May 25

Dudesport and Brotox: Dysport and Botox for Men!

Father's Day is right around the corner and you may be wondering what in the world to get that special guy in your life.


Well, if he has made a subtle mention of getting older, perhaps it is time to call in the troops at Art of Skin MD.  If the furrows between the brows need to be tamed, or the horizontal forehead lines are getting worse, or the wrinkles next to the eyes are no longer distinguishing but disheartening, perhaps it is ponder some wrinkle control for your man with Dysport or Botox.


Here are some great, short videos featuring Dysport administered by me (Dr. Melanie Palm) in a female patient to treat the forehead, brows, crow's feet and even the jelly roll underneath the eyes and nose wrinkles called bunny lines:


Angry 11's and Forehead treatment with Dysport:


Bunny lines of the nose treatment with Dysport:



Crow's feet and undereye (jelly roll) treatment with Dysport:


The reason I term Botox and Dysport with the nicknames "Brotox" and "Dudesport" when treating men is because my male patients receive treatment unique to their female counterparts.  Male patients often have stronger muscles, which means that more product may be required to soften the muscle movement causing wrinkles on the face.


Additionally, the technique of injection when treating males with Botox or Dysport differs somewhat from women.  Our facial features, men versus women, are different, and the ideals of what a feminine and masculine face is also differs.  A male brow should remain relatively horizontal and not curved or peaked like the female eyebrow.  Male brows in general are heavier than females.


Forehead muscle movement may also differ between my male and female patients.  For this reason, it is critical that a man deciding to treat his facial muscles with a neuromodulator select a board-certified dermatologist that is appreciative of the anatomical differences and goals with a male patient.


Dysport and Botox is a fast, easy, and painless treatment.  I ensure that patients are comfortable but thoroughly explaining the procedure and making them aware of next steps.  Furthermore, the use of very fine needles and pinching the skin for distraction and improved patient comfort.


Got questions and want answers.  Call Art of Skin MD at 858.792.7546 or contact us through the Art of Skin MD webpage.



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.    

May 9

SolSearch Fundraiser & Free Skin Cancer Screenings by Dr. Melanie Palm at Art of Skin MD

The Art of Skin MD family is gearing up for our big annual fundraising event, SolSearch!  This is our third consecutive year of bringing awareness and raising funds for skin cancer research through the Skin Cancer Foundation.   Here I am (Dr. Melanie Palm) speaking with UT-TV news anchor Taylor Baldwin about the event:       A link to all of the events for SolSearch 2013 are found on the link:   Here is a brief run-down of the exciting SolSearch 2013 event: Date:  Saturday, May 18th, 2013 Location:  Beachwalk Complex, Solana Beach Events: 11-3 pm at Art of Skin MD:  FREE skin cancer screenings by Dr. Melanie Palm and 3 other board-certified dermatologists.  Call 858.792.7546 to schedule in advance 4-7pm in the courtyard next to Art of Skin MD:  $25 entry to the SolSearch party.  Tickets are purchased through the SolSearch website (  Entry includes free drinks, food catered by California Pizza Kitchen, a swanky swag bag full of skin and hair goodies, rebates and freebies for local Solana Beach businesses, AND a certificate for 50% OFF DYSPORT by Dr. Palm!!!   Feel free to contact the Art of Skin MD with questions regarding skin cancer screenings and the event at (858) 792-7546.  We hope to see you at Beachwalk on May 18th!    

May 2

Liposuction made easy (with laser!) by Dr. Melanie Palm

With the 90 degree heat comes thoughts of pool weather and bathing suit season.  Sick of pesky and stubborn spots that seem to be resistant to even your best efforts at juicing and countless pilates and hot yoga classes?  Maybe it is time to consider a consultation with me to consider tumescent liposculpture and skin tightening using the Accusculpt device!  You just might be the perfect candidate...   Who is a good liposuction candidate?  Well, you should be someone close to your ideal (target) weight but has fatty deposits that are resistant to good habits in terms of diet and exercise.  All of us are given certain genetic attributes, and sometimes we lose the roll of the dice when it comes to unwelcome saddlebags, muffin tops, and the dreaded thunder thighs!  There is something that you can do with little downtime and NO GENERAL ANESTHESIA.   Tumescent anesthesia is used to locally numb the areas of treatment.  In areas where skin tightening is needed, I use the Accusculpt system from Lutronic first.  This laser liposuction device gently warms the undersurface of the skin and painlessly melts fat.  The desired effect is skin tightening and easier fat removal.   Check out this YouTube video of myself (Dr. Melanie Palm) performing Accusculpt on the back of the thighs:     Laser liposuction is most ideal in areas of skin laxity.  The neck, upper arms, lower abdomen, and thighs are most amenable to treatment.   After Accusculpt laser liposuction treatment, traditional tumescent liposuction (termed liposculpture) is performed.  Mind you, all of this is performed comfortably under ONLY local anesthesia.  I use small cannulas and without heavy sedation, patient recover QUICKLY.  This patient was in my office the next day and had minimal discomfort.  She did not event need the Tylenol she was prescribed.   Here is a short clip on YouTube demonstrating Liposculpture of the outer thigh region:     Liposuction does not have to be a feared procedure.  Performed by the artistic hand of Dr. Melanie Palm, the procedure can be gentle, comfortable, with an effortless recovery.  Curious?  Call the qualified staff at Art of Skin MD at 858.792.SKIN (7546) to schedule a consultation or contact us through the Art of Skin MD website.