I was 31 years old when I first had Botox injections. Up until that point, I had really only done peels and facials. I’ve never liked needles, so the thought of them going into my face was not one I was fond of. However, I also was not fond of the creases between my eyebrows, so off to the dermatologist I went. And when I saw the results, I wished I had started sooner.
When deciding where to go, I did my research. The one place I kept hearing wonderful things about was Art of Skin MD – that the facility is state of the art, the providers are the best of the best and the staff is wonderful. It made my decision easy, and I scheduled my consultation. From the moment I made my initial appointment, they lived up to their stellar reputation. And upon arriving to my appointment, everything I’d heard about Art of Skin MD was absolutely true. Another one of the top reasons that I came to Art of Skin MD as a patient is that looking natural is incredibly important to me, and they are known for doing just that. It’s not that I don’t want to age, it is that I want to age gracefully. I immediately loved that both Dr. Palm and her Registered Nurse, Jessica Scott, approach toxins with that in mind – my face looks fresh, never frozen.
Scalp health is vital to hair growth. It’s as simple as that. The reasons, though, are a bit more complex. Here, Dr. Palm breaks down the signs our scalps give us that say they are either healthy or not-so-healthy. And if yours is saying the latter, not to worry – she also offers tips on reviving the often forgotten area.
Our scalps supply the network of blood vessels that nourish the base of the hair bulb, allowing it to grow with the proper nutrition, oxygenation and removal of toxic byproducts. When one of these necessities is interrupted, hair can be greatly effected. The result can be hair loss, sudden shedding, loss of hair density and even changes in hair architecture such as decreased hair strand width, sudden brittle hair or even a change in color.
Are you having one or more of these symptoms? If so, I’m sure you’re wondering how can you know if your scalp’s health is the reason? Well, according to Dr. Palm, it really depends on the underlying cause for the symptoms. Non-scarring inflammatory conditions such as seborrheic dermatitis (or inflammatory dandruff) can cause redness, flaking, scaling, itching, tenderness and rashes. In some rare cases, acne-like lesions may result. Or, another reason could be an external exposure to a noxious substance, such as a hair dye someone is allergic to, which can cause redness, swelling, itching, hives, scaling, oozing, bleeding and in very rare cases, a systemic-wide body response called anaphylaxis. Continue reading →
Art of Skin MD is one of the first practices in the San Diego area offering Galderma’s newest members of the Restylane family that are changing the game with a very exciting new ability – flexibility. What makes this so exciting? Flexibility means a more natural look, and in the hands of the right injector, that can be game changing.
Dr. Palm serves as an advisory board member, clinical investigator, national speaker and physician trainer for Galderma, meaning that she has been selected to educate other physicians on products’ use and safety. She has also assisted in studies related to Galderma products. Both Restylane Refyne and Restylane Defyne were FDA approved in December 2016 and released in the U.S. in January 2017. Prior to this, Dr. Palm was among the first U.S. physicians to inject the product and was selected to learn from Canadian experts outside of the country on injection techniques prior to Restylane Refyne and Defyne becoming available in the U.S.
What makes these fillers different from other hyaluronic acid fillers already available? The hyaluronic acid strands of both Restylane Refyne and Restylane Defyne are bonded together in a way that creates a smooth gel that may provide not only a longer duration and less swelling than some other fillers used for wrinkle reduction, but also allows for more movement due to its flexibility. One of the most dreaded fears of patients is looking as though they have an unnatural appearance, and this is when choosing the right injector can make a huge difference. Dr. Palm is careful to select the right injectable dermal filler for each patient, and with the smoothness of both Restylane Refyne and Defyne, when injected by expert hands, they lend themselves to a very natural result by integrating into the areas of injection extremely well.
Shower Skin Damage? Last month, Dr. Palm answered some must-know skincare questions for Shape.com talking specifically about how seemingly-harmless shower routines could be damaging your skin. She breaks it all down with what you could be doing wrong, why it’s damaging and how to fix it!
Using the Wrong Soap The wrong soap can be very drying to the skin. Some of the most popular brands of soap available over the counter (for example, Irish Spring, Dial and Lever 2000) use soap detergents to cleanse the skin. This might sound harmless, but these soaps strip skin of not only dirt but also the natural moisturizing factors that keep the skin barrier intact and keep the skin hydrated.
The Fix Look for soaps that contain moisturizing agents, such as ceramides. Ceramides are a naturally occurring cholesterol-derived component to our skin that is devoid when skin is dry or eczema-prone. A great face and body wash that Dr. Palm recommends is our Art of Skin MD Antioxidant Soothing Wash.
