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.


That last bit of fat can be difficult to get rid of on your own. Whether on your thighs, on your belly, under your chin or in another common trouble spot, these bulges can also be difficult to live with. Koch Facial Plastic Surgery & Spa is pleased to offer CoolSculpting in West Des Moines as a safe and effective procedure that helps our patients from Ames, Ankeny, and the Des Moines, Iowa, area reduce areas of stubborn fat without anesthesia, incisions, or downtime.

Drs. Brent and Cody Koch are committed to helping you achieve a natural and sleek appearance with or without surgery. To get started, please request a consultation or call our office at (515) 277-5555.

How It Works

Fat cells are more sensitive to cold temperatures than many other tissues in the body. CoolSculpting uses a patented controlled cooling process called Cryolipolysis® to kill fat cells that lie just beneath the skin, while leaving surrounding tissues unharmed. The body gradually flushes away the dead fat cells through its natural cleansing process, and treated areas become slimmer.


The CoolSculpting procedure is effective for getting rid of fat on many common trouble spots, including:

CoolSculpting Treatment Areas

Coolsculpting treatment areas

Illustration courtesy of Allergan CoolSculpting.

  • Abdomen
  • Flanks
  • Thighs
  • Back
  • Under the buttocks
  • Double chin
  • Arms

Your Consultation

Before moving forward with the CoolSculpting procedure, our aesthetician will meet with you for a consultation to determine whether the treatment is suited for your body contouring goals. If you are a good candidate, your aesthetician will create a personalized treatment plan for you that may consist of a single session or multiple sessions, depending on the areas you would like to slim down.

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Personalized Treatment Options

At Koch Facial Plastic Surgery & Spa, we are a CoolSculpting-certified practice that offers the latest enhancements to the procedure including a smaller applicator that we use to slim down a double chin without surgery.

As a practice dedicated to enhancement of the face, we offer alternatives to CoolSculpting, both surgical and nonsurgical, for treating a double chin (technically called submental fat). Facial liposuction is a time-honored surgical approach that our doctors can use to eliminate fat under the chin as well as other areas of the face and contour the neck. Our team will help you decide which option best suits your body and your lifestyle.

What to Expect

We will begin your CoolSculpting procedure by helping you recline comfortably in the treatment chair. A thin gel pad is smoothed over the treatment area to protect your skin. Next, the CoolSculpting applicator is placed on the area and gentle suction draws the skin between the cooling panels. After that, you are free to relax, read, or sleep while the area is cooled to a precise temperature for an hour. Your aesthetician will then remove the applicator and gently massage the area to break up treated fat for optimal results.

You might experience tingling or mild discomfort, much like using an icepack, during the first 10 minutes of the procedure as your body adjusts to the temperature change. Treated areas may look red for the day after treatment and may be mildly swollen and puffy for about a week.


There is no downtime required after a CoolSculpting treatment. Most patients return to their regular daily activities right away.

CoolSculpting FAQ

How much does CoolSculpting cost?

CoolSculpting prices are provided during the complimentary consultation process. There are too many variables for pricing to be quoted over the phone or on the internet. Our pricing is ultra-competitive and as low as we can go while remaining compliant with the manufacturer’s rules. We also employ the area’s most skilled and experienced technician for our CoolSculpting services.

If you don’t remove the fat, where does it go?

CoolSculpting causes fat cells to freeze, crystalize, and die. The body’s natural metabolism then flushes away the dead fat cells gradually over time.

When will I see results?

After a CoolSculpting treatment, you may see changes within 3 weeks and achieve the most noticeable decrease in fat after 2 to 4 months.

How many treatments will I need?

This depends on how your body responds to the treatment, the size of the treatment area, and your goals. Areas are typically noticeably reduced with just 1 to 2 treatments.