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:

  • Small, well-circumscribed
  • Brown or skin colored
  • Flat or raised

Actinic Keratosis
Actinic Keratosis  are commonly referred to as an “AK” and are precancerous lesions, precursors to Squamous Cell Carcinoma, or SCC.
Art of Skin MD - Actinic Keratosis What an AK looks like:

  • A rough, red patch
  • Typically found in an area of sun exposure
  • Often felt before they are seen, as they can be sensitive to touch or are easily irritated
  • Sometimes pigmented, they can appear as a brown, scaly patch
  • A subtype, Actiinic Cheilitis, appears on the lips most commonly as chronically chapped lower lips

Basal Cell Carcinoma
Basal Cell Carcinoma, or BCC, is the most common form of skin cancer and rarely spreads to other distant organs.
Art of Skin MD Patient's BCC

What BCC looks like:

  • A pearly, skin-colored bump with small blood vessels traversing the lesion called telangiectasias
  • Often appears as an acne-type lesion, but doesn’t heal and will sometimes bleed
  • Left untreated, can invade the tissue surrounding it and become ulcerated
  • Most often shows up in areas of the skin that have had intense sun exposure (think areas that have been sunburned)

Squamous Cell Carcinoma
Squamous Cell Carcinoma, or SCC, is the second most common form of skin cancer, and is a more aggressive form of skin cancer than BCC. It can spread to other organs, especially in areas such as ears, lips or mucous membranes.

Art of Skin MD - Squamous Cell Carcinoma

What SCC looks like:

  • Appears on sun-damaged skin as a red, rough and scaly raised plaque
  • Often bleeds or crusts

Melanoma
Melanoma is a deadly form of skin cancer that will claim approximately 9,700 American lives this year alone. It disproportionately shows up on people who are young and healthy and may spread rapidly from the skin to lymph nodes and other organs, leading to death. It’s imperative to detect Melanoma early for treatment and improved long-term survival.

Art of Skin MD - Melanoma

What Melanoma looks like:

  • Early Melanoma most commonly shows itself as a new black “mole”
  • With time, grows deeper, developing into a larger, multi-colored plaque or a black bump
  • Can display a variety of colors such as shades of brown, blue or white
  • Amelanotic Melanoma does not have pigment and can show up as a pink papule
  • Think of looking out for the “ugly duckling” among moles, one that doesn’t match the others
  • Can be sensitive, bleed or crust

Dysplastic Nevus
The classic ABCD’s accurately describe a Dysplastic Nevus, also known as an atypical mole. They are genetic, and increase the risk of developing Melanoma.
Art of Skin MD - Dysplastic Nevus

What Dysplastic Nevus look like:

  • Asymmetrical mole with an irregular border
  • Uneven or several colors
  • Large-size moles
  • Unusual shape, size, color patterns or just look “funny”

Whether it’s time for your annual skin cancer screening, you’ve never had a screening or maybe you just have questions about specific spots or moles you are unsure about –  call us to schedule your appointment with Dr. Palm and rest assured that your skin’s health is being looked after by an expert board certified dermatologist. When it comes to your health, it’s always best to be proactive. We are happy to schedule your appointment, you can reach us at 858-792-SKIN (7546).


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
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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