
Apr 17, 2020
Dr. Cody Koch did reconstructive surgery on my upper lip after skin cancer. Dr. Cody was very confident and so reassuring. The staff were amazing. There compassion and professionalism is at the highest level. Well done!
Google
4.0/5
Feb 24, 2020
I appreciate Dr. Koch's office reviewing my concern and making it right.
Google
5.0/5
Oct 18, 2019
I absolutely hated my sagging skin and heavy eyelids. Finally decided to go for it and went in for a consult. Dr Cody Koch made me feel at ease and I had heard they had great results. I had a facelift and eyes done and couldn’t be happier. I look refreshed and like myself again. From first consult to procedure to visits after the procedure everyone was awesome. I couldn’t be happier and would recommend this place to anyone.
Facebook
5.0/5
Oct 17, 2019
My daughter broke her nose playing softball. Dr. Cody was highly recommended and we feel blessed to have been able to work with him. Dr. Cody did a great job of putting my daughter at ease and was very attentive throughout the whole process. She ended up needing surgery and he did a fantastic job; you can’t even tell it was ever broken. We too would highly recommend Dr. Cody. Thank you so much to Cody and his staff.
Google
5.0/5
Oct 17, 2019
My daughter broke her nose playing softball. Dr. Cody came highly recommended and we feel blessed that we had him to work on our daughter. He was great at reassuring us and being very attentive throughout the process. She ended up needing surgery and he did a fantastic job. Looking at her you would have no idea her nose was ever broken. We thank him and his staff for being so wonderful throughout this experience. Thank you Cody!!
Google
5.0/5
Oct 15, 2019
Had a great first experience at Koch Facial Plastic Surgery & Spa. The staff was friendly and very knowledgeable about the skin care treatment that I needed for my problem areas. I also received a follow up call a couple weeks after my initial visit, checking in to see how my new skin care regimen was going. Highly recommend this place for your skincare needs!
Google
5.0/5
Sep 30, 2019
Absolutely great people and they take a personal approach and are very available. I can't say enough good things about them.
Google
5.0/5
Sep 18, 2019
My name is Rebecca Tietje on August 23 2019. I had I upper eye lid lift , lower eye lift, forehead lift. Surgery we went as planned . I would highly recommend KOCH PLASTIC SURGERY TO FAMILY TO FRIENDS AND COWORKERS. YOU ARE IN SAFE HAND AND NO CONCERNS AT ALL. TRUST THEM EMENESLY. THANK YOU KOCH .
Google
5.0/5
Sep 18, 2019
I was referred to Dr. Cody Koch by my daughter for a lesion on my cheek that turned out to be skin cancer. Dr. Koch removed it and despite having a larger than expected incision with several stitches, you would never even know it was there! He is amazing at what he does. The best. Thank you, Dr. Cody Koch, I am so grateful!
Facebook
5.0/5
Aug 2, 2019
At 32 years old, I was diagnosed with basal cell carcinoma on my nose. I’ve never once been in a tanning bed and it was a huge shock to me. Derm didn’t want to biopsy since it was large and on my “small” nose, so they sent me straight to Dr Cody. He called me on a SUNDAY with my biopsy results! Derm did Mohs surgery and Dr Cody repaired my nose the same day. Despite a more painful experience than I imagined, 3 months later, most people can’t tell I have anything wrong with my nose, and it gets better and less noticeable each week. I cannot say enough GREAT things about him and the entire office. Everyone was nice, courteous, and extremely complimentary through the entire process.
Google
5.0/5
Jul 3, 2019
Awesome drs!! They do a great job!!
Google
5.0/5
Jun 27, 2019
I am very happy with my face lift that Dr. Koch gave me many years ago!!
Facebook
5.0/5
Apr 15, 2019
Dr. Cody Koch did reconstructive surgery on my lip after a skin cancer procedure. He was very understanding of my concerns and gave me plenty of options. He was very thoughtful and did an amazing job!
Facebook
5.0/5
Mar 8, 2019
Dr. Brent Koch is the best of the best in Iowa! He is a perfectionist, honest, knowledgeable, attentive, stands behind his skills, professional with great bed side manners! When a Dr. gives you his personal cell phone number and will answer you 24/7 is enough to get the picture here! I’ve contacted him with a simple question, and he personally called and texted back within few minutes even while he was on family vacation! I highly recommend Dr. Brent Koch and can’t see myself trusting my face features with any one else in this area!
Facebook
5.0/5
Dec 28, 2018
Professionalism, kindness, great service, great results 🙂 I love it here!
Facebook
5.0/5
Aug 24, 2018
I had under chin liposiction...took me awhile to decide but so glad i decided!! One of my best decisions...thank you Dr Brent and thank you to wonderful staff!!
