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!  

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

Nov 12

Neckvember is Here – Banish the Turkey Neck with an Ultherapy Special!

Thanksgiving is just a couple of weeks away and while you might be thinking of turkey for your dinner table, one place a turkey does not belong is on your neck! ultrasound face lift and neck lift Art of SKin MD   If the sight of this turkey neck is horrifying (and conjures thoughts about an aging neck), then Art of Skin MD has got just the procedure to prevent, treatment, and improve that forlorn aging, sagging skin - ULTHERAPY. Continue reading

Oct 28

Common Skin Care Mistakes

I was recently on San Diego CW6 in the Morning discussing and dispelling Skin Care myths.  There are many things that we do on a routine basis that are not good for our skin, and in some cases detrimental.   Click below to see our feature TV segment.  A detailed discussion follows below.  Treat your skin with TLC!     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!