Stop The Spot

I am always amazed by the amount of wisdom Dr. Sandy shares with me. This weekend was the Arkansas Dermatology Society meeting. It was a perfect meeting. The speakers were amazing. I don’t know if it was because I could drive around Little Rock without seeing a single political sign(yes, when in Sebastian County I do count signs and stress about their placement and usefulness) or the amazing company that has me on a natural high. I drove home from Little Rock analyzing the meeting and reviewing in my head what I learned. Dr. Sandy then reminded me that my favorite part was the team building. The team of providers at JD really are amazing. Honey is a psoriasis expert that regularly teaches me about biologics and how to be a better person and provider. She is better than me and that’s what makes her so great to work with. Dr. Sandy, Dr. Brad and Dr.Nelson are all board certified dermatologists who help teach, work with me and make me better everyday. They care about their patients but they also care about mine, even the ones they have never met. They collaborate with me and hold me accountable to perform at the highest standards for my patients. And all these blogs from Dr. Sandy are free knowledge for you. Free advice from a board certified dermatologist right here on the skinny on skin. Knowledge is priceless so I would continue reading if I were you. From Dr. Sandy:

Stop the spot was the marketing campaign for our American Academy of Dermatology (AAD) a few years ago. This campaign was to help educate people to perform monthly self exams and have yearly full body skin exams by your dermatologist so that you can stop the spot or catch a skin cancer early while it is still easy to treat.

Most people however when they come to see us and want us to stop the spot, they are not referring to cancerous spots but are referring to brown spots. These spots are usually diagnosed as either lentigos or seborrheic keratosis. I have heard them called liver spots, age spots, wisdom spots, and many other untoward names. Whatever you call them, people want them GONE!

I thought now was the time to write a blog about stopping these spots because there is now a new product available called Eskata. It is a stick containing 40% hydrogen peroxide solution that is applied by us in the office to about 7-10 spots and costs $300. As with most treatments, more than one treatment may be needed.

We want you to know however that we have been stopping the spots at JD for a long time with at home and in office treatments. At home, we advise daily retinol, lytera and sun protection including TD&R. You can apply mentholatum (Vick’s vaporub) to the spots at home. In the office, we offer treatments aimed at treating spots with either acid, liquid nitrogen or laser. We only charge $10 per spot with a $75 minimum charge, again more than one treatment may be needed. We also offer treatments aimed at treating an area with a bunch of spots; these include chemical peels, lasers and intense pulsed light with radiofrequency. The cost for these treatments varies depending on how large of an area is treated. There is often some down time when treating these spots. These spots cannot be treated if you have any tan or recent sun exposure. Treatment is very rewarding but we need to be persistent since we continue to make more spots in the same area and other areas as we mature. Genetics play a role and since we did not pick our parents, we cannot control this. Sun exposure also plays a role so this is another good reason to be sun smart.

Anyways, make sure you keep an eye on your spots. Always have your spots checked by a Dermatologist before having them treated. Email kyana@johnsondermatology.com to make an appointment to see one of our providers: Dr Brad (at walk in clinic on Thursdays), Dr Nelson, Honey, Nina or myself. We can check your spots and discuss the best way to stop the spot. Stay skintastic.

Have a skintastic day, S

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Thanks Dr. Sandy

Thanks Nina for letting me write a 2 part blog.  I hope you and your loyal blog readers have not been too stressed waiting for part 2.  Well wait no longer.

We already discussed the SNL skit about if you look mahhhvelous then you will feel mahhhvelous OR if you feel mahhhvelous then you will look mahhhvelous.   A music video clip that makes me giggle is https://youtu.be/hXydX9p_ZxA  I hope each of you both looks maahhvelous and feels maahhvelous.  If you don’t look or feel maahvelous, we again encourage you to come visit us.  Until you are able to have the JD experience, here is part 2 of the blog.  The whole purpose of the blog is to remind all of us to “fake it until you make it”, “put on your big girl panties and get to work”, “suck it up”, “there’s no crying in baseball (or Dermatology or ???)”, etc so that we can approach each day looking maahhhvelous and feeling maahhhvelous.

