Dermatology Head-Toe Makeover

      At Klein Dermatology & Associates in Lake Oswego, Oregon, we are doing a head-toe makeover for some lucky person this summer. The prize will include anything that we do here at the office that the patient would benefit from such as: BOTOX, Voluma, Juvederm, Vollure, Volbella, IPL, Kybella, Sculptra, chemical peel, hair laser – for the head… and for the body a “transformation package” with CoolSculpting using the new 2017 painless technology.

That means permanent body contouring by fat freezing for anywhere needed most… the abdomen, waist, flanks, back fat, bra fat, outer thighs, inner thighs, knees, arms, or under the chin fat.  The value of this contest will be somewhere between $10,000 – $20,000. Wowwww!

Rules to enter:
1. 18 years or older
2. Must be available and have a flexible schedule to be able to work with us in scheduling appointments and follow-ups
3. Patient at Klein Dermatology & Associates (can be for any reason, skin checks, hair laser etc.) (Schedule an appointment if you aren’t a patient yet.)
4. Willing to be a patient advocate for the practice, meaning allow us to show your before and after pictures to prospective patients, attend events if we have them for CoolSculpting, and generally say nice things about us.
5. “Like” us on Facebook
6. Submit pictures of yourself (ex. iPhone pictures) of face and body (in clothing) but showing the bulge or area most troubled by.   Submit digital photos by email to marla@kleindermatology.com
7. Write a review on Google, Yelp, or Healthgrades
8. It also may be useful for your entry to explain why you want to get something done along with the digital photos.

We will collect entries starting now and going through June 30, 2017. A panel of judges will narrow down the contestants to 3 semifinalists. Those 3 will need to come into the office for Dr.Klein to do an examination towards the end of June.  Of the three, Dr. Klein will choose the one big winner.

  Klein Dermatology & Associates has the new 2017 technology (painless and faster) in CoolSculpting.  Dermatology has so much to offer now, come check us out.

For an appointment call (503) 445-2200

Klein Dermatology & Associates

5200 Meadows Rd. #250

Lake Oswego, OR 97035


Klein Dermatology - April 2017 Newsletter

  Klein Dermatology & Associates – the place for all your skin care needs

APRIL 2017 SPECIALS 

Call for an appointment 503-445-2200, phones are open M-F 8-12:30 and 1:30- 5 pm

1. BOTOX $40 OFF  (20 unit minimum) this is a treatment to treat wrinkles between the brows and by the Crow’s feet (and so much more). This special price is only applicable when scheduled with Alicia, Jamie or Tasha. You may also add on Brilliant Distinctions coupons.
2. Volbella $50 OFF  This is the latest HA filler by Allergan, thin, lasts 1 year, and especially well suited to lips and perioral lines and smoothing out the lips without making them big. Being referred to as the internal lip gloss in my medical meeting. Schedule with Dr. Klein or Alicia.
3. Hair Removal Laser 20% OFF typically requires 3-4 treatments scheduled 6-8 weeks apart. Please schedule with Tasha or Jamie.  Imagine having smooth underarms, bikini and legs that you never have to spend time shaving anymore.  It is a huge time-saver!

BOTOX BONANZA DAY is April 27th. BOTOX is only $10/unit that one day and can only be scheduled with Tasha, Jamie, or Alicia. It does not combine with the $40 OFF special.   Schedule now if you want to be included in this amazing special.

 

FEATURED PRODUCT

Elta MD UV Clear is my absolute favorite sunscreen for the face.  It is zinc based, meaning it is not a chemical sunscreen, and therefore good for sensitive skin.  It is micronized and it doesn’t block pores.  It doesn’t make acne worse or cause milia for most patients.  In the summer, remember to protect your skin with a hat, shade, sunscreen and SPF clothing.  Re apply sunscreen every 3-4 hours if you are outside.  We sell this at the front desk.  $28 a can.

Open for appointments Monday – Friday from 7:30 am – 5:30 pm
Hair Removal laser appointments are typically scheduled towards end of day.

