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. 

Dr. Palm also likes combining the power of a physical sunscreen with other ingredients that fight inflammation, reduce free radical production and promote anti-aging effects on the skin. She says to look for ingredients like tocopherol (vitamin E), ascorbic acid (vitamin C), polyphenols (plant-based antioxidants such as resveratrol and green tea) and niacinamide (vitamin B3). 
Art of Skin MD Brightening Vitamin C Serum

Understanding the breakdown of what is in sunscreen is the first step in being able to make informed decisions when it comes to protecting your skin from the sun’s harmful rays. If you’re still unsure as to which one best suits your needs, Dr. Palm has a few favorites all dependent on when she uses them. She also recommends reapplying every two to three hours and immediately after swimming.

 

Dr. Palm’s Sunscreen Picks

For the Face

EltaMD UV Elements Broad Spectrum SPF44 | Art of Skin MD | San Diego

 

Easy Reapplication

Colorescience Sunforgettable SPF Brush

For the Body – Everyday Use

EltaMD UV Lotion Broad-Spectrum SPF 30

For the Body – Outdoor Activities

EltaMD UV Sport SPF 50

 

Stop by or call us at 858-792-SKIN (7546) if you have any questions or need any assistance in selecting your perfect sunscreen. We are happy to help you make sure you're protecting your skin as best you can!


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 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. 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.

 

Continue reading


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 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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Sep 7

Don’t Miss Our 4th Annual Summer Skin Rescue Event!

Ever year, here at Art of Skin MD, we excitedly host an open house event that we affectionately call Summer Skin Rescue and we can’t wait for this year’s event, our fourth annual Summer Skin Rescue – it is scheduled for Thursday, Sept. 29, 2016 from 5:30 – 7 p.m. – it’s sure to be our best yet!  We will have representatives from companies such as Galderma, Allergan, Lumenis, Merz, BTL and more here to discuss and explain the latest and greatest in cosmetic treatments! On top of that, we will have giveaway bags for the first 100 attendees to arrive that are full of amazing goodies – valued at over $500! Just some of the scores in these bags include our favorite Orgain Protein Bars, amazing beauty products such as Neocutis Lumiere Riche Bio-restorative Eye Balm and treats from local businesses such as Yoga Six, Fitwall, Graced by Grit and much more! Definitely plan to get here early in order to snag one of these plentiful bags! We will also be holding raffles for fabulous giveaways – some valued up to $3,000! Continue reading

Aug 9

Eliminating Double Chin Fat with Kybella

There are a few areas where the body can store fat that are difficult to get rid of with healthy diets and workouts alone – and the submentum, or area under the chin, is definitely one of those areas. Luckily, there is Kybella!   Check out our deal that we are offering for Kybella this month in celebration of all of the success we have had so far with patients and eliminating the dreaded "double chin." Kybella expert treats submittal fullness San Diego   Kybella is the first FDA-approved, non-surgical treatment that targets the fat that creates a double chin. It is a naturally-occurring bile acid, called deoxycholic acid, that is injected into the fat beneath the chin and destroys fat cells. In the body, the job of deoxycholic acid is to break down dietary fats in the gut after eating a meal.  It therefore makes sense to exploit this natural process for other areas in the body that have unwanted fat such as the double chin Continue reading

Jul 1

Lifting & Firming In Office & At Home

With the constant battle against aging, electric currents are used in so many different ways. I recently spoke with Intothegloss.com about NuFACE, which is a device that we use at Art of Skin MD as well as sell for patients to use at home as a part of their daily beauty regimens. We use electric “current” in so many facets of dermatology.  The hyfercator used to cauterize vessels during skin surgery is electrically based.  Radiofrequency, a technology that uses electrical current, is used in many device applications from skin tightening to fat reduction.  Microcurrent is a miniature, lesser powered, very distant cousin to some of the technologies I’ve described.  At our clinic, we offer the NuFACE, which uses the mircrocurrent. Continue reading

Jun 7

Cellfina: Right candidate for treating cellulite

This month, I am featured in InStyle Magazine talking about the new Cellfina Treatment to get rid of cellulite. We are very excited to be one of a few practices in the local area to offer Cellfina! The Cellfina System is the only FDA-cleared minimally invasive procedure that has been clincally proven to improve the appearance of cellulite for at least two years. This treatment specifically targets stubborn, discrete dimple-like cellulite. The results are superb and quite visible, even as soon as at a three-day follow up. Ideal candidates for the Cellfina System treatment are:
  • Reasonably Fit
  • At a stable weight
  • Have dimple-like cellulite
  • Have good skin tone (too lax of skin won’t yield ideal results)
Cellfina is completed in the office as a single, one-time procedure completely under local anesthetic.  There is minimal downtime and patients are only asked to wear a light compression garment like Spanx or workout pants for several days after the procedure.  To see the procedure in action, check out the YouTube videos below where Dr. Palm demonstrates marking, numbing, and treatment of the cellulite on a real patient!   Continue reading