The impetus to write these blogs is that one of my close friends is going through a very difficult time now.  She is constantly on my mind.  Maybe you are personally or you also have a good friend who is also personally going through a tough time.  Please know that you are not alone.  Your village is here for you.  When I am personally struggling, these are some of the thoughts that have helped me get through them while looking and feeling maahvelous.  These are some of the things that I keep reminding her…
1.  Eat well, stay hydrated, get enough sleep, exercise, pray…be ready to battle.
2.  Life is more like a marathon than a sprint.  Be ready to go the distance.
3.  That person/situation is not paying rent to live in your head so evict them.
4.  Stephen Covey has taught us to make our circle of influence (control what we can) larger and our circle of concern (what we cannot control, what we fret) smaller.  This is similar to the Serenity prayer, you know…God grant me the courage to change the things I can…..
5.  Fix your hair and makeup.  Look good.  The world doesn’t need to know how you feel.  After all, if you look mahhhvelous, you will start to feel mahhhvelous.  Fake it until you make it.
6.  Surround yourself with beauty.  Start with yourself.   Focus on the good things in life.  Count your blessings.  Look your best.  Hang out with beautiful (inside beauty is more important here) people who support you and remind you how beautiful (inside and outside) you are.
7.  Pay it forward.  There is always someone better off than you are.  There is also always someone suffering or worse off than you are.  Help someone who is suffering.  Smile at a stranger.  Volunteer.  Practice the corporal works of mercy…feed the hungry, visit the sick, etc.

In summary, there will be joy and pain in life.  There will be good times and not so good times.  All of this will pass.  Remember, we are all in this world together.  Let us help make the world a little bit better for each other.  Here is to hoping you both feel mahhhvelous and look mahhhvelous.  If there is anything we at JD can do to help you feel mahhhvelous or look more mahhhvelous, we are only a visit, blog, post, etc away.

Stay skintastic aka mahhhvelous!
Have a skintastic day, S

Our Mission

By the time my husbands election is over I fear my kids will call the baby sitter Mom and y’all will call my blog Dr. Sandy’s blog. But hey, if that’s the only fear I’m dealing with life is GREAT! I thank my baby sitter and all the women at Jack and Jill (the preschool my 3 and 5 year old go to) as often as possible letting them know I appreciate their help in raising our children! If I didn’t have such amazing people to leave my children with I may not ever be able to leave them. Likewise, I worry none when Dr. Sandy writes a blog for me. She is my mentor in Dermatology and has taught me more about leadership than I’ve ever dreamed of knowing. Everything is better with a team. One brain is never as good as two. What makes Johnson Dermatology great is the team. We have the best team. Team work makes the dream work. When I was a birthday coordinator at Chuck E. Cheese all the T.E.A.M leaders knew that was an acronym for teaching everyone about making magic. Today Dr. Sandy talks about how our team at JD makes magic.

When I was a child, it was a luxury to stay up late on Saturday nights and watch SNL with my dad. One of his favorite skits was “you look mahhhhhvelous”. Billy Crystal even made a music video because it was such a hit. A link to the video is https://youtu.be/hXydX9p_ZxA There would be some debate whether it is better to look great or feel great. The consensus would usually be that if you look good then you feel good AND if you feel good then you look good. (Classic chicken and egg Story) This skit and it’s deeper meaning ( I can’t believe I am looking for deeper meaning from SNL.) really resonated with me. I feel that my calling in life is to help people feel and look marvelous/skintastic. I am honored to live out this calling with 50 other skintastic people at JD. When you come to JD, we want you to leave even more marvelous/skintastic. We accomplish this best when we are at the top of our game and following our vision to provide the most effective, efficient, empathic and empowering care. I will summarize our 4 E’s vision in this blog. There will be a part 2 blog coming soon explaining why I have been thinking about Billy Crystal, SNL, parodies, and the importance of looking mahhvelous to help you feel mahhvelous.

Effective— we only offer treatments and recommendations that are effective and that have good scientific evidence. We enjoy feel good treatments as much as anyone but we have decided to focus only on results oriented treatments and products to help you look marvelous. We are your partner in skin care….in sickness and in health….through better and through worse. We are here to help you look skintastic.

