General Medical Dermatology

Full skin exams

A full skin exam is done for the purpose of screening for skin cancer. It is covered as an office visit by most insurance companies. Some treatments can be performed same day and others may need to be scheduled depending on the amount of time it will take to do. Biopsies may be done by shave, punch, and excisions. Liquid nitrogen cryotherapy is also sometimes used when indicated.

We accept most Blue Cross, Providence, and Pacific Source plans. Self paying patients are always welcome, and we have a schedule of fees available at the front desk.

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Acne and Rosacea

Whether it is mild or severe acne, we can help you to get clearer skin. We offer help with home skin care routines, and can prescribe topical and/or oral medications if needed, including isotretinoin at an office visit. We are approved for participation in the IPLEDGE program in order to be able to Rx the isotretinoin. In addition, we have a way to do the labs with a finger-stick available in the office, to make your life just a little easier.

We also provide services for acne that are not covered by insurance companies such as Hydrafacials and chemical peels.

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Dry skin, warts, SKs, cysts, fungal infections, tag and mole removal

Klein Dermatology can help you diagnose whether its eczema, psoriasis, dry skin or possibly something else and give you a skin care treatment plan based on your personal needs. We are well-trained in skin care diagnosis and treatment guidelines.

Regarding mole removal, assessing whether something is or isn't melanoma is most accurately done in a board-certified dermatologist's office. Beware of med spa type places that are willing to laser remove a mole and who don't send moles off for pathology when they have pigment.

Additionally, we offer full body photography aka 'mole mapping' for our patients with dysplastic nevus syndrome or who are at high risk for melanoma.

Skin Cancer Checks and Treatment

The three most common types of skin cancer are basal cell carcinoma, squamous cell carcinoma, and melanoma. A variety of treatments are available including prescriptions for topical medications, cryotherapy, electrodessication and curettage, and excision. We have DermLite dermoscopy ready for magnified views of lesions.

We offer DermTech (the Smart Sticker) now to our patients if they have a questionable pigmented lesion and want genetic testing for it. See below about SKLIP, which could make the DermTech test less needed.

We also offer red light photodynamic therapy and 5-Fluorouracil cream for actinic keratoses. We have a DioLite laser for quick hemangioma removals.

Insurances: The BIP rule - if it isn't bleeding, itching or painful...

Many skin concerns are not covered by insurance. If it is benign and you don't want it there anymore then it needs to be either bleeding, itching or painful for the insurance to pay for its removal. Otherwise it is considered cosmetic. Age spots, lipomas, benign moles, skin tags, hemangiomas, telangiectasias, and seborreic keratoses all fall into this category. If you want them removed and are willing to pay out of pocket for it, we can evaluate the lesion and let you know what the procedure and cost would be during an office visit.

Office policies

COMING SOON for skin exams

SKLIP

New technology, the Sklip dermatoscope. I call it the Sklip Clip because it just clips onto your iPhone or iPad. You may see us using these in the office to evaluate lesions. Once the app with the artificial intelligence (AI) is out (which we expect in January 2023), we will be testing that out. The goal is to find more melanomas and get them diagnosed as early as possible.

An OHSU dermatology professor, Dr. Alex Witkowski MD PhD, is behind the development of this futuristic tool, based on what he learned in Europe. In addition, if everything is working well, we will be selling these to our patients for $150 each. The app subscription is $50/year.

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Klein Dermatology & Associates