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BOTOX® Cosmetic

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 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:

How It Works

BOTOX is 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 BOTOX 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 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:

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

“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

Your BOTOX Treatment

BOTOX 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 treatments are based on the number of units injected in each area. Here are the typical number of units for common treatment areas:

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The BOTOX procedure typically requires 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.

Your BOTOX Consultation

Your doctor can discuss all of your options during your comprehensive consultation. Men and women interested in BOTOX injections are encouraged to request a consultation online or call our office 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, as well as 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 who proceed with their procedure at the time of consultation will have their consultation fee applied toward their procedure.


Is BOTOX safe?

Yes. BOTOX was approved by the FDA for cosmetic use in 2002. When administered by a trained, experienced professional, these treatments are very safe and have a low risk of complications for most people.

How much does BOTOX cost?

Cost varies by the amount of BOTOX 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.

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.

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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.

How long will my results last?

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

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