Efficient— your time and money is valuable. We try to see people within 20 minutes of their appointment time. We try to offer products with good science and ingredients that give the best results. We offer colored cosmetics that help you look good and do not cause any issues. We respect your time and money. We want to be your skin partner in life. We offer loyalty rewards with our Elite Skinvestment club, BD, and aspire programs. We offer cost effective treatments. We are well trained. A syringe of filler in Nina or my hands will usually give much better results than a syringe by a less experienced injector. Dr Brad and Dr Nelson performed more than 2000 skin cancer surgeries last year. We have experience in all areas of skin and skin care…medical, pediatric, cosmetic, surgical, pathological, lasers, skin care, etc to help you feel skintastic.

Empathic—we care about you. We appreciate that you chose to partner with JD to look and feel skintastic. We want your inner beauty to shine through. We all have heard that beauty is skin deep but ugly goes all the way to the core. We want you to have a great experience. We want you to feel valued and appreciated so that we can help your inner beauty shine even more than your outer beauty. We try to pay it forward. We smile. We want you to know that you are important, valued and appreciated. We want you to feel cared for by the JD team.

Empowering— we want you to know that you can accomplish whatever you want, including conquering the world if that is your desire. We want you to both look marvelous and feel marvelous because of your experience at JD. We want you to love the results from the treatments performed in the clinic. We want you to feel empowered every morning and every night when you put on your skin care. We want to help you know that you are great, skintastic and marvelous. We are your partner in skin care. We are on the same TEAM. With a TEAM, Together Everyone Achieves More! Here’s to hoping you feel and look mahhhvelous!

Here’s to hoping you both look mahhvelous and feel maahvelous. If there is anything we can do to help you look and feel maahhvelous with our effective, efficient, empathic and empowering care please email margaret@johnsondermatology.com (Nina’s skin care coordinator i.e. your maahhvelous skin care concierge). I encourage you to check out some of our videos and posts on Facebook, Instagram, Snapchat and our video. Be on the look out for Part 2 of being maahhhvelous/skintastic. Stay skintastic friends. From Dr Sandy

 

Dr. Sandy with the mic drop

Hello skintastic blog readers of Nina.  Yesterday, I was asked to give my opinion for a segment on KFSM Channel 5 news.  A woman had a pedicure and got an infection.  She wanted to warn others so she posted it on Facebook.  There were so many comments and shares.  It was also sent to KFSM and they were encouraged to investigate it.  That is why they contacted us at Johnson Dermatology.  As dermatologists, we are the medical and cosmetic experts of the skin, hair and nails.  If you have any issues with your skin, hair or nails then we would love to see you and try to help you become and stay skintastic.

 

The link to the segment is http://5newsonline.com/2018/03/26/woman-claims-she-got-infection-from-nail-salon-in-fort-smith/   Unfortunately you cannot hear my commentary on the segment so I thought I would write about it instead for all of you.  I would like if you would please let us know who your favorite person or place is to have your mani-pedis.  We are also interested in your other comments.  Please share this blog as well as your comments and tag us on Instagram or Facebook #johnsondermatology.  We will give one person on Instagram and one person on Facebook a free sunblock.  After all, while everyone may not want a mani-pedi, everyone needs to use sun protection every day.

 

Here are my comments.  I would like to say that I follow all of these rules when I get a mani-pedi but in this case, please do what I say and not as I do.  I do not always follow all of this advice.  #trueconfession

