Jul 30

Spectra Peel: A novel Laser Peel approach by San Diego Dermatologist Dr. Melanie Palm of Art of Skin MD

Spectra laser for enlarged pores Art of Skin MD

Spectra Q-switched Nd:YAG Laser

Dr. Melanie Palm announces the exciting arrival of one of our newest lasers, the Spectra laser. This is an extremely versatile Q-switched Nd:YAG laser than can treat a variety of skin problems. Skin conditions improved by Spectra treatment include enlarged pores, uneven skin texture, acne, broken bood vessels, melasma, age spots, and tattoos. Today we will focus on the innovative Spectra Peel. The Spectra Peel is a combination procedure using a carbon lotion followed by laser treatment with the Spectra Laser. The carbon lotion is applied typically 15-30 minutes before laser treatment and colors the face a light grey.
Melasma and sun spots are treated with Spectra Laser Dr. Melanie Palm

Carbon lotion application before Spectra Laser Peel

After the carbon lotion has incubated on the skin, Dr. Melanie Palm performs the laser portion of the Spectra Peel. Depending on the skin condition being treated, the settings of the laser differs...   If skin tightening or collagen production is desired, the goal of the laser treatment is to gently heat the skin. Examples of skin conditions that would be treated in this manner include enlarged pores, light skin tissue laxity, and even inflammatory acne. In these instances, the warming of the laser stimulates new collagen growth, or in the case of acne, shuts down the inflammatory process leading to new acne lesions.   When pigmentary issues are being addressed by the Spectra Laser, then the laser pulses are delivered more quickly using the Q-switched setting. The carbon layer is removed quickly on this setting using "photoacoustical" energy to remove the very top layers of surface skin, safely removing sun-related pigment and melasma. Further passes after the carbon lotion is removed helps remove deeper layers of pigment related to sun spots and melasma. During the procedure, forced air cooling is utilized to maintain patient comfort, making this a virtually painless procedure. The feeling of the laser itself is like an intense microdermabrasion. Furthermore, the cooling protects the skin, allowing safe pigment removal without heating skin that, in the case of melasma, could re-pigment darker if the skin is warmed.   The Spectra Laser Peel is considered a no downtime procedure. The skin is slightly pink immediately after treatment, but this subsides after a few hours, and make up and sunscreen may be applied immediately following treatment.   The Spectra Laser Peel for melasma is always recommended to be completed in conjunction with good topical therapy. This includes physical sunscreens containing zinc oxide. Additionally, a bleaching agent is often used at night, as well as a topical retinoid, to decrease the rate of repigmentation. Alternatively, a topical agent containing melanozyme such as Elure can be a botanical means of eliminating pigment. Topicals containing vitamin C and/or kojic acid also reduce pigment related to melasma.   A series of Spectra Peels is required for proper improvement. Usually between 6 to 12 weekly peels are necessary for improvement of melasma or pore size. Contact Art of Skin MD today to schedule your appointment or call (858) 792-SKIN (7546).    

Jul 27

Dr. Palm–National Physician Trainer and Sculptra Advisory Board Member–Hosts Special Sculptra Savings Day Thursday, August 16th

National trainer Dr. Melanie Palm has promotion for Sculptra Aesthetic on August 18th in San DIego

Expert trainer and injector Dr. Melanie Palm is sharing an exclusive savings through a rare Sculptra promotion.  Patients booking appointments for the Art of Skin MD Sculptra Day on Thursday August 16th will receive a savings of up to $450 when purchasing 3 vials of Sculptra Aesthetic.  Appointments are scheduled from 8 until 5 pm.  Those interested in these significant Sculptra savings may call Art of Skin MD at (858) 792-7546 to secure their appointment with Dr. Palm.  Early scheduling is encouraged, we have already had a tremendous response to this special.


Sculptra Aesthetic is a biostimulatory agent, meaning that it encourages your own body to build collagen and replace volume loss on the face.  It is composed of poly-L-lactic acid, a milk-like sugar that stimulates new collagen growth, or "neocollagenesis" over a period of months.  Sculptra Aesthetic provides natural looking results over time, and has a duration of at least 25 months according to FDA labeling.  Some patients may even notice appreciable skin texture improvement, and this will soon be investigated in a clinical study.


