Plastic surgery before your wedding

A woman’s wedding day is often one of the biggest, most important days of her life. She will spend months planning, finding the perfect dress, tasting cakes, ordering flowers and making sure every detail is perfect.

With the help of cosmetic surgeries performed by Dr. Vanessa Voge, she can trust that every detail of her will be perfect as well.

Popular pre-wedding procedures will enhance the breasts, eliminate unwanted fat, grow the lashes, plump the face and lips and smooth wrinkles and lines.

Cosmetic procedures for brides

Breast Augmentation 

Having a breast augmentation before your wedding will enhance your appearance in your wedding dress and bikini on your tropical honeymoon.

Liposuction

Liposuction will eliminate fat in hard-to-lose areas. Liposuction of the axillary breast tissue, or “arm pit fat” will eliminate the stubborn area that tends to bulge over tops and dresses. Other common areas to perform liposuction include the inner thighs, arms, lower abdominal area and back.

BOTOX®

Erase wrinkles from your face with Botox. On the happiest day of your life, the last thing you want is frown lines in your photos.

KYBELLA®

Kick your double chin off your guest list! Kybella is an injectable treatment that treats submental fullness. The appearance of a double chin can make you look older or heavier than you really are.

LATISSE®

Artificial eyelashes can be uncomfortable and are not cry-proof. Grow your own longer, fuller, darker lashes in just 16 weeks with Latisse.

Dermal Fillers

Dermal fillers restore a youthful appearance to your face. Plump your cheeks and lips and take years off your face with simple in-office injections.

Planning cosmetic procedures or surgery before your wedding

If you’re planning to have any cosmetic procedure before your big day, schedule surgery at least two months prior to saying, “I do” to allow your body and incisions time to heal. Dr. Voge will help you determine when in-office procedures should be scheduled.

Cosmetic Procedures for Brides
Plastic Surgical Specialists.

Protect your skin with sunscreen from SkinCeuticals

Our skin protects our bodies, but what protects our skin? Each day our skin is exposed to harmful UVA rays, pollution and other factors that can cause early signs of aging, cancer and leave your skin looking and feeling tired.

For year-round skin protection, Dr. Voge recommends SkinCeuticals sunscreens.

SkinCeuticals broad spectrum sunscreens feature Z-Cote® transparent zinc oxide to help protect skin from UVA rays, in addition to providing the SPF necessary to prevent sunburn and damage caused by UVB radiation.

With an option suitable for every skin type, and lifestyle, a SkinCeuticals daily sunscreen provides effective protection from photoaging and skin cancer.

PHYSICAL MATTE UV DEFENSE SPF 50

This mattifying 100% physical sunscreen is formulated with titanium dioxide and zinc oxide (Z-Cote®*) to provide high broad spectrum UV protection.

Enhanced with aerated silica technology, it is proven to maintain a matte finish even in hot, humid conditions.

Its weightless mousse texture dries to a powder finish, optimizing makeup application, while translucent color spheres provide universal tint for all skin tones and repel oil to minimize sebum appearance.

This SkinCeuticals product is available at Plastic Surgical Specialists in Wichita, KS for $36.

Schedule your skin evaluation and receive a personalized treatment plan to protect your skin.

PHYSICAL FUSION UV DEFENSE SPF 50

This groundbreaking, weightless, 100% physical sunscreen provides water-resistant broad-spectrum protection with titanium dioxide and zinc oxide (Z-Cote®*).

Enhanced with artemia salina, a plankton extract, this lightweight sunscreen increases skin defenses and resistance to UV and heat stress.

Color-infused technology enhances natural skin tone and boosts daily radiance.

This SkinCeuticals product is available at Plastic Surgical Specialists in Wichita, KS for $36.

Schedule your skin evaluation and receive a personalized treatment plan to protect your skin.

Best sunscreen for your face
Plastic Surgical Specialists.

Many women who have undergone a mastectomy or lumpectomy doe to breast cancer are unaware of the reconstruction options that are available.

Breast Reconstruction Awareness Day is a collaborative effort between the American Society of Plastic Surgeons, The Plastic Surgery Foundation, plastic surgeons specializing in breast surgery, nurse navigators, corporate partners, breast cancer support groups and organizations.

