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

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

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.      

Jul 15

Sun Safe Skin Tips for Del Mar Races & Opening Day

Opening day is this week and Art of Skin MD wants to give you tips to keep your skin safe where the surf meets the turf!  The forecast calls for lots of sunshine and warm weather, which means sun safety is even more important amongst the dazzle of sundresses and fascinators.   Here are the Dr. Melanie Palm top tips for keeping it cool during Race Season:   1.  Slather on Sunscreen.  New FDA guidelines were released this year regarding best practices and proper labeling and usage of sunscreens.  Sunscreens should be broad spectrum, meaning they cover both UVA and UVB rays.  UVB rays cause the redness associated with sunburn, and UVA causes aging changes to the skin like sun spots, skin texture changes, and loss of collagen - not exactly the fashion statement to make on Opening Day.  Zinc oxide and titanium dioxide sunscreens are great as they act as physical blockers of the sun and offer broad spectrum protection.  Art of Skin MD offers a variety to choose from including the Elta MD line, Revision, Neocutis Journee, and the Art of Skin MD line.
top sunscreen choices san diego

Elta MD sunscreen offers cosmetically elegant formulations of micronized zinc oxide preparations

                      2.  Be unforgettable with Sunforgettable by Colorescience.  Got limited space in your purse or pockets to carry sun protection?  No problem.  We have a solution that fights shine and protects skin.  The Sunforgettable brush by Colorescience is an award-winning formulation endorsed by the Skin Cancer Foundation.  This brush delivers zinc-based sunscreen powder as a sheer film that works on skin that already has sunscreen or makeup applied.  It is great for the stands, Turf club, and even beyond.
Art of Skin MD sunscreen brush

An elegant and compact brush system, Sunforgettable packs a powerful punch against harmful UV rays

                        3.  Prep with a pill.  Heliocare, a popular supplement, classified as one of the newer popular "sunscreen pills" can be a potent and helpful supplement to good photoprotection.  Although not a substitute for good sunscreen habits, popping Heliocare prior to an afternoon of fun in the sun can work synergistically with sunscreen to increase your threshold of protection against UVA exposure.  Heliocare contains several agents to help against unwanted UV rays and is great for patients battling pigmentation such as melasma, or those with sensitivity to the sun.  Heliocare is a combination of potent antioxidants including the an extract of the fern plant Polypodium leucotomos, beta carotene, and green tea.  Taking Heliocare 1-2 hours before sun exposure can help to boost the effects of sunscreen.
Fern extract pill for sunburn

Heliocare supplement is consists of a combination of potent antioxidants including the polypodium leucotomos fern plant, beta carotene, and green tea

                                4.  Seek shade.  A broad-brimmed derby hat is a great way to provide shade protection to your face.  The San Diego hat company makes UPF hats perfect for Opening Day.  Many styles are available at our local Beachwalk retail boutique Safarlou.  Escape to the Turf Club or the shady portions of the general admission stands to protect that glowing skin from the sun.  Check out the chic, stylish chapeaux offered by Safarlou in the YouTube video from the TV segment featuring Art of Skin MD below:     5.  Repair from the day of fun near the sun.  Feeling the burn from your fun in the sun?  Repair your skin using growth factors from the Neocutis line.  Neocutis' PSP exclusive human growth factor technology is featured in the Art of Skin MD favorite eye cream Lumiere Riche.  The Biocream and Biogel by Neocutis both contain the human growth factor to repair collagen and get your skin back on track.
Neocutis Journee sunscreen san diego

Neocutis line of skin products harnesses the collagen-repairing properties of growth factors

                        6.  Red alert:  Red light for sunburn.  Made the unfortunate mistake of getting a sunburn at a day at the Races?  Have no fear, Art of Skin MD offers the Healite II, an innovative red diode light that decreases the inflammation and redness associated with sunburn.  Best of all, treatment is affordable and sometimes billable to insurance in the treatment of sunburn.  See the clip below to understand how Healite works as I explain on the recent CW6 TV segment:     Have a great time at the Races this year.  Be sun safe, and when in doubt about how best to protect your skin during the summer months in San Diego, contact Art of Skin MD through the Art of Skin MD contact page or by calling our qualified staff at (858) 792-7546.        

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.