Dr. Palm has vast experience with Sculptra Aesthetic.  She has been using the product for over six years.  She serves as a national physician trainer, training other board-certified dermatologists and plastic surgeons on safe and effective injection techniques with Sculptra.  In fact, she has been one of the top 5 physician trainers for Sculptra Aesthetic since 2010.  She serves on the Sculptra Advisory Committee, a group of approximately 15 physicians selected by the Company for their experience and expertise with the product.  Dr. Melanie Palm has been the first author on several articles on Sculptra for facial revolumizing, including an upcoming article in the September issue of the Journal of Drugs in Dermatology.  In this article, she shares her personal experiences and tips for other physicians in using Sculptra Aesthetic for restoring facial volume related to aging.  Additionally, she discussed patient comfort and satisfaction related to the Sculptra injection procedure.

Jul 26

Art of Skin MD and Dr. Melanie Palm Raise $3000 for Angel Faces at Grand Opening

Dermatologist Melanie Palm, MD at Art of Skin MD Grand Opening

Dr. Palm and Staff of Art of Skin MD with Mayor Joe Kellejian and Chamber of Commerce Members

  The Grand Opening of Art of Skin MD on July 19th, 2012 was a huge success!  Dr. Melanie Palm and the staff of Art of Skin MD would like to thank all of the patients, Chamber of Commerce members, the mayor of Solana Beach, industry partners, neighboring businesses, and the friends of Art of Skin MD for such a lovely evening. It exceeded our expectations! We are extremely happy to have made our dermatology home in sunny Solana Beach, CA.
Art of Skin MD staff and physician

Staff of Art of Skin MD--From left: Sarah Anne Dordel, Dr. Melanie Palm, Josephine Barenblit, and Mandy Poulsen

By 5:15 pm a line collected out the door with excited guests looking forward to a tour of the Art of Skin MD facilities, gift bags, an opportunity to speak with Dr. Palm and her staff, as well as dining and entertainment.
Opening Party of Art of Skin MD in Solana Beach

Guests of Art of Skin MD

Solana Beach dermatology practice Art of Skin MD

Attendees watching the Ribbon Cutting ceremony

The evening officially kicked off with a ribbon cutting ceremony by Dr. Melanie Palm, the Chamber of Commerce, and a short introduction by Solana Beach Deputy Mayor Joe G. Kellejian.
Art of Skin MD grand opening

Ribbon Cutting Ceremony with Dr. Melanie Palm

San Diego dermatologist with mayor Joe Kellejian

Dr. Melanie Palm with Mayor Joe G. Kellejian

The evening included delicious bites and libations by Woody's and phenomenal entertainment by acoustical talent Ottopilot. Over 200 guests enjoyed the festivities including cupcakes from Cupcake Love and gift bags with oodles of swag including local Beachwalk businesses gift cards, discount vouchers for Art of Skin MD, and chocolate delectables by Jer's Chocolates.   Most importantly, the evening's silent auction and opportunity drawings raised over $3000 for Angel Faces.  The funds raised will help support Angel Faces in its Annual Retreat, as well as its ongoing efforts to optimize the potential of adolescent girls whom have sustained burn or traumatic injuries.   Silent auction and opportunity drawings included a golf retreat to La Costa Resort, dining and entertainment along the 101 in Solana Beach, and rejuvenation specials by Dr. Palm, including Botox, Dysport, and Restylane treatments.  The most coveted prize, a $4000 treatment of LaViv, was announced near the end of the evening.   Art of Skin MD is off to a spectacular support and we thank the community of Solana Beach for being so supportive in all of our efforts.

Jul 9

Director of Art of Skin MD, Dr. Melanie Palm, Announces Grand Opening July 19, 2012 in Solana Beach, CA

  Dr. Melanie Palm is pleased to announce the grand opening of Art of Skin MD, her new state-of-the-art aesthetic and medical dermatology facility in Solana Beach, CA in beautiful North County San Diego.  
Grand Opening of Art of Skin MD featuring breath taking clinic rooms and contemporary feel

Entrance to Art of Skin MD in Solana Beach, CA

  Dr. Melanie Palm is a board-certified dermatologist and cosmetic surgeon and is the Director of Art of Skin MD.  The 2400+ square foot contemporary medical setting provides cutting edge, personalized dermatology and cosmetic treatment for patients.  
Art of Skin MD boasts the most breathtaking architectural design in dermatology, cosmetic, and plastic surgery in San Diego

