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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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.          

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).      

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.