Jul 1

Lifting & Firming In Office & At Home

With the constant battle against aging, electric currents are used in so many different ways. I recently spoke with Intothegloss.com about NuFACE, which is a device that we use at Art of Skin MD as well as sell for patients to use at home as a part of their daily beauty regimens. We use electric “current” in so many facets of dermatology.  The hyfercator used to cauterize vessels during skin surgery is electrically based.  Radiofrequency, a technology that uses electrical current, is used in many device applications from skin tightening to fat reduction.  Microcurrent is a miniature, lesser powered, very distant cousin to some of the technologies I’ve described.  At our clinic, we offer the NuFACE, which uses the mircrocurrent. Continue reading

Jun 7

Cellfina: Right candidate for treating cellulite

This month, I am featured in InStyle Magazine talking about the new Cellfina Treatment to get rid of cellulite. We are very excited to be one of a few practices in the local area to offer Cellfina! The Cellfina System is the only FDA-cleared minimally invasive procedure that has been clincally proven to improve the appearance of cellulite for at least two years. This treatment specifically targets stubborn, discrete dimple-like cellulite. The results are superb and quite visible, even as soon as at a three-day follow up. Ideal candidates for the Cellfina System treatment are:
  • Reasonably Fit
  • At a stable weight
  • Have dimple-like cellulite
  • Have good skin tone (too lax of skin won’t yield ideal results)
Cellfina is completed in the office as a single, one-time procedure completely under local anesthetic.  There is minimal downtime and patients are only asked to wear a light compression garment like Spanx or workout pants for several days after the procedure.  To see the procedure in action, check out the YouTube videos below where Dr. Palm demonstrates marking, numbing, and treatment of the cellulite on a real patient!   Continue reading

Nov 24

Kybella Injection – Dissolve chin fat San Diego

Kybella (deoxycholic acid) is a recently FDA-approved product to treat the double chin.  Kybella is injected under the jawline to improve contour of the lower face.  Unwanted fat in the neck area underneath the chin is called "submental fullness" and is the area cleared for treatment at this time with Kybella.   In the clinical trial, over 1000 patients were injected with up to 4 monthly Kybella injections to the submental area (area of the neck underneath the chin).  Kybella injections led to significant improvements in the contour of the neck area in those with unwanted fat with minimal side effects, leading to its FDA approval. Continue reading

Feb 23

Bright Eyed and Bushy Tailed at Art of Skin MD

Eyes are the window to the soul, but they are also the dead give away to when we are tired, and one of the first areas to age.  There is much that we can do to rejuvenate the eye area, and many of the steps are non-invasive and with minimal to no downtime.


1.  Relax overactive muscles.  Dysport and Botox ar botulinum toxin A products FDA-approved for frown lines.  Botox recently received approval for the crow's feet region referred to as lateral canthal folds.  Most dermatologists use Dysport and Botox in an off-label manner to many areas of the face and neck, including the crow's feet.  With a nearly painless procedure that lasts just a few minutes, crinkles along the expression lines of the eyes can be markedly softened within 4 to 7 days.


Botox like treatment for eye wrinkles

Continue reading

Nov 12

Neckvember is Here – Banish the Turkey Neck with an Ultherapy Special!

Thanksgiving is just a couple of weeks away and while you might be thinking of turkey for your dinner table, one place a turkey does not belong is on your neck! ultrasound face lift and neck lift Art of SKin MD   If the sight of this turkey neck is horrifying (and conjures thoughts about an aging neck), then Art of Skin MD has got just the procedure to prevent, treatment, and improve that forlorn aging, sagging skin - ULTHERAPY. Continue reading

Nov 5

Gobble, Gobble for your Turkey Dinner, Not Your Neck! Ultherapy Special at Art of Skin MD

To celebrate the upcoming Thanksgiving holiday this month, Art of Skin MD is offering an unheard of offer on Ultherapy - the ultrasound technology that will tackle the Turkey waddle on your neck...and win!  This month only (November), book an Ultherapy for the face and receive the neck for FREE - that is a $2500 value!!!


