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Brenton Koch, M.D., F.A.C.S.

Board Certified Facial Plastic and Reconstructive Surgeon

Koch Facial Plastic Surgery & Spa
Des Moines, Iowa

(515) 277-5555

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Read what people are saying online about Dr. Koch.

Angie's List
All Angie's List Reviews

Extremely well. I wanted to have this procedure under local anesthetic and not in a surgery center, but was told that was not recommended by another plastic surgeon. Dr. Koch performed it in his office and made sure I was comfortable the entire time. It was actually a very pleasant experience, as much as a surgical procedure can be, anyway. He and his staff are very kind, caring, and professional and I knew I was in good hands. The results exceeded my expectations.

Angie's List
All Angie's List Reviews

Dr. Koch and his staff are wonderful. I had some circumstances that the Dr. and staff went above and beyond to make sure I was comfortable and that I was well taken care of. A month after surgery, I had a question and texted the Dr., directly. He called me back within minutes! I have never had a Dr. give our their personal cell and home number before! I am 2 months out, now, and love my results. I will definitely be going back in the future. This place and all who work there, make this a true gem to have here in Iowa!
All Vitals Reviews

Dr. Koch is available all hours of day and evening. Very friendly and professional staff whose mission appears to be to make you comfortable and meet your medical needs. I never had to wait more than a couple of minutes and they were very flexible in making appointments with him and other doctors. Best medical office I have ever been in.
All RateMDs Reviews

Dr. Koch did facial resurfacing, "nose job" and eye lift about 5 years ago and it turned out wonderful. I have the best skin and everyone asks what skin care I use! He is so nice and just very gifted.

All Google+ Reviews

Dr. Koch repaired my daughters lip after an accident. He was so kind and made my 9 yr. Old feel very comfortable. I will recommend him to everyone.

All Google+ Reviews

Dr. Koch worked on my nose, and I cannot believe how great great it looks! He was very thorough and explained everything to me. His office staff are absolutely wonderful. I definitely recommend anyone to Dr. Koch.

Read more patient testimonials on Dr. Koch's website.

Dear Dr. Koch and Staff,

Thank you for taking care of me over the years. I always feel the warmth and welcoming whenever I come in your office. Even though I always leave with tears coming out of my eyes (but that's because I'm a big baby when it comes to a little pain.) :) Thank you so much for the facial certificate! I had a great first facial with Robyn. All your staff and you have made me very comfortable whenever I come in!

Thank you!


Dear Dr Koch:

There is nothing good about having cancer or having to look in a mirror and see a little chunk of your nose missing. But since it did happen, what a blessing that I fell into such kind and caring hands as yours.

You and each of your staff, that I have been privileged to interact with, have made the healing process the most positive experience that it could be. I never felt alone or afraid because I knew you all were available to help with my questions and concerns.

Now the reconstruction is 9 months behind me, and I'm still the beneficiary of your amazing skills and resources.

I can't thank you enough for the recent dermabrasion on my nose. I am looking forward to being able to appear as normal as before by this summer.

I will always recommend you and your staff.

Please let me know if I can do anything to repay you by my words or references.

With heartfelt gratitude,


Dear Dr. Koch,

Just a note to tell you how thrilled I am with my new neck and chin. I can’t tell you the number of people who have recently remarked how terrific I look. I giggle to myself as I say "thank you". I really appreciate your talents and your friendly, professional staff was the best. I feel so much better about myself and owe it all to you.

Many thanks!


Dr. Koch, Dawn, Sally, Jan and Deb,

Thank you all from the bottom of my heart for your professionalism and kindness to me. I am so VERY HAPPY! I am thrilled!

Thank you very much!


Dr. Koch, Nursing & Office Staff,

Thank you for everything you have done from fighting with my insurance company and making them loose the battle to making it all possible for me to experience more visibility, not only that but improving my self esteem and confidence. I’ve waited a long eight years for this. It is a good working team like you all that make miracles happen for others. Your clinic is highly recommended to others. Keep up the good work! Once again, thank you!