  1. Do not shave for 24 hours before your mani-pedi.  Shaving will cause small nicks in your skin that can be a portal for infection.  Also, do not get a mani-pedi if you have any cuts or breaks in your skin.  Again, infection can enter through these nicks, cuts.
  2. Choose a person or place where you can easily see their business license AND their certificate from the Arkansas State Department of Health (or your respective state).  If you really want to be thorough, research them to see if they have any prior citations or violations.
  3. Make sure their facilities are clean.  I usually like to check out the bathroom, the ceiling tiles and their sink areas.  I like to see their autoclave and sterilization equipment.
  4. Make sure they clean the sinks and all tools used. I like to see them open the sterilized bag of tools in front of me.
  5. This one may bother a lot of you AND it always upsets the person taking care of me, but…. DO NOT let them trim, push back or manipulate your cuticles in any way.  Your cuticles are there to protect your empty space between your nail plate and your skin. It also protects your nail matrix which is where your nail grows.  If you look at the picture of the nail of the woman in the story, she has lots of white lines on her nail.  This is from repeatedly damaging her nail matrix by manipulation of her cuticles.  The pus on the side of her nail is also from manipulating the lateral nail fold and allowed infection to enter.
  6. Whenever possible, bring your own tools, instruments, supplies, polish, etc.  That way you know they are clean and only used on you.
  7. If you like the care they give you, then please tip well and tell your friends.  Most of us are quick to complain or give a bad review.  Do you know that it takes on average 7-8 good comments to overcome every negative comment?  I think we can all make the world a better place by trying to use more positive language and compliment others.  My mom always told me to compliment loudly and in public; criticize or constructively comment quietly and in private.
  8. In order to have 7 positive comments to my first negative or “do not” comment, I will give some advice to keep your hands and feet skintastic.
  9. Keep a jar of Vicks/mentholatum by your sock drawer.  Apply the vicks to your feet and nails regularly before applying your socks.
  10. Keep some hand cream in your purse/murse.  Apply it after you wash your hands. Apply it before you drive.  Moisturize it into your skin around your nails to keep them well hydrated.  I try to apply a sunblock to my hands and face before driving anywhere more than 30 minutes

Hope this helps to keep you skintastic.  Remember to share the blog and your comments for a chance to win sunblock.

Stay Skintastic, Dr. Sandy!

Marketing 101

One of my favorite perfumes is Replica which I have to order from Nordstrom online. It always arrives with a TON of samples. Some of them are fragrances or make-up but a lot of them are skincare products. Even though I know I won’t start using them on a regular basis due to the ingredient list I usually try them to see what all the hype is about. Sometimes they tingle, sometimes they burn, sometimes they make my skin feel tight, sometimes I like the feelings, sometimes I don’t. None of these feelings have any bearing as to whether or not the product is “working” or delivering its promises on the package. These feelings however were placed for a reason. To make the consumer believe the product was “working” to make you “feel” something. This is a common marketing ploy to entice you to buy the product. Don’t get me wrong, I like the feeling of a luxury product. But if I have to choose between how a product feels and how it changes my skin I will chose the product that changes my skin every time. My husband will frequently say to me “well then why did they put that on the package?”. Simple, to sell it. To make you think you need it. So how do you know what to use? How do you pick what skincare is best for you? Here are my tips:

  1. Products Backed up by real science. Real evidence based research. One time a member of a pyramid scheme was hassling me on Facebook messenger so I asked her to send me the “research” she talked about. She sent me one article that wasn’t double blinded and had 26 subjects. It wasn’t what I would call good scientific research to make me believe in the product. Be careful.
  2. Trust an expert. The problem is knowing what defines expert in skincare. Is it the beauty counter, an aestitician, your primary care doctor, your dermatologist? Who do you turn to for skincare advice? I’m biased, I vote dermatologist. Derms definitely have the authority as far as specific education in skin goes.
  3. Expensive isn’t always better. Petroleum jelly is an excellent body moisturizer and it’s dirt cheap. La Mer has a moisturizer that is no better than Vaseline in my opinion and it’s over $2000 a jar!!!!!
  4. Organic isn’t always risk free. Although there are great organic products they too can irritate the skin. Poison Ivy is organic but if you rub it on your skin you get a rash. People often develop rashes after coconut oil or other natural skincare products.
  5. Keep it simple. Skincare products that have fewer ingredients tend to be more gentle on the skin. Less fragrance, less grit and less color are always more. Think plain.

Good Luck! And if you need help finding a good skincare regimen I highly recommend an appointment with Dani or Margaret for a free consult! Hope you all have a great week!

Sray Skintastic, Nina

Is a Chemical Peel right for you?

It’s so hard to know what you need to achieve the results you desire for your skin. There are literally millions of options and opinions. If you are on our clinic e-mail list you might already be receiving our “how to know” series that we have started in 2018! I think it is important for you to know that our opinions of what products and procedures you use are based off of science(evidence based) and years of experience in cosmetic Dermatology. This week my right hand lady to all things cosmetic, Margaret is sharing about chemical peels. Margaret is an aesthetician and the sweetest, calmest, most soft spoken angel. She makes my life better and makes your cosmetic experience at JD better. If you haven’t met her yet e-mail her (margaret@johnsondermatology.com) for a free consult. You will love getting to know her and she can make a plan customized for you with make-up, skincare, devices, lasers, peels and all injectables. Let me introduce you to her today by what she has to say about chemical peels!

