Mar 1

Restylane Refyne & Defyne – The New Fillers on the Block

           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.

 

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Nov 10

The Down & Dirty on Blackheads

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.
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Oct 20

Summer Skin Rescue Photos

We had such a great time hosting our 4th Annual Summer Skin Rescue Event on Thursday, September 29, 2016. We are grateful for all of the patients, both established and new, who came out to support us and partake in the fun the evening offered! The photos are so great, we had to share! Hope you enjoy and hope to see you all again soon!  

Sep 7

Don’t Miss Our 4th Annual Summer Skin Rescue Event!

Ever year, here at Art of Skin MD, we excitedly host an open house event that we affectionately call Summer Skin Rescue and we can’t wait for this year’s event, our fourth annual Summer Skin Rescue – it is scheduled for Thursday, Sept. 29, 2016 from 5:30 – 7 p.m. – it’s sure to be our best yet!  We will have representatives from companies such as Galderma, Allergan, Lumenis, Merz, BTL and more here to discuss and explain the latest and greatest in cosmetic treatments! On top of that, we will have giveaway bags for the first 100 attendees to arrive that are full of amazing goodies – valued at over $500! Just some of the scores in these bags include our favorite Orgain Protein Bars, amazing beauty products such as Neocutis Lumiere Riche Bio-restorative Eye Balm and treats from local businesses such as Yoga Six, Fitwall, Graced by Grit and much more! Definitely plan to get here early in order to snag one of these plentiful bags! We will also be holding raffles for fabulous giveaways – some valued up to $3,000! Continue reading

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

Apr 4

Glowing Skin: Harper’s Bazaar Features Dr. Palm

First, Art of Skin MD continues to be trailblazing when it comes to cosmetic trends for Spring and getting glowing skin.  This month, I am featured as an expert that spills the secrets on getting glowing skin.  In the April issue of Harper's Bazaar on newsstands now, you can get my dermatology secrets to amazing skin with topical skin care products. Skin care product recommendations with Dr. Palm Art of Skin MD Harper's Bazaar In this two page feature, I divulge some of my favorite secrets to glowing skin for summer. 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

Jul 27

Do It Yourself (DIY) Tips – Home Remedy Sunburn Relief

Sunny days in San Diego, California mean ample exposure with the sun.  Unfortunately, prolonged exposure, or lack of good sunscreens, can cause a nasty sunburn.  When you get a sunburn, your skin turns red and hurts. If the burn is severe, you can develop swelling and sunburn You may even feel like you have the flu -- feverish, with chills, nausea, headache, and weakness. A few days later, your skin will start peeling and itching as your body tries to rid itself of sun-damaged cells. If the unfortunate occurs, and you do experience a sunburn, what can one do to create sunburn relief? Continue reading

Nov 28

Belotero Balance: Banish Fine Lip Lines and Crow’s Feet

Belotero Balance is the newest FDA-approved hyaluronic acid filler.  Unlike other dermal injectables, Belotero is meant to be placed superficially in the skin, in a layer called the dermis.   This means that Belotero is able to correct fine lines and wrinkles that cannot be smoothed with other fillers like Restylane, Juvederm, or Radiesse.  These other fillers should not be placed so far high up in the skin.  The result of placement of other hyaluronic acid fillers can lead to blue discoloration due to a phenomenon called the Tyndall effect.  Radiesse, made up of calcium hydroxylapatite (the same mineral composition as bone), if placed too superficially could cause white lumps or discoloration.   Lumpiness could also occur with superficial placement of other fillers by unskilled injectors.  Belotero Balance, on the other hand, is composed of a smooth, double-linked form of hyaluronic acid.  This means it seamlessly incorporates into the superficial layers of the skin, creating a smooth contour and lifting fine lines to correct wrinkles in stubborn areas such as crow's feet, lip lines, and parentheses around the mouth.  Belotero is another great option for correcting angry 11's caused by muscular movement around the brow.  

Belotero balance wrinkle filler san diego

  New filler Belotero Balance wrinkle correction by San Diego dermatologist Dr. Melanie Palm   Belotero comes to the cosmetic dermatology practice from Merz, the company that provides the longer term collagen-producing filler Radiesse.  Merz is also the maker of type A botulinum toxin product Xeomin as well as the sclerosing injectable Asclera, which in its foamed form of polidocanol is very effective in treating spider and varicose veins.   Belotero does not come with lidocaine already mixed into the filler.  As a result, Dr. Palm uses various methods to increase patient comfort during the procedure.  Admixing a small amount of lidocaine into the filler can be used to decrease discomfort.  Alternatively, at Art of Skin MD we routinely utilize regional nerve blocks, topical numbing, and cold packs to increase patient comfort and decrease the opportunity for side effects.   Belotero Balance is offered by expert injector and cosmetic dermatologist, Dr. Melanie Palm at Art of Skin MD.  Schedule a consultation by contacting Art of Skin MD or calling us at 858.792.SKIN (7546).