The sixth annual Breast Reconstruction Awareness Day will take place on October 18, 2017.

Join Plastic Surgical Specialists in Wichita, Kansas to acknowledge the journey to breast reconstruction and help spread awareness.

Details coming soon!

Here at Plastic Surgical Specialists in Wichita, Kansas, leading breast reconstruction surgeon, Dr. Vanessa Voge takes seriously the role of restoring a woman’s body after a mastectomy.

Reconstruction procedures include:

Breast Reconstruction
Nipple Reconstruction
3-D Nipple Tattoo and Areola Tattoo 

Breast Reconstruction Awareness Day 2017
Plastic Surgical Specialists.

Did you know you shouldn’t swim for eight weeks following a cosmetic procedure? If you’re planning a summer vacation, it’s best to have your procedure at least two months before.

The most popular procedures to compliment bikinis are:

Brazilian Butt Lift
A Brazilian butt lift is a natural approach to butt augmentation using your own fat instead of an implant. Dr. Vanessa Voge uses liposuction to harvest fat from one or more areas of the body and inject it into the backside. This procedure addresses many concerns, including flat or sagging buttocks, asymmetry, or other disproportions, sometimes due to massive weight loss.

Breast Augmentation
Breast augmentation is one of the most popular plastic surgical procedures in Wichita and throughout the country. Vanessa Voge, MD consults with patients in all life stages seeking to transform their bodies and boost self-esteem.

Liposuction
Liposuction is ideal for men and women who are at or near their ideal weight. Lipo removes cellulite to reduce and re-contour zones in the thighs, waist, arms, abdomen, back and neck.

Tummy Tuck
During your tummy tuck surgery, stomach muscles are tightened by pulling the muscles and suturing them together to create a stronger abdominal wall and narrower waist.

To schedule a free cosmetic consultation with Dr. Voge, call 316-263-0234.

Planning your surgery for swimsuit season
Plastic Surgical Specialists.

The American Society of Plastic Surgeons (ASPS) is the largest plastic surgery specialty organization in the world. The top priority of ASPS and its members is patient safety. Member surgeons of ASPS must meet rigorous educational standards.

ASPS requirements ensure that surgery is only performed in accredited, state-licensed or Medicare certified surgical facilities, where stringent national standards are met for equipment, operating-rooms, personnel and surgeons.

Selecting a board-certified plastic surgeon to perform your procedure is an important step in achieving your optimal surgical outcome safely.

“Whether you’re considering cosmetic or reconstructive plastic surgery, you want the skill of an ASPS Member Surgeon—a doctor with more than six years of surgical training and experience, with at least three years specifically in plastic surgery. Their training and experience make them uniquely qualified to perform your cosmetic or reconstructive procedure (ASPS).”

Dr. Vanessa Voge of Plastic Surgical Specialists in Wichita, Kan. is a board-certified female plastic surgeon. Read more about Dr. Voge’s education and certifications here.

The importance of selecting a board-certified plastic surgeon
Plastic Surgical Specialists.

Winter Wrinkle-Eraser
Plastic Surgical Specialists.

The holiday season has arrived! That means so have selfies, family photos, and candid pictures. Sometimes all of those photographs can make us self-conscious. If you find yourself saying these phrases…

“Where did those wrinkles come from?”

“What happened to my youthful volume?”

“That’s a terrible angle of my chin.”

There are a few non-surgical solutions to help you get back to smiling for the camera! These treatments are all in office, requiring limited downtime (if any at all) and are very wallet friendly compared to surgery.

Wrinkle eraser: Botox, $11/unit, lasts 3-4 months

BOTOX^® Cosmetic is the only approved treatment to temporarily improve the appearance of both moderate to severe frown lines between the brows and crow’s feet lines in adults. BOTOX^® Cosmetic targets the repeated muscle contractions from frowning and squinting over the years. Dr. Vanessa Voge, a plastic surgeon in Wichita, Kansas injects these muscles with BOTOX^® Cosmetic to temporarily reduce muscle activity. You will begin to notice a visible smoothing around 3-5 days after treatment. Your body will gradually break down the product and you will need treatment again after 4 months. For best results, you should schedule your treatment 3-4 weeks prior to your holiday parties.