Sleek, contemporary, inviting treatment room at Art of Skin MD

Private waiting area for Dr. Palm patients exclusively at Art of Skin MD in Solana Beach, CA

Private patient waiting area at Art of Skin MD

  The Art of Skin MD Grand Opening celebration will take place on Thursday, July 19th from 5:30 to 8:30 pm at Art of Skin MD in the Beachwalk Center in Solana Beach. A ribbon-cutting ceremony will take place at 5:30 pm.  Guests will be provided with refreshments and hors d'oeuvres from Woody's and cupcake delights from Cupcake Love.   Special pricing on cosmetic procedures will be available the night of the Art of Skin MD grand opening.  Injectables including Botox, Dysport, Sculptra, Juvederm, Restylane, and Radiesse will be discounted, as will laser and light procedures such as intense pulsed light treatment or photodynamic therapy for acne, rosacea, precancerous lesions, and diffuse sun damage.  Dr. Palm will also offer special pricing on cosmetic surgical procedures including liposculpture and fat transfer as well as leg vein treatment including sclerotherapy.   Art of Skin MD will provide fundraising efforts the night of the Grand Opening of Dr. Palm's new dermatology practice.  An opportunity drawing as well silent auction items for aesthetic procedures and for food and entertainment in the Solana Beach will be featured.  All proceeds will benefit Angel Faces, a nonprofit organization providing support for adolescent girls with traumatic burn injuries.   Come join us for what is sure to be a memorable evening!  RSVP to [email protected].  Details are available on www.artofskinmd.com      

Jul 9

Dr. Melanie Palm, Solana Beach Dermatologist at Art of Skin MD, Selected for Patient’s Choice Award

Dr. Melanie Palm of Encinitas, CA has been ranked among the top physicians in the nation based on patient reviews.  
San Diego (Solana Beach), CA (PR NewsWire) July 9, 2012-- A select few physicians were honored with the prestigious 2011 Patients' Choice Award, and this year they include Dr. Melanie Palm.  This is Dr. Palm's second consecutive year in receiving this award, which highlights some of the most respected physicians in San Diego, California, and the U.S.   Melanie D. Palm, MD, MBA received her graduate training at the University of Chicago Pritzker School of Medicine and the Booth Graduate School of Business.  She currently serves as an assistant clinical professor at the University of California San Diego and is the Director of Art of Skin MD, a state-of-the art facility specializing in cutting edge delivery of medical and cosmetic dermatology for San Diego residents.   Only doctors who have received top scores by their patients and pass other quality measures are awarded the Patients' Choice Award. In fact, of the nation's 720,000 active physicians, just 5 percent were accorded this honor in 2011.     Every month, millions of patients across the U.S. access websites like Vitals (http://www.vitals.com) to share feedback about their experiences with their doctors. Patients rate various components of the care they receive, such as the accuracy of their diagnosis, the amount of time they spent with the doctor, and the doctor's bedside manner and follow-up care. Patient's Choice ranks the top reviewed physicians and looks at other quality measures to compile its yearly list.   Dr. Melanie Palm commented on the recognition: "This is quite an honor for me. I am very pleased to have been selected and grateful to my patients who went out of their way to rate me and give me positive reviews."   For more information on this Patients' Choice Award winner, please visit Dr. Melanie Palm's profile on PatientsChoice.org.   Following the publication of Dr. Melanie Palm's selection for the Patients' Choice Award, American Registry seconded the honor and added Dr. Palm to The Registry™ of Business Excellence. An exclusive recognition plaque has been designed to commemorate the honor.   For more information on Dr. Melanie Palm, located in Solana Beach, CA at Art of Skin MD please call 858.792.7546 or visit the www.artofskinmd.com .   Patients' Choice provides in depth information on doctors in your area who have been recognized and awarded for outstanding patient care and expertise. The Patients' Choice Award is the honor roll of physicians who have received the highest ratings by their patients.   American Registry, LLC, recognizes excellence in top businesses and professionals. The Registry™ includes over 2 million significant business and professional recognitions.