 

How to know if a chemical peel is right for you

 

A chemical peel is a great way to refresh your skin and can treat several different signs of aging. But how do you know if a peel is right for you?  I am an esthetician by trade and have used several different kinds of peels, but it wasn’t until I started working for a Dermatologist that I really understood how peels work and why it is very important to trust who is helping  you with your skin. The main reasons you may want a peel are to treat acne, photodamage, melasma, or fine lines. Even if you just have one of these problems a peel could be an easy way to improve your skin’s overall texture and health.

 

Melasma,or pregnancy mask, is a brown patchy hyperpigmentation problem that most people get on their cheeks, chin, forehead, nasal bride and upper lip. It can be worsened by hormones, sun exposure and heat. Melasma is a chronic condition so once you have it you need to control it. It will never be cured. We use  a TCA (trichoracetic acid) peel and recommend using a good sunscreen with an spf of at least 30 or above. My favorite is Total Defense and Repair because it protects against heat, infrared rays, UVA and UVB, and also repairs your damage. It is very important that you have a sunscreen that is protecting your skin from heat when dealing with melasma because heat, light, and hormones can cause melasma to darken. The tinted one is nice for the week after your peel so that you can go without makeup and keep your face moisturized.

 

TCA is also good for other skin pigmentation issues and texture. It not only serves cosmetic purposes but our providers can treat actinic keratosis or precancers with TCA mostly for people who have had a lot of sun damage over the years and are fitzpatrick skin type 1, 2, and 3. The fitzpatrick skin type scale helps determine what type of skin you have based on hair and eye color and how much melanin production you have and if you burn easily in the sun. Melanin is  a pigment that determines the color of your skin and is your skins defense against the suns UVA and UVB rays.

 

Acne is another struggle all on it’s own. Salicylic acid peels are really good to help control acne and dissolve blackheads. As with any peel, you will see great results with the first one but may want a peel 4 to 6 weeks apart for continuing  improvement.

 

As we want everyone on a retinol every night to help speed up your skin cell cycle keeping your skin young and beautiful.Using retinol is like giving your skin a mini peel every day. It is always wise to stop your retinol a couple of days before your peel and wait to start back when you are not feeling dry and flaky. Even if you don’t experience flaky skin you will still have great results. You will need to use a good sunscreen and moisturizer for about a week after your peel and will want to schedule when you don’t have a big social event coming up for a few days.  If you have cold sores then you can take a prescription to help suppress them so that the peel doesn’t help bring any cold sores along. Most people prefer to get chemical peels in the fall or winter because you can not have any sun exposure for two weeks before or after your peel.

 Thank you for taking the time to read this and I hope it helped you decide if a chemical peel is right for you.

Thanks,    Margaret Patton – cosmetic coordinator

 

Isn’t she just the sweetest? It’s hard to believe she deals with me all day huh? We are yin-yang which makes the best team! Hopefully you can see us in action at the clinic soon. Like March 14th our cosmetic day when everyone injected that day gets a free collagen stimulation facial with our  yag laser($150 value)!

Have a great Sunday, stay Skintastic, Nina

 

                                                                                            

 

 

Dani Talks Fillers

Who has met Dani? She is one of our AMAZING cosmetic coordinators! She has been personally trained by Dr.Sandy, myself, Shelly and multiple cosmetic world influencers from outside of the clinic. Her passion is cosmetic Dermatology. She has a degree in biology from UAFS so she really understands the science behind the products we use to enhance your skin.  We are so lucky to have her at JD on the cosmetic team! You lucky readers get to hear from her today as she gives you the low down on how to know what filler you need(need not want, NEED). From Dani:

When it comes to cosmetic injectables, how do you know what you need? Often times we will see patients who think Botox will make their lips bigger or that filler will make their face look frozen. These are both common misconceptions.

So…how do you know when to use what product and where?