Tanned skin (whether by sun or self-tanner) cannot be treated with the hair removal laser. This laser works best on dark hair and fair skin, particularly the armpits, bikini region and lower legs.

Marla M. Klein, M.D.

Klein Dermatology & Associates     5200 Meadows Rd. Ste 250     Lake Oswego OR 97035   Phone 503.445.2200    www.kda-derm.com     receptionists@kda-derm.com

 

 

 


Things To Do Lake Oswego

Besides being an expert in skin care … now as the business owner I am leanring better ways to display my work.  If you haven’t checked out the KDA website for awhile, the latest addition to the Klein Dermatology & Associates website is a section called “BEFORE & AFTER”.   This shows the natural type of work we do here.   We are not extremists by any means, and I can’t stand it when I see celebrities with those weird up front giant cheeks that make their eyes look weird when they smile.  Patients must consent to this before anything can be shown, so each of the patients has given their full consent.  In the world of aesthetic dermatology, being able to show one’s work is important because it is artistry, and the result is going to be different with Botox and fillers depending on who is performing the procedure.

I’m learning to make videos too.  I’ve bought some different cameras and software… but so far I can tell you that the very EASIEST way is to use the phone version of QUIK, and it is FREE!  I can show you the first video I’ve ever made.

CLICK RIGHT BELOW:

https://quik.gopro.com/v/UhqwvZBhK5/

I hope you all had a wonderful Thanksgiving,

Marla Klein M.D.

 


Just Returned from Italy - September 26, 2016

The view in Vernazza  photo-sep-13-6-24-56-am   , Manarola,  manarola-harbor  Camogli,  photo-sep-18-10-24-24-am  Siena,   photo-sep-21-2-29-38-am  & Tuscany photo-sep-20-9-16-28-am

Many of you who know me, know that I don’t take a lot of vacation.  However, over the last few years I have been fortunate enough to be able to take one “big trip” per year, and it gives me something to really look forward to.  This year I went to Italy, the Cinque Terra and Tuscany region to explore.  September is a nice time to go, there aren’t as many tourists so it isn’t as crowded.  I think no matter what time of year you go to Italy, the food is fabulous.  I ate too much, gained some weight, but it was fun.

photo-sep-21-4-09-36-am     photo-sep-18-4-14-07-am     photo-sep-16-11-11-36-pm     photo-sep-15-8-49-43-am      photo-sep-18-10-50-48-am   photo-sep-18-4-12-22-am  that’s a cheese wheel he is preparing a pasta dish inside!

 

and of course GELATO!

photo-sep-14-1-57-17-am      photo-sep-21-2-14-58-am   when I retire (in about 12 years from now I hope) my desire is to have a gelateria!

 

I’m back to work now, all refreshed, but have to pick a new place to look forward to visiting.  It was my first experience with AirBnB and everything went quite well.

 

Yours truly,

Marla Klein MD

 


Skin Cancer - Myths and Facts

Young woman who forgot the sun tan lotion

What is fact and what is myth of the 9 following statements?

