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Koch Facial Plastic Surgery

R. James Koch, MD, Facial Cosmetic Surgery

Facial Plastic Surgeon located in San Mateo, CA
Now providing Telehealth appointments

About Dr. Koch

Dr. Koch

R. James Koch, MD, is a Stanford-trained, Fellowship-trained, Double Board-Certified facial surgeon with over 25 years of experience. He is the founder of Koch Facial Plastic Surgery, located in San Mateo, California. 

Dr. Koch completed his specialty training with a fellowship in Advanced Facial Plastic and Reconstructive surgery at Stanford University, where his achievements earned him an appointment to the full-time faculty. At Stanford University School of Medicine, he held the positions of Associate Professor, Director of the Division of Facial Plastic Surgery, Director of the Fellowship for Advanced Facial Plastic & Reconstructive Surgery, and Director of the Wound Healing Laboratory. 

Dr. Koch is a renowned expert in minimally invasive procedures such as the in-office facelift, eyelift, and laser procedures. He has trained the most physicians in the in-office facelift in the country. He also has special expertise in necklift, browlift, neck liposuction with skin tightening, scar revision, rhinoplasty (nose reshaping), and rhinoplasty revisions. 

Dr. Koch’s combined background in university hospital teaching and physician training, and in the private practice setting allow him to deliver the most up-to-date and quality patient care. His background truly offers prospective patients the best of both worlds!



Dr. Koch offers the full spectrum of facial plastic surgery including cosmetic, reconstructive, and aesthetic device procedures such as lasers. With over 25 years’ experience, he strives to obtain natural results and a “non-operated look” while minimizing possible side effects. Many of these procedures can be readily performed in the office setting for an extra layer of safety.





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laser resurfacing

Laser Resurfacing

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Eyelid Lift


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RF Microneedling

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Neck Lift

Neck Lift

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Facial Fillers

Facial Fillers

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photo of Koch Facial Plastic Surgery


Dr. Koch specializes in all areas of Facial Plastic & Reconstructive Surgery with special expertise in In-Office Procedures. Here are some of the procedures that can be performed in the office and without an IV: Facelift, Eyelift (Blepharoplasty), Necklift with liposuction, Browlift, Laser Skin Peels and Skin Tightening, Fractional Radiofrequency Microneedling, Ear Reshaping (Otoplasty), Fat Grafting, Mohs closures following skin cancer removal, Excision of benign facial lesions, Facial and Acne Scar Revision, BOTOX® injections, and Wrinkle filler injections (such as JUVÉDERM®).

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Male facial plastic surgery procedures have dramatically increased over the past 20 years. Dr. Koch has performed all types of facial plastic surgery on men since being on the faculty at Stanford University School of Medicine. As with women, the goal is a natural looking result but there are some modifications that should be made with men to take full advantage of their hair and beard patterns, for example. You can achieve a more youthful appearance without compromising your masculinity or natural appearance.

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Browse our photo gallery to see some of our many happy patients who have achieved excellent results through facial cosmetic surgery. Most of which were performed In-Office and without the need for a general anesthetic and the accompanying costs and risks. Dr. Koch finds that most patients enjoy a twilight anesthetic where they are completely comfortable but can still communicate with their surgeon.

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Awake Facelift Before & After
What is an Awake Facelift?

Awake Facelifts (also known as In-Office or Twilight Facelifts) offer several benefits compared to traditional facelifts performed under general anesthesia.

KFPS Fall Specials
Koch Facial Plastic Surgery - Fall Specials (2023)!

Specials on the AcuPulse™ Fractional CO2 Laser for Skin Rejuvenation (wrinkles, scars, discoloration such as pigment), and aged skin, and the Sofwave™ for the Non-Invasive Lifting of the Face, Forehead and Neck. Between the two, we've got you covered!


Koch Facial Plastic Surgery
101 N El Camino Real, Suite 3
San Mateo, CA 94401-2700
Phone: 669-279-3663
Fax: 888-904-2134

Office Hours

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