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.

 


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.  :D


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!    :D

 

 


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!     :)


Klein Dermatology: Texting Appointment Reminders to Patients soon

textreminderWe are in the process of setting up appointment reminders by text for our patients who want this service.  In the past, we have called on the telephone to confirm an upcoming appointment 2 days prior to the appointment.

Soon we will be able to give our patients the opportunity to choose their preferred reminder method: phone call or text?   As the modern world changes, fewer people answer their phones or listen to their voice-mails.  We are a medical office that is interested in giving the best customer service possible, and we want to have the best communication possible with our patients.   Once the system is set up, when you call to make your next appointment, the receptionist will be asking how you would like to be reminded and confirmed for the appointment.  If you choose text,  a text reminder will go out instead of a call 2 days before hand.  If you still prefer the telephone, you can have that service too.

For text reminders, the patient should respond "CONFIRMED" to let us know that they received the message and will be there.  If the patient doesn't text reply to the confirming message, then the office will need to call you the following day to make sure you know about the appointment and that you will be coming.

We will also have the ability to set up reminders for procedures, such as your surgery or Voluma appointment is one week away, please remember to stop taking any blood thinners that you currently take.

At Klein Dermatology & Associates we truly hope that doing text appointment reminders will make your life a little bit easier.


Online Appointment Scheduling

Klein Dermatology & Associates has online appointment scheduling underway, and we hope to have it "live" by next week.   To make our practice more "patient-friendly" in this tech culture of ours, patients will be able to go online and see what appointment slots are available with Dr. Klein, Jamie Kersenbrock FNP or Tasha Gouin FNP, and schedule themselves in.  There will be a way to access it through our own KDA website and also through the zocdoc website who hosts it.  We are assured that all patient information is completely secure in the process.

makeapptAdded features that one gets through online appointment scheduling with Klein Dermatology, is a reminder text (yay, a text!)  one hour before the appointment that includes a google map giving directions.  (Remember our address is 5200 Meadows Rd. Ste 250, Lake Oswego OR 97035 now.)  It also does a follow-up later in the day asking for a review of how the appointment went.

We will accept old and new patients into our office via this route, in addition to the old way of calling us at 503-445-2200 to make an appointment.  With online scheduling, if the patient were to decide they needed a dermatology appointment as soon as possible, and it was say 10 pm when the office is closed, the patient will have a way to set up their own appointment right there and then.  The patient can also enter their own insurance information, which should expedite the check-in process at the scheduled appointment.  Patients will need to set up a zocdoc.com account in order to use this service.

Only routine appointments will be scheduled this way.  Appointments such as surgeries and procedures which require more customized times will still need to be scheduled through the phone number.  Jamie has early morning appointments, and Tasha has late afternoon appointments available to better accommodate our busy patients with acne, eczema, skin checks and warts.  Accutane patients should still set up their appointments on the phone to be sure to have two back to back appointments scheduled, one for the labs and the other for the provider.

Scheduling appointments online for those who want it that way should be a great service, and we hope you like it too.

Marla Klein MDreal-self-top-doctor


Diving into Social Media

Recently, I went to a Dermatology conference in Maui, where I sat and listened to a 3 hour series of talks about, "How to Market Your Dermatology Practice".   It all boiled down to two words: SOCIAL MEDIA.  Admittedly, I have been resistant to this for a very long time.  My website designer has dutifully told me for several years, "Hey, you gotta blog, you gotta have a Facebook page, you gotta have videos,..." and so on.  After the meeting I came home and looked myself up on the Internet.  It had been a long time since I had done this so I was a bit astonished at how far behind my peers I was.

As a dutiful dermatologist (M.D.) I've spent my time being up-to-date and state-of-the-art in my field, which is dermatology; but I had somehow fallen off the turnip truck (my mom used to say that) in the world of marketing.   After 20 years of relying on word-of-mouth, the word no longer seems to be the spoken word but the social media word.

This past year in January 2015 I moved my practice and I chose a lovely easy to get to location in Lake Oswego near the 5 freeway, on the edge of Tigard.  Simultaneously, I had to study to take my Boards exam... because my generation of doctors is supposed to prove our competence by taking a Board exam in our specialty every 10 years.  I am happy to report that I passed my Board of Dermatology exam again for the third time, because I've been practicing in the Portland Metro area now for about 20 years.   I wish I could say that I'm now "triple Boarded" but I can't.  It doesn't work that way.  However, I am a medical doctor with 12 years of study prior to 20 years of experience in dermatology.   After reviewing what is being offered out there and by their level of training, it makes me think one thing:  please be careful out there.

 

I am jumping into Social Media with both feet, and headfirst, simultaneously:

1 We have a new facebook page facebookf  and we have to say things like "please like us"...  KDA facebook page

2.  We have a new fresh website, which you must have found if you are reading this.  It is full of new content including special offers for free stuff and coupons off expensive stuff, so be sure to check back frequently and look around.  It also shows the faces and bios of our friendly new employees.

3.  Blogs - like this one, I plan to talk about something once a week.  Stay tuned.  I might post skin stuff and ask you if you know what it is, or how we treat it.  I might give you suggestions on how you can treat stuff without a $$$ Rx and using something natural instead or over the counter.  Next week I think I will tell you what makes Klein Dermatology & Associates different from other dermatology practices.

4. New listings also with coupons for free stuff:  check out RealSelf.com if you have an interest in cosmetic procedures, check out yelp.com  if you have a kid with acne.  I plan to keep things interesting.

5.  Videos - we are starting to make videos of the random stuff we do, because some people like to watch this stuff I'm told.   So far we have made a video of "dermal piercing removal" and "large lipoma removal surgery".  Once I figure out how to edit them, I will post them on my new YouTube page, which will have to be linked to my website.

Twittering and instagram are in the works.

Lastly, now we have to ask people to remember to write a review if they are happy with our services.  (Why does this feel so degrading?)  The options for this are mind-blowing:  Google, Yelp, yp.com, bing, facebook, yahoo, CitySearch, HealthGrades, RealSelf, and so on for about 40 different sites, review do matter.

I hope you have a great day, and if it's a sunny one, remember to wear a hat and sunscreen,

Marla Klein MD now on  facebookf Read more