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 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.

 

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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 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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Oct 20

Summer Skin Rescue Photos

We had such a great time hosting our 4th Annual Summer Skin Rescue Event on Thursday, September 29, 2016. We are grateful for all of the patients, both established and new, who came out to support us and partake in the fun the evening offered! The photos are so great, we had to share! Hope you enjoy and hope to see you all again soon!  

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