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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.
With age, the face begins to lose volume and accumulate lines and wrinkles, in part due to the breakdown of collagen. At Koch & Carlisle Plastic Surgery & Spa, our providers have extensive experience performing RHA and JUVÉDERM dermal filler injections in West Des Moines, Iowa, including nasolabial fillers and lip fillers. Our highly skilled team has performed more injectable filler treatments than any other provider in Iowa. That’s why women and men from Ankeny, Ames, and other nearby areas come to our practice for dermal fillers to smooth creases or add youthful volume to specific areas of the face.
To learn more about injectable fillers or other facial rejuvenation options, please request a consultation or call our office at (515) 277-5555. We look forward to meeting you to discuss how you can achieve your cosmetic goals.
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
This patient had Juvederm in her lips and Voluma in her cheeks.
Keep in mind that each patient is unique and your results may vary.
Before & After
Featured Dermal Fillers
Before & After Photos
Patient received JUVÉDERM® in lips and VOLLURE above cheekbones.From the patient | How I feel about my results: "Wonderful! Life changing."
Keep in mind that each patient is unique and your results may vary.
Before & After
Featured Dermal Fillers
Before & After Photos
Our patient, 41, sought non-surgical enhancement to refine the appearance of her nose without the commitment or downtime of traditional surgery. She chose dermal fillers as a minimally invasive method to address her concerns. Her goal was to improve her nasal contour and restore facial harmony while maintaining a natural appearance.Usi... Read More
Keep in mind that each patient is unique and your results may vary.
Featured Dermal Fillers
Before & After Photos
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How Can Dermal Filler Help?
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 providers offer injectable dermal fillers such as JUVÉDERM® and the RHA® Collection in West Des Moines, IA, for a nonsurgical approach to youthful, supple skin.
How Much Do Dermal Filler Treatments Cost in Des Moines?
At our practice, the cost for dermal filler treatments varies by the type of filler and the number of syringes used. We evaluate each patient individually to determine the optimal placement and amount needed for the desired effect. This is where our expertise and experience come in. We participate in the Allē℠ loyalty program so our patients can earn discounts on future treatments.
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.
Your Consultation
Our providers 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 one of our providers is complimentary. He/she will spend a great deal of time with you, discussing your goals, concerns, and physical and lifestyle considerations. He/she will listen intently to what you have to say, and together, the two of you will develop the best approach to your treatment.
What Can Dermal Fillers Be Used For?
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
- Smoothing “smile lines” with nasolabial fold fillers
- Diminishing the appearance of acne scars
Injectable fillers are a temporary solution for these concerns, so the best candidates have realistic goals and expectations.
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Are Dermal Fillers or BOTOX® Cosmetic Better for Me?
Dermal fillers and BOTOX Cosmetic are both injectable facial rejuvenation treatments. The best one for you depends on your individual concerns. Fillers add and replace volume within the skin. BOTOX smooths away lines caused by the repeated contractions of facial muscles. For guidance on choosing between fillers and BOTOX, take our online quiz.
Lip Fillers
Lip filler injections are popular with adults of all ages. There are multiple options from the JUVÉDERM collection for lip augmentation and enhancement, including VOLBELLA® and RHA Redensity, which are specifically formulated for the lips. Your provider will choose the filler best suited for the unique look you want.
Benefits
- Adding fullness to naturally thin lips
- Plumping up lips that have thinned with age
- Defining lip borders
- Balancing the top and bottom lips
See results
Right away (expect temporary redness and swelling)
Results last
6 to 12 months
Liquid Rhinoplasty
Liquid rhinoplasty, also called a nonsurgical nose job, is performed by injecting dermal filler into the skin of the nose. Here are some of this procedure’s pros and cons.
Pros
- Results are instant
- No downtime needed
- Costs less than nose surgery
- Can reshape the bridge (dorsum) and tip of the nose
- Easily reversible
Cons
- Results are temporary
- Cannot make the nose smaller
- Cannot improve breathing
- Additional treatments needed to maintain results
If you want to learn more about liquid rhinoplasty, our blog post includes additional information.
Liquid Facelift
A liquid facelift, also called a nonsurgical facelift, is performed using dermal fillers to restore lost volume and BOTOX to smooth away dynamic wrinkles. This procedure is best for patients with early to moderate facial aging who aren’t ready for surgery.
Pros
- Results are instant
- No downtime
- More affordable than surgery
- No incisions or anesthesia
Cons
- Does not tighten sagging skin or correct vertical neck bands
- Results last months instead of years
- Does not rejuvenate the neck
Find out if it’s right for you by taking our quiz.
What Are the Different Types of JUVÉDERM Fillers?
The JUVÉDERM family of fillers 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.
Watch Dr. Koch Perform a JUVEDERM VOLUMA Treatment
JUVÉDERM VOLUMA® XC: A thicker gel designed to lift the cheek area. VOLUMA XC is the only filler approved by the FDA to specifically restore age‐related volume loss in the mid‐face, with results lasting up to 2 years.
JUVÉDERM VOLBELLA® XC: A soft, pliable filler that is specifically formulated to plump lips, lift downturned corners of the mouth, and smooth “smoker’s lines” around the mouth.
What Is the RHA Collection of Fillers?
The RHA Collection is a unique family of fillers designed to dynamically stretch and move with your facial expressions while providing hydration and plumping to smooth and fill lines and wrinkles. Formulated with resilient hyaluronic acid (RHA), RHA fillers provide natural-looking improvement while maintaining freedom of movement.
RHA Redensity™: This lightweight filler is designed to treat lipstick lines around the mouth, smoothing the fine lines above and below the lips.
RHA 2: Designed to treat moderate smile lines and enhance lips, this medium-weight product fills in lines and wrinkles around the mouth.
RHA 3: Designed to treat deeper wrinkles around the mouth and cheeks, this filler helps restore volume to the cheeks and soften smile lines.
RHA 4: This filler adds lift and volume to lift and enhance the cheeks, lifting the jowls and corners of the mouth.
JUVÉDERM vs RHA: Which Is Best?
JUVÉDERM and RHA fillers both have advantages and limitations depending on your concerns. Generally, RHA fillers are best suited for superficial injections in expressive areas, such as the lips, perioral lines, and tear troughs. JUVÉDERM is better suited for deeper injections in the midface, cheeks, chin, and jawline.
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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. Koch Perform a JUVEDERM VOLBELLA Treatment
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. All JUVÉDERM and RHA Collection fillers are safe and effective injectables for all skin types and colors.
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Saving Money Never Looked So Good
Participate in the Allē program from Allergan and start earning discounts on future JUVÉDERM®, VOLUMA® XC, and BOTOX® injections, along with purchases of LATISSE® and SkinMedica® products. It’s free and easy to sign up online.
Learn MoreDermal 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 and RHA Collection 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 vast 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.