Volume restorers: Dermal fillers, $500/vial, lasts 9-12 months

JUVÉDERM^® is the #1 selling collection of hyaluronic acid fillers in the US for a reason. I use this product created from collagen-renewing substance Hyaluronic Acid, to plump up the cheeks. The results can be seen immediately after administration however, mild bruising and swelling may occur after treatment. Therefore you should come in 2 weeks prior to your festivities.

*As reported by people in the clinical study.

Double chin eliminator: Kybella, $1,200/treatment, permanent results

KYBELLA ^® is the only FDA-approved injectable treatment that improves your profile by destroying fat cells under your chin. I administer the medication through a series of tiny injections. A burning sensation is felt at the time of injection and severe swelling will happen for 2-3 days after treatment. It takes 6-8 weeks to notice a difference. Typically patients receive 2-3 treatments, 8 weeks apart. Because of the downtime and time between treatments, I recommend starting this procedure 6 months before you want to be at your results. WHY ARE YOU TELLING ME THIS NOW IN A HOLIDAY ARTICLE? I am telling you to schedule now so you can be ready for the summer time!

BOTOX^® Cosmetic (onabotulinumtoxinA) IMPORTANT SAFETY INFORMATION, INCLUDING BOXED WARNING

Indications
Glabellar Lines
BOTOX^® Cosmetic (onabotulinumtoxinA) for injection is indicated for the temporary improvement in the appearance of moderate to severe glabellar lines associated with corrugator and/or procerus muscle activity in adult patients.

Lateral Canthal Lines
BOTOX^® Cosmetic is indicated for the temporary improvement in the appearance of moderate to severe lateral canthal lines associated with orbicularis oculi activity in adult patients.

IMPORTANT SAFETY INFORMATION (continued)
CONTRAINDICATIONS
BOTOX^® Cosmetic is contraindicated in the presence of infection at the proposed injection site(s) and in individuals with known hypersensitivity to any botulinum toxin preparation or to any of the components in the formulation.

WARNINGS AND PRECAUTIONS
Lack of Interchangeability between Botulinum Toxin Products

The potency units of BOTOX^® Cosmetic are specific to the preparation and assay method utilized. They are not interchangeable with other preparations of botulinum toxin products and, therefore, units of biological activity of BOTOX^® Cosmetic cannot be compared to nor converted into units of any other botulinum toxin products assessed with any other specific assay method.

Spread of Toxin Effect
Please refer to Boxed Warning for Distant Spread of Toxin Effect.

No definitive serious adverse event reports of distant spread of toxin effect associated with dermatologic use of BOTOX^® Cosmetic at the labeled dose of 20 Units (for glabellar lines), 24 Units (for lateral canthal lines), 44 Units (for simultaneous treatment of lateral canthal lines and glabellar lines) have been reported.

Serious Adverse Reactions With Unapproved Use
Serious adverse reactions, including excessive weakness, dysphagia, and aspiration pneumonia, with some adverse reactions associated with fatal outcomes, have been reported in patients who received BOTOX^® injections for unapproved uses. In these cases, the adverse reactions were not necessarily related to distant spread of toxin, but may have resulted from the administration of BOTOX^® to the site of injection and/or adjacent structures. In several of the cases, patients had pre-existing dysphagia or other significant disabilities. There is insufficient information to identify factors associated with an increased risk for adverse reactions associated with the unapproved uses of BOTOX^®. The safety and effectiveness of BOTOX^® for unapproved uses have not been established.

Hypersensitivity Reactions
Serious and/or immediate hypersensitivity reactions have been reported. These reactions include anaphylaxis, serum sickness, urticaria, soft-tissue edema, and dyspnea. If such reactions occur, further injection of BOTOX^® Cosmetic should be discontinued and appropriate medical therapy immediately instituted. One fatal case of anaphylaxis has been reported in which lidocaine was used as the diluent and, consequently, the causal agent cannot be reliably determined.

Cardiovascular System
There have been reports following administration of BOTOX^® of adverse events involving the cardiovascular system, including arrhythmia and myocardial infarction, some with fatal outcomes. Some of these patients had risk factors including pre-existing cardiovascular disease. Use caution when administering to patients with pre-existing cardiovascular disease.

