Koch & Carlisle Plastic Surgery & Spa

The first step is scheduling a Meet and Greet with Dr. Kuehner. This 30-minute, no-obligation appointment lets you discuss your health goals and learn how she can serve as your primary care physician. You can request a consultation online or by calling the practice.

No. The concierge membership does not replace insurance. Your insurance continues to cover labs, imaging, procedures, and specialist referrals. The membership provides direct physician access, in-depth visits, and personalized care planning on top of your existing coverage.

Membership includes 24/7 direct access to Dr. Kuehner and her team via phone, text, or email. Members receive same-day or next-business-day availability, unrushed appointments, advanced testing, and longevity evaluations. Members also receive discounted aesthetic services and special pricing on supplements and peptides.

These services carry additional fees beyond the membership. Dr. Kuehner designs personalized plans that can incorporate hormone therapy, GLP-1 medications, peptide therapy, and hair restoration strategies as part of a broader care approach.

Yes. Many Koch & Carlisle concierge patients keep an existing primary care provider. The concierge program adds direct physician access, prevention-focused planning, and personalized guidance that complements your current care.

Visit frequency depends on your individual health goals and where you are in your care plan. Dr. Kuehner personalizes the schedule to your needs. Some patients check in more frequently early on, while others move to periodic visits as their plan stabilizes.

Dr. Kuehner sees patients from Des Moines, Ames, Ankeny, Davenport, and surrounding Iowa communities. The practice is located at 4855 Mills Civic Parkway in West Des Moines.

Yes. Dr. Kuehner offers same-day or next-business-day availability for concierge members when concerns arise. This direct access is a core benefit of the membership program.

The practice offers a full range of surgical procedures including facelift, rhinoplasty, breast augmentation, tummy tuck, liposuction, and mommy makeover. Aesthetic services include CoolSculpting Elite, RF microneedling, chemical peels, laser hair removal, and NeoGraft hair restoration.