  1. I only need to get checked for skin cancer if I see something weird on myself.    False. While it is true that self-examination is important, but anyone with a personal or family history of skin cancer should be seen by a dermatologist for a full skin exam at least once a year.
  2. You can’t get skin cancer on a part of the body that doesn’t ever see the sun.  False.  While it is true that basal cell carcinoma and squamous cell carcinoma occur in areas that received sun exposure, melanoma (the life-threatening skin cancer) can occur anywhere on the body.  It is very hard to see one’s own scalp, back and buttocks to see if anything new is there, so get checked.
  3. Dark skinned people aren’t at risk for skin cancer.  False.  My favorite example here is Bob Marley.  Bob Marley died because of a melanoma on his foot.  In fact skin cancer can be deadlier in dark skin people because it is often detected at a later stage.
  4. People who freckle are more susceptible to skin cancer.  True.  Freckles are a sign of previous sun exposure, and they are an indication of sun damage.  Freckles are more common in fair-skinned people, who have an increased risk of skin cancer.
  5. The SPF in my foundation is enough protection.  True and false.  For everyday exposure in Portland Oregon in the winter, makeup with sunscreen (15 or higher) can provide adequate protection.  However, your makeup should not  be used as a substitute for sunscreen if you are going to be spending extended time outdoors.  For those times, look for a  broad spectrum sunscreen over 30.  You know you are doing a good job if you get absolutely ZERO TAN.  Browning of the skin is a sign of sun damage.  There is no “good” tan, not even a so-called base tan is good for you.  Our favorite sunscreen at Klein Dermatology & Associates is the EltaMD brand that contains zinc.  The EltaMD UV Clear is specially designed for acne and rosacea skin types.
  6. Skin cancer looks like a weird mole.  True and False.  While melanoma skin cancer sometimes looks like a weird mole (and not all weird looking moles are necessarily cancer), the most common types of skin cancer (basal cell carcinoma and squamous cell carcinoma) can appear as a pink bump or patch or sore or pimple that won’t heal.  The key is to seek a dermatologist’s opinion as soon as you see anything on your body that looks new or suspicious.
  7. I need to get my Vitamin D, so I expose my skin to as much sun as I can.  Bad idea.  It’s best to obtain vitamin D through diet and vitamin supplements.  The harmful effects of sun exposure far outweigh any vitamin D benefits.   With the new Vitamin D serum levels advised you can’t get enough through the sun alone.  Dermatologists did a study and found that young Hawaiian surfers out in the sun all day unprotected still didn’t manufacture enough vitamin D in their blood to meet the current recommended levels.
  8. People who burn easily are more susceptible to skin cancer.  True.  Fair-skinned people who burn easily are very susceptible to skin damage, skin cancer, and early aging of the skin.  Sun exposure increases a persons risk of all three of the most common skin cancers: basal cell carcinoma, squamous cell carcinoma, and melanoma.
  9. Putting your sunscreen on as soon as you arrive at the beach or golf course is best.  True and False.  You must know what the active ingredient is in your sunscreen to know when you should be applying it.   The mineral sunscreens also known as barrier sunscreens that contain zinc (like EltaMD) or titanium start blocking UV rays as soon as you apply it to your skin.  The chemical sunscreens like oxybenzone, avobenzone, octisalate and octinoxate require a reaction to take place with your skin cells which takes approximately 30 minutes before they start working.  So if you are a redhead, and wait until you are on the beach on a sunny day to apply your Neutragena….by the time your sunscreen begins working you would already be burned.  People generally can do a better job of applying their sunscreen before they get dressed, while still indoors.  Too often people don’t get close enough to the places the clothing starts and stops and those strips of skin will burn.  Remember no matter what the SPF is (30 or higher is preferred) it will still only last 3-4 hours.  Re-applying sunscreen when you are out all day is very important.  Using clothing with SPF in it, makes this job easier.  Be safe in the sun, and if you are golfing remember to re-apply between the 9th and 10th holes.

Four Free Dermatology Makeovers

bride2    FOUR (4) BRIDAL MAKEOVERS for FREE… some strings attached

For a very short time Dr. Klein is offering four dermatology makeovers completely for free!  Please schedule a free no charge consultation with Dr. Marla Klein before June 30, 2016.

She is looking for four faces to demonstrate the benefits of botox, fillers (Voluma, Juvederm, Belotero, Restylane Silk) on and possibly IPL, chemical peels, microdermabrasion if needed.  She needs before and after photo sets that can be shown at lectures, on the website, and for in office consultation.

She needs faces between 35-55 years old that would demonstrate the WOW factor of fillers and Botox and great skin care.   Candidates must not be tan and must be willing to stay tan-free all summer.  They don’t have to be brides (She won’t actually be checking for an engagement ring) and they don’t have to even be women.  They just need to be the right kind of face to demonstrate Botox and fillers.

People who are on the thin side or feeling that their face is sunken, droopy, or saggy are probably good candidates.  Faces with bad frown lines between the eyebrows and crow’s are good.  People with flat faces who need cheekbones, please apply.  Need a natural looking rejuvenation, this is the way.

