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Business Details
26 Years
experience
Your Trusted Plastic Surgery & Med Spa Destination in West Des Moines
Founded in 2000 by Dr. Brenton Koch, our practice has evolved from a premier facial plastic surgery clinic into a full-service plastic surgery and medical spa destination. With over two decades of experience, we combine surgical expertise, artistic vision, and compassionate care to deliver natural-looking results that enhance patients' confidence. Our team includes board-certified specialists in facial plastic surgery, breast and body procedures, and wellness services, serving West Des Moines and surrounding communities.

We prioritize personalized consultations, advanced techniques, and a commitment to patient safety, reflected in our 4.86/5 rating from 575 reviews. Our history of excellence continues under Dr. Cody Koch and Dr. Michael Carlisle, who bring specialized training and a dedication to transformative outcomes.
Services
Facelift Breast Augmentation Botox Cosmetic Tummy Tuck Mommy Makeover Liposuction Hormone Optimization Laser Hair Removal HydraFacial MD CoolSculpting Elite
Details
  • Year established: 2000
Highlights and features
  • Board-certified surgeons with decades of combined experience
  • Personalized treatment plans tailored to individual goals
  • Advanced techniques for surgical and non-surgical procedures
  • Comprehensive care spanning plastic surgery, wellness, and med spa
  • Consistently praised for compassionate, patient-centered service
What people say
Exceptional results Compassionate care Natural-looking outcomes Skilled injectors Personalized approach
Services
Facelift
Our facelift procedures address sagging skin and wrinkles to restore a youthful appearance. Patients receive customized surgical plans using advanced techniques that ensure natural results. The surgery tightens underlying tissues and removes excess skin for long-lasting facial contouring.
Breast Augmentation
This procedure uses implants or fat transfer to enhance breast size and shape. Dr. Michael Carlisle tailors each surgery to achieve proportionate, natural-looking results while prioritizing patient safety and satisfaction through detailed pre-operative consultations.
Botox Cosmetic
Our certified injectors use Botox to temporarily smooth dynamic wrinkles around the eyes and forehead. Treatments take minutes with visible results appearing within days, offering a non-surgical option for facial rejuvenation.
CoolSculpting Elite
This non-invasive treatment targets stubborn fat deposits using controlled cooling technology. Sessions require no downtime, with results becoming apparent over 2-4 months as the body naturally eliminates treated fat cells.
Hormone Optimization
Dr. Katie Kuehner provides personalized hormone balancing programs to address fatigue, weight gain, and low libido. Treatments combine bioidentical hormones with lifestyle modifications for improved energy and overall vitality.
People
Dr. Cody Koch
Board-Certified Facial Plastic Surgeon
Dr. Cody Koch specializes in facial plastic surgery with expertise in rhinoplasty and eyelid procedures. He combines artistic precision with compassionate care, prioritizing natural results and patient comfort through personalized follow-up.
Dr. Michael Carlisle
Board-Certified Plastic Surgeon
Dr. Michael Carlisle focuses on breast and body contouring procedures, bringing advanced training from the Cleveland Clinic. Patients praise his attention to detail and ability to deliver transformative results aligned with individual goals.
Dr. Katie Kuehner
Concierge Medicine Physician
Dr. Katie Kuehner offers hormone optimization and wellness programs with a holistic approach. Her fellowship training in psychiatry supports comprehensive care addressing both physical and mental health for long-term vitality.
Pam Banyas
Certified Physician Assistant
Pam Banyas specializes in injectables with decades of experience. Her precision and artistry in Botox and filler treatments make her a trusted provider for non-surgical facial rejuvenation among Iowa patients.
Patty Tigges
Aesthetic Nurse Injector
Patty Tigges delivers personalized injectable treatments with a focus on natural enhancement. Her nursing background ensures safe, effective procedures tailored to each patient's facial anatomy and aesthetic goals.
Questions
What plastic surgery procedures are available in West Des Moines?
We offer facial surgeries (facelift, rhinoplasty), breast procedures (augmentation, lift), body contouring (tummy tuck, liposuction), and non-surgical options like Botox and CoolSculpting.
How do I schedule a consultation with your surgeons?
Request a consultation online or call (515) 277-5555 to discuss your goals with Dr. Cody Koch or Dr. Michael Carlisle during a personalized appointment.
Do you offer non-surgical med spa treatments?
Yes, our med spa provides Botox, laser therapies, skin treatments, and wellness programs alongside surgical options for comprehensive aesthetic care.
What payment options are available for procedures?
We accept major credit cards and offer financing options for qualified patients. Payment plans can be discussed during your initial consultation.
Are your surgeons board-certified?
Yes, Dr. Cody Koch (facial plastic surgery) and Dr. Michael Carlisle (plastic surgery) maintain board certification with extensive training from top institutions.
What areas do you serve from your West Des Moines location?
We serve patients from Ankeny, Ames, Davenport, Urbandale, Pleasant Hill, and surrounding Iowa communities for all cosmetic and wellness services.