God Bless,


Not only did I get a great nose from Dr. Koch, I gained a good friend. This surgeon has big city skill without the attitude. He is always smiling, friendly, professional and will really put you at ease before your procedure. After my surgery he ALWAYS responded to my calls immediately and found a way to fit me in his busy schedule if and when I wanted to see him. This doctor has exceptional skill and his bedside manner is second to none. I couldn’t be happier with my new nose.

Thank you, Dr. Koch!


Dr. Koch and Staff,

I wanted to take a moment and express some thoughts with you. The words written on the right kind of say it, you may not be aware that you even do what you do. You definitely go above and beyond with caring, kindness and enthusiasm. That emits from the moments I stepped into your office/surgery center even after I was home.

Medically you all made me better but emotionally I can never express enough gratitude. I appreciate your relentless attention to human detail. I fel honored that our paths crossed.

Thank you seems so small.


Thank you all so much for being so kind! You are an amazing group of people!


Dr. Koch, I wanted to write a thank you. I've been writing it in my head for the last couple of months trying to find a way to do it right and be able to convey to you just how much you and your staff have meant to me.

Over the years I've been to several doctors…some good, some bad, and a very special few, extraordinary. Many answer the calling and go on to be excellent but only that special few are extraordinary, YOU are among the extraordinary! Not just any surgeon but an extraordinary surgeon. Extraordinary is the only word I can think of to describe you and my experiences with you from the very beginning.

On our way to your office I remembered opening the envelope that Dr. Angeloni had given me to give to you and I will never forget seeing those pictures!! All I could see was an ugly giant hole where the ends of my nose use to be. Ugly was the only word that kept crossing my mind. I was convinced that I was going to be the person that people stared at whispering. I was sad, scared and very confused!

Walking into your office I felt this overwhelming warmth and genuine concern for me and my situation. I was instantly impressed with Sally and Dawn's caring and empathetic demeanor. They spoke very highly of you and assured me that if anyone could help me it was you! They kept telling me that you are the best and they were right!

When you walked into the room I was again hit with a sense of compassion, concern and confidence! Your kind words helped ease my fears. You took the time to explain the surgery and where the grafts would come from and end up. I appreciated that you were honest and told me that once I saw myself after surgery that I would be concerned about the "pig nose", swelling, etc. You helped me prepare, as best I possibly could. When I looked in the mirror after surgery and saw my pig nose, I laughed (briefly) remember you telling me not to worry about it.

The swelling has gone away, the scars are fading but what you have done for me is something that I will never forget. You helped me not feel so ugly!

There is no way and no words to properly thank you, Dawn and Sally for all that you have done.

You are extraordinary and amazing! Thank you!


Dr. Brenton Koch

Dr. Brenton Koch is a facial plastic and reconstructive surgeon who is certified by both the American Board of Facial Plastic and Reconstructive Surgery, and the American Board of Otolaryngology – Head and Neck Surgery. At his practice in Des Moines, Iowa – Koch Facial Plastic Surgery & Spa – he offers plastic surgery procedures like facelift, rhinoplasty, eyelid surgery, and brow lift.

Dr. Koch earned his medical degree from the University of Iowa College of Medicine where he received many awards, including the American Medical Association National Leadership Achievement Award. He completed residency training at the University of Iowa Department of Otolaryngology – Head and Neck Surgery before taking on an additional fellowship in facial plastic and reconstructive surgery at Indiana University and the Meridian Plastic Surgery Center in Indianapolis.

Dr. Koch holds membership in several professional organizations, including the American College of Surgeons, the Iowa Medical Society, the Iowa Academy of Otolaryngology, and the American Medical Association. He continues to stay involved in clinical research lectures regularly; he is also a published author.

Visit Dr. Koch at his facial plastic surgery practice in Des Moines, Iowa.


Koch Facial Plastic Surgery & Spa

4855 Mills Civic Parkway, Suite 100
West Des Moines, IA  50265
Work (515) 277-5555

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