Juvederm Treatment | Sheperd Integrative Dermatology in Mount Pleasant, SC

When it comes to facial sculpting treatments and fillers, everyone should have high expectations. Our highly experienced skin care professionals at Sheperd Integrative Dermatology in Mt. Pleasant will safely and artfully create natural-looking results you’ll love. If you are looking for a product that can help reduce the appearance of lines and wrinkles, or if you simply want to lift and contour the face in a subtle way, then you should consider JuvedermÒ dermal fillers. These fillers contain hyaluronic acid (HA), a naturally derived substance found throughout your body. JuvedermÒ offers immediate results and can last up to one year—no wonder it’s the number one-selling dermal filler in the US.

Causes of Facial Aging

Before we delve into how Juvederm works, it may be helpful to understand the causes of facial aging in relation to hyaluronic acid. Hyaluronic acid is a sugar molecule found naturally in the skin that helps bind water to collagen, making skin appear plumper, dewier, and more hydrated. In fact, it can attract and hold onto 1000x its weight in moisture! HA is also found in your joints, acting as a cushion for harsh impacts. Unfortunately, hyaluronic acid declines in both quantity and quality as you age.

As you grow older and lose hyaluronic acid, your skin will naturally become thinner and drier. Think of a dry riverbed: the drier it gets, the more cracks develop in the surface. Wrinkles are cracks that become creases and folds over time— Cue Juvederm®.

Juvederm® to the Rescue

A Juvederm® treatment can help reverse the process of facial aging created by a deficiency of hyaluronic acid. It contains HA within an extremely smooth gel, allowing for easy injections and instant, natural-looking results. After injection at the treatment sites, the product begins to immediately draw moisture into your skin to hydrate and plump it. It adds temporary volume to ‘fill out’ and smooth away facial wrinkles and folds. In addition to hyaluronic acid, the gel contains lidocaine to provide a more comfortable experience during and after treatment. Continue reading for the most popular Juvederm® formulations we offer here at Sheperd Integrative Dermatology.

Juvederm Voluma®

As you grow older, the cheeks may flatten and the skin may begin to sag. This is caused by natural loss of volume in the cheek area, or what the experts call age-related midface volume loss. Juvederm® Voluma is the   and   FDA-approved dermal filler to correct age-related volume loss in the midface in adults over the age of 21. Voluma was specifically formulated to add volume beneath the skin’s surface, providing lift and contour to the cheek area. It is clinically proven to last up to 2 years.

Juvederm Volbella®

Full lips with a defined border are a feature of youthful attractiveness. As we age, natural substances such as collagen, elastin and hyaluronic acid that give skin structure and fullness gradually decrease. Therefore, our lips and surrounding areas lose the vital subdermal structure needed to remain full and plump. Juvederm® Volbella is for lip augmentation and correction of perioral lines or “lipstick lines”, in adults over the age of 21. It is the only facial filler clinically proven to last up to one year in the lips with a single treatment.

Juvederm Vollure®

Last but not least, we have Juvederm® Vollure. If you’re dealing with moderate to severe facial folds and wrinkles such as “parentheses lines” around your mouth and nose, this is the perfect filler for you. Vollure can be injected to temporarily correct these nasolabial folds, leading to a more youthful and smooth facial appearance. It was shown to last up to 18 months from the initial or touch-up injection in a majority of subjects.

These are just a few of the fillers within the Juvederm® family of products that are offered at Sheperd Integrative Dermatology. To get all of the specifics about which Juvederm® product(s) best cater to your individual needs, book a consultation with one of our Mount Pleasant, SC skin care specialists.

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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


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


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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