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.

Med Spa Services

Our West Des Moines med spa offers a menu of facial treatments that are essential for maintaining healthy, rejuvenated skin. Making facial treatments a regular part of your skin care regimen improves the texture, tone, and overall appearance of your skin. When performed by skilled aestheticians at Koch Facial Plastic Surgery & Spa, facials can also help identify and treat unique skin conditions.

Give Your Skin the VIP Treatment >

Our VIP Skin Health Club gives you exclusive, discounted access to the products and services your skin loves most. Pay annually and enjoy special savings and events all year long.

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Spa Etiquette

Please arrive 20 minutes prior to your scheduled appointment to allow additional time to check in and to ensure you receive your full service. Should a situation arise that makes a late arrival unavoidable, please contact the spa immediately. Arriving late may limit your treatment time or may result in rescheduling your appointment. We also ask that you please turn off all mobile devices as a courtesy to other guests.

Menu of Services


Facials

Microdermabrasion Facial | 60 minutes
Add even more value to your medical‐grade microdermabrasion with a custom mask, a relaxing arm and hand massage, and an application of a specially selected product for your skin type or condition. Moisturizer and skin protection complete the all‐encompassing skin rejuvenation.

HydraFacial MD® | 45 to 60 minutes
The HydraFacial resurfacing procedure thoroughly cares for your skin, providing cleansing, exfoliation, extractions, and hydration. Instant results with no discomfort or downtime!

Koch Signature Facial | 60 minutes
Our most requested facial! Designed for all skin types, this customized, deep‐cleansing facial is the perfect treatment to help reduce the signs of fatigued, devitalized skin. Each treatment begins with a comprehensive clinical evaluation of your skin, a deep‐pore cleansing and exfoliation, a relaxing facial massage, and a final treatment mask. Skin will feel supple, smooth, refreshed, and completely nourished.

RX Facial | 60 minutes
Specifically designed to help skin that is oily, blemished, sun‐damaged, or aging, this treatment provides early corrective steps to delay more intense or invasive treatments. Exfoliation and deep pore cleansing help clear breakouts and reduce topical bacteria. The treatment includes a single layer peel or mini‐microdermabrasion that reduces fine lines and wrinkles, leaving your skin clean, refreshed and refined.

Refresher Facial | 45 minutes
Refresh your skin with a deep pore cleansing, exfoliation, and relaxing facial massage. Skin will feel balanced and look instantly radiant. Perfect for clients who are on the go, this facial is an express version of our classic European Spa Facial.

Good Start Facial | 45 minutes
This is a great introduction to healthy skin care for young adults. It includes deep pore cleansing, as well as extractions that will help clear breakouts. This treatment includes an educational session to help teens get on track for a lifetime of beautiful, healthy skin. For ages 13 to 18.

Diamond Glow® Facial
Diamond Glow is a patented, non-invasive, 3 in 1 facial treatment that simultaneously exfoliates, extracts and infuses skin with condition-specific serums for radiant and rejuvenated skin in one step. Provides immediate results for all skin types- with no downtime.

Facial Add‐On Services

Neck & Décolleté
This added treatment nourishes and beautifies this delicate extension of your face. The perfect complement to any facial rejuvenation service.

Ultrasound Treatment
The Parisian Peel Ultrasound Facial Rejuvenation System is a remarkable method for reversing the aging process, utilizing sound wave technology to transmit thermal and kinetic energy to the deeper layers of skin, which increases the levels of collagen and elastin production, thus creating healthier, firmer, and more youthful skin. This anti‐aging therapy is absolutely safe and has no downtime. Although effective when performed alone, ultrasound is generally used in combination with microdermabrasion, chemical peels, and therapeutic facials.

Chemical Peels

Topical chemical peels are an effective method to treat acne, sun damage, fine lines, and mild scarring. You will realize the greatest benefit through a series of 3 treatments. Your esthetician will analyze your skin physiology and recommend a procedure that is right for you.

Illuminize Peel® (Mild)
This treatment features a new generation of alpha‐hydroxy acids with phytic acid and commonly used peeling agents. After 1 treatment, clients generally notice increased skin tightening with glow and radiance, a more youthful appearance, and improved clarity, color, and texture.