Let’s talk Fillers
Think of fillers as a temporary implant. They are used in areas that suffer from volume/fat loss to rebuild the structure that is no longer there. As we age, our bone density and fat distribution in our face changes and with that change there is no support under our skin to hold our skin where we want it to be. Therefore, over the years as we age, our skin begins to sag and become heavy because the support we once had is no longer there. (see below)

Fat pad dropping with aging

Bone changes with aging

Once you have determined that filler is in fact the injectable you need, then the question becomes:

Which filler should I use?

At Johnson Dermatology, we love the Allergan brand of the Juvederm family of fillers. Allergan strives to provide the most durable fillers with a high lifting capacity to deliver results. Their fillers consist of Vycross and Hylacross technology. Vycross technology is tightly crossed-linked fillers that take a longer time for our bodies to break down versus the Hylacross technology which is not as tightly bound but is more moldable.
Juvederm Voluma is the thickest of these fillers which uses Vycross technology. We prefer to use this filler deep and against the bone to help rebuild that structure that has been lost. The results of Voluma typically last for 2 years! Dr. Sandy loves this in her cheeks and asks Nina to inject one syringe every year to keep her looking skintastic and to help her continue to build collagen.
Juvederm Vollure is kind of like Voluma but is cut up into thinner pieces and also uses Vycross technology. Since this filler is a bit thinner than Voluma we don’t have to go as deep with this filler, so we often use this filler around the mouth to turn the corners of your mouth back to a smile. Dr Sandy has this in her lips and lip corners to prevent her lipstick from bleeding.
Then there is Juvederm Volbella which is another Vycross filler. This filler is the thinnest filler we use. It is perfect to fill in lines around the mouth and since this filler is so thin it is perfect for those patients who do not want their lips bigger but want the lines to be gone. I, have this filler in my lips to give me more definition and lift the corners of my mouth. There is a video on our Facebook page of me getting volbella to lift my lip corners.
Lastly, we have Juvederm Ultra plus which is our favorite filler we offer that uses Hylacross technology. We love this Hylacross filler simply because it last longer and is smoother than other hylacross fillers. We use this filler to make your lips “kiss ready”. This is our go-to filler to make your lips fuller or to help give you back the lips you once had. Many of our JD team members have this product in their lips(go check ‘em out on our Instagram:johnsondermatology). We also use HA lip plump by SkinMedica to keep our lips looking juicy and hydrated.
If you still are not sure which filler is right for you then come see the experts at Johnson Dermatology. I would love to meet with you and give you a free skincare consult! Email me at dani@johnsondermatology.com.

Thanks for reading, Dani

What a great read! And what a great family I have at JD that is stepping up to the plate and helping me write blogs while I am so busy on the campaign trail! If you want to have your skin taken care of by some of the most beautiful, kind, talented, loving staff in the River Valley then you better come see us at JD! Dani is just an e-mail away, your skin will thank you.

Enjoy your Sunday afternoon, enjoy your family and friends, enjoy your blessings and don’t forget to stay Skintastic! Nina

Wally World

Those of you that have been following me for an extended period of time know I love social media. Dr. Sandy gave up social media for lent and I am certain she will have 5-500 snaps waiting for her from me come March 29th. One of my favorite Instagram accounts to follow is @whoawaitwalmart with over 145,000 followers. It’s ran by two of my insta-only-friends who show off all the best finds at Wal-Mart. I have legit made trips to Wal-Mart just from seeing their recommendations. It annoys my husband greatly. I’m certain all of my readers have been to Wal-Mart at some point and in true “whoa, wait. Wal-Mart!” fan girl style I feel the need to do a skin edition. So this blog will tell you all the skin products at Wal-Mart that will make you stop and say “Whoa, Wait!” and should def be thrown in your buggy!