See my recent TV segment on Fox 5 San Diego in the morning below for information on Ultherapy:


Ultherapy is an FDA-approved procedure that uses microfocused ultrasound energy to tighten the connective tissue of our face and neck to lift sagging skin and re-create a taut jawline.  Ultherapy is completed as a single treatment and is FDA-approved for 12 months of duration, although some patients may have lasting results for 18-24 months.


How does Ulthera work?  The transducer or handpiece of Ultherapy is placed on the skin's surface where it bypasses the skin and focuses energy on the SMAS of the face - the connective tissue layers that are re-draped and tightened during a facelift.  Noninvasively, Ultherapy can heat these tissue layers, causing new collagen growth for weeks after treatment.  Collagen stimulation contributes to skin tightening and the subsequent lifting of tissues.


Patients often ask if Ultherapy hurts?  Sometimes they have gone online to patient forums, and are concerned about others' experiences.  Rest assured, I use a combination of relaxation techniques, an inviting clinic environment, and a series of regional local numbing blocks to make Ulthera treatment simple, easy, and virtually pain-free.  The difference between a good and bad Ultherapy experience lies with the physician.  A skilled dermatologist and a dermatologic surgeon interested in your comfort can make Ultherapy a breeze.


Ultherapy and Sculptra can provide a powerful combination - a nonsurgical face and neck lift with a liquid facelift.  Both improve the other, leading to a more powerful and comprehensive rejuvenation.  See the video from UT-TV below:




Don't miss this incredible one-time offer on Ultherapy here in San Diego by calling Art of Skin MD today.  Feel free to contact us through the Art of Skin MD Contact page or call us at 858.792.7546.





Oct 28

Common Skin Care Mistakes

I was recently on San Diego CW6 in the Morning discussing and dispelling Skin Care myths.  There are many things that we do on a routine basis that are not good for our skin, and in some cases detrimental.   Click below to see our feature TV segment.  A detailed discussion follows below.  Treat your skin with TLC!     Continue reading

Oct 21

Farewell to Fat: Minimize Your Midsection Painlessly with Vanquish

Art of Skin MD by Dr. Melanie Palm will be hosting an Evening of Fat Farewell.  Muffin top got you down?  Love handles not giving you the love?  Not OK with the "jelly" in your belly?  Than find out the details below:   Farewell to Fat:  An Evening on Non-invasive Fat Removal with Vanquish Thursday, October 24th, 2013 5:30 pm to 7 pm Art of Skin MD (Beachwalk Center) 437 S. Highway 101, Suite 217, Solana Beach, CA 92075     Vanquish is the first pain-free, non-invasive, no contact device for fat removal.  Treatment is simple and easy and occurs weekly over approximately 1 month.  Find out the details below from my recent San Diego Fox 5 TV appearance:     The Art of Skin MD Farewell to Fat evening will feature a short, entertaining and informative talk by myself (Dr. Melanie Palm), appetizers and refreshments including bubbly.  During this evening, we will have not ONE, but TWO Vanquish devices.  Attendees will have the opportunity to experience the newest generation in fat removal for themselves.   Attendees that evening will be eligible for one-time only packages of Vanquish making non-invasive fat removal easy and affordable!  In addition to huge savings on Vanquish for one evening only, financing for those interested in Vanquish is made simple with CareCredit.   Ask the staff and myself about our Vanquish treatments.  As the first dermatology practice in San Diego to have Vanquish, we can speak first hand about our personal experiences with the newest of fat removal devices.  Kiss those midsections goodbye!   For more information on non-invasive fat removal, contact the Staff of Art of Skin MD through the Contact Page or by calling 858.792.7546.        