Facebook
5.0/5
Jan 8, 2018
I'd had surgery as a child to correct a severe ptosis that I was born with. Even after that correction, my eyelids were droopy. After decades of living with it, I consulted with Dr. Cody Koch. Another doctor had recommended a more expensive and invasive surgical procedure, but Dr. Koch came right out and said that he thought I'd get "more bang for my buck" with a much cheaper and less invasive blepharoplasty. I was a challenge for him because of the surgery done when I was three years old. But my eyes are beautiful now and for the first time in my life, I'm not self-conscious about my saggy lids. And a huge bonus—I have a wider field of view and my right eye no longer turns out when I'm having a close-range conversation with someone. Dr. Koch, his staff, and the staff at West Lakes Surgical Center were outstanding! I'm so grateful to him!
Google
5.0/5
Oct 10, 2017
Would highly recommend. Dr. Brent Koch was amazing with my son and the office staff were great as well. We will be seeing them for any and all future needs that may arise.
Google
5.0/5
Sep 18, 2017
I could not be more pleased or thankful with the excellent outcome of my recent and unexpected lip repair surgery. Dr. Cody Koch is a miracle worker!
Facebook
5.0/5
Sep 5, 2017
I just started recently working with Elise and I couldn't be more pleased. She is very compassionate about her job and I feel very confident about her suggestions. Just did the Koch Corrector Peel today! Excited to see my results!
Facebook
5.0/5
Jan 29, 2017
The best in town. There is no other place like this one. Dr. Koch is amazing!
Facebook
5.0/5
Oct 14, 2016
Dr. Cody and his team have been AMAZING. I had surgery at the end of September and couldn't be happier. His nurse Sally has been nothing but nice to me and has treated me very well. I felt so welcomed when I was there and Sally helped me through so much and answered so many of my questions. I couldn't have been happier with this team of amazing people.
Google
5.0/5
Oct 1, 2016
Dr. Brenton Koch and his staff are amazing!! Dr. Koch has a wonderful bedside manner and is so kind, patient. He explains the process well and is gifted at what he does! Dawn, his nurse, is so caring and accommodating. She is incredibly skilled in her role as well. I had a septoplasty which has restored my breathing beautifully so I can sleep well again. The pre-op, surgery and recovery were much smoother than I had thought. Sue G. and Chelsea helped me post-op with some things that came up; I'm grateful for their efforts. Dr. Koch was always accessible, even after hours, if needed. I never had a problem though! Tylenol was enough to cover the pain. I have nothing but great things to say about this experience and would highly recommend Dr. Koch and his staff for any medical or cosmetic procedures of the face!!
Google
5.0/5
Aug 25, 2016
Dr. Cody Koch was awesome! Very kind and personable, and did great work! I appreciate all the follow-up to make sure it turns out the best it can, and appointments are quick! Thank you!
Google
5.0/5
Jul 18, 2016
Last week I had my lips done by Pam, and they look amazing! I was very nervous about this service and Pam made me feel comfortable and she did a beautiful job. I definitely will definitely be recommending her to everyone I know.
Google
5.0/5
May 16, 2016
Best place I've ever been to! Dr.Cody and The staff make you feel so comfortable and informed, went and got lip injections and facial, best experience ever, totally recommend❤️
Google
5.0/5
Mar 14, 2016
Dr. Brenton Koch and his staff, especially Dawn, are phenomenal! I experienced a soccer injury to my nose and he corrected it so I am breathing perfectly through my nose again. I highly recommend his services!
RateMDs
5.0/5
Mar 3, 2016
For one of my first facials at KochMD, it was definitely an awesome experience from start to finish. I am hooked on their impeccable service...and that has guaranteed many return visits! The front desk was attentive and inviting. I had the HydrafacialMD with Elise and she was a delight to work with. She made me feel comfortable and explained step by step what the facial would consist of. The facial felt wonderful and she did an extraordinary job at targeting my problem areas...I was amazed and very happy with the outcome. After she was finished we had time to go over any questions and if I had any future concerns she told me I could email/call her. Thanks Elise and KochMD, we'll see you next month. -Gina D.
RateMDs
5.0/5
Jan 16, 2016
Dr. Koch reconstructed my nose. I couldn't breathe at all and hated how my nose looked. While the recovery wasn't fun the results were so worth it. I love my new nose and can breathe. Thank you.
Facebook
5.0/5
Sep 20, 2015