  1. Vaseline. Great for a moisturizer immediately after the shower, preventing infection in cuts and scrapes, removing make-up and helping wounds heal faster by preventing a “scab”. Get it for under 5 bucks here.
  2. Benzoyl Peroxide(BPO). In my opinion, a great over the counter option for acne. Can be drying and will bleach your clothes so beware. Most people tolerate it well and see great results in their acne improvement. Many “direct sales” (pyramid, ahem) companies use it in their acne regimens but you can get it MUCH cheaper Here.
  3. Adapalene 0.1% gel. This was a prescription medication that became available over the counter in 2017. Game changer. It treats acne and evens out skin tone and texture. If you have discolorations, brown spots, dull skin, large pores or really any imperfection you need this in your life. Start it slow, like once per week and add one day weekly until using nightly. Use with a moisturizer. Can not use while pregnant nor breastfeeding. You can get it for under $15 here.
  4. Speaking of moisturizer I am personally a huge rose hip oil fan. I use it on my face as a moisturizer and on my hair for shine and smoothing. One drop goes a long way and it’s all natural. Be warned just like we get a rash from poison ivy you can develop an allergy to Rose hip oil. Here is the one I use.
  5. Albolene. It’s what I use to remove my eye make-up. It feels greasy out of the tube but just melts away your make up making it easy to wipe away. You don’t understand until you try it, just thank me later!

Hope you all feel a little bit better about what’s in your skincare tool belt next time you leave Wal-Mart!

Have a Skintastic week and remember more expensive doesn’t always mean higher quality,  Nina

 

Relationship Goals

Having a career is a little bit like being married. To be happily married both people must work at it for success. Commit to good times and bad times and continuing to work together. When I go to work I have to work at it, at the relationships with my patients, my co-workers, my bosses and my colleagues. Sometimes I get in a rut with these relationships and sometimes I have a weekend like this where everything feels perfect. This weekend I was honored to work with other mid-levels from around the country on a project for Galderma. I got to know some of the Galderma team better reminding me that there are still good people in pharmaceuticals. People that ultimately care about healthcare and patients having good outcomes. I got to chit chat with other midlevels that are smart and amazing and see how they do things. I got to travel along side Honey, JDs very own Physicians Assistant who makes me a better healthcare provider and better person. Who has become more like a sister than a friend or co-worker. I was honored/surprised/shook to be the only Nurse Practitioner on a panel of 10 other Physician Assistants. Representing nursing in Dermatology has been such an honor over the past 6 years as an advanced practice nurse at JD. I came home to a blog written by Dr. Sandy that once again proved I work for one of the best individuals on earth. My point is that if you don’t love what you do, do you love the people you work with? Because I love what I do but partially because I love the people I work with and the relationships I have made. When I have a bad day all of these relationships make it better and remind me how awesome the derm team I have really is to the world. Luckily, I feel like I am on my Dermatology honeymoon and I’m on year six! Also, very luckily(and with a lot of coffee and wine) I am still very in love with the man I fell for 13 years ago, Jarrard Copeland. I don’t know how I got so lucky to be happily married to a great man and a great job but I sure feel blessed and praise God for it all. Thank you Galderma for an excellent trip from a great company. Thank you Honey for being my work sister. Thank you Dr. Sandy for my dream job and this excellent blog post. Thank you to everyone that helped me become a Nurse Practitioner. Thank you Jarrard for being my husband. Thank you God for all these blessings.

From Dr. Sandy:

 

A few weeks ago I was honored to be the only Physician speaker on the main stage for the 2018 Allergan National Sales Meeting. It was exciting to speak in front of 1400+ people about JD. My talk was based on one of my favorite quotes from JFK…one person can make a difference and everyone should try. At the meeting, lots of people asked me about Nina and her blog. You loyal and faithful readers may have noticed that she has not been writing as many blogs. This is because she is spending her time working at JD, being a wife and mom and now helping her husband Jarrard in his campaign to be the next Sheriff for Sebastian County. While I was speaking about how everyone should try to make a difference, Nina and Jarrard Copeland were home really making a difference.

Jarrard is an amazing human as you could guess since he was able to marry Nina. I actually met Jarrard before I met Nina. He was serving as the face of the Fort Smith Police Department 12 years ago. You may remember seeing him on TV or reading his quotes in the newspaper. He arranged for Nina to rotate at our clinic as a nurse practitioner student. She rotated at JD, graduated at the top of her class and has been a very important provider at JD for 6+ years. As they say, the rest is history.

As for Jarrard, he retired after more than 25 years at FSPD. I am sure he was thoroughly enjoying being a house husband and stay at home Dad but heard the calling from Bill Hollenbeck to return to service. In my mind, this call from Bill to Jarrard is probably similar to what happens in the superhero movies when one superhero forces another superhero out of retirement to help fight crime and keep our community safe. As an aside both Bill and Jarrard are great personal friends so I can attest that they are both superhuman with amazing superhuman abilities and really hot, successful, skintastic wives. After all, behind every successful man is an amazing wife.

