Apr 20

First-Time Fillers: A Patient’s Perspective

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.

Dr. Melanie Palm & Jessica Scott, RN

As time went by, I started to notice some fine lines around my lips from all of the years of using straws to protect my teeth from my love of coffee, tea and red wine. This, coupled with the volume I had lost in my cheeks causing marionette lines, made it clear that it was time to think about fillers.

In the conversation I had with Jessica, she answered all of my questions and eased all of my fears regarding looking “done” or “fake” – and I knew I was in great hands. She talked to me about medications and foods to avoid leading up to the injections to prevent bruising, and I started taking Arnika Forte to help further prevent bruising and swelling. We decided on a Restylane Lyft Package – this included Restylane Lyft and Restylane – the two fillers that would be best for what I needed. We started the process with before photos, which is exciting because it’s easy to get used to what I see in the mirror daily and forget what I looked like even a few weeks ago compared to now. Then, she applied topical numbing cream on my face like a mask. I sat comfortably and worked while my face numbed for an hour. Then, she cleaned the numbing cream off of my face and it was time to get started.

She talked me through every step, “you’re going to feel a little poke here” and “one, two, three” then the tiny poke (which I barely felt). She created volume in my cheeks, filled my lip lines and put a little Restylane in my nasal labial folds to smooth out the lines that had been created from that volume loss in my cheeks previously. She then handed me an ice ball, and told me to ice for 20 minutes on and 20 minutes off that day. I instantly loved the results! Friends who have seen me since have commented on how rested and fresh I look, which leads to me telling them about my experience of doing fillers with Jessica!

When having fillers done, the injector is truly an artist and the patient’s face is the work of art – but – it’s also your face. Keeping that in mind, it is imperative to trust that the injector is both incredibly knowledgeable and skilled to ensure that the outcome will be you looking like a well rested, fresher version of you. For me, Jessica and Dr. Palm both embody everything a great injector should be and I couldn’t be happier with my results!

I so loved the staff and the culture at Art of Skin MD, when a position opened up to join the team, I jumped at it! If you’re interested in scheduling a consultation and have any questions, I hope you’ll call and talk to one of us here at the office! We are truly happy to guide you through the entire process, and enjoy getting to know the wonderful people who come visit us at Art of Skin MD!

Looking forward to seeing you all very soon! -Mandy

Art of Skin MD Team in Solana Beach, CA


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!  

Apr 30

SolSearch at Art of Skin MD hosted by Dr. Melanie Palm

Click here to vew photos of SolSearch 2014! We are excited to celebrate the fourth annual SolSearch event at Art of Skin MD in Solana Beach, California to raise awareness and funds for skin cancer research. Continue reading

Sep 4

Vanquish radiofrequency fat reduction: Beat the Belly Bulge without pain or downtime!

Nonsurgical, no downtime, painless fat removal with RF in San Diego, California

  Art of Skin MD is delighted to announce it is the first dermatology practice in San Diego to offer Vanquish.  Vanquish is the newest revolution in non-surgical fat removal.  It uses radiofrequency to gently heat the targeted area of unwanted fat and decrease waist circumference after a series of treatments.   Click below to watch Art of Skin MD featuring myself (Dr. Melanie Palm) discuss the revolution in nonsurgical fat removal with Vanquish on San Diego Fox 5:     Vanquish is easy and PAINLESS.  A treatment series typically involves 4-6 weekly sessions.  Each session lasts 30 minutes, and there is absolutely no discomfort.  The treatment feels like a heating pad or blanket has been treated over the entire abdomen.  Most patients relax and watch a movie or take a nap during treatment.  
radiofrequency fat melting

