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.

BOTOX® Cosmetic & Jeuveau™

Largest providers of Botox and Juvederm in Iowa

Nonsurgical facial rejuvenation treatments have become very popular with both women and men at Koch Facial Plastic Surgery & Spa. BOTOX Cosmetic treatments are a clear favorite and new Jeuveau treatments are gaining popularity among our patients in West Des Moines who visit from Ames, Ankeny, and in and around Des Moines. In fact, Dr. Brent Koch, Dr. Cody Koch, and our physician assistant Pam are among the top providers of BOTOX injections in the state.

Our team is committed to helping you achieve a natural and beautiful appearance with or without surgery. With our extensive knowledge and experience, you can rest assured knowing you are receiving the best possible care. To get started, please request a consultation or call our office at (515) 277-5555.

Make Us Your BOTOX Provider

Here are just a few of the many reasons people in Iowa choose us for BOTOX treatments:

  • Expertise: Our BOTOX treatments are performed by or under the supervision of board-certified surgeons who specialize in facial cosmetic surgery and understand facial anatomy.
  • Experience: We are one of the largest providers of BOTOX treatments in the state of Iowa.
  • Results: Our BOTOX patients look naturally refreshed. Just look through our photo gallery to see for yourself.
  • Options: While we specialize in BOTOX, our practice is dedicated to both surgical and nonsurgical aesthetic procedures for the face.

How They Work

Botox CosmeticNeurotoxins like BOTOX and Jeuveau are used to treat wrinkles that are caused by the contractions of facial muscles, which is different from the way dermal fillers restore volume within the skin to fill out wrinkles and folds. When a small amount of neurotoxin is injected into facial muscles, it temporarily suspends their ability to contract and crease the skin. Over time, the wrinkles, creases, and furrows of the face fade away.


Our BOTOX Cosmetic and Jeuveau patients typically desire a subtle yet noticeable improvement in their look but don’t feel that surgery is necessary. This treatment is commonly used to:

  • Soften the vertical creases between the eyebrows
  • Smooth deep forehead wrinkles
  • Diminish crow’s feet at the outer corners of the eyes

Other areas that may respond to BOTOX Cosmetic include wrinkles around the mouth and nose, as well as the neck.

What Else Can BOTOX Be Used For?

Other uses for BOTOX injections include:

  • Migraines
  • Jawline (masseter) reduction
  • TMJ
  • Excessive underarm sweating

“I have always been curious about Botox but a little apprehensive to try it.

However, the experience I had at Koch made me completely change my mind. Pam did a fantastic job of explaining the procedure and making me feel comfortable. I cannot express how happy I am with my results and would recommend Koch to my friends. I will definitely be returning there for further treatments.”

— Kylie

Read Patient Testimonials

Neurotoxin Treatment

BOTOX and Jeuveau treatments consist of a simple series of injections performed using a very fine needle. Although most patients do not experience discomfort, if you are concerned, we can numb the areas with ice or anesthetic cream. The procedure usually takes just minutes to complete.

Your specific facial anatomy and the location of lines and wrinkles determine the exact injection sites for your treatment. Typically, treatment for crow’s feet includes 3 injection locations. Treating glabellar lines (“worry lines”) usually includes 5 separate injection sites just above and between the brow. BOTOX and Jeuveau treatments are based on the number of units injected in each area. Here are the typical number of units for common treatment areas:

  • Forehead lines: 5 to 25 units
  • Glabellar lines: 20 to 25 units
  • Crow’s feet: 5 to 15 units (each side)

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Neurotoxin treatments typically require little or no downtime, and patients are usually able to immediately resume their normal activities. We do recommend that you avoid putting pressure on treated areas for the remainder of the day.

Certified physician assistant Pam Banyas

Our Injection Specialist

Certified physician assistant Pam Banyas uses her extensive experience with cosmetic injectable treatments to create results that look natural and youthful. Learn more about Pam's education and training, and why she is a vital part of the team at Koch Facial Plastic Surgery & Spa.

Meet Pam

Your Neurotoxin Consultation

There is no charge for a comprehensive BOTOX or Jeuveau consultation with Dr. Brent Koch, Dr. Cody Koch, or Pam, our physician assistant and injection specialist. Your provider will spend a great deal of time with you, discussing your goals, concerns, and physical and lifestyle considerations. We will listen intently to what you have to say, and together we will develop the best approach to your treatment. Women and men interested in BOTOX or Jeuveau injections are encouraged to request a consultation online or call our office at (515) 277-5555 to schedule an appointment.

BOTOX & Jeuveau FAQ

Are BOTOX and Jeuveau safe?

Yes. BOTOX was approved by the FDA for cosmetic use in 2002. Jeuveau, also called #NEWTOX, attained FDA approval in 2019. It is the first alternative to BOTOX to be released in the U.S. in 10 years. When administered by a trained, experienced professional, these treatments are very safe and have a low risk of complications for most people.

What is the difference between BOTOX and Jeuveau?

BOTOX and Jeuveau are both purified botulinum toxin products that temporarily correct dynamic wrinkles. BOTOX has medical uses as well. Jeuveau was developed exclusively for cosmetic use. Its state-of-the-art manufacturing process may make it more potent and cost-effective than other neurotoxins. During your consultation, your practitioner will recommend the injectable best suited to your desired improvements whether it’s BOTOX, Jeuveau, dermal fillers, or a combination of treatments.

How much does BOTOX cost?

At our Des Moines practice, we charge $11.95 per unit for BOTOX. The total procedure cost varies by the amount of BOTOX (units) used. Each patient is evaluated individually to determine the optimal placement and amount needed for the desired effect. This is where our expertise and experience come in. We participate in the Brilliant Distinctions® program, so our patients can earn discounts on future treatments.

Keep in mind, 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.

Brilliant Distinctions®
Saving Money Never Looked So Good

Participate in the Brilliant Distinctions program from Allergan and start earning discounts on future JUVÉDERM®, VOLUMA® XC, and BOTOX® injections, along with purchases of LATISSE® and SkinMedica® products. It's free and easy to sign up online.

Learn More

When will I see results?

Following a treatment with BOTOX Cosmetic, patients can expect to see results in 3 to 5 days, with improvements continuing for up to 2 weeks. Results from Jeuveau injections may appear as early as 2 to 3 days and continue to improve for about 7 to 10 days.

How long will my results last?

Most BOTOX and Jeuveau patients retain their refreshed, rejuvenated appearance for 3 to 4 months. With regular maintenance treatments, results may last up to 6 months.