Aug 21

Summer Skin Rescue: The 4-1-1 on the Latest Technology at Art of Skin MD

Please join us next Wednesday, August 28th at Art of Skin MD for our end of summer skin-shape up event.  I will be showcasing the latest in dermatology and cosmetic procedures featuring light, laser, and radiofrequency devices to keep your skin tight, toned, evenly complected, smooth, and glowing.  Here are the event details below:  

dermatologist and cosmetic surgeon Dr. Melanie Palm of Solana Beach Art of Skin MD


Summer Skin Rescue at Art of Skin MD 437 S. Highway 101, Suite 217 Wednesday, August 28th 5:30 pm-7:30 pm     Our kick-off technology event at Art of Skin MD will include a short, interactive talk by myself (Dr. Melanie Palm) as well as great goodie bags, light food and refreshments by Crush restaurant, and wonderful opportunities to save HUGE on the best and latest dermatologic procedures.  Attendees at the Summer Skin Rescue will also be entered into several raffles to receive FREE, complimentary treatment from various skin tightening and brightening procedures.   Art of Skin MD special pricing that night will include the following:   TO BE ANNOUNCED SHORTLY!!!!       Art of Skin MD is proud to be the first practice in the U.S. to offer INFINI radiofrequency microneedling technology featuring Comfort Flow technology.  This procedure is ideal as a minimal downtime, nearly painless procedure to correct wrinkles, tighten facial and neck skin, and to improve acne scarring.  Check out our recent appearance featuring INFINI for minimally invasive cosmetic procedures on San Diego 6 in the morning:       Art of Skin MD will also be providing a SNEAK PEEK to the newest wave in body contouring technology:  BTL Vanquish.  This amazing, focused radiofrequency technology PAINLESSLY and EASILY reduces unwanted fat with several weekly 30-minute sessions.  Treatment is a snap:  Vanquish feels like warmth but does not run the risk of pain after treatment, or uncomfortable massage after treatment.  It almost seems to be too good to be true, but very good clinical evidence shows predictable improvement in areas of unwanted fat including the abdomen, flanks, love handles, back, bra line, and outer thighs.  The Vanquish will be demonstrated for all attendees of the Summer Skin Rescue event.     Make sure you RSVP to Art of Skin MD to join the party at the Summer Skin Rescue event. Call the wonderful staff of Art of Skin MD at 858.792.7546 or Contact us through the Art of Skin MD website!      

Jul 27

INFINI Radiofrequency Micro Needling Unveiled First in U.S. at Art of Skin MD

Art of Skin MD proudly announces it is the first U.S. physician office to treat patients with INFINI - a truly innovative radiofrequency device for skin tightening and fine wrinkles.  INFINI received FDA clearance just two weeks ago, and this technology combines the collagen-inducing power of micro needling with a novel multidimensional radiofrequency (RF) platform.  The result is a minimal downtime procedure that produces tissue tightening and wrinkle improvement.   How does the INFINI technology work?  An explanation appears after the following INFINI demonstration videos.  View the videos of treatment (FDA-cleared and off-label use) of acne scarring, skin tightening, and neck wrinkle treatment below from the Dr. Melanie Palm YouTube page:   INFINI radiofrequency micro needling for acne scarring:   INFINI radiofrequency micro needling for the treatment of skin tightening:   INFINI radiofrequency (RF) microneedling for neck laxity and wrinkles:     So how does INFINI work?  INFINI is typically completed as several passes.  The skin is numbed with a topical anesthetic prior to the procedure for patient comfort.  INFINI is composed of two technologies - micro needling and radio frequency....both are explained below:   MICRO NEEDLING: INFINI is composed of a disposable tip with 49 microscopic, sterile tip for each patient treatment.  The needle is only 200 microns, and its tip is only 20 microns.  The needling portion of the INFINI treatment serves several roles: 1) It allows RF energy to be delivered directly into deeper layers of the skin, thereby producing collagen and protecting the top layer of the skin; 2) each entry of the microneedle, on its own, promotes small amounts of collagen production; and 3) the micropores left after treatment allows a conduit for delivering medications directly into the dermis.  This could include growth factors and vitamin A derivatives (retinoids) for collagen production, or serums such as vitamin C, arbutin, kojic acid, or hydroquinone for skin brightening.INFINI RF microneedle san diego INFINI uses a smooth microneedling technique in which one row at a time of the microneedles is delivered over a very short period of time.  This decreases trauma to the skin and improves patient comfort during the procedure.  A schematic of this process is shown below:
Microneedling comfort san diego

Flow needle technology is a patented way of delivering micro needling with radiofrequency INFINI with better patient comfort and less trauma to skin.

