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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.

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. Brent Koch
Meet Dr. Cody Koch
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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.”

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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.

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