Laser & DermaSurgery

laser-surgical-icon

This is the laser and surgical facility of our practice. Dr. McCune personally performs the vast majority of medical and cosmetic surgical procedures we offer.

Laser hair reduction and other procedures are performed by licensed nursing staff or our medical estheticians under the direct, on site supervision by Dr. McCune.

 

Surgical procedures include destruction of benign skin lesions, excision of benign and malignant skin lesions and Mohs Micrographic Surgery.

surgery 2

Surgical destruction of benign skin lesions

Dr. McCune and his staff are expertly trained to surgically destroy benign lesions such as warts, moles, skin tags, and seborrheic keratoses. Premalignant lesions can also be effectively treated.

Surgical excision of benign and malignant skin lesions

Those benign skin lesions requiring surgical excision are treated by Dr. McCune in our office-based surgical suite. Great care is taken to repair your skin in a way that maximizes the cosmetic outcome of your scar.
Many skin cancers can be excised under frozen section control at our facilities. Certain malignancies can be effectively destroyed by the Sciton Profile ablative laser.

This is the most accurate surgical technique to treat most non-melanoma skin cancers including basal call and squamous cell carcinomas. Created by Dr. Frederic Mohs over 40 years ago, the procedure that bears his name gives the highest cure rates of any available therapy. During his residency at Mayo Clinic, Dr. McCune was able to spend time with Dr. Mohs in his clinic in Madison, Wisconsin observing him perform Mohs surgery. Dr. McCune has received additional training in this technique and treats those skin cancers that are appropriately managed by the Mohs technique at Kansas City Laser and Dermasurgery Center, P.A.

To learn more, visit American Society of Mohs Surgery

Kansas City Laser and DermaSurgery Center, P.A. is a comprehensive laser center. We have multiple lasers that cover the full spectrum of laser dermasurgery.

At last! A unique laser treatment that can impressively repair fine lines, wrinkles, and improve skin texture and pigmentation with no or minimal healing downtime.

FRAXEL™ laser is the first laser technology that can produce dramatic improvements to aging and sun damaged skin without producing a wound.

The FRAXEL™ laser produces tiny, microscopic sites of laser induced thermal injury (microthermal zones) separated by surrounding zones of normal skin. Rapid healing of the lasered sites occurs from the untreated areas. No visible wound is created. Minimal downtime consists of redness and swelling for 4-5 days and a mild to moderate acne-like flare up that is temporary. Heated collagen in the microthermal zones is remodeled and results in increased skin smoothness and tightening. Up to 29% of the skin surface is fractionally lasered with each treatment. Four to six treatments spaced at least 4 weeks apart produce results that can rival those seen with Facial Laser Sculpture™ ablative laser resurfacing.

Treatments are performed under topical local anesthetic creams and can be done on any area of the face and body. Clinical benefits include improvement in skin texture, pore size, smoothness, brown splotchy discoloration, and wrinkles. Skin tightening may occur. Scars from acne, trauma, and previous surgeries may improve an average of 60-65%. Stretch marks can be softened in appearance. Go to the FRAXEL™ laser website at www.fraxel.com to find out more about the FRAXEL™ Restore laser.

Treating unwanted facial and body hair!

At Kansas City Laser and Dermasurgery Center, P.A. we primarily use the Sciton Profile Nd:YAG 1064nm long-pulse laser to treat unwanted facial and body hair.

Although results are sometimes temporary, the laser is capable of producing permanent hair reduction with a series of four to six treatments. Large areas can be treated safely and rapidly with the Sciton Profile laser. The skin surface is actively cooled during laser treatment enhancing comfort and protection from overheating of the skin surface. Topical anesthetic creams can be used to further improve discomfort associated with treatment. Light colored or white hairs will not be affected by laser treatments. The Gemini™ Laser is used for hair reduction in limited areas ( the “unibrow”).

When combined with waxing and a prescription hair reduction cream known as Vaniqa, our hair reduction treatments can improve suffering from shaving irritation, razor “bumps” (pseudofolliculitis), and the embarrassment that comes from having too much facial and body hair.

