Klein Dermatology - April 2018 Newsletter

April 2018 header

What is New at Klein Dermatology & Associates? Babies!

Our latest wonderful news is that nurse Leslee has had her 2nd daughter, Allison Marie, and is now back to work and helping us out. She does a lot of behind the scenes work in relation to prior authorization letters and requests, billing, administrative work, CoolSculpting, and helping with medical dermatology patients.

Allison Marie

Born 02/05/18 @ 3:07 pm
7 lbs. 10 0z. and 20 inches long

Ashley, who is a receptionist and an M.A. at our office had her little boy Thorin James, just a couple weeks ago. Normally you might see her super friendly face at the front desk helping patients, but we expect she will be out a few more weeks with her little one. We are happy to report that both babies are healthy and doing well.

Thorin James

Born: 3/14/18 at 3:28 am
8 lbs. 3 oz. 20.5 inches long

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We are Now Ready to "Dual Sculpt!"

Our new CoolSculpting Suite is now open. It is located on the lower level of our building. It is a luxurious space we have added for the greater comfort of our patients and staff. It has a VIP parking space next to the back entrance which is close to the suite.

We have 2 CoolSculpting machines now and the next Cool Event is on April 5th.

We will be hosting a Mother's Day Special for the month of May for CoolScupting. 10% off each and the ability to sit and visit together while you both get your treatments done. There is also a TV and Echo/Alexa music for people who prefer to be alone for treatments.

Call us at 503-445-2200

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Do you want pretty feet for summer?

The best way to soften feet with lots of callouses and thick skin is to use a Urea cream. This 40% strength has been Rx for as long as I can remember, and now you can get it over the counter without a prescription for only about $10 at some drugstores. The method is to apply cream at night to heels and rough areas before bed, put on socks. In the morning shower, or soak feet in water, then use a good tool to pumice off all that dead skin that the cream softened up. If you have ugly toenails, then you could get started right away on something to treat fungus like Lamisil pills or a topical such as Jublia or Lamisil.

SPF Clothing

The easiest way to protect you and your loved one's skin is to use special clothing with added sun protection. You can find these type of clothes at many places, for example Land's End, Athleta, Coolibar and Patagonia. Regular shirts don't do an adequate job of protecting the skin, because they only filter at a level of about 5. Try getting SPF 50 or SPF 100 clothing for better protection to prevent skin cancer! Get your skin checked once a year to screen for melanoma and other skin cancers.

MAY SPECIAL: 15% OFF Sculptra

JUNE SPECIAL: 10% off all nonRx Skin Care Products

Reminder - all of our non-prescription skin care products are 10% off for the month of June. June is a great time to stock up on your favorite SkinMedica, Epionce and EltaMD products. SkinMedica products are part of Allergan/Brilliant Distinctions.

Take Great Care of Your Skin,
Marla M. Klein, M.D.


CoolSculpting Exceeds Expectations!

CoolSculpting Logo

 CoolSculpting®

CoolSculpting is a non-surgical, non-invasive way to permanently remove pockets of fat using a machine to freeze the targeted fat and destroy it permanently.  After attending a dermatology conference in February 2017, where I listened to Dr. Suzanne Kilmer's presentation on the various body contouring devices that are now available, I decided to find out more about CoolSculpting®.

I had been somewhat aware of CoolSculpting prior to this meeting, but I was also jaded and disappointed from my history of buying other devices in the past.   They either failed to do what they promised or worked great but the patients weren't interested in spending the money to replace the cost of the machine.  Therefore, I really had no intention of buying anymore lasers/machines.

However, having known Dr. Kilmer for years, I strongly respect her opinions and admire her contributions to dermatology.   At this meeting, she discussed CoolSculpting with great enthusiasm.  When I realized that she had worked on creating CoolSculpting  with the genius scientist dermatologist Dr. Rox Anderson - - that was enough for me, I knew I had to get one.

In March, we received our CoolSculpting machine and training and we have been using it non-stop since.  There is no problem finding staff or patients who want to remove a pocket of fat here or there on their bodies.   I'm grateful for that.   Now that it is August we have only had the machine five months, and we are ecstatic about the results we are seeing in our staff and patients!

 

 CoolSculpting® is an Alternative to Liposuction

Years ago I performed tumescent liposuction.  It was gratifying to see the results, but it was hard work, and it took a great toll on my shoulder and elbow.   Liposuction is invasive and has its risks, plus the patients need to be mildly sedated and need time off of work.  There is also the messy drainage and garments.

Comparing CoolSculpting to liposuction is a simple "no-brainer".    CoolSculpting® is very safe.  It involves no drugs, no needles, no surgeon, no downtime and gets great results - CoolSculpting is absolutely amazing!

CoolSculpting was approved in 2009, and it has been tweaked several times since.  I have heard it was quite painful with the older parallel plate model they had.  The skin had to be pulled out and held between parallel cooling plates for an entire hour.  (Picture a mammogram in your mind, for an hour, super cold.)  Since then, they have changed the applicators to be more like a goggle-sized applicator cup with a little bit of suction, and it isn't painful at all.  Also, it is faster, each cycle with an applicator takes approximately 35 minutes.  The mini and the outer thigh applicators take longer.

 

It Works Efficiently

I expected it to work, based on my research and what Dr. Kilmer had shown at the meeting, but I still didn't expect it to work quite this well.   The roll around my waist was gone after one session (lost more than 2 inches!)  so I can understand why they say this can get addicting.  We are making double chins disappear, cinching waists and flattening abdomens.   A major breakthrough is how well it treats "bra fat" (those annoying rolls on the back) and "bat wings" on the arms!   Oh yes, we are very happy with what we are seeing in our follow-ups.    Although the machine's indication is for fat reduction (but not weight loss) we are seeing a great deal of skin tightening happening as a bonus, even on our patients in their 70's!  That is something liposuction did not do.

Besides doing the initial training and become a "Certified" CoolSculpting center, Jamie, Tasha and I also recently went to the CoolSculpting University for advanced training.  I think the tips they gave have been very helpful and have improved our results as well.  Our nurse Leslee will be going soon.

Consultations are free and necessary before scheduling a treatment session.  They can be scheduled with Tasha Gouin ANP or Jamie Barbara ANP (both are nurse practitioners) by calling 503-445-2200.  A treatment plan needs to be devised.  One or two sessions typically are needed per area.

 

Cool Events

We will be offering some "Cool Events" in the near future so that patients can learn more about CoolSculpting.   Cool Events are designed to be an educational event, where the patient can get transformation consultations and event-only pricing (20% off discounts).   Our Cool Events will be posted on our Facebook page.   We can only have about 15 patients do this per event, so  invitations and RSVP's will be required.  (We order food too.)  If you are interested in attending a CoolEvent, please call the office and let one of the receptionists know.

I look forward to seeing you soon,

Marla Klein, MD,  Klein Dermatology & Associates , 5200 Meadows Rd. Ste 250, Lake Oswego OR 97035

CoolSculpting at Klein Dermatology & Associates 

www.kda-derm.com                   www.coolsculptingportlandoregon.com


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.

 


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


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!     :)