Mar 15

How To Attain & Maintain A Healthy Scalp

          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.

          Some extreme unhealthy scalp conditions can lead to scarring alopecia, which is a permanent form of hair loss. In these instances, areas with previous hair can become inflamed, particularly around hair follicles and the hair strand width becomes very small, like peach fuzz. In extreme cases, the affected areas of the scalp can be scarred and completely devoid of hair. Some causes of this condition include forms of lupus and centrifugal cicatrial alopecia. Unfortunately, Dr. Palm says for some of these conditions, effective treatment can be elusive.

Signs of a Healthy Scalp

  • Normal coloration of the skin
  • No visible flaking or redness
  • Not overly shiny or dull
  • Hair density should be normal for the individual
  • No areas of skin breakdown (crust, scabs, acne or lesions)
  • Non-chemically treated hair should be lustrous, strong and the strands should be uniform in width

Tips for keeping a Health Scalp

  • Consistent Hygiene
    This can vary with a person’s age and ethnicity. For example, someone who has a dry scalp may require less frequent washing/shampooing.
  • Avoid possible irritants
    Paraphenylenediamine (PPD) and occasionally peroxide from hair coloring and permanent hair treatments can be severe irritants or causes of allergy on the scalp. If redness, itching, pain, oozing or a rash of any kind develop after a hair treatment, the cause is likely an irritant or allergic contact dermatitis and you should discontinue the treatment.
  • Avoid overly-tight braiding of hair
    The tension of overly-tight braids can cause traction alopecia, which is a permanent form of hair loss over time.
  • Consider products with UV protectant
    If you suffer from thin hair, especially at the top of the scalp, using a product with UV protectant provides sun protection to the exposed skin on the scalp.
  • Eat a balance diet
    A diet compatible with enhanced skin health includes vitamin A, E, monounsaturated fatty acids, antioxidants, omega-3s and 6s as well as good hydration will enhance skin health in general, including the health of your scalp.
  • If you notice a change, see your doctor
    If you notice a change in your skin, consulting an expert is always a good idea. Mild flaking can be treated with an over the counter anti-dandruff shampoo, but more concerning symptoms may require a dermatologist’s guidance for treatment and improvement.

          A healthy scalp leads to healthy hair and following these tips and guidelines are a good way to get there. As always, if you have any questions, don’t hesitate to call and schedule an appointment to be sure you’re scalp is at its healthiest! For more information on how your diet can influence the overall health of your skin, check out this video:

 


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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Feb 3

How Your Shower Routines Are Damaging Your Skin – And How To Fix Them

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.

Art of Skin MD Antioxidant Soothing Wash

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Nov 21

Why We Love Mineral Makeup, And You Should Too!

This time of year brings many social gatherings, our calendars are filling up with fun parties and outings as we are sure yours are! We all want to look our best, so for many of us, that includes glamming up with our favorite outfits and of course having a bit of fun with makeup! There are so many choices out there, so we want to break the basics down for you and give you the information to be able to choose the right foundation for your skin's needs.

Benefits – Why We Choose Mineral Foundation

These foundations are great because the main ingredients in most of them (zinc oxide, titanium dioxide, ferrous oxide) are either anti-inflammatory, provide great sunscreen protection (as a physical blocking agent), or provide natural, mineral-based color for the skin.  They are ideal for many skin types, but in particular can help calm sensitive and rosacea prone skin and the anti-inflammatory properties of many of the formulations help to improve acne prone complexions.  The mineral based foundations work great with oily complexions, helping to absorb unwanted shine.  Newer liquid mineral foundations are better for mature skin, and don’t settle in fine lines the way earlier formulations sometimes could.

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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!  