Blackheads are a form of non-inflammatory acne called “open comedones.” Basically, a mix of sebum (oil) and skin cells get caught in the pores and oxidize, forming the characteristic brown–black color of comedones.
Number one rule when you have a blackhead is don’t pick at it! If you pick a blackhead, the area around the hair follicle and oil gland may get inflamed. This inflammation or trauma, the mix of sebum or skin cells, and the presence of a bacteria called P. acnes can cause non-inflammatory acne to become inflammatory. Inflammatory acne is characterized by redness, tenderness and cystic lesions. Inflammation in the area can lead to pain, unsightly acne cysts and in the worst-case scenario, it can cause scarring. Basically, you don’t want to stoke the fire of a well-behaving blackhead and create an inflamed and far worse situation. Continue reading →
There are a few areas where the body can store fat that are difficult to get rid of with healthy diets and workouts alone – and the submentum, or area under the chin, is definitely one of those areas. Luckily, there is Kybella! Check out our deal that we are offering for Kybella this month in celebration of all of the success we have had so far with patients and eliminating the dreaded "double chin."
Kybella is the first FDA-approved, non-surgical treatment that targets the fat that creates a double chin. It is a naturally-occurring bile acid, called deoxycholic acid, that is injected into the fat beneath the chin and destroys fat cells. In the body, the job of deoxycholic acid is to break down dietary fats in the gut after eating a meal. It therefore makes sense to exploit this natural process for other areas in the body that have unwanted fat such as the double chin Continue reading →
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 →
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:
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 →
Tired of that older tattoo from days past? The old flower or dolphin or initials, or heart or star has lost its glimmer or meaning? Are you ready to rid that tattoo? If your answer is yes, consider laser tattoo removal at Art of Skin MD.
At Art of Skin MD, Dr. Melanie Palm uses the latest technology to remove professional and traumatic tattoos. Most colored tattoos can be removed with our Q-switched laser, the Lutronic Spectra Laser. The Spectra laser features multiple wavelengths (four) to treat nearly all colors found in professional tattoos.
Comfort is extremely important for our patients during tattoo removal. We seek to make the experience pain-free. Watch Dr. Palm treat a tattoo in seconds on our YouTube channel:
Ask our qualified staff at Art of Skin MD about tattoo removal today. Contact us through the Art of Skin MD website or by calling (858) 792-SKIN (7546).
Think stem cell therapy is a thing of the future? Not true! The first personalized approach to fillers is already available. LaViv is the first FDA-approved product that creates volume for the face by using your own cells. Read on to learn more...
LaViv is a personalized approach to facial rejuvenation. The process is simple and occurs in two steps. The first step is tissue harvesting. During a simple 5-10 minute procedure, Dr. Melanie Palm painlessly obtains three small samples of skin from behind the ear. The procedure is similar to a skin biopsy, and is performed by completely numbing the area prior to obtaining the skin samples. The patient receives a couple of stitches that are removed approximately 1 week later. Watch Dr. Palm perform this first step on an actual patient in the video below:
The skin samples are carefully labeled and transported to the LaViv Fibrocell Sciences laboratory. At this facility, the skin samples are used to produce millions and millions of cells called fibroblasts. Fibroblasts are an extremely important cell. They reside in the second layer of our skin called the dermis. Fibroblasts are collagen producers, and as collagen creates the support and structure of our skin, fibroblasts are vitally important in maintaining the health, structure, glow, texture, and appearance of our skin.
It takes approximately 3 months for the LaViv laboratory to produce a sufficient amount of fibroblasts to inject into the skin for facial rejuvenation. After the incubation period, the LaViv patient comes back to clinic for a series of 3 monthly visits. At each visit, LaViv is injected into areas of volume loss such as the nasolabial folds. LaViv seems to work quite well in softening fine etched in lines. LaViv also helps build volume by promoting your own collagen growth. Thus, many doctors including Dr. Melanie Palm inject LaViv strategically all over the face.
The results from LaViv injection take several months to occur. Gradual volume replacement occurs over this time period. LaViv may complement other procedures. For example, LaViv could be complementary to other skin rejuvenating procedures such as laser resurfacing.
The cost of LaViv is one flat fee that covers the skin sampling, lab processing, and the three subsequent visits to place the injectable product. If you would like to learn more about LaViv, call Art of Skin MD at 858.792.SKIN (7546) to schedule a consultation or contact us conveniently through our Art of Skin MD website.