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Koch & Carlisle Plastic Surgery & Spa
4855 Mills Civic Parkway #100
West Des Moines, IA 50265
Phone: (515) 277-5555
Clinic Hours: Monday–Friday: 8 a.m.–4:30 p.m.
Spa Hours: Monday–Friday: 9 a.m.–5 p.m.
If you are looking for a subtle, refreshed appearance without surgery, injectable treatments such as BOTOX® and dermal fillers offer some of the most effective nonsurgical options available today. At Koch & Carlisle Plastic Surgery and Spa, we help patients from Des Moines, Ames, Ankeny, and Davenport address fine lines, volume loss, and facial aging with treatments that look natural and feel like you.
With more than 45 years of combined experience, our aesthetic team understands how to create balanced, refined results that enhance your features rather than change them.
Why Choose Injectables at Koch & Carlisle?
Your injectable journey begins with a complimentary consultation. During this visit, our injectors review your goals, evaluate your facial anatomy, and create a personalized plan. Whether you want to soften forehead lines, smooth crow’s feet, or restore youthful facial volume, our focus is always on results that look authentic and blend seamlessly with your natural expressions.
Injectable Options
Muscle Relaxers (BOTOX Cosmetic, DAXXIFY®, and Jeuveau®)
These simple, in-office treatments relax the facial muscles that cause expression lines around the forehead, eyes, and mouth. Smoother skin typically lasts several months.
Dermal Fillers (JUVÉDERM®, RHA, and specialty fillers)
Fillers restore volume, enhance the lips, lift the cheeks, or contour other facial features. Depending on the product, results can last from 6 months to 2 years.
Meet Our Injectors
At Koch & Carlisle, your injectable treatments are performed by two of the most in-demand and experienced aesthetic providers in Iowa. Pam Banyas, PA-C, and Patty Tigges, RN, BSN, bring years of specialized medical training and experience that go well beyond what the typical med spa injector can offer.
Pam Banyas, PA-C
Pam is a certified physician assistant with more than a decade of experience in aesthetic medicine. She offers a steady hand and personalized approach, using advanced injection techniques to create subtle, confident results.
Patty Tigges, RN, BSN
Patty is a registered nurse with a specialized focus in nonsurgical aesthetics. She is known for her gentle touch, artistic eye, and ability to tailor each treatment to her patient's needs.
Before and After Photos
See the artistry in action. Our injectable before and after photos highlight real patient transformations achieved with BOTOX®, dermal fillers, and combination treatments. You’ll notice smoother lines, lifted contours, and renewed confidence.
Before & After
Featured BOTOX® Cosmetic
Before & After Photos
Carly, 31, came to our West Des Moines facial plastic surgery office looking for a solution for the lines between her brows. BOTOX was injected in a quick, comfortable 15-minute appointment and accomplished the goal of softening Carly's look. Read More
Keep in mind that each patient is unique and your results may vary.
Before & After
Featured BOTOX® Cosmetic
Before & After Photos
Kylie is a 29 year old woman who received BOTOX® Cosmetic at our West Des Moines facial plastic surgery office. Her photos were taken pre- and two weeks post-treatment.
Keep in mind that each patient is unique and your results may vary.
Before & After
Featured BOTOX® Cosmetic
Before & After Photos
Monique is a 47 year old patient who received Botox® at our West Des Moines facial plastic surgery office. Her photos were taken pre- and two weeks post-treatment.
Keep in mind that each patient is unique and your results may vary.
Before & After
Featured BOTOX® Cosmetic
Before & After Photos
Kristen is a 21 year old patient who received Botox® at our West Des Moines facial plastic surgery office. Her photos were taken pre- and two weeks post-treatment.
Keep in mind that each patient is unique and your results may vary.
Before & After
Featured BOTOX® Cosmetic
Before & After Photos
Jennifer came to our West Des Moines facial plastic surgery office in the hopes of softening the lines between and around her eyes with BOTOX.
Keep in mind that each patient is unique and your results may vary.