Vitalize Peel® (Moderate)
This treatment utilizes alpha‐hydroxy acids to help fade sun damage, diminish fine lines, improve skin texture, and stimulate collagen production to give you a healthier, more youthful look and feel.

Rejuvenize Peel™ (Advanced)
This more advanced treatment penetrates deep into the skin to treat acne, hyperpigmentation, fine lines, skin tone, and texture.

Double Peel
The double peel consists of both a microdermabrasion treatment to remove the keratinized layer of epidermis (dead skin cells) followed by our most popular Vitalize Peel for more advanced results.

Laser & Energy Treatments

Laser Genesis Facial
Laser Genesis is a non-invasive laser treatment that restores skin tone and treats fine lines and wrinkles, scars, large pores and active acne. This heat based laser stimulates the body’s natural healing processes to boost collagen growth resulting in a more youthful skin tone and texture.

Halo™ Hybrid Fractional Laser
The Halo technology is the new standard for safely, quickly, and comfortably changing the health and appearance of your skin.

What does the Halo do? Two different types of lasers combine to simultaneously smooth and tighten the skin, reduce sun damage, fine lines, wrinkles, and enlarged pores, as well as cause new collagen formation.

MicroLaserPeel™
A MicroLaserPeel removes a very thin layer of skin to reduce fine lines and wrinkles, age spots, and sun damage while improving tone and texture and restoring a more youthful appearance. Significant improvements in your skin can be achieved with 1 treatment, however, your treatment plan will be tailored to your specific goals. Most patients can return to work in 1 to 3 days.

Contour TRL Ablative Skin Resurfacing
Contour TRL skin resurfacing uses an erbium:YAG laser to remove the outer skin layers. MicroLaserPeels treat fine lines and wrinkles. Contour TRL skin resurfacing addresses deeper lines and wrinkles. More advanced signs of aging require more aggressive treatments, and some downtime can be expected (5 to 10 days). Some patients choose to treat deep lines and wrinkles only in certain areas such as around the mouth or lower eyes, which can yield dramatic results.

ProFractional™‐XC Laser (ProFX)
Profractional‐XC laser therapy utilizes an erbium:YAG laser to create small channels deep in the skin while leaving healthy skin in between, allowing rapid healing with less downtime, stimulating new collagen production, skin smoothness, and improved appearance. ProFx is the gold standard for treating acne scarring and often combined with skin resurfacing for maximum results.

Corrective BBL
Corrective BBL (broad band light) is one of our most popular and effective treatments for rosacea, sun damage, active acne, and vascularity. A series of 3 to 6 treatments is recommended for maximum results.

Forever Young BBL™
Forever Young BBL (or broad band light), is one of our most popular procedures to correct texture, tone, and color issues. It also treats rosacea, active acne, and spider veins and has been clinically proven to reverse signs of aging with virtually no downtime. In fact, a Stanford University study has shown that Forever Young BBL treatments can help make the DNA of the skin younger! Usually done in a series of 3 treatments for maximum results.

SkinTyte II™
The SkinTyte treatment uses infrared energy to heat the deep tissue beneath the surface your skin to promote tightening of the skin and produce new, youthful collagen cells. This is a subtle but safe noninvasive, no‐downtime option to treat sagging or ripples in the neck and face, arms, and abdomen. Initial treatments can be performed once every 2 to 4 weeks with a series of 6 treatments, and maintenance treatments every 4 to 6 months thereafter.

Combination Laser
Most of our laser treatments may be combined with each other for synergistic results. Adding an additional type of laser treatment to your already scheduled procedure is easy and adds little to no additional downtime. All add‐on laser treatments are significantly discounted to help you achieve the best results possible.

Laser Hair Removal
Unwanted hair can be embarrassing, and getting rid of it can be a frustrating, ongoing battle. One of our highly skilled aestheticians will first meet with you to evaluate your hair removal needs, taking into consideration your skin and hair type. Newer technology makes permanent hair reduction possible for even those who were not good candidates in the past. It is an effective treatment for unwanted hair in areas such as:

  • Face, upper lip, chin
  • Underarms
  • Bikini, lower legs
  • Back and shoulders

CoolSculpting®

The CoolSculpting fat‐freezing procedure is the only FDA‐cleared, nonsurgical fat‐reduction treatment that uses controlled cooling to eliminate stubborn fat that resists all efforts through diet and exercise. The results are proven, noticeable, and lasting — so you’ll look great from every angle.

