Nonsurgical facial rejuvenation treatments have become very popular with both women and men at Koch & Carlisle Plastic Surgery & Spa. Along with new Jeuveau treatments gaining popularity, BOTOX Cosmetic treatments are a clear favorite among West Des Moines men and women who visit from Ankeny, and across Iowa. In fact, Dr. Brent Koch, Dr. Cody Koch, and our physician assistant Pam are among the top providers of BOTOX injections in the state and have combined experience of more than 45 years performing facial plastic surgery and BOTOX injections. In fact, they have performed more BOTOX and Jeuveau injections than any other provider in Iowa.
Our team is committed to helping you achieve a natural and beautiful appearance with or without surgery. With our extensive knowledge and experience, you can rest assured knowing you are receiving the best possible care. To get started, please request a consultation or call our office at
(515) 277-5555.

Before & After
Featured BOTOX® Cosmetic
Before & After Photos
Case #51
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
Case #37
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 BOTOX® Cosmetic Case 40 View #1 View in West Des Moines, IA]()
Before & After
Featured BOTOX® Cosmetic
Before & After Photos
Case #40
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 BOTOX® Cosmetic Case 50 View #1 View in West Des Moines, IA]()
Before & After
Featured BOTOX® Cosmetic
Before & After Photos
Case #50
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 BOTOX® Cosmetic Case 44 View #1 View in West Des Moines, IA]()
Before & After
Featured BOTOX® Cosmetic
Before & After Photos
Case #44
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.
![Before & After BOTOX® Cosmetic Case 49 View #1 View in West Des Moines, IA]()
Before & After
Featured BOTOX® Cosmetic
Before & After Photos
Case #49
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 BOTOX® Cosmetic Case 41 View #1 View in West Des Moines, IA]()
Before & After
Featured BOTOX® Cosmetic
Before & After Photos
Case #41
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.
Make Us Your BOTOX Provider
Here are just a few of the many reasons people in Des Moines choose us for BOTOX treatments:
- Expertise: Our BOTOX treatments are performed by or under the supervision of board-certified surgeons who specialize in facial cosmetic surgery and understand facial anatomy.
- Experience: We are one of the largest providers of BOTOX treatments in the state of Iowa.
- Results: Our BOTOX patients look naturally refreshed. Just look through our photo gallery to see for yourself.
- Options: While we specialize in BOTOX, our practice is dedicated to both surgical and nonsurgical aesthetic procedures for the face.
How Do BOTOX & Jeuveau Work?
Neurotoxins like BOTOX and Jeuveau are used to treat wrinkles that are caused by the contractions of facial muscles, which is different from the way dermal fillers restore volume within the skin to fill out wrinkles and folds. When a small amount of neurotoxin is injected into facial muscles, it temporarily suspends their ability to contract and crease the skin. Over time, the wrinkles, creases, and furrows of the face fade away.
What Do BOTOX & Jeuveau Treat?
Our BOTOX Cosmetic and Jeuveau patients typically desire a subtle yet noticeable improvement in their look but don’t feel that surgery is necessary. This treatment is commonly used to:
- Soften the vertical creases between the eyebrows
- Smooth deep forehead wrinkles
- Diminish crow’s feet at the outer corners of the eyes
Other areas that may respond to BOTOX Cosmetic include wrinkles around the mouth and nose, as well as the neck.