Laser hair reduction is performed by our licensed and highly trained estheticians under direct on-site supervision by Dr. McCune. The Sciton Profile Nd:YAG 1064 long pulse laser is one of the safest, most powerful and deeply penetrating hair removal lasers available. It can be safely used in people of all skin colors without major concern for changes in pigment (either darkening or lightening).

Tired of that tattoo that once seemed like such a good idea?

You can have your “past” removed at Kansas City Laser and Dermasurgery Center, P.A. with the Coherent VersaPulse Help-G Laser using very high energy, ultra-short light pulses (Q-switched). Three different lasers can be used to gradually lighten the inks in decorative tattoos. Traumatic tattoos can be treated as well.

When the laser light passes through the tattoo, it will react with its preferred color of ink. The ink is superheated very rapidly and breaks apart into smaller particles. These smaller ink particles are then removed from the skin by the natural healing processes and relocated to the lymph nodes. The tattoo ink remains there permanently with no subsequent problems.

It is important to have reasonable expectations with laser tattoo removal. It always requires multiple treatments (15+) to achieve maximal lightening. Also, it is impossible to predict whether maximal lightening will be total tattoo removal or only partial lightening. Some inks are unresponsive to laser. Some inks are placed too deep for the laser light to reach.

Although pigment lightening and occasional scarring and can occur, cosmetic end results are usually excellent compared to the other options that can be used to remove tattoos.

We offer two types of leg vein treatments at Kansas City Laser and Dermasurgery Center, P.A. Both are effective and well tolerated.

Sclerotherapy (Temporarily Unavailable)

Monthly injections of highly concentrated salt water (hypertonic saline) can reduce the number and intensity of unwanted small diameter leg and spider veins. The injection injures the vein which then collapses and is scarred shut. Sclerotherapy rarely produces surface scarring, but up to 30% of patients can develop new spider veins (matting) as a response to sclerotherapy - induced inflammation. Matting can usually be treated effectively with laser. Occasionally, larger leg veins become inflamed (phlebitis) producing tenderness and surface discoloration.

Nd:YAG 1064 long-pulse Laser (Sciton™ and Gemini™Lasers)

Leg veins can also be successfully treated with laser. Advantages are that there are no needles involved, matting is rare, and veins too small to inject can be successfully treated. The laser can be safely used in people of all colors in all seasons. As with sclerotherapy, multiple treatments are necessary. Results are sometimes unpredictable, but are usually very effective.

Coherent VersaPulse HELP-G:

Three different lasers are in this device:

  • Alexandrite 755 – Removes/lightens brown spots, age spots, skin hyperpigmentation and melasma. Can be used to treat acne blackheads. Effective in treating blue, black, and green tattoos.
  • Nd:YAG 532 – Also effective in treating brown skin lesions and discoloration. Removes red, orange, yellow, purple, and violet tattoo inks
  • Nd:YAG 1064 – Effectively treats deep skin hyperpigmentation from old trauma, wounds, or inflammation. Also treats blue and black tattoos.

Cynosure V-Star Pulsed Dye Laser:

This vascular laser is able to treat all of the same conditions as the KTP 532 Long Pulse laser. The V-Star laser can be used in bruising or non-bruising settings. Very effective to help resolve common warts and other benign skin lesions including sebaceous hyperplasia, molluscum contagiosum, and genital/perianal warts.

FRAXEL™ Laser:

This revolutionary laser has changed the nature of “ablative” laser resurfacing. Visit theFRAXEL™ laser page for more information.

Excel-V:

KTP 532 Long Pulse – Highly effective vascular laser that treats red discoloration of the skin from chronic flushing/blushing, photodamage, and rosacea. Removes visible spider veins on the face, trunk, and legs. Treats congenital hemangiomas and port wine stains. Effective in treating red marks from inflamed acne. Helps flatten hypertrophic and keloid scars. Improves brown spots, red spots, and stimulates collagen. This laser does not bruise the skin.

Nd:YAG 1064 Long Pulse: Effective at treating vascular lesions, birthmarks, and leg veins. Stimulates collagen formation. Used for laser hair reduction in people of all skin colors.

