Jul 19

Behind the Scenes at Art of Skin MD

      The inner workings of an efficient medical clinic can easily be compared to that of a finely-tuned machine – with each moving piece an integral part of the whole, creating a full circle that runs as smoothly as possible. With this in mind, Dr. Palm has been very selective in who she has asked to be a part of the team at Art of Skin MD, with her focus on creating a unique, caring and overall positive experience centered around each patient. From the start, Dr. Palm understood the importance of every role and this understanding is reflected through each person on our team.

Art of Skin MD Staff 2016

      Walking in the front doors of Art of Skin MD, patients are immediately greeted by our front desk duo, who in addition to creating a wonderful welcome in our reception area, are also juggling many other responsibilities. The reception position in Art of Skin MD is one of the most impactful jobs on the team, as this is who not only welcomes our patients but also who answers phones, schedules appointments and handles checkouts at the conclusion of patients’ visit with us. This position is one that takes a person who is able to know a little bit about a whole lot! They know our patients personally, are familiar with treatment and service time lengths, pre- and post-treatment instructions, insurances, products and are professional multi-taskers. Our front desk duo does an efficient and effective job at keeping the rest of the clinic running on time and they make sure that our medical assistants and Dr. Palm have all of the information they need to be able to see the patient before they leave the reception lobby.

      Once a patient is checked in by our front desk team, they are taken back by one of our medical assistants. The girls on our team of medical assistants are incredibly bright and able to balance a wide breadth of knowledge in both medical and cosmetic dermatology, anticipate questions that Dr. Palm may have about a patient’s visit and are the next moving part in keeping Dr. Palm’s schedule running efficiently. They, too, know our patients personally and know what is needed to ensure safety but also are familiar with what makes our patients most comfortable, as patient safety and comfort are both priorities at Art of Skin MD. Our medical assistants are an integral part of procedures and treatments including medical skin cancer screenings, cosmetic injectables, excisions and liposuction to name a few. They are, like everyone on the team, an extension of Dr. Palm herself.

      Another extension of Dr. Palm is Jessica Scott, BSN, RN. She is an excellent, skilled and very knowledgeable provider here at Art of Skin MD.  From laser treatments to injectables, Jessica offers a wide variety of treatments to patients as well as assists Dr. Palm with select procedures – she is an invaluable part of the team who balances contributing to Dr. Palm’s patients’ experiences while also treating her patients.

      Every finely-tuned machine has a mechanic who ensures not only that it is working properly, but also that each piece has what it needs to function at its best. This role in Art of Skin MD is filled by our very knowledgeable office manager – from inventory to people management, she is a true jane of all trades! This is a catch-all, know-all position and she is the go-to backup for every position on the team whenever she is needed.

      Pulling together each patient’s experience here at Art of Skin MD is the team’s fearless leader, Dr. Palm. She sets the tone for the team, leading by example and is a constant driving force for the entire team’s desire to create the kind of environment that makes patients want to return time and again. Through her constant emphasis on the importance of education and her support for those around her, this team couldn’t ask for a better leader. Each member of the team here at Art of Skin MD takes great pride in creating pleasant, unique and caring experiences for every patient who calls, emails or walks through our doors. We hope to leave the true impression of how much we care for our patients – it’s at the heart of all we do!


May 23

Sunscreen Breakdown – What You Need To Know

What’s in your sunscreen is just as important, if not more important as its SPF number. When deciding which sunscreen to purchase, it’s easy to get overwhelmed by the multitude of choices out there. This is why Dr. Palm talked recently with Elle.com to discuss the differences between the two main “groups” of sunscreens and why one is very much superior to the other. The active ingredients in sunscreens are what separate the good from the not-so-good – and they are divided into two broad categories: physical and chemical. 

Physical vs. Chemical – The Breakdown

What they’re made of

Physical sunscreens are often referred to as “natural” sunscreens, because they are made up of either zinc oxide or titanium dioxide (or both).  These are the only FDA-approved physical sunscreens and are both minerals, which is the reason they are often labeled as “natural.” 

Chemical sunscreens are made up with ingredients that are often hard to pronounce, such as avobenzone, oxybenzone, homoscalate, octinoxate and octocrylene. 

How they work

Physical sunscreen agents work by reflecting light that reaches the skin’s surface back into the environment. Many dermatologists, Dr. Palm included, prefer a physical-based sunscreen for this very reason. Zinc oxide has excellent coverage across the UV spectrum, even better than titanium dioxide, and published scientific literature shows that neither of the two are absorbed from the skin’s surface into the body. In fact, even micronized forms (where particles of sunscreen are invisible to the naked eye) cannot and do not penetrate the surface of the skin. They simply sit atop the skin’s surface, acting as a shield and reflecting the light back into the environment.

Chemical sunscreens work by converting light energy into heat on the surface of the skin, which may contribute to sun damage to the skin over time. The heat causes inflammation on the skin, which can cause premature aging. Anyone with melasma should be very weary of chemical sunscreens, as the heat produced on their skin by chemical sunscreens can further aggravate their pigmentation.

