Mar 1

Restylane Refyne & Defyne – The New Fillers on the Block

           Art of Skin MD is one of the first practices in the San Diego area offering Galderma’s newest members of the Restylane family that are changing the game with a very exciting new ability – flexibility. What makes this so exciting? Flexibility means a more natural look, and in the hands of the right injector, that can be game changing.

            Dr. Palm serves as an advisory board member, clinical investigator, national speaker and physician trainer for Galderma, meaning that she has been selected to educate other physicians on products’ use and safety. She has also assisted in studies related to Galderma products. Both Restylane Refyne and Restylane Defyne were FDA approved in December 2016 and released in the U.S. in January 2017. Prior to this, Dr. Palm was among the first U.S. physicians to inject the product and was selected to learn from Canadian experts outside of the country on injection techniques prior to Restylane Refyne and Defyne becoming available in the U.S.

          What makes these fillers different from other hyaluronic acid fillers already available? The hyaluronic acid strands of both Restylane Refyne and Restylane Defyne are bonded together in a way that creates a smooth gel that may provide not only a longer duration and less swelling than some other fillers used for wrinkle reduction, but also allows for more movement due to its flexibility. One of the most dreaded fears of patients is looking as though they have an unnatural appearance, and this is when choosing the right injector can make a huge difference. Dr. Palm is careful to select the right injectable dermal filler for each patient, and with the smoothness of both Restylane Refyne and Defyne, when injected by expert hands, they lend themselves to a very natural result by integrating into the areas of injection extremely well.

 

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Apr 18

Restylane Lyft Liquid Facelift in San Diego

April is here and we have so many wonderful things happening at Art of Skin MD to share with our patients!  Many of which refers to specials happening with Restylane and Restylane Lyft.  
Liquid facelift san diego with Restylane

Get Paula's look with Restylane Lyft to sculpt cheeks and rejuvenate the face at special savings

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Dec 10

Voluma XC Available in San Diego at Art of Skin MD

Juvederm Voluma XC is here!  Art of Skin MD and Dr. Melanie Palm are a part of a few select San Diego Allergan accounts to receive early access for patients to Voluma.  Voluma is a hyaluronic acid filler from the Juvederm family - however, its use for facial augmentation is unique.   Check out the videos below featuring me (Dr. Melanie Palm) administering Voluma to a patient.  The first video features proper facial mapping prior to injection.  The second video features injection with Voluma right here at Art of Skin MD: Facial Mapping with Voluma: Continue reading

Nov 14

Voluma Juvederm XC FDA-Approved for Midface Volumizing –The Wait is Over San Diego

San Diego Voluma Art of Skin MD   Art of Skin MD is proud to announce to its San Diego patients the highly anticipated FDA-approval of Voluma Juvederm XC - a deeply placed hyaluronic acid filler from the Juvederm family of products.  It is FDA-approved for deep facial volumizing in the mid face - it is the only FDA-approved injectable product specific to cheek augmentation.  Voluma addresses age-related volume loss with a safe and durable filler. Continue reading

Jun 23

Total Facial Rejuvenation with Sculptra and Ultherapy

So much is the trend in cosmetic dermatology for subtle, natural-appearing true facial rejuvenation.  The importance of balanced facial volume restoration is now recognized due to a wealth of anatomical studies published in the medical literature in the last 10 years.  Skin integrity changes over time as our facial volume deflates.  This sagging and deflation can be addressed.   The new paradigm in dermatology and plastic surgery is restoration of youthful volume and facial contours.  Addressing loss of volume is addressed with facial fillers or volumizers and skin texture changes and laxity with skin tightening procedures.  What are two products and devices we can use to address volume and skin laxity?  Well, Sculptra for volume and Ultherapy for lift.   In a recent TV broadcast on the San Diego Union Tribune, I address the appropriate techniques for addressing the aging face through true, complete facial rejuvenation.  Catch my discussion with Taylor Baldwin of UT-TV in the by clicking on the clip below:  
Cosmetic surgeon Dr. Melanie Palm of  Art of Skin MD

Sculptra and Ultherapy expert dermatologist Dr. Melanie Palm

              Sculptra works as a volumizing agent, inducing new collagen growth in the areas of placement.  The process is gradual but long-lasting, so changes are subtle over time...it allows those treated with Sculptra to be discrete about their treatment.   Ultherapy harnesses the power of ultrasound to lift and tighten tissues.  It is the only FDA-approved device for neck lifting, and it is remarkably helpful in addressing skin looseness called laxity in areas around the brows, lower face, and jawline.   Find out about our summer specials at Art of Skin MD on both facial and neck rejuvenation.  To find out more, contact us through our Art of Skin MD website or by calling us at 858.792.7546.    