Pre-existing Neuromuscular Disorders
Individuals with peripheral motor neuropathic diseases, amyotrophic lateral sclerosis, or neuromuscular junction disorders (eg, myasthenia gravis or Lambert-Eaton syndrome) should be monitored when given botulinum toxin. Patients with neuromuscular disorders may be at increased risk of clinically significant effects including generalized muscle weakness, diplopia, ptosis, dysphonia, dysarthria, severe dysphagia, and respiratory compromise from onabotulinumtoxinA (see Warnings and Precautions).

Dysphagia and Breathing Difficulties
Treatment with BOTOX^® and other botulinum toxin products can result in swallowing or breathing difficulties. Patients with pre-existing swallowing or breathing difficulties may be more susceptible to these complications. In most cases, this is a consequence of weakening of muscles in the area of injection that are involved in breathing or oropharyngeal muscles that control swallowing or breathing (see Boxed Warning).

Pre-existing Conditions at the Injection Site
Caution should be used when BOTOX^® Cosmetic treatment is used in the presence of inflammation at the proposed injection site(s) or when excessive weakness or atrophy is present in the target muscle(s).

Human Albumin and Transmission of Viral Diseases
This product contains albumin, a derivative of human blood. Based on effective donor screening and product manufacturing processes, it carries an extremely remote risk for transmission of viral diseases. A theoretical risk for transmission of Creutzfeldt-Jakob disease (CJD) also is considered extremely remote. No cases of transmission of viral diseases or CJD have ever been identified for albumin.

ADVERSE REACTIONS
The most frequently reported adverse event following injection of BOTOX^® Cosmetic for glabellar lines was eyelid ptosis (3%).

The most frequently reported adverse event following injection of BOTOX^® Cosmetic for lateral canthal lines was eyelid edema (1%).

DRUG INTERACTIONS
Co-administration of BOTOX^® Cosmetic and aminoglycosides or other agents interfering with neuromuscular transmission (eg, curare-like compounds) should only be performed with caution as the effect of the toxin may be potentiated. Use of anticholinergic drugs after administration of BOTOX^® Cosmetic may potentiate systemic anticholinergic effects.

The effect of administering different botulinum neurotoxin products at the same time or within several months of each other is unknown. Excessive neuromuscular weakness may be exacerbated by administration of another botulinum toxin prior to the resolution of the effects of a previously administered botulinum toxin.

Excessive weakness may also be exaggerated by administration of a muscle relaxant before or after administration of BOTOX^® Cosmetic.

USE IN SPECIFIC POPULATIONS
BOTOX^® Cosmetic is not recommended for use in children or pregnant women. It is not known whether BOTOX^® Cosmetic is excreted in human milk. Caution should be exercised when BOTOX^® Cosmetic is administered to a nursing woman.

Please see BOTOX^® Cosmetic full Prescribing Information including Boxed Warning and Medication Guide.

JUVÉDERM^® Ultra XC, JUVÉDERM^® XC, and JUVÉDERM VOLUMA^® XC Important Information

INDICATIONS

JUVÉDERM^® Ultra XC injectable gel is indicated for injection into the lips and perioral area for lip augmentation in adults over the age of 21.

JUVÉDERM^® XC injectable gels (JUVÉDERM^® Ultra XC and JUVÉDERM^® Ultra Plus XC) are indicated for injection into the mid-to-deep dermis for correction of moderate to severe facial wrinkles and folds (such as nasolabial folds).

JUVÉDERM VOLUMA^® XC injectable gel is indicated for deep (subcutaneous and/or supraperiosteal) injection for cheek augmentation to correct age-related volume deficit in the mid-face in adults over the age of 21.

IMPORTANT SAFETY INFORMATION

CONTRAINDICATIONS
These products should not be used in patients who have severe allergies, marked by a history of anaphylaxis or history or presence of multiple severe allergies, and should not be used in patients with a history of allergies to gram-positive bacterial proteins or lidocaine contained in these products.