Sciton Profile:

This laser has three different laser applications in the same device.

 

  • Erbium YAG Short Pulse – This laser removes the skin completely, leaving behind almost no thermal heat injury. Very useful to destroy benign skin lesions superficially with no or minimal scar. Used to improve scars. Special cosmetic applications include:
    1. Arctic Peel – a superficial laser peel that removes only a partial layer of the skin surface. Combined with a cold air device to chill and numb the skin. Useful for photodamage on the face, neck, chest, arms, and hands.
    2. Laser micropeel – just like the Arctic Peel, except more aggressive.Used on the face only.
  • Erbium YAG Long Pulse – This laser is combined with the Erbium YAG – short pulse to add extra thermal heating to the skin not ablated. This is helpful in treating premalignant actinic keratosis as well as superficial basal cell and squamous cell skin cancers. Cosmetically, these two Erbium YAG lasers are used to ablatively resurface the face for dramatic improvement in photoaging and acne scars. Known in our practice as “Facial Laser Sculpture™”, this aggressive laser procedure gives the benefits of C02 laser resurfacing with much less (5% or less) of a chance of developing permanent skin lightening.
  • Nd:YAG 1064 Long Pulse – This laser can be used to treat blue leg veins (reticular veins) and red spider veins. The same laser is the laser used in our practice for laser hair reduction. We have two of these lasers in our practice in both the Sciton™ and the Gemini™

Although a few of our cosmetic procedures are performed at Kansas City Dermatology, P.A. and Kansas City DermaSpa the majority of cosmetic dermasurgical procedures and cosmetic laser procedures are performed personally by Dr. McCune at Kansas City Laser and Dermasurgery Center, P.A.

 

Injectable RF for Skin Tightening

ThermiTight-Logo
ThermiTight™ is the name of a peer-reviewed protocol described as “thermistor-controlled subdermal skin tightening.” The ThermiRF™ system is used along with a tiny SmartTip™ thermistor probe, which is inserted under the skin to heat subdermal tissues to a user selected specific temperature. During the ThermiTight procedure, internal temperatures are monitored and regulated by the system computer. In addition, Thermal Image Guidance™ provides the physician with real time external temperatures to ensure precision of the heating effect while maintaining safe skin temperatures.

Once you have arrived the day of your procedure the area to be treated will be cleansed and a small amount of anesthetic solution will be injected into the area. A tiny thermistor probe is then inserted under the skin. Dr. McCune will make gentle movements to heat up the tissues to the desired level while monitoring the temperature of the skin internally and externally. The procedure lasts approximately one hour. After your treatment a wrap will be applied to the treatment area. Patients may experience minimal bruising and swelling, but can resume normal activity the next day.

Dr. McCune is the only physician trained in the Kansas City area with ThermiRF®.

Link to ThermiAesthetic website

thermitight

ThermiTight3

ThermiTight 2

ThermiTight 1

Non-invasive Skin Smoothing

ThermiSmooth-Logo
ThermiSmooth™ is performed using a specially designed thermistor regulated hand piece. ThermiSmooth delivers precise heating to the skin’s surface. The treatments are gentle and patients often say it feels like receiving a warm massage. ThermiSmooth can be used to tighten skin under and around the eyes, as well as smooth fine lines and wrinkles around the mouth.

Link to ThermiAesthetic website

thermi-smooth

Reclaim. Restore. Revive.

thermiva
Excessive relaxation of the vaginal muscles is a common occurrence after vaginal birth, or due to aging. Damage can diminish sensation during intercourse, reduce sexual satisfaction and change the relationship between partners.

ThermiVa is the first and only temperature controlled radio frequency system, used for non-surgical dermatological application in aesthetics and other medical specialties. ThermiVa treatments deliver controlled thermal energy to the desired areas – external (labia) and/or internal (vaginal).

ThermiVa can help improve vaginal looseness, vaginal dryness, vaginal flatulence, sagging of the labia, excessive vaginal sweating, painful intercourse, reduce leaky bladder symptoms and improve orgasmic dysfunction.

