Expression lines can become more noticeable over time, especially around the forehead, eyes, and between the eyebrows. If these lines make you look more tired, tense, or aged than you feel, BOTOX® is a nonsurgical injectable that can soften their appearance while preserving your natural features.
At The Spa at West Glen, BOTOX treatments are personalized around your facial anatomy, muscle movement, and aesthetic goals. Owner and Medical Director Heidi Koch, MD, FAARM, has practiced aesthetic medicine since 2006 and brings extensive medical experience to treatments designed to help you look refreshed and feel more confident.

What is BOTOX Cosmetic?
BOTOX® Cosmetic is an FDA-approved injectable that temporarily relaxes the muscles responsible for expression lines. By softening these movements, it smooths away common wrinkles such as frown lines between the brows, forehead lines, and crow’s feet around the eyes.
Treatment is generally quick, with little to no downtime; you can get right back to your day. While some patients may notice minor redness or bruising, results gradually appear within a few days and continue to improve over two weeks.
The outcome? A refreshed, natural look that helps you feel confident in your skin.
Benefits of BOTOX
BOTOX may help improve:
- Frown lines between the eyebrows
- Horizontal forehead lines
- Crow’s feet around the eyes
- Vertical bands connecting the neck and jaw
- A tired, tense, or overly serious appearance caused by expression lines
- Overall facial balance when treatment is carefully customized
Results are temporary rather than permanent. For forehead lines, frown lines, and crow’s feet, results can last up to about four months, although individual experiences vary.
Because treatment is performed with injections rather than surgery, appointments are generally brief and do not require incisions or an extensive recovery period.
Why Choose The Spa at West Glen for BOTOX
BOTOX results depend on more than the product itself. The placement and amount of each injection should reflect your facial anatomy, muscle movement, and desired outcome. Dr. Heidi Koch has more than 20 years of experience in aesthetic medicine and continues to personally care for patients as the Owner and Medical Director of The Spa at West Glen. Her medical background supports a thoughtful approach designed to soften lines without taking away the expressions that make you look like yourself.
Dr. Heidi believes aesthetic treatments should help you feel more confident rather than push you toward someone else’s standard of beauty. At The Spa at West Glen, you can expect personalized recommendations, honest guidance, and a welcoming environment where your goals come first. The focus is on creating refreshed, balanced results that complement your natural features.
Candidates for BOTOX
BOTOX may be appropriate for adults who are bothered by moderate to severe expression lines and want a nonsurgical treatment option. Your age alone does not determine whether treatment is right for you; the severity and location of your lines, facial movement, health history, and aesthetic goals all play a role.
Good candidates typically want subtle improvement rather than a dramatic change in their appearance. BOTOX can be particularly helpful when wrinkles become more noticeable with facial expressions such as smiling, squinting, frowning, or raising the eyebrows.
A consultation is important because BOTOX is a prescription treatment and is not appropriate for everyone. Your provider should review your health history, medications, previous treatments, and any conditions that could affect injection safety. BOTOX Cosmetic carries important safety warnings, including the rare possibility that toxin effects can spread beyond the injection area.


Another ‘Tox Treatment Available
Dysport
An injectable product used for treating wrinkles caused by muscle movement. Treated areas often include forehead wrinkles, crow’s feet, and frown lines.
No downtime necessary, but you may experience some bruising in and around the injected areas.
May take up to 2 weeks to see full results.
Refresh Your Look With BOTOX in West Des Moines, IA
BOTOX can soften visible expression lines and help your face appear smoother and more refreshed without surgery. With a personalized treatment plan, targeted injections can address areas such as forehead lines, frown lines, crow’s feet, and other appropriate concerns while maintaining natural facial expression.
At The Spa at West Glen, your treatment is customized around your features and the results you want to achieve. Call The Spa at West Glen at 515-318-5650 to schedule a consultation and learn whether BOTOX is right for you.
Testimonials
I’ve been coming here for years and have always had a wonderful experience! Everyone is so kind, welcoming, and professional, and the spa is always clean and inviting. Katie is absolutely fantastic, and I always look forward to my visits with her. I can’t recommend this spa enough!
This place is amazing! Everyone is so friendly and their relaxation room is the best!
Dr. Heidi Koch is fantastic. She listens and makes recommendations based on your actual needs and desires. Everyone at the spa is kind and welcoming and the facilities are very calming. Could not recommend more!
Dr. Heidi is the BEST – Super knowledgeable, a great listener, and truly cares about her clients. I like to call her the miracle worker!
Meet the Injectors

Heidi Koch, MD, FAARM
Owner, Medical Director

Katie, ARNP, FNP-C
NurseInjector

Kylea, DNP, FNP-C
Aesthetician



