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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Jun 23

Total Facial Rejuvenation with Sculptra and Ultherapy

So much is the trend in cosmetic dermatology for subtle, natural-appearing true facial rejuvenation.  The importance of balanced facial volume restoration is now recognized due to a wealth of anatomical studies published in the medical literature in the last 10 years.  Skin integrity changes over time as our facial volume deflates.  This sagging and deflation can be addressed.   The new paradigm in dermatology and plastic surgery is restoration of youthful volume and facial contours.  Addressing loss of volume is addressed with facial fillers or volumizers and skin texture changes and laxity with skin tightening procedures.  What are two products and devices we can use to address volume and skin laxity?  Well, Sculptra for volume and Ultherapy for lift.   In a recent TV broadcast on the San Diego Union Tribune, I address the appropriate techniques for addressing the aging face through true, complete facial rejuvenation.  Catch my discussion with Taylor Baldwin of UT-TV in the by clicking on the clip below:  
Cosmetic surgeon Dr. Melanie Palm of  Art of Skin MD

Sculptra and Ultherapy expert dermatologist Dr. Melanie Palm

              Sculptra works as a volumizing agent, inducing new collagen growth in the areas of placement.  The process is gradual but long-lasting, so changes are subtle over time...it allows those treated with Sculptra to be discrete about their treatment.   Ultherapy harnesses the power of ultrasound to lift and tighten tissues.  It is the only FDA-approved device for neck lifting, and it is remarkably helpful in addressing skin looseness called laxity in areas around the brows, lower face, and jawline.   Find out about our summer specials at Art of Skin MD on both facial and neck rejuvenation.  To find out more, contact us through our Art of Skin MD website or by calling us at 858.792.7546.    

May 22

Sculptra: Rebuild Lost Collagen, Lift Tissues, Fill the Face!

Sculptra is something I have thought a lot about lately.  Right now I am in the process of writing a book chapter on this facial revolumizing agent.  Pouring over the literature I feel like I am bursting at the seams to share some of the insights about our use of Sculptra over the past decade.   Inspired by this knowledge, here are three short video vignettes highlighting the use of Sculptra in the upper face (temples and brows), midface (cheeks and lateral jawline), and lower face (chin, nasolabial folds, and marionette lines).   Sculptra to the Upper face:   Sculptra to the Mid-face:   Sculptra to the Lower face:     The new face of rejuvenation is natural, subtle, and truly restoring.  We now understand the important role of fat compartments and bony loss in the aging face.  Thankfully, we can disguise many of these changes through volumetric restoration of the face with today's fillers.   Sculptra has the distinct advantage of gradual, long-lasting volume replacement.  It works by stimulating our own body to produce collagen in the areas of placement, a process called "neocollagenesis."  Therefore Sculptra is termed a "biostimulatory agent."   Sculptra can be combined with other procedures for a synergistic effect.  While Sculptra provides "lift" to tissues through volume re-inflation, combining this injectable with Ulthera, an ultrasound technology can provide superior results in terms of lifting the brow, defining the jawline, and improving jowls.   Other fillers can be combined with Sculptra use.  The temporary numbing effect for Sculptra injection makes it an excellent complement to use of hyaluronic acid fillers such as Belotero, Juvederm and Restylane around the mouth and lips.   Voluma, a new hyaluronic acid filler from the Juvederm family of products, acts in a similar fashion to the deep filling effect of Sculptra.  It could be used initially to help fill the face as Sculptra is used over time to gradually rebuild other areas of collagen growth over time.   Interested in more about Sculptra, Voluma, or other fillers used in facial rejuvenation?  Call us at Art of Skin MD at (858) 792-7546 or contact us through the Art of Skin MD contact page.    

Dec 6

Ultherapy: The Ultimate Non-Surgical Facelift

Ultrasound skin tightening san diego Art of Skin MD Art of Skin MD is proud to announce the arrival of Ulthera - THE choice for a nonsurgical facelift and/or brow lift.  Ultherapy is the only FDA-approved device approved for skin tightening and lifting of the neck, lower face, and brow.  
Nonsurgical facelift san diego Art of Skin MD

Before and after 1 treatment with Ultherapy to the lower face

                      Loose, lax tissue on the face and jawline got you down? Not ready for invasive surgical procedures such as a facelift? Then Ultherapy might be the answer you are looking for...here is the scoop:   1.  Ultherapy has NO downtime!  Treatment with the device takes approximately 30-60 minutes and with proper pain management (carefully administered nerve blocks), the procedure is quite comfortable. 2.  Ultherapy results are dramatic but occur gradually.  The tightening effect occurs over approximately 3 to 6 months and lasts for over a year.  For patients with pronounced skin laxity, more than one treatment may be needed for the desired skin tightening effect. 3.  Ultherapy works by targeting the deep tissues that are tightened and re-draped during a facelift, but with minimal discomfort and a fraction of the price.   Ultherapy works to create new collagen in the connective tissue that physicians treat during surgery.   Here are some great (and representative) before and after photos of Ulthera:  
skin tightening san diego

Full face treatment with Ultherapy with 1 year follow-up

 
Nonsurgical eye surgery san diego

Brow lift 4 months after undergoing Ultherapy to the upper face

                                            Get ahead of the game in terms of skin toning and rejuvenation.  Experience Ulthera in a comfortable, caring, and enjoyable environment with Dr. Palm.  She would be happy to talk to about it....she her self has been treated with Ulthera and can give you a first hand account of the benefits of Ulthera!   Like what you are reading about Ulthera.  Contact the expert staff at Art of Skin MD through the Art of Skin MD contact page or by calling 858.792.7546.   Check out the Art of Skin MD Facebook page  to find EXCLUSIVE SAVINGS on Ultherapy that save you up to $1000 off your treatment at Art of Skin MD with expert dermatologist Dr. Melanie Palm.     Inquire about a special introductory offers when combining the tightening power of Ultherapy and a liquid facelift using Sculptra!