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, 10 a.m.-5 p.m.


By offering advanced, customizable skin care treatments, Dr. Brent Koch, Dr. Cody Koch, and our team of aestheticians can address skin conditions ranging from sun damage and age spots to birthmarks and rosacea. Both BBL and a specialized form of it called Forever Young BBL™ are state-of-the-art light treatments available at our West Des Moines med spa. These treatments rejuvenate the skin and can be tailored to your skin type and precise cosmetic concerns.

If you’re interested in learning how different BBL treatments at our Des Moines med spa can address your specific skin care goals, please request a consultation using our online form or call our office at (515) 277-5555 to schedule an appointment with a member of our aesthetic team. We serve women and men from Ames, Ankeny, and other Iowa communities.

BBL Before and After Photos

BBL BroadBand Light is an excellent treatment for freckled skin and other sun damage. This patient is shown 12 days after undergoing 2 BBL treatments.


Before BBL treatmentAfter BBL treatment

Photos courtesy of Sciton®.


BBL delivers light energy with precision to treat age and sun spots, freckles, small facial veins, and other types of skin discoloration. BBL is specifically cleared by the FDA for treating pigmented lesions, vascular lesions, and acne and for hair reduction. It gently heats the deeper layers of skin, triggering damaged cells to generate new collagen — which helps give skin its healthy, youthful-looking appearance.

The innovative and versatile dual-lamp technology uses a wide spectrum of wavelengths so that we can treat a variety of skin conditions without needing specialized hand-pieces. Our licensed aestheticians simply adjust the wavelength settings to target your precise concern.

“...I also have greatly enjoyed working with Drs. Brent and Cody Koch and staff members.

All are very professional, kind and obviously skilled. Aesthetician Ellen Weber has been wonderful during my Skin Tyte and BBL treatments. She not only is highly trained, but also very patient and creative in helping me maximize my results...”

— Carla H.

Read Patient Testimonials

Forever Young BBL

Forever Young BBL photo rejuvenation treatments can turn back the clock on signs of aging with no downtime and little to no discomfort. The procedure is an alternative to intense pulsed light and is recommended for patients with sun damage on the face or body such as freckles and discoloration, as well as rosacea and overall redness.

Both Forever Young and traditional BBL treatments work to make skin look younger and clearer, and our licensed aestheticians are happy to assess your skin and determine whether either would suit your goals. We can also recommend other skin care services such as Halo™ laser treatments.

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Before & After Forever Young BBL

This patient is shown 2 weeks after getting 2 treatments with Forever Young BBL to reduce damage caused by extensive sun exposure.

Before BBL Forever Young treatmentAfter BBL Forever Young treatment

Photos courtesy of Sciton®.


BBL and Forever Young BBL treatments don’t require downtime, and most patients experience minimal or no discomfort during and after the procedures. You can return to work immediately. Some redness, swelling, and occasionally the sensation of having a sunburn are common side effects, but they typically resolve within a few hours. Age spots or other hyperpigmentation targeted by the procedure initially darken before fading and flaking off in first few days after the procedure.

The number of procedures needed depends on the type and extent of the conditions you want to treat and your cosmetic goals, but in general, most patients see better results after at least 2 treatments.