Dr. Cody was absolutely fantastic, both doing my nose and lip. he made both surgeries as easy as possible and was very caring. Sally is easily one of the best nurses out there, as well. this is an outstanding clinic with outstanding staff!
RateMDs
5.0/5
May 2, 2015
Great experience. Dr. Koch is the best. Good experience, great staff. He makes you feel very comfortable
RateMDs
5.0/5
Jun 8, 2014
I was 100% satisfied with Dr. Koch and his staff. I am so glad I decided to have the s-lift done, it was one of the best decisions I have made. It is so natural looking people think I have changed my hair or lost weight. I would highly recommend a consult if you are considering this done.
RateMDs
5.0/5
Aug 5, 2013
Last November Dr. Koch rebuilt my nose and corrected my field of vision by doing my sagging eye lids. I was asked at my first visit, "when did you break your nose?" My response, "which time!" My nose reconstruction went exactly the way he described. I got along great and followed all of his instructions. I knew exactly what to expect. You might say, my breathing went from breathing through a straw, to now like breathing through a large culvert. Dr. Koch's entire team was wonderful! My entire treatment was outstanding and my results, a story of success! I am so happy with my breathing, I sleep better, my vision is way better... ( I actually have ceiling fans in my house, WHO KNEW!! ) AND, MY New LOOK! Thanks Dr. Koch for your kind, caring and gentle treatment! YOU ROCK!
Vitals
5.0/5
Jul 30, 2013
I had surgery with Dr. Koch after I broke and dislocated my nose. I had already had a septo/rhinoplasty with an ENT previously, which didn't help at all (recurrent sinusitis, difficulty breathing). After my nose surgery with Dr. Koch, my nose not only looks better than it did before my accident, I can breathe much better, and don't have recurrent sinus infection. Dr. Koch was very nice, his staff was amazing, and even though I hurt afterwards (of course!), he made the experience much much better than my previous nose surgery. I am very happy with it.
RateMDs
5.0/5
Jul 26, 2013
I had a procedure done by Dr. Koch on my face, literally taking years off my appearance. It was a learning, but exciting experience, and Dr. Koch was available day and night for any questions, concerns, or problems. The procedure itself was painless, while the recovery time was a little longer than expected, although I was informed about the after effects. From beginning to when the last of the swelling and numbness disappeared, was approximately three months, which is typical for this type of procedure. I found Dr. Koch to be not only very personable and animated, but a sincere and dedicated physician whose concern was only for that of the patient. His staff was extremely professional and I could call any time of day or night with any concerns. I would not hesitate to recommend Dr. Koch and his services to anyone looking to become a little younger and happier with their appearance. The whole experience was great and I am very happy with all results.
RateMDs
4.0/5
Apr 24, 2013
I think that Dr Koch is a very good surgeon. I don't feel that he is totally forthcoming with information about his surgeries, risks and what recovery will be like. If he did, there would probably be fewer elective cosmetic procedures. That said, I believe he is the best plastic surgeon in Des Moines.
RateMDs
4.8/5
Mar 9, 2013
Dr. Koch performed a complicated rhinoplasty/septoplasty for me following an injury sustained a few years prior to surgery. I had an excellent result-breathing well and the appearance is very flattering and natural.
RateMDs
3.0/5
Feb 15, 2013
BEWARE! My spouse had his/her deviated septem done and a rhinoplasty and Dr. Koch said that it would not change the nose shape.... Well it did!!!! After injections to try and make the nose look more symetrical, one injection hit a nerve and causing exterior scarring that is very visible, My spouse's does not look the same at all.! After talking with Dr. Koch personally to see what other options we had, he told me my spouse had body dysmorphia disorder because he/she wasn't happy with their nose. Who says that!? Not a doctor to a patient who is wanting to breathe better and definitely not a patient who has had work done on their face that everyone sees EVERY DAY. Oh the nerve!
Vitals
5.0/5
May 31, 2012
Dr. Koch is available all hours of day and evening. Very friendly and professional staff whose mission appears to be to make you comfortable and meet your medical needs. I never had to wait more than a couple of minutes and they were very flexible in making appointments with him and other doctors. Best medical office I have ever been in.
RateMDs
4.8/5
Dec 9, 2010
Dr. Koch did facial resurfacing, "nose job" and eye lift about 5 years ago and it turned out wonderful. I have the best skin and everyone asks what skin care I use! He is so nice and just very gifted.