To be considered for a free dermatology makeover worth up to $7,000 you must be able to make yourself available. It may take six appointments within the next three months to get everything done.   The final after shots are a must.

You should avoid all blood thinners which include:  aspirin, ibuprofen, NSAIDS, Alleve, Motrin, fish oils and vitamin E starting NOW.

Schedule an appointment to come in for a quick assessment to see if you are suitable for Dr. Klein’s needs.  A signed consent saying pictures can be shown will need to be signed before any free treatments will be performed.  Not all faces are suitable for this kind of makeover, but there is a high chance that there is.   Most treatments have very little pain involved.

If you know any brides on a budget who want to look great on their special day, please pass this announcement along.  People will need to be chosen immediately for this project.   503-445-2200

Schedule the consult quickly as the first four suitable subjects will be signed up for the project.

 


Avoid Getting Eaten by Mosquitoes

mosquitoaedes Mosquito!         mosquitobitten  Bite!         IMG_0107Prevention.

As someone who gets attacked often, or I guess I should say “used to” get attacked often, by mosquitoes, I have taken a great personal interest in the topic of how to avoid getting bitten by mosquitoes.  Over the past 2 weeks, I can tell it is mosquito season once more, as the patients are coming in with a lot of bites on their skin.

This past year, even more attention has been brought to the subject in light of the Zika virus problem mainly effecting South America, Central America, the southern portion of North America and Africa.  I feel fortunate to live in Oregon, as at the moment the Zika virus has not become a full-out threat to our beloved pregnant friends.   However, worldwide spread of diseases has a better opportunity to spread with the world getting smaller.  One concern of mine is the 2016 Olympics, being held in Brazil.  We have a lot of Nike employees and other people who might be traveling down that way, and could potentially bring it back…. so anyone traveling to a “hot zone” please pay attention here.

Mosquitoes can transmit Zika, Dengue, Yellow fever, Chikungya and malaria.  Malaria is transmitted by a different mosquito than the other four diseases.  If one gets infected with the Zika virus, they are unlikely to know it, as 80% of people are asymptomatic.  For the 20% with symptoms, these may include malaise, nausea, vomiting, fever, itching or rash.  It is not a serious life threatening disease to healthy non-pregnant people.   The Zika virus can be spread through sexual contact from a man to a woman via semen.  If a pregnant woman is infected with Zika, the baby may end up with microcephaly (a small head) and brain issues.  Therefore, women who are pregnant, trying to get pregnant, and male partners of these women, must be careful.

Apart from the fear of spread of diseases from insects, it is a major irritation to most people to have the itchy insect bite reactions.   Once bit, applying a strong cortisone cream like Clobetasol or Betamethasone twice a day is very helpful in making the itch go down, and the healing to go faster.  You would need to get a prescription from a dermatologist to get one of these.  I’ve learned that I really don’t like to travel without it.  So please ask us if you need one.

Prevention is the best medicine though, right?  Mosquitoes are very active at twilight and during daylight hours.  I have found Avon’s Skin-So-Soft (check Amazon) to be very effective, safe, and not sticky.  It has SPF in it too.  My other favorite thing is the Ex-Officio clothing.   By the way, mosquitoes are attracted to dark clothing, so WEAR LIGHT COLOROED CLOTHING.   I’ve had terrific luck with their Bugsaway clothing.  

Want some natural remedy ideas?  How about lavender?  Lavender is a natural mosquito repellent and easy to use.  Put a little drop of lavender oil on your pillowcase or wear as a body lotion or fragrance.   Citronella is another option, which comes available in candles.  Try a few drops of dish soap in a bowl of water, placed around the perimeter of a deck to discourage biting visitors.  Sage and Rosemary can work also, but to work best they need to be burned.  Make sure all window screens are repaired, and any stagnant water nearby is drained.  Avoid traveling to the hot-zones if possible.

