Our Living Building | Sheperd Integrative Dermatology in Mount Pleasant, SC

Sheperd Integrative Dermatology’s beautiful office design was inspired by the “Living Building
The Living Building Challenge is a building certification program, advocacy tool and philosophy
that defines the most advanced measure of sustainability in the built environment. Inspired by
the program, Sheperd Integrative Dermatology, incorporated elements from the Challenge’s
seven performance areas or “petals” to make the wellness center’s physical environment
congruent with this philosophy on sustainability.

Below, you will find a list of the seven petal and unique building features that were incorporated into the project design to minimize its environmental impact and improve the quality of life for our practice and community.
Place Petal: Restore a healthy inter-relationship with nature.
Our permeable parking lot reduces stormwater runoff volume
Our gardens are bee-safe environments with beehives located throughout our gardens. Ask us about our organic honey!
A bike rack was installed to encourage alternative modes of transportation to our office. Fun fact:
Patients receive a $5.00 discount if they walk or ride a bike to their appointment. We proudly met zero net impact goals throughout the cleaning of the property for construction. Our team worked with Charleston County to plan one tree for every tree removed.
Water Petal: Net positive water use Sheperd Integrative Dermatology leverages rain barrels to capture and recycle water for irrigation

Each restroom contains Dyson Airblade Wash+Dry faucets designed for water (and power!) conservation.
Energy Petal: Net positive energy use the entire practice is powered by solar panels and LED lighting one of the most recognized components of Sheperd Integrative Dermatology is our large, beautiful windows. All windows are specialty, energy-efficient windows designed to conserve power, heating and air-conditioning.
Health & Happiness Petal: Optimize Wellness Sheperd Integrative Dermatology is committed to leveraging our buildings and gardens for community use. We frequently lend our space to experts to host workshops and unique community gatherings designed to inspire and delight the free concert series “Music for the Trees” each summer in our Labyrinth Windows in almost every room to connect the inside to nature for restorative healing. Interested in using our space? Email us to learn more materials. Patel: Safe for all species throughout time. Our concrete flooring is proven to improve indoor air quality.
During the course of construction, only non-toxic insulation was used. Furniture located in the Discovery room and throughout the building is sustainably crafted and toxin-free. Vanguard and Masaya & Co furniture
Equity Petal: Supporting a just and equitable world, our building is safe, ADA compliant and accessible for every member of our community annual program to offer breast cancer survivors free scar treatments
Sheperd Integrative Dermatology was awarded Mount Pleasant’s Civic Pride Award by the Town
of Mount Pleasant’s Culture, Arts & Pride Commission in 2021 Beauty Petal: Aesthetics that reflect the idea of health and beauty being one

The design and construction of the Sheperd Integrative Dermatology patient care facility would not have been made possible without the support of our partners
Builder: Tupper Construction
Architect: McMillan Pazdan Smith
Designer: Leverne Design
Artist: McLean Sheperd, MD

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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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