The complete ThermiVa procedure includes 3 separate treatments over a period of 3 months. There is no downtime other than the office appointments, and no anesthetics are required

Reclaim your “pre-baby body”. Restore your satisfaction. Revive your relationship.

Link to ThermiVa

Link to The Doctors

Non-invasive Skin Smoothing

thermi_smooth_body_0
ThermiSmooth® Body is performed by heating the areas under the skin, providing a temporary reduction of cellulite.

We can target many different areas of the body including arms, abdomen, hips and thighs.

A series of 3-6 treatments are performed over the course of 6-8 weeks. Patients often say it feels like receiving a warm massage.

Learn More About ThermiSmooth

thermismoothbody-douglas-key-after2_0-250x254

sculpsure2SculpSure is a light-based body contouring procedure to reduce stubborn fat problem areas such as the abdomen and love handles, helping you achieve a slimmer and natural looking appearance without surgery or downtime.

SculpSure targets an destroys fat cells, which are then naturally absorbed and removed from the body. The procedure is comfortable, well-tolerated and takes 25 minutes to perform. Clinical studies report an average of 24% fat reduction with full results in 12 weeks.

Link to website: http://www.sculpsure.com

Relax and soften those frown lines with Botox Cosmetic®!

botox_logo_2

There is no better way to relax, soften, and erase wrinkles caused by facial expression.

Botox Cosmetic® is a purified neurotoxin complex that is injected in minute amounts into specifically targeted muscles of facial expression. The muscle then relaxes producing softening and smoothing of targeted wrinkles. Many expression lines totally disappear. The wrinkles slowly reappear over 3-6 months (or longer) as the Botox wears off. Repeat treatments help you stay relaxed and refreshed in appearance.

Visit Botox Cosmetic® to find out more.

Botox can be used to achieve the following results:
  • Improve wrinkles of the forehead, frown lines between the eyebrows (your "elevens"), “crow's-feet”, “bunny lines” on the nose, “lipstick” lines of the upper lip, “necklace” lines of the neck
  • Shape and arch the brow; “open up” the eye
  • Improve the “gummy smile”
  • Elevate the corners of the mouth
  • Relax vertical bands of the neck (platysmal bands)

When combined with fillers in the same areas, the persistence of correction is lengthened by 50%.

When combined with other Juvescence™ procedures (Facial Laser Sculpture™, FRAXEL), the results of the surgical procedures are enhanced.

Juvaderm® Ultra and Ultra Plus - Erase those lines!

logo_JuvedermUP

Fillers are used to treat wrinkles, restore facial volume, and to enhance and augment lips. Dr. McCune has over 28 years of experience in injecting dermal fillers. Experience you can trust!

Juvaderm® Ultra and Ultra Plus are FDA approved injectable hyaluronic acid gels that are helpful to soften lines, wrinkles, and scars. They are safe, effective, and longer lasting than collagen. No skin test is required. Same day treatment is available. Immediate results are visible. Achieve longer lasting results: 4-6 months. Possibly one year or longer.

For more information visit Juvaderm®.

With Hyaluronic fillers you can:
  • Enhance the volume and definition of the lips
  • Improve or eliminate wrinkles and "lipstick lines"
  • Restore volume to the smile lines from the nose to the mouth
  • Fill in the “marionette lines” – the hollows that form below the corners of the mouth
  • Recreate definition between the lower lids and cheeks
  • Volumize the pillars of the mouth and cheeks
  • Improve depth of scars

Skin Volumizers give you a youthful appearance - countering the deflation of skin

Loss of deep facial tissue volume occurs as we age. This allows the face to “deflate” resulting in a thin, hollow appearance over the temples, flattening of the eyebrow ridges with drooping, hollowness under the eyes giving a tired look, flattening of the cheek bones with sagging, deepening of the smile lines, and hollowness around the mouth producing collapse of the lips and a “skeletal” appearance. Fat loss over the back of the hands produces hollowness highlighting the appearance of the tendons and bones.

