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From the healing labyrinth and gardens outside to the art and lighting inside, every element of Sheperd Integrative Dermatology is carefully curated to create a sense of peace for our patients, staff and community.

The Labyrinth

The ChakraVyuha (ring formation) labyrinth at the entry to our garden was created as a place for peace and grounding. Walking its pathways helps us experience a connection with all living things and unites us with our spirit. Our labyrinth is open to the public and available for small group events by request.

Our Living Building

Sheperd Integrative Dermatology was inspired by the “Living Building” challenge, a building certification program, advocacy tool and philosophy that defines the most advanced measure of sustainability in the built environment.

In accordance with the Living Building philosophy, our beautiful space incorporates elements from the challenge’s seven performance areas or “petals” to make our physical environment congruent with this philosophy on sustainability.

Health & Happiness Petal
Optimize wellbeing
Spacious and bright interiors to bring outside nature into the practice, community space, dedicated space for meditations
Place Petal
Restoring a healthy inter-relationship with nature
Permeable parking lot, labyrinth, bike racks to encourage patients to choose an environmentally friendly option to join us
Water Petal
Net-positive water use
Rain barrels and water collection for arrogation
Energy Petal
Net-positive energy use
Solar panels, LED lighting, energy efficient windows
Materials Petal
Safe for all species throughout time
Concrete Flooring, sustainably crafted and toxin free furniture, non-toxic insulation
Beauty Petal
Uplifting the human spirit
Aesthetics that reflect a harmonious union of health, beauty and vitality
Equity Petal
Supporting a just and equitable world
ADA compliant, LBTQIA safe place


The design and construction of the Sheperd Integrative Dermatology patient care facility would not have been made possible without the support of our partners listed below.
  • Builder- Tupper Construction
  • Architect- Eddie Bell and McMillan
  • Pazdan Smith Architects Designer- Leverne Design
  • Art

    While studying at MUSC, Dr. Sheperd began to paint as a method to bring balance and creativity back into her life. Now, as the owner and medical director of Sheperd Integrative Dermatology, Dr. Sheperd’s art fills our practice. The art itself is intended to help heal patients on subtle, intuitive levels beyond what can be experienced by a physical office visit. Inspired by color, form and light, Dr. Sheperd’s paintings can help bring about a sense of spaciousness and wonder that reminds us of who we truly are. Paintings featured at Sheperd Integrative Dermatology are available for purchase through her artist website.
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    Rebecca Repaire


    Becky is a board- certified Physician Assistant and has practiced Dermatology for over 18 years. She graduated magna cum laude from her undergraduate degree at the University of Georgia, then completed her Physician Assistant studies at the Medical University of South Carolina. She now practices medical, surgical and cosmetic dermatology. She has done extensive training in the use of a dermatoscope and equally extensive training in surgical techniques for the removal of skin cancers. As her practice and skill have continued to grow, cosmetic dermatology has become a passion of hers and she devotes herself enthusiastically to continuing training to ensure she remains at the forefront of innovations with Botox, fillers, threads, and other techniques. She believes that our skin is a reflection of our overall emotional and physical well-being, and she delights in helping patients find their inner beauty.

    Amy Jetter

    BSN, RN

    Amy brings her whole heart to her role on the Sheperd cosmetic team.  A graduate of Elon College and the Medical College of Virginia, Amy has been a board-certified nurse for over 30 years.  Bringing her skills as an ICU nurse into her role in cosmetic patient care, Amy provides a warm, reassuring presence to all her clients, listening to their concerns and collaborating with them in a plan to bring forth and enhance their natural beauty.  A standing member of the American Association of Plastic Surgery Nurses and a past RN trainer in cosmetic and aesthetic procedures, Amy offers all types of laser treatments, botox and dermal filler injections, and chemical peels.

    Melissa Mancuso

    Body Contouring Specialist

    Melissa has six years of experience in body contouring, beginning with her role as the CoolSculpting representative for Maryland, Virginia, and the District of Columbia. Since joining the Sheperd team, she has received additional training and now offers chemical peels, Vivace micro-needling, and Diamond Glow dermal infusion. She loves helping patients feel good about their bodies and teaching them about how the various cosmetic procedures can help them achieve the results they are seeking.

    Margaret Gierhart


    Margaret, a South Carolina native, is a Licensed Esthetician and makeup artist with over 20 years of experience in the beauty industry. She earned a BA in Psychology from the University of South Carolina. She began her career in beauty as the resident makeup artist for Bobbie Brown cosmetics at Saks Fifth Avenue in Charleston. In order to expand her knowledge, she earned her degree in esthetics from Trident Technical College, graduating with honors. She joined the Sheperd Integrative Dermatology staff in 2014 and is certified in a wide array of cosmetic procedures and skin care products. Her offerings include laser skin resurfacing, IPL, micro-needling, chemical peels, radio frequency, laser hair removal, and body contouring. Her background in both psychology and artistry gives her a deep capacity to care for patients and understand what makes them feel beautiful. A mother of two daughters, Margaret understands beauty as not only external appearance, but also as a manifestation of the inner qualities of kindness, generosity, and well-being.

    Madeline Anderson


    Maddie is a board-certified Physician Assistant and a Lowcountry native. She obtained her undergraduate degree from Clemson University and then went on to earn a Master of Science in Physician Assistant Studies from the Medical University of South Carolina, graduating with highest honors. While in PA school, Maddie served as a Student Representative for the SC Society of Dermatology Physician Assistants. After graduation, she completed a six-month advanced dermatology internship here at Sheperd Integrative Dermatology. She also completed the Diplomate Fellowship with the Society of Dermatology Physician Assistants. Maddie has a heart for medical missions and is passionate about patient education. Her free time is shared with her family, her friends, and her two fur babies!

    AnnaKathryn Keiper

    DNP, FNP-C

    AnnaKathryn completed her Doctorate degree at the Medical University of South Carolina and has seven years of experience in dermatology. She has completed additional training in medical dermatology, cosmetic dermatology, and functional medicine. She provides skin cancer screenings, surgical removal of skin cancers, treatment of precancerous lesions, extractions of cysts, and the treatment of acne. In the cosmetic domain, she provides laser, filler, and neurotoxin treatments. Certified through the Institute of Functional Medicine, AnnaKathryn has a special focus on wellness, including weight loss and diet consulting. She uses her expertise in this field to create an individualized program to help each of her patients achieve optimal wellness supporting them in maintaining vibrancy and vitality throughout their lifespan.

    Allyson Harrell-Garrison


    Ally is a board-certified Physician Assistant and a Diplomate of the Society of Dermatology Physician Assistants, their highest rating. She is a graduate of Clemson University and earned her Master’s degree in Physicians Assistant studies at the University of Alabama; additionally, she completed a dermatology fellowship at Charlotte Dermatology in North Carolina. For more than ten years, her focus on both medical and surgical dermatology has included identifying and treating skin cancers as well as managing biologic medications for psoriasis and atopic dermatitis. Ally has a strong love of surgical dermatology and she performs surgeries every day in the clinic, including excisions of cysts and skin cancers. She also loves the challenge of a difficult case! On the cosmetic side, Ally is a skilled injector of both Botox and Dysport. She sees compassion and empathy as vital qualities that she brings to all her patient interactions. She is mindful that skin cancer screenings can be frightening or overwhelming; her warm, calm manner and her focus on patient education throughout each appointment make her an outstanding clinician.
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