Cosmetic Procedures

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.

Silhouette InstaLift is a non-invasive alternative to a traditional facelift.

It's a simple procedure to re-contour your face by lifting the deeper layers of your skin and increasing long-term collagen production to create a more youthful appearance.

During the procedure Dr. McCune will use sutures with bidirectional cones to reposition and elevate the skin on your face. The in-office procedure typically takes approximately 45 minutes to complete. You will see immediate results and have minimal recovery time after the procedure. Over time the sutures will naturally be absorbed by your body while stimulating production of collagen.

Injectable RF for Skin Tightening

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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

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Non-invasive Skin Smoothing

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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

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Reclaim. Restore. Revive.

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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

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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

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SculpSure is a light-based body contouring procedure to reduce stubborn fat problem areas such as the abdomen and love handles, back, inner and outer thighs, 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

A Hair Replacement Solution Like No Other


To many Kansas City residents, a full head of hair represents attractiveness and desirability both personally and professionally. For this reason, it is vital to understand what effects a hair restoration procedure can have on your daily interactions with people and in all other aspects of your life. Hair Restoration should be unnoticeable to all but those you tell.

The facts are that approximately 50 million men and approximately 30 million women, including many in Kansas City, suffer from male/female pattern baldness or thinning hair. Many potential patients shy-away from (or are not candidates for) the traditional “strip method” of hair replacement because of the slow recovery time, the loss of feeling at the incision site, the tiny linear scar on the back of the head, or the amount of post-operative pain involved.

After much research, we have chosen to offer the Follicular Unit Extraction (FUE) method utilizing the NeoGraft Automated Hair Transplantation system. The FUE method of hair transplantation removes individual hair follicles from the scalp in their naturally occurring groupings of about 1-4 hairs and are then placed in the areas of the scalp where balding has occurred.

NeoGraft Hair Transplant System Explained - Follicular Unit Extraction (FUE)-HD from NeoGraft on Vimeo.

Reasons Why The NeoGraft Procedure Is The Solution:

  • It is the least invasive procedure for hair transplantation
  • Patients who receive the NeoGraft procedure feel little to no discomfort
  • No stitches or staples are used in the NeoGraft procedure
  • No unsightly linear scar
  • Flexibility for any hair style of your choice, short or long
  • Shorter recovery time - patients can typically go back to work the next day
  • Fewer restrictions on your normal daily activities
  • Natural looking results

Why Choose the NeoGraft Procedure?

The NeoGraft system is the first and only FDA cleared follicular unit harvesting and implantation system. The NeoGraft system delivers automation of the FUE technique, the most advanced technique in the hair transplant industry.

This revolutionary system uses pneumatic controls to precisely extract complete individual hair follicles which can be immediately transplanted to the selected areas of the scalp. The NeoGraft automated hair transplantation system is the only complete harvesting system on the market and has the only ‘NO TOUCH’ implantation technology.

Hair Restoration with NeoGraft technology provides absolute exact harvesting and placement, delivering repeatable results. With NeoGraft’s technology each follicle is removed individually while the patient is comfortable. A natural looking head of hair is created with this minimally-invasive procedure.

Hair loss can be a very emotional part of the natural aging process, and seeking ways to curb this process used to be a challenge. NeoGraft’s advanced technology offers a discrete solution to hair loss, allowing patients to achieve natural looking results with no linear scar, minimal downtime and a shorter recovery period.  Hair restoration with the NeoGraft procedure is unnoticeable, making it your secret to tell.

  • Superior Results – More natural looking hair, short or long for both men and women.
  • Advanced Technology – Automated technology, least invasive procedure for hair transplantation.
  • Gentle – Little to no discomfort.  No scalpel incision, no staples, no linear scar.
  • Effective – Less activity restrictions than traditional strip methods.
  • Discrete – Patients can typically go back to work the next day.
  • Affordable – We have programs available to meet your exact needs.

Benefits of the FUE Method:

  • FUE hair transplant is a very safe, minimally invasive, relatively minor procedure
  • Minimal bleeding and fewer complications than with the “strip” method
  • Procedure is performed with local anesthetic and no intravenous or intra-muscular sedation is required
  • Patients experience minimal discomfort, no scalpel incision, no sutures, no linear scar and quick recovery times
  • And Many More!

The NeoGraft Automated FUE is also a useful procedure to fix visible linear scars from previous “strip” surgeries.  FUE can be used to ‘fill in’ or camouflage those old scars by transplanting new follicles into the area.

Relax and soften those frown lines with Botox Cosmetic®!

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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.

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Juvaderm® Ultra and Ultra Plus - Erase those lines!

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®.

Juvaderm® Vobella - Natural looking lips that last

Whether you have naturally thin lips, or there have been thinning and vertical lines appearing, Juvaderm Vobella may be able to help.

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:

Juvaderm Voluma® XC

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Wrinkles and lines aren’t the only signs of aging. Over time, the cheeks flatten, and the skin may begin to sag. This is caused by a natural loss of volume in the cheek area, or what the experts call age-related midface volume loss. Juvaderm Voluma® XC is designed to add volume beneath the skin’s surface to lift and contour the cheek area.

Sculptra®

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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.

 

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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.

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Our 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.