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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Oct 9

LaViv: Your Personal Answer to Facial Volume Loss

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.    

Oct 5

Aging Hands Be Gone: Rejuvenate with Radiesse and IPL Special!

IPL hand rejuvenation   If our eyes are the windows into our soul, then our hands tell the story of our age.  Oftentimes, we take great care of our face, but it is our neck, chest, and hands that give our true age away.  Over time, hands can become speckled with brown pigmentation including sun spots, veins become more prominent, and our tendons on the back of our hands more visible.   Alas, there is much we can do to spruce the hands up!  To disguise ropey veins and visible tendons, we can add volume back using a variety of fillers.  Excellent choices for hand rejuvenation are Radiesse, Perlane, and fat transplantation.  Radiesse is a calcium-based filler that also promotes new collagen growth, a process called "neocollagenesis."  Results last at least 9 to 12 months.  Perlane is in the Restylane family of products-- it is basically a larger molecule form of Restylane, both of which are hyaluronic acids.  Hyaluronic acid products plump the areas of filler placement, including the hands.  Finally, fat transplantation can be used to give longer lasting volume back to the hands.  Fat can be harvested quickly, painlessly, and easily during an office visit and transplanted to the back of the hands for a very natural looking result.   Regardless of the filler used, the procedure of hand volumization is painless with the use of blunt-tipped cannulas.  These novel devices reduce pain, trauma, swelling, and bruising associated with filler use.  Check out Dr. Palm's video demonstrating the technique...       To combat sun damage, a series of IPL treatments can be completed on the hands to remove brown spots from the sun and even firm up the skin.  An IPL is a quick treatment with no downtime, and at Art of Skin MD topical numbing is provided, which makes the procedure virtually painless.   During the month of October, Art of Skin MD is proud to offer a truly amazing special for TOTAL HAND REJUVENATION.  A single syringe of Radiesse is only $550, with a second syringe for $500.  And, IPL treatments of the hands are 50% off!   Let's make your hands happy!  Schedule your appointment today for hand rejuvenation with Radiesse and IPL by contacting us at (858) 792-SKIN (7546) or through our Art of Skin MD website.    

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.