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 a.m.-5 p.m.


Reshaping the contours of the nose with rhinoplasty can re-define the appearance of the nose and bring it into harmony and balance with other facial features. Rhinoplasty in West Des Moines with facial plastic surgeons Drs. Brent and Cody Koch can help reshape the nose to a more appealing size and contour, as well as restore optimal breathing function.

As a board-certified specialists in facial surgery, our doctors have extensive training and experience in facial procedures. If are considering rhinoplasty in the Des Moines area, please request a consultation or call our office at (515) 277-5555. We look forward to meeting with you and discussing how to best achieve your rhinoplasty goals. People visit from Ames, Ankeny, Urbandale, and other nearby cities.

Featured Cases

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

About Rhinoplasty

Through cosmetic rhinoplasty the appearance of the nose can be altered by:

  • Reducing a nasal hump
  • Changing the shape of the tip or bridge
  • Raising or lowering the tip
  • Narrowing the span of the nostrils

Board-certified facial plastic surgeons Dr. Brent Koch and Dr. Cody Koch have the unique ability to improve the appearance of the nose while simultaneously improving its breathing function. If the septum is deviated or the nasal passages are blocked, your surgeon can correct your breathing. If this is the case, insurance may reimburse you for the functional portion of the procedure.

Rhinoplasty Procedure

During your consultation, we will review rhinoplasty techniques and discuss your individual goals in depth, as each nasal surgery is different and requires a unique approach. We offer computer imaging so you can see possible results in advance of your surgery. This advancement in technology allows us to alter a computer enhanced image of your nose and face to simulate your final outcome. It also allows us to understand exactly what you are aiming to achieve.

The actual rhinoplasty procedure is performed by restructuring the cartilage and bone that form the framework of the nose. The skin is then re-draped over the new shape. A small plastic splint is worn over the bridge of the nose for 4 to 5 days following the surgery.

The procedure takes place in an outpatient surgery center. It is most often performed using general anesthesia. Rhinoplasty usually takes between 1 and 2 hours to complete, although more complicated procedures may take longer.

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


Following nose surgery, some of our patients have reported that they are surprised with how well they feel. Bruising and significant swelling are uncommon, and although many patients take a week off of work or school, some immediately return to their routines. Light exercise is permitted after the first week; however, heavy contact sports are not a good idea for at least 4 to 6 weeks. Whether you are repairing a broken nose or wanting to achieve a smaller, more balanced nose, nose surgery can give you the chance to make long-lasting improvement in your breathing and nasal appearance.

Rhinoplasty Cost

At our Des Moines practice, surgeon’s fees for rhinoplasty are:

  • Cosmetic: $7,250
  • Functional: $5,575

Keep in mind that additional charges for the surgery center/operating room and anesthesia may apply. Cosmetic consultations with Drs. Brent or 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. Dr. Cody Koch accepts medical insurance for functional rhinoplasty.

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 doctor can discuss all of your options during your nose surgery consultation. Men and women interested in facial plastic surgery are encouraged to request a consultation online or call us at (515) 277-5555 to schedule an appointment.

The nominal consultation fee covers an extensive, personal consultation with either Dr. Brent Koch or Dr. Cody Koch. 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.

Miss Iowa’s Rhinoplasty Story