May 22

Sculptra: Rebuild Lost Collagen, Lift Tissues, Fill the Face!

Sculptra is something I have thought a lot about lately.  Right now I am in the process of writing a book chapter on this facial revolumizing agent.  Pouring over the literature I feel like I am bursting at the seams to share some of the insights about our use of Sculptra over the past decade.   Inspired by this knowledge, here are three short video vignettes highlighting the use of Sculptra in the upper face (temples and brows), midface (cheeks and lateral jawline), and lower face (chin, nasolabial folds, and marionette lines).   Sculptra to the Upper face:   Sculptra to the Mid-face:   Sculptra to the Lower face:     The new face of rejuvenation is natural, subtle, and truly restoring.  We now understand the important role of fat compartments and bony loss in the aging face.  Thankfully, we can disguise many of these changes through volumetric restoration of the face with today's fillers.   Sculptra has the distinct advantage of gradual, long-lasting volume replacement.  It works by stimulating our own body to produce collagen in the areas of placement, a process called "neocollagenesis."  Therefore Sculptra is termed a "biostimulatory agent."   Sculptra can be combined with other procedures for a synergistic effect.  While Sculptra provides "lift" to tissues through volume re-inflation, combining this injectable with Ulthera, an ultrasound technology can provide superior results in terms of lifting the brow, defining the jawline, and improving jowls.   Other fillers can be combined with Sculptra use.  The temporary numbing effect for Sculptra injection makes it an excellent complement to use of hyaluronic acid fillers such as Belotero, Juvederm and Restylane around the mouth and lips.   Voluma, a new hyaluronic acid filler from the Juvederm family of products, acts in a similar fashion to the deep filling effect of Sculptra.  It could be used initially to help fill the face as Sculptra is used over time to gradually rebuild other areas of collagen growth over time.   Interested in more about Sculptra, Voluma, or other fillers used in facial rejuvenation?  Call us at Art of Skin MD at (858) 792-7546 or contact us through the Art of Skin MD contact page.    

Mar 19

Chest Rejuvenation? Sculptra is Here to Help

Our face isn't the only skin we need to take close and careful care for as we spring into summer.  Most of us are more cognizant about protecting our facial skin, but we neglect to take care of our necks, chest, and hands.   Over time, exposure to sun and environmental elements can cause telltale aging changes to the chest.  UV exposure damages collagen in the second layer of our skin called the dermis.  This loss of support results in skin textural changes and vertical wrinkles in the decollete area.   So what can be done to improve the appearance of this aged skin?  Sculptra!  Completed as a series of treatments, Sculptra injections to the chest promote new collagen growth, strengthening and thickening the soft tissue and skin of the chest area.  This increased support and scaffolding lessens the appearance of skin irregularities and lines in the V-shaped area of the chest.   Watch the YouTube video below to see Dr. Palm demonstrate how Sculptra in placed along the decollete area for chest rejuvenation:     Other procedures can be combined with Sculptra treatment for total chest rejuvenation.  Laser and light procedures can improve the appearance of the skin by eliminating color changes and further improving skin texture.  IPL can eliminate brown spots and broken blood vessels.  Photodynamic therapy (PDT) can treat photodamage and precancerous spots called "actinic keratoses."  The eCO2 fractionated laser skin resurfacing procedure can smooth and tighten skin.  Ultherapy can be used in the chest area to tighten and lift loose skin.   Interested in more information on chest rejuvenation?  Call us at (858) 792-SKIN (7546) or contact us through the Art of Skin MD Contact page.    