Skin volumizers can counter this deflation of the skin making your appearance youthful again. The volumizers we use are:

Sculptra®

sculptra_logo

Sculptra and Sculptra Aesthetic are injectable FDA approved products for enhancement of facial volume in HIV positive patients with facial wasting and in aesthetic patients with facial volume loss respectively. The active agent is poly-L-lactic acid which acts as a collagen biostimulator. Turning on new collagen synthesis results in soft tissue volumetric enhancement producing a more youthful face. Results have been proven to last 18 to 24 months and possibly longer. Dr. McCune is a national trainer for these two products – a testimonial to his knowledge and expertise

Fat Autograft Transfer

This technique involves the placement of fat into the fatty tissues of the face and hands. This technique is used to restore volume to the lips and hands.

Advanced technology providing painless and inexpensive way to rejuvenate the skin.

gentlewaves_logo

A flashing panel of yellow light emitting diodes (LED’s) signals the collagen and elastin producing cells in the skin (fibroblasts) to become energized. This causes the fibroblasts to start manufacturing new collagen and elastin in the dermis. Benefits include improved skin smoothness and texture, reduction in fine lines, and a return of the “healthy glow” to your skin. Brown splotchy discoloration may fade as well.

An exciting extra benefit is that GentleWaves® Photomodulation has been proven to help diminish damage to the skin produced by injuries from acute sunburn, smoking, and other environment injuries. GentleWaves® treatment to an acute sunburn can rapidly eliminate redness and tenderness. Peeling may be eliminated. Less photodamage is produced in the epidermis and dermis. Photoaging can be minimized whether used as an “emergency treatment” for sunburn, a preventative maintenance therapy for the active outdoor lifestyle, or as an active rejuvenator of photodamage you have already developed. GentleWaves® Photomodulation can help you have healthier and nicer looking skin now and in the future.

Finally, GentleWaves® treatment immediately following many of the Juvescence procedures will enhance the visible benefits these procedures can create.

Why wait to try this painless, no downtime, and extremely affordable treatment?

TCA Peel

Trichloroacetic peels are used in different strengths to produce different effects.

  • 15% TCA: Very helpful for acne. Visit Performed up to weekly to help control blemishes.
  • 20% TCA: A more aggressive superficial peel for mild photodamage of the face, neck, upper chest, arms, and hands
  • 35% TCA: A medium depth peel of the face for moderate photodamage. Enhanced effects when combined with Jessner’s peel. One week downtime.
  • 60-100% TCA: Used for focal remodeling of ice pick and box car acne scars.

SkinMedica Peels

Vitalize Peel®

Vitalize Peel helps fight the effects of time, sun damage, and environmental assaults. This powerful yet non-damaging peel can take years off aging skin. A superficial peel using lactic acid and resorcinol combined with a finishing application of retinoic acid. Very helpful for acne, mild photodamage, and melasma. There will be a 4-5 day period of visible skin peeling.

  • Addresses various skin conditions, such as pigmentation abnormalities, post-inflammatory hyperpigmentation, melasma, and photodamage
  • Effective (achieve visible improvement after one treatment, significant results after a series of treatments)
  • Can be customized for the treatment of each specific condition
  • May be performed on Skin types I- VI
  • Little or no down time
  • Peeling solution combined with Retinoic acid creates more exfoliation than other chemical peels same depth
  • Well tolerated (minimum or no burning, peeling solution has pH 2-3, higher than most chemical peels)
  • Easy to use (does not require timing or neutralization)
Rejuvenize Peel™

Rejuvenize Peel is an advanced formulation of peeling agents, with a built-in anti-irritant and penetration enhancer that provides controlled exfoliation of the uppermost damaged layers of the skin to reveal fresher and healthier skin. Provides predictable results with minimal down time.