Questions & Answers

Here are some questions that are commonly asked by patients:

Why should I choose a face specialist?

Our surgeons perform facial plastic surgery procedures exclusively. They are both certified by the American Board of Facial and Reconstructive Surgery and the American Board of Otolaryngology (i.e., head-neck surgery). Although many plastic surgeons offer procedures for the face and other areas of the body, we feel it is preferable to focus more intensely on a single area. Our surgeons therefore perform far more facial procedures in a given period than other plastic surgeons, so patients can count on their thorough experience. For more information, visit our Choosing a Facial Plastic Surgeon page.

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

What is it that makes us look older?

In a youthful face, the apples of the cheeks are full, the skin is supple and evenly colored, and the jawline and neck are well defined. Over the years, one or more of the following signs of aging develop on the face:

  • Flat cheeks and hollows around the eyes and temples
  • Wrinkles, lines, and folds on the face and neck
  • Lax, thinning skin
  • Sagging brow and eyelids
  • Uneven coloring, brown spots, and redness
  • Jowls, double chin, and thickened neck

When you choose our practice for facial rejuvenation, you have the choice of surgical procedures such as eyelid surgery or nonsurgical procedures such as BBL™ for beautiful skin, or a combination of both. Because we specialize in the face, we have years of experience serving a range of patient needs. You can count on Koch Facial Plastic Surgery & Spa for results that look naturally attractive.

What does facial plastic surgery cost?

The cost of your facial plastic surgery at our Des Moines practice can vary greatly depending on many different factors. Which procedure you get, whether it includes any implants, and the extent of your operation will all come into play, as will anesthesia and operating room costs. Because most procedures are not covered by insurance, it’s understandable to have questions about financing. Our staff will work closely with you to create a cosmetic plan that fits both your aesthetic goals and your budget.

“From the moment I walked into the office, I was treated with dignity and respect, like a real person and not a number. Surgery had no surprises, I was totally prepared for what was going to happen, the honesty and integrity with which everyone conducts themselves is outstanding.” Read Patient Testimonials

What’s an endoscopic brow lift?

A traditional brow lift involves making a single incision along the hairline from ear to ear. An endoscopic brow lift requires only small, well-hidden incisions placed within the hairline. Your surgeon then uses a lighted scope with a miniature camera as he carefully performs the procedure. Using an endoscope leads to less swelling and bruising, so you recover more quickly.

Will a rhinoplasty help me breathe more easily?

Rhinoplasty, also called a nose job, is a cosmetic procedure to improve the aesthetic appearance of your nose. Nasal obstructions that impede breathing, such as a deviated septum, can be corrected through septoplasty. While the procedures are different, you can have both done during a single operation, which is often called functional rhinoplasty.

If I have dark circles under my eyes, will eyelid surgery help?

Blepharoplasty, often called eyelid surgery, typically doesn’t significantly reduce the appearance of dark circles. Dark pigmentation of the eyelid skin is more appropriately treated with non-surgical treatments, such as dermal fillers.

Can I have liposuction on my face?

Absolutely. Although most people think of liposuction only for removing excess fat from the abdomen, thighs, or other body areas, we can help improve your neck and jawline using facial liposuction. It’s often combined with chin augmentation or a facelift for a complete facial rejuvenation.

Can I achieve similar results with non-surgical procedures?

Many people with early signs of aging aren’t ready for cosmetic surgery. Nonsurgical aesthetic procedures are increasingly popular and can provide significant, but temporary, changes. We use BOTOX® Cosmetic to smooth the wrinkles caused by facial muscle contractions such as crow’s feet around the eyes. Injections of dermal fillers such as JUVÉDERM® can help smooth lines and folds such as nasolabial folds that run from the nose to the mouth. JUVÉDERM VOLUMA® XC can restore fullness in cheeks that look flat or sunken. For a comprehensive, nonsurgical facial rejuvenation, we can combine filler and BOTOX injections.