CoolSculpting is specially designed for those who have unwanted fat in targeted areas. Unlike weight‐loss surgery (e.g., gastric bypass), the CoolSculpting procedure is not a weight‐loss solution for people who are obese. Good candidates for the CoolSculpting procedure have noticeable bulges in certain areas they’d like to get rid of. Many people want a nonsurgical alternative to liposuction.

The price for CoolSculpting procedures varies depending on your areas of concern, the number of treatments needed, and your ultimate goals. Once the treated fat cells are crystallized (frozen), they die and are naturally processed and eliminated from the body. Once the treated fat cells are gone, they’re gone for good.

A Reputation Built on Results

You deserve the highest caliber of service, care, and results, and at Koch Facial Plastic Surgery & Spa, we're committed to providing all that and more. But don't take our word for it—see for yourself what our actual patients have to say about their experiences with us.

Read More Patient Reviews
Google
5.0/5
Jul 28, 2020
Excellent, professional and friendly service from the moment I walked through the door. Pam was knowledgeable, insightful and offered me multiple treatment options during my consultation. She explained in detail the process, costs and what to expect after treatment. I opted to receive services the same day and am so happy that I did! The girls at the front desk were very friendly and helpful. Overall first appointment and treatment took less than 20 minutes. I am so happy that I chose Koch Facial and Plastic Surgery for my treatment and am already a lifetime customer after my first service!
Google
5.0/5
Jul 28, 2020
Dr. Koch and staff were extremely welcoming and friendly. They were very open and honest with details of procedures and great to answer my questions. I felt very comfortable with the team and look forward to working with them in the future.
Google
5.0/5
Jul 27, 2020
This was my 1st time visiting Koch Facial Plastic Surgery & Spa and I will definitely return! Dr. Brent Koch was not only extremely knowledgable and helpful, but was also a great listener. He truly took the time to understand my concerns and was very patient with me, as I asked a whole bunch of questions. Highly recommend Dr. Koch and the whole team!
Google
5.0/5
Jul 24, 2020
Best medical spa in Des Moines. The physicians and staff are excellent. At Koch, I've had Botox, Sciton MicroLaserPeel, HydraFacial, and BBL - all done perfectly.
Google
5.0/5
Jul 15, 2020
I went to Koch Facial & Spa for Botox treatment. The offices are beautiful and the staff is friendly and very professional. I saw Dr. Brenton Koch for my treatment it was fast, easy and he has a great eye for knowing what will look great. Recommend for any of your Botox treatments! Will definitely be a loyal customer!!
Google
5.0/5
Jun 24, 2020
I had my rhinoplasty 2 weeks ago with Dr. Brent Koch and I’m already so pleased with the results. The entire process was a breeze. Brent made me feel at ease and answered all my questions from the day of my consultation to my post op visits. Traci made scheduling the appointment, payments and coordinating with the surgery center and anesthesia so simple on my end. The surgery itself was not as bad as I expected, I had very little pain (only needed a pain pill the night of surgery) and I felt like my normal self by day 3-4. I would highly recommend Koch Plastic Surgery.
Google
5.0/5
Jun 5, 2020
I went here for the first time after being recommended by a friend. The PA who assisted me was very personable and knowledgeable. I felt extremely satisfied after leaving. I will definitely be going back!
Facebook
5.0/5
May 6, 2020
We refer all of our patients here and I have referred several friends!
Facebook
5.0/5
Apr 17, 2020
Dr. Cody Koch did reconstructive surgery on my upper lip after skin cancer. Dr. Cody was very confident and so reassuring. The staff were amazing. There compassion and professionalism is at the highest level. Well done!
Google
4.0/5
Feb 24, 2020
I appreciate Dr. Koch's office reviewing my concern and making it right.
Google
5.0/5
Oct 18, 2019
I absolutely hated my sagging skin and heavy eyelids. Finally decided to go for it and went in for a consult. Dr Cody Koch made me feel at ease and I had heard they had great results. I had a facelift and eyes done and couldn’t be happier. I look refreshed and like myself again. From first consult to procedure to visits after the procedure everyone was awesome. I couldn’t be happier and would recommend this place to anyone.
Facebook