  • Effective for use on skin with sun damage, melasma, pigmentary changes and acne scarring
  • Noticeable improvement with just one peel
  • Recommended for Skin types I-VI
  • Can be used on skin types V-VI after the patient has established tolerability to Vitalize Peel, or with physician consent
  • Well tolerated with minimal "down time"
  • Easy to use (does not require timing or neutralization)
  • A novel synthetic surfactant, Isoceteth-20, creates more uniform peeling while controlling penetration of salicylic acid, and therefore reduces skin irritation associated with the stronger chemical peels without diminishing peeling effect

Scars can result from acne, chicken pox, accidental trauma, or from surgery. We offer numerous treatments at Kansas City Laser and Dermasurgery Center, P.A. to improve and reduce the appearance of your scars.

Here are the treatments we offer for scar improvement:

FRAXEL Restore™ Laser

Superficial and moderately deep ice pick, box car, and atrophic acne scars; chicken pox scars; traumatic and surgical scars. Visit our FRAXEL Restore™ Laser Page for more information.

V-Star Pulsed Dye Laser/Gemini™ Laser

Hypertrophic and keloid scars. These lasers help take the red color out of scars as well.

TCA Chemical Peel

Focal destruction/revision of superficial and deep ice pick scar; superficial and moderately deep box car scars.

Injectable Fillers / Sculptra Aesthetic

Atrophic acne scars.

Cortisone Injections

Injections of dilute steroids directly into hypertrophic and keloid scars. Often used in combination with the V-Star/Gemini™ lasers for enhanced effect.

Subcision

Atrophic acne and surgical scars. Some acne box car scars.

Punch Graft Elevation

Small diameter box car scars, ice pick scars.

Punch Excision with Grafting

Deep ice pick scars.

Punch Excision with Suturing

Deep ice pick scars. Usually performed in sequential combination with the Sciton Profile Erbium YAG ablative resurfacing laser.

Sciton Profile Erbium YAG Ablative Resurfacing

Superficial, moderate, and deep box car scars; superficial ice pick scars and atrophic scars. Traumatic and surgical linear scars.

Excision

Deep box car scars and linear scars; small keloid scars.

Erase the “age spots” and restore volume to rejuvenate your hands

Tired of having “old looking” hands? Our Juvescence™ treatments can erase the “age spots” and restore volume to rejuvenate your hands.

Arctic Peel

A superficial Erbium YAG laser micropeel with the Sciton Profile laser that renews the epidermis without significant downtime.

FRAXEL Restore™ Laser Treatment

A revolutionary laser that combines the benefits of an aggressive ablative laser treatment with the benefits of no visible wounding and no to minimal downtime. This non-ablative laser rehabilitates the skin surface (lightens brown age spots) and remodels, thickens, and tightens the underlying collagen layer.

Alexandrite 755 Laser

This laser effectively lightens and removes brown age spots and large freckles leaving brown “curling iron burn” like crusts that spontaneously shed off in 14-18 days. Highly effective as a stand-alone procedure or as a combination treatment.

Fat Autograft Transfer

Fat harvested from another body site is injected into the hollow areas of the backs of the hands restoring volume and enhancing youthfulness.

Sculptra Aesthetic

Injectable poly-L-lactic acid simulates your own collagen to fill in the hollownes backs of the hands. Helps turn back the clock on those “old looking” hands.

consultant-research 1Our nursing Staff at Kansas City Laser and Dermasurgery Center, P.A. are highly educated in our Juvescence™ Home Skin Care Productsand Juvescence™ Procedures. You may call to schedule a complimentary consultation with them to discover and learn about the products and services we offer. You will have all the time you need in a relaxed, non-pressured setting to have all of your cosmetic questions asked and answered.

Dr. McCune is often available to evaluate you personally and will professionally and personally recommend your customized Juvescence™ Program during your consultation. For certain procedures, you will need to subsequently schedule a more detailed and focused consultation with Dr. McCune before being able to proceed with your treatment. A fee will be charged for this consultation with the physician.

The cosmetic nurse consultation is designed specifically for cosmetic problems. If the nature of your condition requires a medical diagnosis and treatment plan, you will be asked to subsequently schedule an appointment with Dr. McCune or one of his mid-level practitioners to adequately and thoroughly take care of your medical skin problem. Appropriate charges will be made for this medical evaluation and treatment.