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.





Jul 10

Dysport Flash Sale – Summer Savings & Wrinkle Free

Botox virgins and Dysport divas, Brotoxers and Dudesporters - attention San Diego!  The Art of Skin MD Dysport flash sale is officially on!


For a limited time, you can save 30% off of Dysport botulinum toxin!  Dysport is a quick procedure and I assure to make it as effortless and painless as possible.  If you have been thinking about eliminating unwanted facial expression wrinkles for some time, or you are overdue from your last appointment, now is the time to save.


Check out our most recent Dysport patient as she receives treatment to the angry 11s, forehead frown lines, bunny lines, and crow's feet.   She did a great job and is featured on the Dr. Melanie Palm YouTube channel:


Dysport treatment to the glabella to treat furrowed brow:


Dysport Brow lift with lateral eyebrow:


Dysport to nose wrinkles for the treatment of bunny lines:


Dysport for horizontal forehead lines and wrinkles:


Dysport for treatment of crow's feet around the eyes:



Dysport and Botox injections should be simple, easy procedures but the artistry of using these injectables comes with experienced hands.  As a Valeant and Medicis luminary, meaning that I serve as a training and speaking physician as well as thought leader for these brands, patients at Art of Skin MD experience an individualized treatment plan when evaluating the face for neuromodulators such as Botox, Dysport, and Xeomin.


Treatment with chemomodulators such as Botox is not formulaic.  Everyone's musculature and facial expressions are unique, and therefore, so should be his or her treatment plan when it comes to treating wrinkles caused by facial expression.  The treatment goal of any botulinum toxin should be relaxation, NOT paralysis.  I frequently tell patients that I would prefer treatment to be more conservative, maintaining softened facial expressions and tweaking areas slightly with the first treatment if I err on the side of increased, rather than decreased movement.


Although the angry 11s (between the eyebrows), forehead, and crow's feet are most commonly treated with Dysport, many other areas on and off the face are improved with muscle relaxation.  A browlift can be achieved by placing a small amount of Dysport or Botox to the lateral eyebrow.  Migraines can be treated by placing small amounts of neurotoxin to the forehead, temples, and back of the scalp depending on trigger points.  Large jawlines caused by over-trained jaw muscles called the masseters can be re-shaped over time with Dysport and Botox.


The lower face and neck can be successfully treated with any of the neuromodulators.  A downturned mouth can be brought to a pleasant neutral position by injecting a small amount of chemomodulator to the jawline to treat a muscle called the depressor angularis oris.  A pebbly chin sometimes referred to as an orange peel or in French, peau d'orange, can be treated by injecting the mentalis, the chin muscle.  I frequently inject minute amounts of Dysport around the mouth to help with vertical lip lines called lipstick lines or smoker's lines.  A small amount of Botox can be placed at the base of the nose to elevate the nasal tip.  Patients with neck bands can be improved by injecting the platysma muscle.  Small amounts of Botox or Dysport can be placed along the side of the jawline to lift the tissues creating a "Nefrititi lift."


Other medical conditions can be amenable to Botox and Dysport treatment.  Hyperhidrosis  or excessive sweating of the underarms, palms, and soles is greatly improved with chemomodulator treatment.  Patients with Bell's Palsy in which one side of the face experiences partial muscle paralysis can be balanced by delivering very small amounts of Botox or Dysport to complementary muscle groups on the unaffected side of the face.  Facial flushing and redness has even been reported to improve in some patients following microinjections of botulinum toxin.


Enjoy Dysport savings at Art of Skin MD by taking advantage of our Flash Sale offer.  This week Dysport injections are being offered at $3/unit.  To take advantage of this very limited time offer, contact the Staff at Art of Skin MD at 858.792.7546 or via the web at the Art of Skin MD contact page.