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Reshaping the contours of the nose, known as rhinoplasty, can re-define the appearance of the nose and bring it into harmony and balance with other facial features. Rhinoplasty in Des Moines, Iowa, with facial 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 you live in or near Des Moines and rhinoplasty is something you are considering, 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.

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 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. Brent 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.

Your Consultation

Your doctor can discuss all of your options during your nose surgery consultation. Des Moines, Iowa, 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

Dear Dr. Koch and Staff,

I want to thank you for making my procedure as pleasant as possible. I was extremely impressed with the level of professionalism and expertise that your office demonstrated throughout my entire surgery. It's because of your kindness and willingness to answer my questions that I was able to have such a great experience!

I spent 2 years researching plastic surgeons because I was so concerned with potential complications. As a full-time model, I was worried about the appearance of my nose changing drastically. I wanted to be able to breathe at night without snoring, but I wasn't sure if it was worth risking my nose's appearance. I consulted with several surgeons around the country and was immediately impressed with you and your office. Unlike other doctors, you took a very individualized approach and addressed all of my questions and concerns. Your staff was amazing and extremely knowledgeable, as well.

I never second-guessed my procedure thanks to the professionalism and compassion of your staff. The morning of my surgery, I was greeted with a smile and treated as if I was your only patient.

The end result of my surgery is amazing. You truly are an artist. I can breathe through my nose perfectly, and I was able to fly to Europe exactly 1 week after surgery for a photo shoot. I had little bruising after surgery, and by day 7 the swelling and bruising had diminished almost completely.

Thank you all so much. I would happily recommend you to anyone in search of nose surgery.

All my love,
Jessica VerSteeg
Miss Iowa, United States


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