                              RADIOFREQUENCY (RF) ENERGY DELIVERY: The second component of the INFINI system is its ability to delivery radiofrequency energy to predetermined depths of the skin, in particular, the dermis.  Unlike other RF devices, INFINI does not treat from the surface of the skin to try and effect the dermis.  With the micro needling technology, INFINI delivers RF heat energy to the second layer of the skin, without going through the top layer of the skin, the epidermis.  This spares the top layer of the skin, which increases patient safety during the procedure, eliminates the risk of burn, and allows the physician to treat ALL skin types.  This is particularly important for darker skin types such as Asian, Hispanic, and African American skin, which can easily experience darkening (hyperpigmentation) after traditional procedures.  Furthermore, the INFINI has a high degree of safety on tanned skin - a skin type that traditionally is difficult to treat with many laser and light technologies.
Radiofrequency wrinkle treatment

INFINI active treatment delivers heat to dermis which encourages collagen growth.

                    INFINI radiofrequency energy is delivered in multiple passes, at multiple depths, allowing for a multidimensional effect that leads to three dimensional volumization of the treated skin.  Typically, 2-3 passes are performed, starting with the deepest layer first.  The adjustable depth is controlled by the physician, and can range from 0.1 to 3.5 mm below the skin's surface.  The length of treatment time during each pulse also determines the zone of collagen heating.  This zone, called a thermocoagulation zone, promotes new collagen growth in the grid of treatment.
INFINI collagen production with radiofrequency heat

Three passes of INFINI creates a three dimensional grid of RF energy and collagen growth.

                A typical treatment session lasts 15-45 minutes depending on whether small areas of the face to complete face and neck zones are treated with INFINI.  Typically, treatment sessions are spaced a month apart and 2-4 sessions are necessary for a meaningful result.   After treatment, therapeutic topical medications and cosmeceuticals may be applied to the skin for enhanced penetration to complement the collagen volumization of INFINI.  Sunscreen is applied.  The skin may be slightly pink for 1-2 days and the skin can feel a little rough to touch for several days.  In general, INFINI is considered a minimal downtime procedure in which someone may return to work or daily activities rapidly without noticeable stigmata of a cosmetic procedure.   INFINI is an excellent complement to other procedures at Art of Skin MD.  Here are various complementary treatments below: 1.  Pretreatment with a botulinum toxin such as Dysport or Botox a few weeks prior to INFINI treatment allows muscle relaxation and an even, smooth, less mobile field of skin treatment.  This discourages wrinkles created by muscle movement to reform and softens them with the collagen producing power of INFINI. 2.  Fine lines around the lips and eyes can be treated first with INFINI and stubborn areas filled with the fine line corrector, hyaluronic acid filler Belotero. 3.  Skin tightening through Ultherapy, which yields results sometimes referred to as a nonsurgical brow lift, face lift, or neck lift, can be used first.  Then, INFINI can be used to produce additional skin tightening to address fine lines and skin crepiness. 4.  Full face "global" revolumizaiton is important to combating the aging face.  This volume replacement should look soft, subtle, natural, and LIKE YOU!  Several agents work well to accomplish this role.  A couple at the top of my list is Sculptra Aesthetic, fat transfer, and Perlane. 5.  Skin rejuvenation with laser technology complements the collagen remodeling effects of INFINI.  To address skin pigmentation, IPL photofacials are often used.  If precancerous skin lesions and heavy sun damage are being addressed.  INFINI may be used following Photodynamic Therapy.  For the ultimate collagen building and skin rejuvenating combination, INFINI can follow CO2 fractionated laser skin resurfacing.   We are proud to be the first clinic to offer treatments with INFINI in the U.S. INFINI, through thousands of treatments, has a proven track record across Asia, the Middle East, Europe, and South America.  Art of Skin MD is delighted to bring this groundbreaking technology to our patients.  For more information on INFINI, contact the qualified Staff of Art of Skin MD at  858.792.7546 or send a message through the Art of Skin MD contact page.