Feb 15

Fuller Lips with Filler: Dr. Melanie Palm Perfects the Pout Part II

Juvederm lip san diego   Now that we have explored the use of a cannula to fill the lip in our previous Art of Skin MD post, let's now explore how to create a NATURAL, BEAUTIFULLY-ENHANCED lip.  My philosophy is that we should enhance the inherent beauty of your lips, so that it becomes a harmonious part of the face.  Enhanced lips should never look "done," a frequent concern of patients during initial consultation.   Various fillers are used to augment the lip area.  In the YouTube video below, Restylane is used by myself, Dr. Melanie Palm, to contour the lips.   Other fillers may be used as well.  Juvederm is another popular choice.  A newer hyaluronic acid filler called Belotero can also be used.  Belotero is typically used to fill and smooth fine lines around the mouth but could be used to fill the lips as a more temporary measure.  That way you can "test drive" your lips before you use a longer-term filler like Restylane or Juvederm.  For very select patients that are good candidates, I will use silicone using a microdroplet technique for more permanent lip enhancement.   Pain or discomfort is often a concern of patients undergoing a filler procedure to augment the lips.  I insist that patients are completely comfortable.  I think this is accomplished by several measures.  First, at Art of Skin MD we create an ambiance that invites tranquility and dissolves the anxiety and nervousness that can be associated with undergoing a cosmetic procedure.  The inviting staff, upbeat music, and our smiles will immediately put you at ease.   Beyond the Art of Skin MD culture, we provide other comforts for patients.  The use of both topical numbing and small amounts of numbing injection medicine are used to numb the entire lip area so the lip filling experience is pain-free.  We provide good conversation and distraction tools so that the your visit is a breeze.   Got questions?  Give us a call....it's easy to ask our staff at (858) 792-SKIN (7546).  Or visit our Art of Skin MD contact page.          

Feb 9

Perfect Pout by Valentine’s–Lip Filler with Restylane

Perfect Wedding Dress

  Got thin lips?  Don't want a trout pout?  Scared of duck lips?  Want a quick procedure by Dr. Melanie Palm with minimal bruising and NO PAIN?  We have got your answer!!!   Lip filling using a cannula!   Restylane has now been FDA-approved for lip filling, and with Dr. Palm's gentle hand, trauma to the lips is minimized and the result is fantastic looking lips!   A recent advance has been the use of a "cannula" - this is blunt-shaped tube that does not traumatize tissues as a filler is placed in the skin.  Sharp needles can traumatize the skin, causing prolonged swelling and significant bruising.  Cannulas gently push vessels aside, leading to safe filler use with minimal downtime or side effects.   Check out Dr. Palm's YouTube video demonstrating cannula use on the upper lip using Restylane to reinflate a thin lip:   Thinking of a nice Valentine's gift for yourself or a surprise for a special loved one?  Get a kissable pout at Art of Skin MD.  Ask about our couple's specials for February!  Contact us on our Art of Skin MD website or call our excellent and caring staff at (858) 792.SKIN (7546).   Juvederm san diego Dr. Melanie Palm    

Nov 28

Belotero Balance: Banish Fine Lip Lines and Crow’s Feet

Belotero Balance is the newest FDA-approved hyaluronic acid filler.  Unlike other dermal injectables, Belotero is meant to be placed superficially in the skin, in a layer called the dermis.   This means that Belotero is able to correct fine lines and wrinkles that cannot be smoothed with other fillers like Restylane, Juvederm, or Radiesse.  These other fillers should not be placed so far high up in the skin.  The result of placement of other hyaluronic acid fillers can lead to blue discoloration due to a phenomenon called the Tyndall effect.  Radiesse, made up of calcium hydroxylapatite (the same mineral composition as bone), if placed too superficially could cause white lumps or discoloration.   Lumpiness could also occur with superficial placement of other fillers by unskilled injectors.  Belotero Balance, on the other hand, is composed of a smooth, double-linked form of hyaluronic acid.  This means it seamlessly incorporates into the superficial layers of the skin, creating a smooth contour and lifting fine lines to correct wrinkles in stubborn areas such as crow's feet, lip lines, and parentheses around the mouth.  Belotero is another great option for correcting angry 11's caused by muscular movement around the brow.  

Belotero balance wrinkle filler san diego

  New filler Belotero Balance wrinkle correction by San Diego dermatologist Dr. Melanie Palm   Belotero comes to the cosmetic dermatology practice from Merz, the company that provides the longer term collagen-producing filler Radiesse.  Merz is also the maker of type A botulinum toxin product Xeomin as well as the sclerosing injectable Asclera, which in its foamed form of polidocanol is very effective in treating spider and varicose veins.   Belotero does not come with lidocaine already mixed into the filler.  As a result, Dr. Palm uses various methods to increase patient comfort during the procedure.  Admixing a small amount of lidocaine into the filler can be used to decrease discomfort.  Alternatively, at Art of Skin MD we routinely utilize regional nerve blocks, topical numbing, and cold packs to increase patient comfort and decrease the opportunity for side effects.   Belotero Balance is offered by expert injector and cosmetic dermatologist, Dr. Melanie Palm at Art of Skin MD.  Schedule a consultation by contacting Art of Skin MD or calling us at 858.792.SKIN (7546).