Vanquish radio frequency nonsurgical, no downtime, no pain fat reduction therapy

        After Vanquish treatment, there is NO DOWNTIME.    The area of treatment feels warm to the touch and the skin may appear slightly pink for a period of minutes to an hour or two.  Unlike other nonsurgical fat reduction therapies, Vanquish does not hurt during administration, and there is no need for pain medication following treatment.   Vanquish is currently FDA-approved for deep tissue heating and final studies are pending for approval for fat reduction.  According to European studies, an average person lost 2.23 inches off their waist circcumference after four weekly treatments.   The Vanquish offers the largest surface area of treatment out of any fat reduction technology currently on the market.  The large platform with adjustable wings on Vanquish can comfortably treat the majority of an average abdomen as well as the flanks (sides of the waist).  Other areas beyond the "spare tire" and the "bulge of the belly" can be treated.  When used to treat the back of the waist and hips, Vanquish can address the "muffin top" above the waist of your favorite jeans.  Other areas that we have addressed in patients using the Vanquish includes the bra line and upper back fat as well as the outer thighs.  It is likely that with time other applications for Vanquish in smaller areas will be available such as for the upper arms and inner thighs. Here are some before and after photos from the International BTL Vanquish site:  
Radiofrequency fat reduction of male abdomen

Vanquish treatment of male abdomen after 4 weekly treatments

 
Vanquish before and afters for fat reduction of abdomen

Side view of female abdomen treated by Vanquish

 
U.S. Vanquish expert Dr. Melanie Palm uses Vanquish for no downtime, no pain fat reduction to the abdomen, and flanks

Female abdomen after treatment with Vanquish

  A good candidate for Vanquish is close to their ideal weight but has unwanted areas of fat that are resistant to diet and exercise.  Vanquish auto-tunes itself to deliver more energy in areas of abundant fat, and less energy where there isn't as much to lose.  That way, even fat loss in the areas treated is ensured.   Currently, Art of Skin MD is running a promotion through the end of October 2013 on Vanquish.  Call the Staff at Art of Skin MD at 858.792.7546 to find out how to save $1200 on your treatment.  Contact us through the Art of Skin MD website today!  

Jun 30

Sunburn Prevention & Treatment: Think Red Light and Ferns

According to the Skin Cancer Foundation, approximately 42 percent of us experience a sunburn at least once a year.  That is an astounding statistic!  We know that a history of severe sunburns is a risk factor for melanoma, and ultraviolet light exposure is strongly related to the development of other skin cancers including basal cell carcinoma and squamous cell carcinoma.   Check out the videos below featuring me (Dr. Melanie Palm) addressing sunburn treatment and prevention on San Diego TV outlets:       UT-TV SAN DIEGO ON PRIMETIME WITH TAYLOR BALDWIN:     SAN DIEGO 6 ON SAN DIEGO LIVING WITH KRISTIN MOSTELLER:     KUSI ON GOOD MORNING SAN DIEGO WITH MIKE CASTELLUCCI:     So what can we do to prevent sunburns and all of the uncomfortable sequelae that follows:  the pink skin, the hot flush to the skin, the feverish body aches, and the flaky skin that follows.  There are some simple and easy to remember steps that can help to minimize the opportunity for the San Diego skin scorching.   1.  USE SUNSCREEEN!  Pick a broad spectrum sunscreen that covers both UVA and UVB.  UVA is related to aging changes in the skin - pigmentation, loss of elasticity, and premature wrinkling.  UVB causes the burn like response following sun exposure.  Most dermatologists including myself recommend a physical blocking agent as one of the sunscreen's active ingredients - like zinc oxide or titanium dioxide.  Make sure that the SPF is 30 or higher.  Apply sunscreen prior to going outside and reapply often...usually every 90 minutes during outside activities.   2.  Seek shade and avoid peak hours.  Being a part of the beautiful weather is part of being a San Diegan, but that doesn't mean we can't be sun smart.  Try to avoid outside activities during peak sun hours of 10 am to 4 pm.  This is when the UV exposure is most intense and shadows are shortest and hard to find.   3.  Try supplementation.  In addition to the requisite sunscreen use, there are a few dietary supplements that can help minimize the opportunity for sunburn and have a protective role for your skin.  A fern extract for the polypodium leucotomos plant is packaged as capsules called Heliocare.  Ingestion of Heliocare prior to sun exposure is somewhat protective against damage waved by UV waves.  Oral intake of green tea has a similar somewhat protective effect.  However, neither is considered a suitable substitute for photoprotection and both should be used in conjunction with sunscreen.   Prevention is the best treatment for sunburn.  However, if one does occur, early intervention is key.  Contrary to popular belief, there are several measures that can be taken to alleviate a sunburn.  Here are some helpful steps:   1.  Take ibuprofen as soon as possible.  It is an non-steriodal anti-inflammatory that not only alleviates pain but decreases the inflammation associated with a sunburn.   2.  Use a topical steroid.  This is best done at the first sign of a sunburn.  Over the counter hydrocortisone works in a pinch, but a board-certified dermatologist can provide a prescription-strength steroid that better addresses a sunburn.   3.  Put on the red light.  Like the famous Police song "Roxanne," red light also works for sunburns.  A red diode light called the Healite II is used for Art of Skin MD patients to reduce inflammation associated with sunburn and make the redness subside more quickly.  The red light takes mere minutes, is covered by insurance, and is painless.   4.  Seek professional skin help.  If the sunburn is causing blisters, fever, flu-like symptoms, or other concerning side effects, call a health care professional immediately.  Although your dermatologist can handle most significant sunburns, occasionally hospitalization including care in the burn unit may be required to replenish fluid and decrease pain.   5.  Prepare to moisturize.  Once the sunburn has resolved, the skin often peels, sometimes significantly for the next week to 10 days.  It is important to use a moisturizer, and use it often.  Moisturizers that contain ceramides are particularly helpful.  Ceramides are cholesterol-derived, natural occurring fats that normally moisturize our skin surface.  During inflammation, they are depleted.  CeraVe and Cetaphil among others are brands that contain the dry-skin squashing ceramides.    

