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Dermal Fillers

With age, the face begins to lose volume and accumulate lines and wrinkles, in part due to the breakdown of collagen. At Koch Facial Plastic Surgery & Spa, facial plastic surgeons Drs. Brent and Cody Koch, as well as physician assistant Pam Banyas, offer dermal filler injections for women and men who wish to smooth creases or add youthful volume to specific areas of the face.

Fillers can instantly provide subtle but natural‐looking results that last 6 to 12 months or even more. These versatile products can also be used to rejuvenate the mouth area through lip injections. Our doctors offer injectable dermal fillers such as JUVÉDERM® in West Des Moines, IA for a nonsurgical approach to youthful, supple skin.

To learn more about injectable fillers or other facial rejuvenation options, please request a consultation or call our office at (515) 277‐5555. Whether you're from Ames, Ankeny, or right here in West Des Moines, we look forward to meeting you to discuss how you can achieve your cosmetic goals.

Your Consultation

Dr. Brent Koch, Dr. Cody Koch, and Pam Banyas are committed to helping women and men from throughout the Des Moines area achieve a natural‐looking and beautiful appearance with or without surgery. At each consultation for injectable fillers, they use their extensive knowledge of facial anatomy to determine the best treatment approach for your desired results.

Your extensive personal fillers consultation with Dr. Brent Koch or Dr. Cody Koch is complimentary. 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.

About Dermal Fillers

Fillers are different from BOTOX® Cosmetic in that they add volume to the skin to improve the appearance of laxity, lines and wrinkles. Injectable dermal fillers such as JUVÉDERM are excellent options for:

  • Smoothing facial lines and wrinkles
  • Adding volume and improving the contours of the cheeks, chin, and jaw
  • Filling in thin or wrinkled lips
  • Correcting nasolabial folds or "smile lines"
  • Diminishing the appearance of acne scars

Injectable fillers are a temporary solution for these concerns, so the best candidates have realistic goals and expectations.

Injectable Filler Treatment Areas JUVEDERM Treatment

JUVÉDERM is an injectable filler that can improve the appearance of deep facial wrinkles, folds, lines, and acne scars, enhance the lips, and contour facial features like the chin and cheeks. JUVÉDERM is made of hyaluronic acid, a natural substance found in all species which is highly attracted to water and has the ability to bind to it. The results are very natural and long‐lasting, with the effect remaining for 6 months or longer.

JUVEDERM VOLUMA XC Treatment

JUVÉDERM VOLUMA® XC contains hyaluronic acid like the other products, but it is thicker and designed to give a lifted appearance to the cheek area. VOLUMA XC is the only filler approved by the FDA specifically to restore age‐related volume loss in the mid‐face. The gel is injected deeper than other fillers and is clinically proven to provide results that last up to 2 years when performed by an experienced injector. VOLUMA XC is pre‐mixed with a local anesthetic to ensure your comfort during the procedure.

In about 5 minutes, Dr. Koch uses JUVÉDERM VOLUMA to reshape a patient's midface, with instant

JUVEDERM VOLBELLA XC Treatment

JUVÉDERM VOLBELLA® XC is a soft, pliable hyaluronic acid filler that is specifically formulated for lip enhancement. We use this versatile product to plump up and sculpt the lips, to lift downturned corners of the mouth, and to smooth away lines around the lips (sometimes called "smoker's lines"). VOLBELLA includes lidocaine for enhanced comfort during treatments. Results are subtle and natural‐looking, and may last up to 1 year.

VOLBELLA® Lip Injections Before & After Photos

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Dermal Filler Procedures

To begin your injectable procedure, your doctor will consult with you to ensure that you will achieve the natural looking results you want. Depending on the areas being treated, dermal filler injections typically take 15 to 40 minutes to complete and are performed in our office.

When performing the procedure, a topical anesthetic, local anesthetic, or nerve block may first be administered for your comfort before injecting the filler directly beneath the skin with a very fine needle.

Watch Dr. Brent Koch perform a VOLBELLA treatment to rejuvenate the lips and smooth away lines around the mouth.

Recovery

After the procedure, some patients may experience redness or swelling at the injection site, which can last for a few days. Work and other normal activities, however, can be resumed right after treatment. JUVÉDERM and JUVÉDERM VOLUMA XC are safe and effective injectables that can be used for all skin types and colors.

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

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Dermal Fillers FAQ

How long do fillers last?

Filler results last longer and longer as they become more refined. The duration varies depending on the filler used, but it can range from about 6 to 9 months to more than 2 years for a filler such as JUVÉDERM VOLUMA XC.

What's the difference between BOTOX Cosmetic and fillers?

Both BOTOX and dermal fillers are injectable treatments designed to reduce wrinkles and other signs of facial aging, but the similarities stop there. The active ingredient in BOTOX is a purified form of the botulinum toxin that works by temporarily relaxing muscles that cause "dynamic" wrinkles. These are the wrinkles formed when we make facial expressions, such as crow's feet. Fillers actually fill in a different kind of wrinkles — those caused as our faces lose volume with age. We strategically combine both treatments to create a more youthful, natural-looking appearance.

Who can benefit from fillers?

Virtually anyone concerned about facial wrinkles or who wants to restore volume to the cheeks, lips, or under the eyes is a good candidate for fillers. Most fillers, including JUVÉDERM products, are made using ingredients that are produced naturally by the body, so allergic reactions are extremely rare.

Can the results of filler treatments be reversed?

In the large majority of cases, patients are very satisfied with the outcome of filler injections. However, if someone doesn't like the results of fillers using hyaluronic acid — which include the most popular fillers — the product can be dissolved with an enzyme called hyaluronidase.

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