Before & After
Featured BOTOX® Cosmetic
Before & After Photos
Mick, a 46-year-old friend and patient of our West Des Moines facial plastic surgery practice, was concerned about the wrinkles between his eyes and across his forehead. He came to us for BOTOX, and as evidenced by his before-and-after photos taken two weeks apart, mission accomplished! Read More
Keep in mind that each patient is unique and your results may vary.
Before & After
Featured BOTOX® Cosmetic
Before & After Photos
Kristin is a 45-year-old woman who received BOTOX® Cosmetic at our West Des Moines facial plastic surgery office. Her photos were taken pre- and two weeks post-treatment.
Keep in mind that each patient is unique and your results may vary.
Featured BOTOX® Cosmetic
Before & After Photos
View All Cases
Before & After
Featured Dermal Fillers
Before & After Photos
This woman attained beautiful, natural-looking results with JUVÉDERM VOLBELLA® in the lip line area.
Keep in mind that each patient is unique and your results may vary.
Before & After
Featured Dermal Fillers
Before & After Photos
Lips and nose enhanced with dermal filler
Keep in mind that each patient is unique and your results may vary.
Before & After
Featured Dermal Fillers
Before & After Photos
Keep in mind that each patient is unique and your results may vary.
Before & After
Featured Dermal Fillers
Before & After Photos
Keep in mind that each patient is unique and your results may vary.
Before & After
Featured Dermal Fillers
Before & After Photos
Before and after photos were taken one year apart. This patient had an s-lift, upper eyelid blepharoplasty, dermal fillers, and a lip lift. Her procedures were performed in stages.
Keep in mind that each patient is unique and your results may vary.
Before & After
Featured Dermal Fillers
Before & After Photos
Madison had a rhinoplasty first and then two years later had facial liposuction and dermal filler in her chin to strengthen her jawline.
Keep in mind that each patient is unique and your results may vary.
Before & After
Featured Dermal Fillers
Before & After Photos
Keep in mind that each patient is unique and your results may vary.
Before & After
Featured Dermal Fillers
Before & After Photos
Keep in mind that each patient is unique and your results may vary.
Featured Dermal Fillers
Before & After Photos
View All Cases
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Pricing and Special Offers
Our injectors customize every treatment plan, so pricing varies based on the area treated and the type of product recommended. Your injector will provide a detailed quote and a suggested maintenance schedule. Ask about seasonal promotions or multi-treatment savings.
Join our mobile app to unlock a $50 reward towards an in-app purchase, including injections. Join for free today: https://kochandcarlisleplasticsurgeryandsparewards.repeatmd.app/signin
We participate in both Allē ® and ASPIRE Galderma awards programs:
Allē is the official loyalty program for the following brands: BOTOX, JUVEDERM, CoolSculpting and Cooltone. Join Alle for free: https://alle.com/registration
ASPIRE Galderma Rewards is a loyalty program for Restylane®, Dysport, and Sculptra® injections. Join ASPIRE for free: https://www.aspirerewards.com/join-now
Injectable FAQs
How long do results last?
Results vary by product. BOTOX, Dysport, and DAXXIFY usually last about 3 to 4 months. Dermal fillers last anywhere from 6 months to 2 years depending on the formulation and treatment area.
Is there downtime after injectables?
Most patients can return to their usual routine right away. Mild redness, swelling, or tenderness can happen, but these effects are temporary and commonly resolve within a day or two.
Do injectable treatments hurt?
Injectables involve minimal discomfort. Our providers use gentle techniques and can apply numbing to make the experience as comfortable as possible.
Who is a good candidate?
Injectables are a good option for adults who want to smooth wrinkles, restore facial volume, or enhance definition without surgery. During your consultation, we will determine which treatments best match your anatomy and goals.
How soon will I see results?
Neuromodulators begin working within a few days, with full effects appearing in about one to two weeks. Fillers provide immediate improvement that continues to refine as any initial swelling fades.
Ready to Refresh Your Look?
Call (515) 277-5555 or request a consultation using the online form. During your complimentary 30-minute visit, we will talk through your goals and create a customized injectable treatment plan designed just for you.