What to Look For When Shopping For Sunscreen

Dr. Palm recommends looking at the active ingredients on the label of the product. A physical sunscreen should list zinc oxide, titanium dioxide, or both. She recommends using a zinc-based sunscreen with a 7% or higher concentration of zinc oxide. It’s also important that a sunscreen has an SPF of 30 or more and that it states it is “broad spectrum,” meaning it protects against both UVA and UVB. 

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May 8

Skin Cancer or Just A Mole?

May is Skin Cancer Awareness Month and in an effort to help spread awareness, Dr. Palm was asked by Glamour Magazine to share not only her knowledge but also photos of her patients’ skin cancers for an article in their May 2017 issue.  As this can often be a confusing and sometimes scary topic, Dr. Palm is passionate about breaking down the information in an effort to educate as many people as possible and encourage patients to be proactive when it comes to their health.

While getting skin checks at least once per year is imperative, there are signs and symptoms that can be cause for concern. Here, Dr. Palm breaks down the differences between what is “normal” and what is cause for a visit to your board-certified dermatologist.

Normal Mole
Normal moles develop through our mid- to late-20s, and any moles that develop beyond this point in time should be evaluated by a board-certified dermatologist.
Art of Skin MD Normal MoleWhat a normal mole looks like: Continue reading


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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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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Jan 14

Ultherapy Review: PAINLESS ultrasound treatment for a new toned neck and face

Having completed Ultherapy on six patients this past week alone, I am pleased to say how comfortable patients undergoing skin tightening treatment with myself (Dr. Melanie Palm).  Using local nerve blocks on the neck, lower face, and around the brow area, Ulthera can be completed in about an hour in complete comfort.   Skin tightening occurs gradually over a several month period following treatment.  The treatment itself feels like tingling and slight warmth.  The patient experience during Ultherapy is entirely dependent on how the physician prepares he/she for treatment and we at Art of Skin MD are proud to say that treatment is completed with Dr. Palm WITHOUT SEDATES and using only LOCAL NUMBING.   Check out Ultherapy and a brief explanation with Dr. Palm through our YouTube video: Questions about Ultherapy?  See our Before and After Ultherapy gallery.  Schedule a consultation by contacting Art of Skin MD online or call us at (858) 792-7546 (SKIN).    

Jan 3

Rock Your Body in 2013 with Liposculpture

Accusculpt laser lipolysis   The heralding of a new year brings about reflections of how we will make changes for the better, both inside and out.  When exercise and proper diet are not enough to get you to your goal physical shape, it may be time to consider a body-shaping procedure such as liposculpture.   So what exactly is liposculpture?  It is liposuction performed exclusively under local anesthetic, or sometimes called "tumescent lipousction."  The procedure was pioneered by French surgeons and brought over to the U.S. by several physicians including dermatologists in the early 1980s.  A dermatologist determined that liposuction could be performed painlessly with very dilute numbing solution placed in the areas of treatment.  This increased patient comfort and decreased downtime with the procedure.   The advantages of liposculpture are many.  Much smaller cannulas (the instruments used to remove fat) are used with tumescent liposuction that traditional surgical lipo.  Additionally, tumescent liposuction performed by a trained cosmetic dermatologic surgeon reuqires no need for general anesthesia--and the inherent risks that come along with putting a patient to sleep.  Because of the fine instruments, more precise removal of fat is achieved, lessening the chance of surface irregularities when removing fat, as well as the chance of surgical complications.   lipo surgeon san diego   Patients experience minimal discomfort following liposculpture.  Typically, any soreness experienced is akin to muscle soreness after an intense workout--usually lasting several days.  Most patients can return to daily activities within a few days and aerobic activity within a week to 10 days.  Extra strength Tylenol is usually all that is required to help any soreness related to liposuction using the liposculpture technique.   Many areas of the body are ideal for fat removal.  Liposuction is used to achieve a better shape or to look better in your clothes--it is not  a diet or weight solution and does not improve cellulite.  Liposuction can have a dramatic result on patients with excess fat underneath the chin and neck area.  The hip area including the inner and outer thighs are frequent complaints for female patients and can be improved with liposuction.   Some areas of the body may benefit from the addition of a laser to liposculpture.  Flabby upper arms and mild skin looseness of the lower abdomen often benefit from the gentle heating and subsequent collagen formation and skin tightening of laser-assisted liposuction.  Dr. Palm utilizes the Accusculpt laser system to use laser liposuction ni the abdomen, arms and neck area.   Body sculpting southern california   A benefit of liposculpture is that the fat obtained during the procedure may be used to augment lost volume in other areas of the body or face.  Instead of using fillers, fat transfer may be used to recontour lost volume in the face--revolumizing deflated cheeks, nasolabial folds, even temples.  Alternatively, harvested fat can be used to augment one's posterior, enhancing the contour of the buttocks.   As a way to ring in 2013, Art of Skin MD is offering an exclusive special on laser liposuction.  Patients undergoing liposculpture in San Diego with Dr. Melanie Palm can enjoy liposuction for only $2013 per area in commemoration of the New Year.  Contact the staff at Art of Skin MD to schedule a consultation with Dr. Melanie Palm.  Any questions?  Call us at 858.792.SKIN (7546).      

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.