Feb 23

Lovely Legs: Eliminate Spider Veins with Sclerotherapy by Dr. Melanie Palm

Sclerotherapy expert Encinitas Dr. Melanie Palm   Spring weather is just around the corner and it is time to think about revealing long, lean, vein-free legs. How to banish those pesky spider veins called telangiectasias? The answer is easy and pain-free: sclerotherapy using foamed Asclera.   Sclerotherapy is the gold standard of treatment in eliminating unwanted leg veins. It can be used to clear unsightly small veins called telangiectasias, larger blue-green veins called "reticular veins," or even bulging blue veins called varicose veins.   Leg vein treatment is easy and painless thanks to newer sclerosing agents including Asclera, FDA-approved for use in sclerotherapy in 2009. Dr. Palm demonstrates this in-office procedure below on our YouTube channel:       Varicose veins carry significant risks. Patients with significant varicose veins can have a lifetime risk of blood clots from these leg veins of almost 50 percent.   The leg veins are not just unsightly, they can cause symptoms, sometimes not noticed until after treatment with sclerotherapy. Broken blood vessels in the legs can be frequently accompanied by leg heaviness, swelling, color changes, eczema-like rashes, pain, and even skin ulcers. Proactive treatment at Art of Skin MD with me, Dr. Melanie Palm, can improve these symptoms and the cosmetic appearance of your legs.   Once you have got your legs free of unsightly spider veins, make them "fuzz free."  Find out about laser hair removal at Art of Skin MD today.  Our Lutronic Advantage Diode laser hair removal device is the newest on the market and makes unwanted hair removal a quick and easy process.   Vein specialist san diego   Curious about your legs?  Call us at (858)792-SKIN (7546) or contact us through the Art of Skin MD website.    

Feb 15

Fuller Lips with Filler: Dr. Melanie Palm Perfects the Pout Part II

Juvederm lip san diego   Now that we have explored the use of a cannula to fill the lip in our previous Art of Skin MD post, let's now explore how to create a NATURAL, BEAUTIFULLY-ENHANCED lip.  My philosophy is that we should enhance the inherent beauty of your lips, so that it becomes a harmonious part of the face.  Enhanced lips should never look "done," a frequent concern of patients during initial consultation.   Various fillers are used to augment the lip area.  In the YouTube video below, Restylane is used by myself, Dr. Melanie Palm, to contour the lips.   Other fillers may be used as well.  Juvederm is another popular choice.  A newer hyaluronic acid filler called Belotero can also be used.  Belotero is typically used to fill and smooth fine lines around the mouth but could be used to fill the lips as a more temporary measure.  That way you can "test drive" your lips before you use a longer-term filler like Restylane or Juvederm.  For very select patients that are good candidates, I will use silicone using a microdroplet technique for more permanent lip enhancement.   Pain or discomfort is often a concern of patients undergoing a filler procedure to augment the lips.  I insist that patients are completely comfortable.  I think this is accomplished by several measures.  First, at Art of Skin MD we create an ambiance that invites tranquility and dissolves the anxiety and nervousness that can be associated with undergoing a cosmetic procedure.  The inviting staff, upbeat music, and our smiles will immediately put you at ease.   Beyond the Art of Skin MD culture, we provide other comforts for patients.  The use of both topical numbing and small amounts of numbing injection medicine are used to numb the entire lip area so the lip filling experience is pain-free.  We provide good conversation and distraction tools so that the your visit is a breeze.   Got questions?  Give us a call....it's easy to ask our staff at (858) 792-SKIN (7546).  Or visit our Art of Skin MD contact page.          

Dec 18

Winter Skin Tips with Dr. Palm: Lasers, topicals and more!

Holiday season heralds a flurry of parties, imbibing, decadent food, and cooler whether that can wreak havoc on the skin.  As Dr. Palm explains this morning on CW6 San Diego, there are both office-based procedures and at-home tips that can keep your skin glowing and dewy well through the New Year.  
Art of Skin MD director Dr. Melanie Palm explains lasers

Dr. Palm prepping the patient and the Spectra laser for the CW6 San Diego segment this morning.

