Simple 5 step skincare Routine | Sheperd Integrative Dermatology in Mount Pleasant, SC

When it comes to skincare, one size does not fit all and educating yourself on how, when, and why to use products can be daunting.  As partners in your skin wellness journey, the Sheperd Integrative Dermatology team compiled some simple skin care tips to make sure all the products in your routine work properly and effectively.

Step 1: Double Cleanse

To keep skin nice, always cleanse twice!  You first cleanse should gently yet effectively remove makeup, SPF and daily grime. While your second cleanse is an opportunity to hydrate, balance and purify your skin.  Epionce Gentle Cleanser  and SkinMedica AHA/BHA Cleanser  are powerful but gentle medical-grade cleansers available to our patients.

Step 2: Tone

Depending on your skin type, toners can either soothe and add moisture or balance and control oil.  If you’re new to toners, start by applying toner every other night and build up to daily use after two weeks.  Toners can be applied morning and/or night but should always be applied after cleansing.   Look for toners that are alcohol-free and contain lightweight moisture-binding ingredients like glycerin and hyaluronic acid.

Step 3: Eye Cream

The skin around your eyes is the most delicate part of your face and deserves some extra TLC!  Apply eye creams early during your skincare routine so the product can do its job without obstruction from other serums and creams.  Remember to apply eye cream before sunscreen in the morning and before any retinol at night.   SkinBetter Science Interfuse Eye Cream is an ideal product for total eye rejuvenation.

Step 4: Serums

Arguably the most targeted part of your routine, serums are designed with a liquid-like consistency to easily and quickly absorb into your skin.  Serums should be applied twice a day, after cleansing and/or toner, on damp skin.  Choosing the right serum allows you to deliver powerful doses of vitamins, minerals and nutrients to your skin.  SheperdSkin CE + GTP Serum ​ is a powerhouse product and practice favorite!

Step 5: Moisturizers

Everyone’s skin loses moisture each day, but our skin is especially prone to dehydration during colder, dryer, winter months.  Dehydrated skin loses elasticity, so choose a product that aligns with your skin type to lock in hydration and create a shield against the elements.   For daily moisture, try Epionce Renewal Facial Lotion, and for deeper, overnight hydration, consider SheperdSkin Advanced Nourishing Cream.  Beyond smart product use, remember that hydration starts from within, and your body needs a minimum of eight glasses of water per day.  Cheers!

Round out your morning routine with your favorite SPF – we love our new SheperdSkin Sheer Essentials.

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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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