5.0/5
Oct 17, 2019
My daughter broke her nose playing softball. Dr. Cody was highly recommended and we feel blessed to have been able to work with him. Dr. Cody did a great job of putting my daughter at ease and was very attentive throughout the whole process. She ended up needing surgery and he did a fantastic job; you can’t even tell it was ever broken. We too would highly recommend Dr. Cody. Thank you so much to Cody and his staff.
Google
5.0/5
Oct 17, 2019
My daughter broke her nose playing softball. Dr. Cody came highly recommended and we feel blessed that we had him to work on our daughter. He was great at reassuring us and being very attentive throughout the process. She ended up needing surgery and he did a fantastic job. Looking at her you would have no idea her nose was ever broken. We thank him and his staff for being so wonderful throughout this experience. Thank you Cody!!
Google
5.0/5
Oct 15, 2019
Had a great first experience at Koch Facial Plastic Surgery & Spa. The staff was friendly and very knowledgeable about the skin care treatment that I needed for my problem areas. I also received a follow up call a couple weeks after my initial visit, checking in to see how my new skin care regimen was going. Highly recommend this place for your skincare needs!
Google
5.0/5
Sep 30, 2019
Absolutely great people and they take a personal approach and are very available. I can't say enough good things about them.
Google
5.0/5
Sep 18, 2019
My name is Rebecca Tietje on August 23 2019. I had I upper eye lid lift , lower eye lift, forehead lift. Surgery we went as planned . I would highly recommend KOCH PLASTIC SURGERY TO FAMILY TO FRIENDS AND COWORKERS. YOU ARE IN SAFE HAND AND NO CONCERNS AT ALL. TRUST THEM EMENESLY. THANK YOU KOCH .
Google
5.0/5
Sep 18, 2019
I was referred to Dr. Cody Koch by my daughter for a lesion on my cheek that turned out to be skin cancer. Dr. Koch removed it and despite having a larger than expected incision with several stitches, you would never even know it was there! He is amazing at what he does. The best. Thank you, Dr. Cody Koch, I am so grateful!
Facebook
5.0/5
Aug 2, 2019
At 32 years old, I was diagnosed with basal cell carcinoma on my nose. I’ve never once been in a tanning bed and it was a huge shock to me. Derm didn’t want to biopsy since it was large and on my “small” nose, so they sent me straight to Dr Cody. He called me on a SUNDAY with my biopsy results! Derm did Mohs surgery and Dr Cody repaired my nose the same day. Despite a more painful experience than I imagined, 3 months later, most people can’t tell I have anything wrong with my nose, and it gets better and less noticeable each week. I cannot say enough GREAT things about him and the entire office. Everyone was nice, courteous, and extremely complimentary through the entire process.
Google
5.0/5
Jul 3, 2019
Awesome drs!! They do a great job!!
Google
5.0/5
Jun 27, 2019
I am very happy with my face lift that Dr. Koch gave me many years ago!!
Facebook
5.0/5
Apr 15, 2019
Dr. Cody Koch did reconstructive surgery on my lip after a skin cancer procedure. He was very understanding of my concerns and gave me plenty of options. He was very thoughtful and did an amazing job!
Facebook
5.0/5
Mar 8, 2019
Dr. Brent Koch is the best of the best in Iowa! He is a perfectionist, honest, knowledgeable, attentive, stands behind his skills, professional with great bed side manners! When a Dr. gives you his personal cell phone number and will answer you 24/7 is enough to get the picture here! I’ve contacted him with a simple question, and he personally called and texted back within few minutes even while he was on family vacation! I highly recommend Dr. Brent Koch and can’t see myself trusting my face features with any one else in this area!
Facebook
5.0/5
Dec 28, 2018
Professionalism, kindness, great service, great results 🙂 I love it here!
Facebook
5.0/5
Aug 24, 2018
I had under chin liposiction...took me awhile to decide but so glad i decided!! One of my best decisions...thank you Dr Brent and thank you to wonderful staff!!
Facebook
5.0/5
Jan 8, 2018
I'd had surgery as a child to correct a severe ptosis that I was born with. Even after that correction, my eyelids were droopy. After decades of living with it, I consulted with Dr. Cody Koch. Another doctor had recommended a more expensive and invasive surgical procedure, but Dr. Koch came right out and said that he thought I'd get "more bang for my buck" with a much cheaper and less invasive blepharoplasty. I was a challenge for him because of the surgery done when I was three years old. But my eyes are beautiful now and for the first time in my life, I'm not self-conscious about my saggy lids. And a huge bonus—I have a wider field of view and my right eye no longer turns out when I'm having a close-range conversation with someone. Dr. Koch, his staff, and the staff at West Lakes Surgical Center were outstanding! I'm so grateful to him!
