Marla Klein MD - Oregon's BOTOX® Expert since 2003

BOTOX® Cosmetic by Marla Klein MD

Dr. Klein originally began treating patients with BOTOX® in 1997, shortly after the Dr. Carruthers’ papers appeared in the medical literature. Marla Klein MD is the originator of the “Northwest BOTOX®” look in contrast to “L.A. BOTOX®” look, because patients in the Pacific Northwest desire a more natural appearance than the way BOTOX® looks on the faces of many Los Angeles celebrities. Dr. Klein’s philosophy on BOTOX® has always been more is not necessarily better; precision is the key to a beautiful result. Most of Dr. Klein’s BOTOX® Cosmetic patients report that no one knows they get BOTOX®, not their husbands, and often not even their closest friends. Patient’s privacy has always been a top concern in the office of Dr. Marla Klein.

In 2003, Allergan asked Dr. Marla Klein to be on its National Training Faculty and become a National Training Center for the purpose of teaching other medical providers how to perform BOTOX® treatments. She has trained many doctors, nurse practitioners, and nurses how to perform BOTOX®. After that she also became a trainer in Juvederm fillers.

Dr. Marla Klein specializes in both medical and cosmetic dermatology. She treats patients with skin condition ranging from moles to skin cancer. She has diagnosed melanoma in at least six of her cosmetic patients; even though the patient was scheduled for a cosmetic consultation or a BOTOX® treatment, they had asked Dr. Klein to look at something else on their skin for them, which turned out to be something serious.

As a Board Certified Dermatologist, with years of intense training focused on recognizing and treating skin conditions, Dr. Klein is able to recognize and biopsy melanomas while they are in their earliest stages. Melanomas are often subtle and very difficult to recognize. Imagine if these patients had asked an untrained eye for their opinion? It is likely that someone with their background in internal medicine or geriatrics would not have recognized a potentially life threatening skin lesion. Dr. Klein often helps her cosmetic patients treat other problems such as acne, rosacea, and skin cancers on the faces. Many aren’t even aware they have actinic keratoses (pre-cancers) on their faces.

What is BOTOX® Cosmetic?

BOTOX® Cosmetic, comprised of botulinum toxin, temporarily relaxes facial muscles, reducing the look of fine lines and wrinkles. Injected directly into the targeted muscles, BOTOX® eases the muscle tension that causes dynamic wrinkles to appear. In just one session, the lines along the forehead and around the eyes can be safely treated. This helps to prevent lines and wrinkles from getting deeper, or forming at all. BOTOX® Cosmetic is a very useful preventative tool.

BOTOX® Can Improve:

  • Frown Lines (the “11’s or “1” between the eyebrows)
  • Crow’s feet (lines at the sides of eyes)
  • Forehead lines
  • Bunny lines also sometimes called wolf lines on nose
    Chin dimpling
  • Brow lifting

As a solo treatment, BOTOX® Cosmetic provides excellent wrinkle-reducing results. For best facial aesthetic results, BOTOX® is done as a treatment partnered with dermal and deep fillers like Belotero, Restylane Silk, Juvederm and Voluma, and collagen stimulators like chemical peels and Sculptra. Dr. Marla Klein and the experts at Klein Dermatology & Associates can advise you on other treatments and services available to best rejuvenate your face and maintain your good looks, optimizing good skin health.

The Ideal BOTOX® Candidate

BOTOX® Cosmetic can successfully treat dynamic wrinkles on the face for both men and women. BOTOX® Cosmetic is safe for all ages over 18, all skin types and all skin colors. The ideal patient takes good care of their own general health, understands what the treatment is and how it works, and has realistic expectations.

The BOTOX® Consultation

Before a BOTOX® Cosmetic treatment is done, you will need a consultation with one of KDA’s experienced and highly skilled injectors. During this appointment, we will examine your skin, review your medical history, and discuss any current medications. We will explain the BOTOX® procedure and what you can expect from the treatment. If the assessment determines that BOTOX® is right for your needs, a unique treatment plan will be created and you can begin receiving your BOTOX® treatment immediately after the consultation. Other treatments discussed in a consultation may need to be scheduled at a different time. Below are some questions the maker of BOTOX® suggests that you can ask at a consultation.

Here are 8 questions Allergan suggests you ask your provider, followed by Dr. Marla Klein's answers:

Yes, Dr. Klein does.   Medical doctors are required to take intense and detailed anatomy in medical school, which is then reinforced in surgical rotations, then again during the three years of dermatology residency required to be a dermatologist.

Dr. Marla Klein has 19 years of experience injecting BOTOX® Cosmetic.

Dr. Marla Klein has been treating patients with Botox® every single day for over 15 years. She works four days a week in her private practice, Klein Dermatology & Associates. In addtion to BOTOX® Cosmetic, Dr. Klein treats many patients for migraines and hyperhidrosis.