WARNINGS

• Do not inject into blood vessels. Introduction of these products into the vasculature may lead to embolization, occlusion of the vessels, ischemia, or infarction. Take extra care when injecting soft-tissue fillers; for example, inject the product slowly and apply the least amount of pressure necessary. Rare, but serious, adverse events associated with the intravascular injection of soft-tissue fillers in the face have been reported and include temporary or permanent vision impairment, blindness, cerebral ischemia or cerebral hemorrhage leading to stroke, skin necrosis, and damage to underlying facial structures. Immediately stop the injection if a patient exhibits any of the following symptoms: changes in vision, signs of a stroke, blanching of the skin, unusual pain during or shortly after the procedure. Patients should receive prompt medical attention and, possibly, evaluation by an appropriate healthcare professional specialist should an intravascular injection occur
• Product use at specific sites in which an active inflammatory process (skin eruptions such as cysts, pimples, rashes, or hives) or infection is present should be deferred until the underlying process has been controlled

PRECAUTIONS

• In order to minimize the risk of potential complications, these products should only be used by healthcare professionals who have appropriate training, experience, and knowledge of facial anatomy
• Healthcare professionals are encouraged to discuss the potential risks of soft-tissue injections with their patients prior to treatment and ensure that patients are aware of signs and symptoms of potential complications
• The safety and effectiveness for the treatment of anatomic regions other than moderate to severe facial wrinkles and folds with JUVÉDERM^® Ultra XC and JUVÉDERM^® Ultra Plus XC, the lips and perioral area for lip augmentation with JUVÉDERM^® Ultra XC, and the mid-face with JUVÉDERM VOLUMA^® XC, have not been established in controlled clinical studies
• As with all transcutaneous procedures, dermal filler implantation carries a risk of infection. Follow standard precautions associated with injectable materials
• The safety for use during pregnancy, in breastfeeding females, and in patients with known susceptibility to keloid formation, hypertrophic scarring, and pigmentation disorders has not been studied
• The safety for use of JUVÉDERM^® Ultra XC and JUVÉDERM^® Ultra Plus XC in patients under 18 years has not been established
• The safety for use of JUVÉDERM VOLUMA^® XC in patients under 35 or over 65 years has not been established
• Use with caution in patients on immunosuppressive therapy
• Patients who are using products that can prolong bleeding (such as aspirin, nonsteroidal anti-inflammatory drugs, and warfarin) may experience increased bruising or bleeding at treatment sites
• If laser treatment, chemical peel, or any other procedure based on active dermal response is considered after treatment, or if the product is administered before the skin has healed completely, there is a possible risk of an inflammatory reaction at the treatment site
• Patients who experience skin injury near the site of implantation may be at a higher risk for adverse events
• The safety of JUVÉDERM VOLUMA^® XC injectable gel for use in patients with very thin skin in the mid-face has not been established
• Patients may experience late onset nodules with use of dermal fillers, including JUVÉDERM VOLUMA^® XC

ADVERSE EVENTS
The most commonly reported side effects for JUVÉDERM^® XC injectable gels were temporary injection-site redness, swelling, pain/tenderness, firmness, lumps/bumps, bruising, discoloration, and itching. For JUVÉDERM^® Ultra XC or JUVÉDERM^® Ultra Plus XC, they were mostly mild or moderate in severity, with a duration of 14 days or less; and for JUVÉDERM VOLUMA^® XC, they were predominantly moderate in severity, with a duration of 2 to 4 weeks.

To report an adverse reaction with JUVÉDERM^® Ultra XC, JUVÉDERM^® Ultra Plus XC, or JUVÉDERM VOLUMA^® XC, please call Allergan Product Surveillance at 1-800-624-4261.

For more information, please see JuvedermDFU.com or call the Allergan Medical Information line at 1-800-433-8871.

JUVÉDERM^® Ultra XC, JUVÉDERM^® Ultra Plus XC, and JUVÉDERM VOLUMA^® XC injectable gels are available by prescription only.

KYBELLA^® (deoxycholic acid) injection 10 mg/mL Important Information

Indication
KYBELLA^® (deoxycholic acid) injection is indicated for improvement in the appearance of moderate to severe convexity or fullness associated with submental fat in adults.

The safe and effective use of KYBELLA^® for the treatment of subcutaneous fat outside the submental region has not been established and is not recommended.

Important Safety Information

Contraindications
KYBELLA^® is contraindicated in the presence of infection at the injection sites.