Google
5.0/5
Oct 10, 2017
Would highly recommend. Dr. Brent Koch was amazing with my son and the office staff were great as well. We will be seeing them for any and all future needs that may arise.
Google
5.0/5
Sep 18, 2017
I could not be more pleased or thankful with the excellent outcome of my recent and unexpected lip repair surgery. Dr. Cody Koch is a miracle worker!
Facebook
5.0/5
Sep 5, 2017
I just started recently working with Elise and I couldn't be more pleased. She is very compassionate about her job and I feel very confident about her suggestions. Just did the Koch Corrector Peel today! Excited to see my results!
Facebook
5.0/5
Jan 29, 2017
The best in town. There is no other place like this one. Dr. Koch is amazing!
Facebook
5.0/5
Oct 14, 2016
Dr. Cody and his team have been AMAZING. I had surgery at the end of September and couldn't be happier. His nurse Sally has been nothing but nice to me and has treated me very well. I felt so welcomed when I was there and Sally helped me through so much and answered so many of my questions. I couldn't have been happier with this team of amazing people.
Google
5.0/5
Oct 1, 2016
Dr. Brenton Koch and his staff are amazing!! Dr. Koch has a wonderful bedside manner and is so kind, patient. He explains the process well and is gifted at what he does! Dawn, his nurse, is so caring and accommodating. She is incredibly skilled in her role as well. I had a septoplasty which has restored my breathing beautifully so I can sleep well again. The pre-op, surgery and recovery were much smoother than I had thought. Sue G. and Chelsea helped me post-op with some things that came up; I'm grateful for their efforts. Dr. Koch was always accessible, even after hours, if needed. I never had a problem though! Tylenol was enough to cover the pain. I have nothing but great things to say about this experience and would highly recommend Dr. Koch and his staff for any medical or cosmetic procedures of the face!!
Google
5.0/5
Aug 25, 2016
Dr. Cody Koch was awesome! Very kind and personable, and did great work! I appreciate all the follow-up to make sure it turns out the best it can, and appointments are quick! Thank you!
Google
5.0/5
Jul 18, 2016
Last week I had my lips done by Pam, and they look amazing! I was very nervous about this service and Pam made me feel comfortable and she did a beautiful job. I definitely will definitely be recommending her to everyone I know.
Google
5.0/5
May 16, 2016
Best place I've ever been to! Dr.Cody and The staff make you feel so comfortable and informed, went and got lip injections and facial, best experience ever, totally recommend❤️
Google
5.0/5
Mar 14, 2016
Dr. Brenton Koch and his staff, especially Dawn, are phenomenal! I experienced a soccer injury to my nose and he corrected it so I am breathing perfectly through my nose again. I highly recommend his services!
RateMDs
5.0/5
Mar 3, 2016
For one of my first facials at KochMD, it was definitely an awesome experience from start to finish. I am hooked on their impeccable service...and that has guaranteed many return visits! The front desk was attentive and inviting. I had the HydrafacialMD with Elise and she was a delight to work with. She made me feel comfortable and explained step by step what the facial would consist of. The facial felt wonderful and she did an extraordinary job at targeting my problem areas...I was amazed and very happy with the outcome. After she was finished we had time to go over any questions and if I had any future concerns she told me I could email/call her. Thanks Elise and KochMD, we'll see you next month. -Gina D.
RateMDs
5.0/5
Jan 16, 2016
Dr. Koch reconstructed my nose. I couldn't breathe at all and hated how my nose looked. While the recovery wasn't fun the results were so worth it. I love my new nose and can breathe. Thank you.
Facebook
5.0/5
Sep 20, 2015
Dr. Cody was absolutely fantastic, both doing my nose and lip. he made both surgeries as easy as possible and was very caring. Sally is easily one of the best nurses out there, as well. this is an outstanding clinic with outstanding staff!
RateMDs
5.0/5
May 2, 2015
Great experience. Dr. Koch is the best. Good experience, great staff. He makes you feel very comfortable