Have a great summer, play safe.  😀


Dermatology Milestone: 30 years old

30now

Congratulations, you’ve made it to 30 years old.   You might be thinking about getting married and having kids, or maybe you are already there.  With children comes new responsibilities.  Not only as a parent are you responsible for the health and well-being of your mini-me, but you also need to take a step back and reflect on your own health and other matters pertinent to the welfare of your child.  This is the time to have health insurance, a life insurance policy, make decisions about who should be the caretakers of your child if something were to happen to you and your spouse and have a will drawn up.  This is the time to start saving for retirement and setting aside money for your kid’s college AND mortgage payments.

At about 30 most folks start to comprehend that they aren’t 20 anymore, and they really need to start taking better care of themselves.  After all, you want to set a good example for your children too, right? Make a list of the doctors you should be seeing for health maintenance.   You need a primary care doctor, a dentist, and a dermatologist, for starters.  Annual dermatology visits are a must.  Did you know that once you have been diagnosed with melanoma you won’t be able to get life insurance or give blood anymore?  Statistically 1 out of 40 USA citizens will get a melanoma at sometime in their life.  That’s 1:40 !

As far as your skin goes, you aren’t too old for acne, you aren’t too young for skin cancer, and you aren’t too young for wrinkles.  You will likely see visible changes in your body’s metabolism, and your skin will be a little drier than it once was, and it will be harder to lose weight.  Your face is still probably making some oil, so you need light weight products for moisturization like hyaluronic acid serums (that do not contain dimethicone). You probably aren’t getting enough exercise or drinking enough water.   New growths are going to start showing up on your skin that weren’t there before.  You will start learning to identify what a angioma, a seborrheic keratosis, and skin tag look like.  Angiomas aka hemangiomas are the little red moles that start to pop out everywhere.  Seborrheic keratosis are the rough raised tan or brown bumps that look like dead skin, and often referred to as barnacles; they’re ugly, but at least they are harmless.  Skin tags develop where skin gets rubbed, and could be one more reason to try to keep that weight down.  Your brown flat moles called nevi are still at risk for melanoma, but now you are into the prime age group to develop a melanoma.

Overall though, you look great.  You are at your peak.  The age of 30 is considered to be the ideal for facial shape in our culture.  Young women apply blush under their cheekbones to look older.   Eighteen year old’s hate how big their cheeks are.  Truly, at about 30, your face should look pretty good, and its just downhill from here.  So now it becomes about preservation and prevention.  I hope you are using your sunscreen, and have developed the common sense by now to not use tanning beds, ever.  Trying to get a base tan before trips is not wise.  Smoking is terrible, not only because it causes lung cancer, but it makes your skin age rapidly too.

For men, if baldness runs in your family, and you don’t want to be bald, you should start talking to your dermatologist now (while your hair is still there!) about whether or not you want Propecia. For women, your hair is starting to thinning too.  You can take biotin, but Propecia won’t help you, you’ll just have to accept it, and find a great hair stylist.

For men and women, skin care needs to evolve to a new stage.  Your hands and legs are going to need more moisturizing CREAM (not lotion), and it might be time to say goodbye to Dial soap or any other soap that dries out the skin too much.  Just cleansing your face twice a day and slapping a little sunscreen on isn’t quite enough anymore.  Now you should be considering regular exfoliation, and if you are constantly frowning or squinting you should consider the preventive benefits of Botox.   Looking angry all the time isn’t good.  Waiting until 40 when the lines which some people call the “11’s” between the eyebrows are very deep is on the late side for best results.

If there is something in particular you’d like to change about yourself, feel free to ask your dermatologist.  There are new options all the time.  The latest thing to come out is Kybella to remove fat under the chin, a purely genetic thing, and it’s permanent.  So, happy birthday 30 year old, life feels great!    😀

 

 


First Botox Bonanza Day at Klein Dermatology May 20, 2016

botoxad2

Klein Dermatology & Associates will be hosting a BOTOX BONANZA DAY on MAY 20, 2016.  

Botox will be $10/unit for ONE DAY ONLY.   Xeomin will also be available at $10/unit.  In addition, to offering big savings on the botox treatments, information will be available about Kybella (treats the double-chin), Voluma (lifts the face), Juvederm, and other treatments we offer.  