Warnings and Precautions
Marginal Mandibular Nerve Injury
Cases of marginal mandibular nerve injury, manifested as an asymmetric smile or facial muscle weakness, were reported in 4% of subjects in the clinical trials; all cases resolved spontaneously (range 1-298 days, median 44 days). KYBELLA^® should not be injected into or in close proximity to the marginal mandibular branch of the facial nerve.

Dysphagia
Dysphagia occurred in 2% of subjects in the clinical trials in the setting of administration-site reactions, eg, pain, swelling, and induration of the submental area; all cases of dysphagia resolved spontaneously (range 1-81 days, median 3 days). Avoid use of KYBELLA^® in patients with current or prior history of dysphagia as treatment may exacerbate the condition.

Injection-Site Hematoma/Bruising
In clinical trials, 72% of subjects treated with KYBELLA^® experienced hematoma/bruising. KYBELLA^® should be used with caution in patients with bleeding abnormalities or who are currently being treated with antiplatelet or anticoagulant therapy as excessive bleeding or bruising in the treatment area may occur.

Risk of Injecting Into or in Proximity to Vulnerable Anatomic Structures
To avoid the potential of tissue damage, KYBELLA^® should not be injected into or in close proximity (1 cm-1.5 cm) to salivary glands, lymph nodes, and muscles.

Adverse Reactions
The most commonly reported adverse reactions in the pivotal clinical trials were: injection site edema/swelling, hematoma/bruising, pain, numbness, erythema, and induration.

Please see KYBELLA^® full Prescribing Information.

Holiday treatments to be photo ready
Plastic Surgical Specialists.

Do you have a double chin?

According to a recent survey by Allergan, 2 out of every 3 of you reading this are bothered by your submental fullness. More commonly known as the “double chin”, submental fullness is mainly caused by aging and weight gain. Traditionally a liposuction procedure was the only solution to get rid of this stubborn area of fat.

Now there is an in office solution–Kybella. Kybella is the newest FDA-approved injectable drug. It is a non-human and non-animal formulation of deoxycholic acid, that aids in the breakdown and absorption of fat. Meaning that when I inject it into the fat on below your chin, it will cause the destruction of the cells. Once destroyed, those cells cannot store or accumulate fat. Treatment is expected to be permanent, meaning you will not need to keep returning.

To achieve optimal results, two treatments are recommended with 8 weeks in between each. Below you will find some before and after photos of patients after getting Kybella. If you would like to schedule your treatment or get more information, call my office at 316-263-0234.

Adra|Age: 36 |Weight (before/after treatment): 143 lbs/144 lbs | Total Treatments: 3

Ponti|Age: 48 |Weight (before/after treatment): 186 lbs/186 lbs | Total Treatments: 6

David|Age: 54 |Weight (before/after treatment): 193 lbs/191 lbs | Total Treatments: 4

Actual patients. Unretouched photos taken before treatment and after final treatment. Individual results may vary.

KYBELLA®
Plastic Surgical Specialists.

Breast Reconstruction Awareness Day 2016
Plastic Surgical Specialists.

Mohs surgery is a procedure performed by the dermatologists at Moeller Dermatology to remove certain types of skin cancers such as basal and squamous cell carcinomas. They remove the skin cancer layer by layer and exam the layer under a microscope to make sure they are getting all of the cancerous cells removed. Typically your dermatologist can close up the defect left by the removal process. In certain circumstances, they coordinate the closure process with me. These cases are usually located in a cosmetically sensitive area like the scalp, forehead, eyelid, nose, cheek, lip or ear that require a delicate process. They will also consult with me if the area to close becomes too big and requires an intensive surgical technique.

90% of the time I perform the closures in my office the same day as your Mohs surgery. I often perform a primary closure or a local flap for closure. This involves the delicate placement of stitches in multiple layers of your skin to minimize the appearance of a scar.

The other 10% of closure occur in the operating room. These are typically due to the complexity of the defect needing additional coverage. The additional coverage can be in the form of a local flap or a skin graft.

I like performing Mohs closures to help my patients restore their appearance and recover both physically and mentally from a skin cancer diagnosis.

The American Society for Mohs Surgery is a great resource for more information on Mohs Surgery and Closure. I also invite you to contact my office with any questions about your Mohs Closure.

Mohs Closure Surgery by a Plastic Surgeon
Plastic Surgical Specialists.