RateMDs
5.0/5
Jun 8, 2014
I was 100% satisfied with Dr. Koch and his staff. I am so glad I decided to have the s-lift done, it was one of the best decisions I have made. It is so natural looking people think I have changed my hair or lost weight. I would highly recommend a consult if you are considering this done.
RateMDs
5.0/5
Aug 5, 2013
Last November Dr. Koch rebuilt my nose and corrected my field of vision by doing my sagging eye lids. I was asked at my first visit, "when did you break your nose?" My response, "which time!" My nose reconstruction went exactly the way he described. I got along great and followed all of his instructions. I knew exactly what to expect. You might say, my breathing went from breathing through a straw, to now like breathing through a large culvert. Dr. Koch's entire team was wonderful! My entire treatment was outstanding and my results, a story of success! I am so happy with my breathing, I sleep better, my vision is way better... ( I actually have ceiling fans in my house, WHO KNEW!! ) AND, MY New LOOK! Thanks Dr. Koch for your kind, caring and gentle treatment! YOU ROCK!
Vitals
5.0/5
Jul 30, 2013
I had surgery with Dr. Koch after I broke and dislocated my nose. I had already had a septo/rhinoplasty with an ENT previously, which didn't help at all (recurrent sinusitis, difficulty breathing). After my nose surgery with Dr. Koch, my nose not only looks better than it did before my accident, I can breathe much better, and don't have recurrent sinus infection. Dr. Koch was very nice, his staff was amazing, and even though I hurt afterwards (of course!), he made the experience much much better than my previous nose surgery. I am very happy with it.
RateMDs
5.0/5
Jul 26, 2013
I had a procedure done by Dr. Koch on my face, literally taking years off my appearance. It was a learning, but exciting experience, and Dr. Koch was available day and night for any questions, concerns, or problems. The procedure itself was painless, while the recovery time was a little longer than expected, although I was informed about the after effects. From beginning to when the last of the swelling and numbness disappeared, was approximately three months, which is typical for this type of procedure. I found Dr. Koch to be not only very personable and animated, but a sincere and dedicated physician whose concern was only for that of the patient. His staff was extremely professional and I could call any time of day or night with any concerns. I would not hesitate to recommend Dr. Koch and his services to anyone looking to become a little younger and happier with their appearance. The whole experience was great and I am very happy with all results.
RateMDs
4.0/5
Apr 24, 2013
I think that Dr Koch is a very good surgeon. I don't feel that he is totally forthcoming with information about his surgeries, risks and what recovery will be like. If he did, there would probably be fewer elective cosmetic procedures. That said, I believe he is the best plastic surgeon in Des Moines.
RateMDs
4.8/5
Mar 9, 2013
Dr. Koch performed a complicated rhinoplasty/septoplasty for me following an injury sustained a few years prior to surgery. I had an excellent result-breathing well and the appearance is very flattering and natural.
RateMDs
3.0/5
Feb 15, 2013
BEWARE! My spouse had his/her deviated septem done and a rhinoplasty and Dr. Koch said that it would not change the nose shape.... Well it did!!!! After injections to try and make the nose look more symetrical, one injection hit a nerve and causing exterior scarring that is very visible, My spouse's does not look the same at all.! After talking with Dr. Koch personally to see what other options we had, he told me my spouse had body dysmorphia disorder because he/she wasn't happy with their nose. Who says that!? Not a doctor to a patient who is wanting to breathe better and definitely not a patient who has had work done on their face that everyone sees EVERY DAY. Oh the nerve!
Vitals
5.0/5
May 31, 2012
Dr. Koch is available all hours of day and evening. Very friendly and professional staff whose mission appears to be to make you comfortable and meet your medical needs. I never had to wait more than a couple of minutes and they were very flexible in making appointments with him and other doctors. Best medical office I have ever been in.
RateMDs
4.8/5
Dec 9, 2010
Dr. Koch did facial resurfacing, "nose job" and eye lift about 5 years ago and it turned out wonderful. I have the best skin and everyone asks what skin care I use! He is so nice and just very gifted.