Jul 4

New FDA Rules on Sunscreens – What San Diego Adults and Kids Need to Know

Lovetoknow.com recently contacted me (Dr. Palm) wanting to know the scoop on changes in Sunscreen Labeling for the coming year according to the new FDA 2012 Rule.  Here are some of their questions and my answers below.

  1. The FDA's new sunscreen regulations can make consumers worried and confused. How can they be sure they are choosing sunscreen that offers adequate and appropriate protection for their needs?   "There are two important things to look for...1. That the sunscreen is "broad-spectrum" meaning that it covers both UVA and UVB rays and that the SPF is sufficient. The FDA recommends a Sun Protection Factor of 15, many dermatologists including myself prefer at least 30 SPF." 2. Consumers could also be confused about UVA and UVB protection. Can you briefly explain the, and why people need to be protected from both kinds of rays?and UVB cover different wavelengths of the ultraviolet spectrum of light radiation.  UVA are longer wavelengths (340-400 nm)--I usually tell patients that the "A" in UVA stands for "Aging"--UVA can cause skin aging effects related to significant sun exposure and UV exposure. These include sun spots, pigmentation, and wrinkling related to sun exposure. UVA has been related to some melanomas."  
Melanoma screening by Dr. Melanie Palm, a cosmetic surgeon in San Diego diagnosed this melanoma early
UVB are shorter wavelengths (290-320 nm). UVB is blocked by window glass, but UVA is not. The "B" in UVB can bring to mind "Burning." UVB is related to the red sunburn response seen after significant sun exposure. UVB is strongly related to the formation of nonmelanoma skin cancers including basal cell carcinoma and squamous cell carcinoma. Because both wavelengths have carcinogenic potential, a broad band spectrum sunscreen protecting against UVA and UVB is necessary.
Squamous cell carcinoma in San Diego

Squamous cell carcinoma of the scalp

  3. Many people buy sunscreen according to the SPF level. Under the new guidelines, will the SPF level still be as important, or is it more important consumers purchase one labeled broad spectrum?   "As explained above, these labels mean different things. SPF refers to the level of UVB protection. Broad spectrum coverage refers to the sunscreen's ability to protect against both UVA and UVB. Both are important, and understanding the difference is crucial to selecting an adequate sunscreen." 4. How will consumers be able to tell the difference between a sunscreen that was labeled according to the new regulations?   "These are relatively subtle changes in nomenclature--the way of describing the sunscreens. Waterproof is gone, replaced by water resistant and very water resistant. Broad spectrum will mean coverage against both UVA and UVB." 5. Many budget-conscious consumers purchase sunscreen at discount and closeout stores. After the FDA deadline, will these places still be able to carry sunscreen with the old labels? If so, what should consumers look for in the labeling to be best protected?   "My understanding is that these products can still be displayed as long as they are not expired. Products manufactured after the new FDA rule is in place will have to abide by the new Rules. Consumers should look for labels stating both UVA and UVB coverage. Ingredients such as zinc oxide, titanium dioxide, Mexoryl, and avobenzone (oxybenzone) are key ingredients for adequate UVA coverage. An SPF of 30 or above should be sought for adequate UVB coverage." 6. The new rules won't allow sunscreen to be labeled waterproof, only water-resistant. How long does a sunscreen, even one labeled water-resistant, really last?   "Water resistant is defined as sunscreen effective for at least 40 minutes of activity in the water. Very water resistant allows for 80 minutes. Sunscreens are strictly tested to be awarded this designation. However, patients are encouraged to reapply sunscreens after heavy activity including water sports by many dermatologists. At a minimum, most dermatologists recommend reapplication every hour and one-half to two hours when outside." 7. Do you have any other tips on what individuals should consider when it comes to purchasing their sunscreen protection?   "Choose a formulation you will use. If a product is thick and a body area needing to be covered is hair-bearing, this does not make for a good outcome. Apply sunscreen evenly and liberally. Rub in spray on products. Furtermore, the vast majority of consumers under-apply sunscreen. A full one-ounce should be applied to the body with each application (size of a shot glass). This means a typical bottle of sunscreen should only last 4 applications."
Proper sunscreen application is explained by Dr. Melanie Palm, a board-certified dermatologist in San Diego, CA

Proper amount of sunscreen (1 oz.) for full body application