                                                Click on the photo to see the whole broadcast on Dr. Palm, representing Art of Skin MD with the revolutionary Lutronic Spectra laser:   Spectra Laser for skin rejuvenation san diego Decreased temps and humidity levels with fall and winter months can lead to telltale signs of skin irritation including dryness, cracking, and even eczemaHands, arms, and the face are common affected areas and the skin may appear to lack luster and feel tight.   Here are some great tips for beautifying the skin during the holiday season:   Getting that winter glow:   1.  Office-based procedures can also improve the skin’s appearance.  Laser toning using the Lutronic Spectra laser is FDA-approved for the treatment of skin pigmentation such as melasma as well as for skin texture improvement including acne scarring.  Patients have remarked to me that they notice a glow to their skin as well as pore size minimization following a series of treatment.   2.  Keep moving and stay hydrated Cardiovascular activity boosts circulation to the skin ensuring nutrients are delivered and toxins removed.  This is especially essential after holiday festivities involving alcoholic beverages.   3.  Calm redness. Products such as Avene water and anti-Rougeur cleanser and moisturizer calm dilated blood vessels.  Products containing green tea can have the same effect.   4.  Tighten up. Microcurrent device NuFace provides a visible lift to facial skin for up to 72 hours and is a perfect boost pre-holiday party.  NuFace is FDA cleared for at home use in the reduction of fine lines and wrinkles by stimulating and toning facial muscle In-office procedures can produce more dramatic results over time.  This includes the no-downtime, nonsurgical facelift using Ultherapy, the only FDA-approved device for skin tightening of the lower face, neck, and brows   5.  Get Lit! Winter is a good time to consider no downtime procedures from your dermatologist.  We are often least tan during this time and it is ideal for no-downtime rejuvenating treatments including IPL.  This broad-band light based treatment takes about 15 minutes to perform and works on brown sun spots and broken blood vessels.  The hands, face, neck and chest yield phenomenal results.   6.  Eliminate lusterless skin by removing excess dead skin cells.  Mild exfoliation with products like alpha hydroxyacids (glycolic and lactic acid) or Sakura silk lift dead skin cells to improve glow.  The Clarisonic Brush uses sonicating energy with more than 300 movements per second removes 6x makeup and 2x dirt of regular washing.  Use for 60 seconds.  Great for sensitive and acne prone skin.     Got questions?  Call the highly qualified staff at Art of Skin MD at (858) 792-SKIN (7546) or contact us through the Art of Skin MD webpage.      

Jul 27

Dr. Palm–National Physician Trainer and Sculptra Advisory Board Member–Hosts Special Sculptra Savings Day Thursday, August 16th

National trainer Dr. Melanie Palm has promotion for Sculptra Aesthetic on August 18th in San DIego Expert trainer and injector Dr. Melanie Palm is sharing an exclusive savings through a rare Sculptra promotion.  Patients booking appointments for the Art of Skin MD Sculptra Day on Thursday August 16th will receive a savings of up to $450 when purchasing 3 vials of Sculptra Aesthetic.  Appointments are scheduled from 8 until 5 pm.  Those interested in these significant Sculptra savings may call Art of Skin MD at (858) 792-7546 to secure their appointment with Dr. Palm.  Early scheduling is encouraged, we have already had a tremendous response to this special.   Sculptra Aesthetic is a biostimulatory agent, meaning that it encourages your own body to build collagen and replace volume loss on the face.  It is composed of poly-L-lactic acid, a milk-like sugar that stimulates new collagen growth, or "neocollagenesis" over a period of months.  Sculptra Aesthetic provides natural looking results over time, and has a duration of at least 25 months according to FDA labeling.  Some patients may even notice appreciable skin texture improvement, and this will soon be investigated in a clinical study.   Dr. Palm has vast experience with Sculptra Aesthetic.  She has been using the product for over six years.  She serves as a national physician trainer, training other board-certified dermatologists and plastic surgeons on safe and effective injection techniques with Sculptra.  In fact, she has been one of the top 5 physician trainers for Sculptra Aesthetic since 2010.  She serves on the Sculptra Advisory Committee, a group of approximately 15 physicians selected by the Company for their experience and expertise with the product.  Dr. Melanie Palm has been the first author on several articles on Sculptra for facial revolumizing, including an upcoming article in the September issue of the Journal of Drugs in Dermatology.  In this article, she shares her personal experiences and tips for other physicians in using Sculptra Aesthetic for restoring facial volume related to aging.  Additionally, she discussed patient comfort and satisfaction related to the Sculptra injection procedure.