Injectables

BOTOX® Cosmetic
This simple, nonsurgical, physician‐administered treatment can temporarily smooth moderate to severe frown lines on the forehead, crow’s feet around the eyes, and lip lines. One treatment of a few tiny injections relaxes the muscles that cause the lines to form and keeps them relaxed for months. Results vary, but one treatment can last up to 4 months.

Consultation required

JUVÉDERM® Injectable Gel
This injectable filler can improve the appearance of deep facial wrinkles, folds, lines, and acne scars; enhance the lips; and contour facial features such as the chin and cheeks. The results are very natural and long‐lasting, with the effect remaining for 6 months or longer.

Consultation required

JUVÉDERM VOLUMA® XC
JUVÉDERM VOLUMA XC is injected under the skin with a small needle. The first and only FDA‐approved filler to instantly add volume to the cheek area, it works instantly to add volume and subtly lift the cheeks, temporarily reversing this sign of aging. To reduce discomfort during the procedure, JUVÉDERM VOLUMA XC contains a numbing agent called lidocaine. The more youthful profile you can achieve from the procedure lasts up to 2 years with optimal treatment.

Consultation required

Resurfacing Procedures

Your journey toward healthier skin may take you along a trusted pathway of healing, restorative, and corrective treatments performed under the medical supervision of Dr. Brenton Koch and Dr. Cody Koch, the area’s leading facial plastic surgeons.

Dermapen® Procedures
Dermapen is a fractional micro‐needling device that is used to treat acne scars, surgical scars, pore size, and general skin concerns. The number of recommended treatments varies depending on the condition. For scarring, 6 to 8 treatments (4 weeks apart) are ideal. It takes more than 1 treatment to begin to notice the difference in your skin. For general skin rejuvenation, 4 to 5 treatments are usually recommended (4 weeks apart).

Derma‐Peel
The best of both worlds meet in this one, super‐charged skin health‐enhancing treatment! Combining full‐face fractional micro‐needling and a SkinMedica® chemical peel, the Derma‐Peel delivers undeniable results in skin rejuvenation and resurfacing. This treatment is great for all skin types desiring improvement and correction with texture, pigmentation, fine lines, and wrinkles.

Single treatment starting at $380

Medical‐Grade Microdermabrasion | 30 minutes
This gentle, noninvasive procedure can help you achieve remarkable improvements as it deeply exfoliates and refines the skin surface. The treatment helps with early signs of aging, fine lines, and enlarged pores, leaving the skin brighter, firmer, and more youthful looking, often stimulated to produce new collagen itself. Best results are realized with a series of treatments. You’ll experience minimal discomfort and downtime.

Dermaplaning
With the innovative use of a sterile surgical blade, dermaplaning can smooth, refine, and resurface your skin without any necessary downtime. This skincare option is an effective choice for reducing some specific signs of aging and damage, or simply providing an attractive, healthy-looking glow to skin.

Waxing

Waxing Services
The gentlest waxes and skilled techniques enhance comfort as unwanted hair disappears. Regular waxing promotes lighter hair growth and beautiful, smooth skin. You may combine 3 or more treatments for a 10% savings.

Learn more about the range of skin care treatments available at our West Des Moines practice by requesting a consultation to assess your aesthetic skin health. These complimentary, 30‐minute evaluations include discussion of your specific skin concerns and the development of a customized treatment plan. It’s also a great opportunity to learn about products and treatments available at our spa.

Microblading

Get the shaped, fuller eyebrows you desire with microblading treatments. Microblading produces semi-permanent results without the invasiveness of cosmetic tattooing.