Injectors for this special day will be Dr. Marla Klein, Alicia Wayland RN, Jamie Kersenbrock FNP, and Tasha Gouin FNP.   Schedule early, call now 503-445-2200, these appointments will fill up fast.  This is an excellent opportunity for first timers: for either relaxing and smoothing lines on the face and for people who suffer from migraines to try Botox with an expert at a low price.

real-self-botox


Dermatology Milestones

18birthdaycake

What are dermatology milestones?  This refers to the way our skin changes as we age and that there are certain things a person might want to know about ahead of time, especially if there is a solution.

I’ve decided to start with the age of 18, but I’ll cover all the “biggies” in the near future, so be sure to check back.

My view of youth today tells me that things don’t really change that much with the generations, just the technology does.  I would expect that the average 18 year old thinks mostly about their sports, music, activities, friends and dating.  If their parents are lucky, they are thinking about either going to college or getting a full-time job.

They don’t tend to spend too much time thinking about how they will age or how long they will live.  Seeing a dermatologist isn’t too high up on their priority list and, “who cares about sunscreen, I think I look better tan.”  Acne and warts are going to be the top reasons for an 18 year old to see a dermatologist.

Did you know that in the USA, the current life expectancy is 79 years old?  I checked on the statistics and I was surprised to learn that the USA ranks only #37 in the world for longevity.  Japan ranks #1 with a life expectancy on average of 83 years old.  Switzerland is #2, and Italy is #4.  I frequently see patients in their 80’s, 90’s and a couple over 100, so I think it is fair to say I know a lot about what the skin is going to do with time.

I don’t think most 18 year old’s think about how long their lives will be.  They are invincible right?  However, now they are officially adults, and certain things are expected of adults, so this milestone represents a big game-changer for our youth.

Here is my advice: hygiene matters.  Wash your face twice a day, brush your teeth twice a day, shower daily, use soap and shampoo, use deodorant and probably anti-perspirant. Dry completely off, especially between the toes.  Wear flip flops in public showers.  If you get athlete’s foot then treat it to try to avoid ending up with nail fungus in your toenails.  If you have acne, treat it, don’t let yourself get acne scars since they are so expensive to try to treat later.  Even excessive armpit sweating is a treatable condition.  See a dermatologist if you need help.

You might think you won’t care what you look like at 60 years old, but you actually will.  Use sunscreen.  Never go in a tanning bed, and remember that a tan isn’t beautiful, tan skin = damaged skin and faster appearance of aging.  Think about your habits, if you enjoy outdoor activities, protect your skin from the radiation of the sun by wearing SPF clothing, a hat and sunscreen. Getting a sunburn is painful and has long term consequences, avoid getting burned! EltaMD is an excellent zinc sunscreen that comes in clear, tinted, spray and even a sport version that doesn’t sting the eyes.  You are never too young to protect your skin from the sun.

If you have a family history of melanoma, it is time for annual full skin monitoring to be done by your dermatologist. OK, yeah, its a little embarrassing, but you better get used to it, because you will have a lot of doctors in your future.  Suck it up, you’re an adult now.

Melanoma is a skin cancer that can kill you if it isn’t found early.  At 18 years old, it is possible that you could already have a melanoma somewhere on your body.  You are 10 times more likely to get a melanoma if a first-degree family member has had one.

The American Cancer Society predicts that in 2016 there will be 76,380 new melanomas diagnosed in the USA, and there will be 10,130 deaths from melanoma.  Your lifetime risk is 1:40 now for ending up with a melanoma.  How big was your graduating high school class?   My son’s class was about 300 people, which means 8 of those teens will be diagnosed with a melanoma at some point in their lifetime.  Hopefully they won’t die because of melanoma.  Statistically, women get checked younger than men do and women’s melanomas are detected sooner than men’s, which leads to the statistics that men are more likely to die of a melanoma than women are.

I’ll save sexually transmitted diseases for another blog.  Happy birthday 18 year old!     🙂