It is good practice for new injectors to schedule follow-up visits with their patients in two weeks after their BOTOX® Cosmetic appointments. At that time, BOTOX® will have reached its peak, and if any tweaking needs to be done, that is the best time to do it. It is educational for the injectors, as well as a way to ensure patient satisfaction. Dr. Klein asks her nurse practitioners, Jamie Kersenbrock and Tasha Gouin, to schedule two week follow-up appointments for the BOTOX® patients they treat, and Dr. Klein is almost always on site for any questions and consultation. Due to Dr. Klein’s large number of years of experience, Dr. Klein does not have her patients do two week follow-ups automatically, but if a patient does call with concern regarding their treatment, they are fit in immediately for any adjustments to be made.

No, not for BOTOX®. Dr. Klein has always considered her patients privacy a top concern, and has carefully noted that 95% of her patients don’t want anyone to know they have had BOTOX®. For this reason, before and after pictures have never been a part of Klein Dermatology & Associates practice for patients getting BOTOX®. It was just very recently, in early 2016, that Dr. Klein began to feel the pressure of a world changing; social media in the last ten years went from being non-existent in medical practices, to being required. How can a person’s privacy be protected and also be asked for before and pictures to show the world simultaneously? Prior to just last year, all of Dr. Klein’s new patients came as a result of word of mouth referrals. At a dermatology meeting in February 2016, she finally had to accept that social media was the new word of mouth.

The most common side effect is typically a bruise.  No one wants a bruise, and Dr. Klein and her nurse injectors are very gentle and careful not to cause bruising; however, sometimes bruises still can happen.  The most unwanted BOTOX<sup>&reg;</sup> result we are aware of is that some patients will get “spocked up” lateral eyebrows when the frown lines between the eyebrows are treated.  This is easily remedied at a two week follow up appointment.  A rare patient will report a headache occurred after the treatment; whereas the majority of patients report it helps their tension and migraine headaches.

Arnica cream or gel can be purchased over the counter and applied three times a day to bruises. If there is any concern about the appearance of the result, we want you to call the office immediately.

Be prepared to tell your provider about any medical conditions, including any prescription medications, vitamins, or herbal supplements you are taking. There is no longer any “contraindication” to getting BOTOX®, since it is used now in neurological disorders, including multiple sclerosis, for treatment. The major concern to most patients is the fear of a bruise. If the patient avoids blood thinning medications (which include aspirin, NSAIDS, ibuprofen, alleve, motrin, vitamin E, and fish oils) the chance of a bruise goes way down.

The BOTOX® Treatment

A BOTOX® Cosmetic session will take less than thirty minutes to have done. During the brief exam, the targeted muscles will be evaluated. The size of the person, the activity, size and location of the muscles, as well as the oil content of the patient is taken into consideration. The procedure itself is considered to be painless or very low in pain by most people. Patients generally report feeling a slight pinch and pressure. The BOTOX® is injected through a very fine needle, many patients compare the sensation to that of a needle prick. The actual injections will take only a few minutes to complete.

Results from BOTOX®

There is no downtime needed after injections from BOTOX®. You are able to return to normal activities the same day. Initially, minor pinkness may occur at the injection sites, but these typically resolve within thirty minutes. If a patient has a tendency towards bruising, then that patient should continue to avoid blood thinners for about four more days after the treatment. Most patients will detect their BOTOX® “kicking in” within 3-4 days, however the full peak effect may take a full two weeks to occur. Early wrinkles smooth out immediately, whereas deeper set wrinkles may take 1-2 months to see improvement.

Why not have two offices?

Some patients have asked Dr. Klein why she doesn’t open a second office, for instance in a state like Idaho? Although Dr. Marla Klein does have medical licenses in Oregon, Washington, and Idaho, the licenses in WA and ID are only for the purpose of training other physicians when she travels to their states. In order to demonstrate injection technique, one must have a medical license in that state. Although it is true, she could increase her BOTOX® sales numbers for her Allergan account, by employing more nurse injectors, Dr. Klein wouldn’t feel right about using her reputation in that way. It is important to Dr. Klein that her nurse practitioner injectors practice from the same office as she does, so that Dr. Klein is easily available for consultation when the need arises.

The Best BOTOX® Injector in Portland Oregon

Marla M. Klein, M.D. is a nationally recognized leader in aesthetic medicine, and one of the original pioneers in BOTOX® treatments. She has been on Allergan’s National Educational Faculty since 2003. Allergan (the maker of BOTOX® Cosmetic) has changed the name of their faculty several times, but basically it means she has been showing other doctors how to treat patients with BOTOX® for over 12 years. She has consistently been one of the top providers for BOTOX® in the Portland Metro area of Oregon for over 15 years. As of 2016, Allergan no longer has offices that are called national training centers. There are med-spas and clinics popping up all over the country that claim to be Botox® or skin care experts, but only Board Certified Dermatologists are the true skin care experts.

As a Board Certified Dermatologist, Dr. Marla Klein has a medical education, completing an M.D. degree, and was within the top 5% of her class in order to be competitive enough to earn a position in a dermatology residency program. An additional three years of intense education focused upon skin diagnosis and treatment in an accredited dermatology residency program sets her apart from all other top BOTOX® providers in the area. By choosing the most reputable and skilled BOTOX® Cosmetic physician, Dr. Klein, you will greatly decrease the chance for any undesirable effects to occur.