Dr. Brenton Koch, Dr. Cody Koch, Dr. Michael Carlisle, and their staff understand that surgery is not the only road to a more youthful appearance. With more than 45 years of combined experience in performing aesthetic procedures, our providers have the expertise to help you look your best. At Koch & Carlisle Plastic Surgery & Spa, we also offer our patients from Ankeny, Ames, and other Iowa communities med spa treatments in West Des Moines for a nonsurgical approach to radiant, healthy-looking skin. These skincare treatments are also beneficial for patients who have had surgery and want to optimize and maintain their results.

Our licensed and highly skilled aestheticians provide individual, comprehensive consultations to help determine your precise skin type and the right products and services to achieve optimal results and bring you closer to your cosmetic goals.

Nonsurgical Treatments

We offer the following nonsurgical treatments for facial rejuvenation.

Pam Banyas, PA-C performing an injectable treatment on a patient


Skin Treatments

One of our aestheticians performing a facial treatment on a patient

Nonsurgical Body Contouring


Products and Treatments

Our medical spa offers SkinMedica® and ZO® skincare products along with a wide range of nonsurgical medical-grade treatments. These treatments can improve the clarity, tone, and texture of your skin, helping to undo the undesirable effects of time and the environment on your skin.

All products purchased are final sale and non-refundable. Product returns may be considered and exchanged if there is a manufacturer defect, within 30 days.

VIP Skin Health Club

For exclusive access to skincare products, treatments, and consults for an entire year, consider joining our VIP Skin Health Club. You’ll enjoy discounts on your favorite treatments, along with a host of other members-only benefits.


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.

Learn More

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.

Spa Cancellation Policy

Please note that we require a credit card to hold spa appointments. In the event of a same-day cancellation or no-show, your card will be charged $50.

More About Our Spa Services

Take a closer look at our extensive selection of services.


A patient being treated with a DiamondGlow Facial
A patient enjoying a DiamondGlow Facial.

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.

Platinum 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.

DiamondGlow® Facial
DiamondGlow 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.

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 the 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. 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.

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 is often combined with skin resurfacing for maximum results.

Corrective BBL
Corrective BBL (broadband 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 broadband 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.

Moxi® laser by Sciton
A non-ablative laser treatment that provides a gentler approach to laser resurfacing, Moxi® comfortably delivers laser energy to the skin to promote new cell growth, reduce unwanted pigment, and improve skin tone and texture with little to no downtime. Safe for all skin types.

SkinTyte® II
The SkinTyte treatment uses infrared energy to heat the deep tissue beneath the surface of 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 another 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


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.


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 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.

SkinPen® Procedures
SkinPen is a fractional microneedling device 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).

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. Best results are realized with a series of treatments. You’ll experience minimal discomfort and downtime.

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 the skin.


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.

Your Consultation

To learn more about the range of skincare treatments available at our West Des Moines practice, call (515) 277-5555 or request a consultation online to assess your aesthetic skin health. These complimentary, 30‐minute evaluations include a discussion of your specific skin concerns and the development of a customized treatment plan. It’s also a great opportunity to learn about the products and treatments available at our spa. Our med spa welcomes people from Ankeny, Urbandale, Davenport, and throughout Iowa.

New Patient Paperwork Contact