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:  www.artofskinmd.com/solsearch   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 (www.artofskinmd.com/solsearch).  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!    

Mar 19

Chest Rejuvenation? Sculptra is Here to Help

Our face isn't the only skin we need to take close and careful care for as we spring into summer.  Most of us are more cognizant about protecting our facial skin, but we neglect to take care of our necks, chest, and hands.   Over time, exposure to sun and environmental elements can cause telltale aging changes to the chest.  UV exposure damages collagen in the second layer of our skin called the dermis.  This loss of support results in skin textural changes and vertical wrinkles in the decollete area.   So what can be done to improve the appearance of this aged skin?  Sculptra!  Completed as a series of treatments, Sculptra injections to the chest promote new collagen growth, strengthening and thickening the soft tissue and skin of the chest area.  This increased support and scaffolding lessens the appearance of skin irregularities and lines in the V-shaped area of the chest.   Watch the YouTube video below to see Dr. Palm demonstrate how Sculptra in placed along the decollete area for chest rejuvenation:     Other procedures can be combined with Sculptra treatment for total chest rejuvenation.  Laser and light procedures can improve the appearance of the skin by eliminating color changes and further improving skin texture.  IPL can eliminate brown spots and broken blood vessels.  Photodynamic therapy (PDT) can treat photodamage and precancerous spots called "actinic keratoses."  The eCO2 fractionated laser skin resurfacing procedure can smooth and tighten skin.  Ultherapy can be used in the chest area to tighten and lift loose skin.   Interested in more information on chest rejuvenation?  Call us at (858) 792-SKIN (7546) or contact us through the Art of Skin MD Contact page.    

Mar 6

IPL Photofacial Treatment is a Snap!

Winter skin blahs got you down?  Consider a photofacial!  Also known as an IPL (Intense Pulsed Light), this short, no-downtime procedure is a great way to rejuvenate the skin.  A quick patient demo for treatment of facial redness is shown below on our YouTube station:     Photofacial IPL is great for a variety of skin conditions,  Traditionally performed at monthly intervals as a series of treatments, IPL can improve rosacea, broken blood vessels called capillaries, and even pink-brown spots left behind by acne.  Not only does IPL treat red discoloration in the skin, but it also goes after brown spots usually related to sun or UV exposure,  Solar lentigines, melasma, and photoaged skin looks youthful, clearer, and sometimes smoother after a series of IPL treatments.   IPL can also be combined with photodynamic therapy for a more comprehensive, proactive approach to treating both skin aging and precancerous spots called actinic keratoses.   Art of Skin MD will be offering a flash sale on IPL in a few weeks.  Call our qualified staff at (858) 792-SKIN (7546) for details or contact us through the Art of Skin MD website.