Over the next few months, Nina will be busier than usual helping Jarrard become our next sheriff. Make sure you check out all of the social media supporting Jarrard. Most of all make sure you get out and vote for Jarrard on May 22nd, 2018.

You can follow Jarrards Campaign at

Www.jarrardcopelandforsheriff.com

or find him on Instagram and Facebook @copelandforsheriff

Thank you Bill, Jarrard, and all of our public servants who keep us safe. Thank you also to your families who support you so that you can support us.

If you need more Nina in your life, follow her on JD Snapchat, Instagram and Facebook. Stay skintastic, Dr. Sandy

Hope you all meet your relationship goals at home and at work and don’t forget: We appreciate your vote, Nina

Why Jane?

How many of my readers wear make-up? I get asked every single day what foundation is the best available. The answer is not one single make-up is the best for everyone. I asked our make-up expert Brooke to write a blog for you guys breaking down the details on my favorite high-end foundations by Jane Iredale. If you have never met Brooke you are really missing out. I highly encourage all of you to schedule a consultation with her to get color matched and see what all the hype is about this Jane Iredale make-up everyone loves so much!

Jane Iredale

What’s the Perfect Mineral Foundation for you?

 

Let’s first talk about Jane Iredale mineral foundation products overall superiority. Jane Iredale is one of the cleanest mineral makeup lines with the highest quality ingredients possible. Unlike most makeup, Jane Iredale mineral foundation is made without fillers, chemical, dyes, or preservatives. Jane Iredale mineral foundations embrace your natural beauty with the purest minerals that improve the health of your skin. All the formulations of Jane Iredale mineral foundation look and feel weightless.

Most of the mineral foundation will work on any type of skin: dry, oily, acne prone, sensitive, and many more. What type of finish you like will play a role in choosing the perfect mineral foundation for you.

Now let’s see which of the four mineral foundations is perfect for you!

Amazing Base Loose Mineral Foundation

Finish: Luminous

Coverage: Sheer to full

This is a full coverage formula. You can apply multiple layers for a fuller coverage. Enough coverage it can be used as a concealer. This mineral powder foundation is for normal to dry skin or acne prone skin. It is made up of micronized minerals and oil free. It feels like your real skin with no makeup on, weightless. It is best when camouflaging and covering up sun spots, brown spots, bruises. It helps diminish the appearance of fine lines and wrinkles and conceals redness and minimizes pore size. Has a broad spectrum (UVA/UVB) SPF of 20 and water resistant up to 40 minutes.

 

PurePressed Powder Base Mineral Foundation

Finish: Semi-matte

Coverage: Sheer to full

One layer for sheer coverage and adding multiple layers will be full coverage. This mineral foundation is for normal to oily skin or acne prone skin. It helps with redness and rosacea. It is made up of micronized minerals, contains antioxidants, and is oil free. There are over 20 shades for all women to help you find that perfect color for your skin tone. It helps diminish the appearance of fine lines and wrinkles. It has a broad spectrum (UVA/UVB) SPF 20 or SPF15 (depending on the shade) and water resistant for 40 minutes.

Liquid Minerals

Finish: Dewy

Coverage: Sheer to medium

This formula is best for normal to dry skin and those who want an anti-aging foundation. Good for sensitive skin. This mineral foundation will help plump, hydrate, calm, smooth and even out skin tone. It helps diminish the appearance of fine lines and wrinkles and pore size.

 

Glow Time Full Coverage Mineral BB Cream

Finish: Velvety/ Air Brush

Coverage: Full

This mineral foundation is a self-adjusting color that disguises blemishes and dark spots along with rosacea and redness. You can apply it with your hands to get a smooth and brighter look. The key is a little goes a long way, so be cautious when applying. It helps diminish the appearance of fine lines and wrinkles and pore size. It has a broad spectrum (UVA/UVB) SPF 25 or SPF 17 (depending on the shade) and water resistant for 40 minutes.

 

Still can’t decide? Come by Johnson Dermatology anytime and we will color match you for FREE.

Thanks Brooke and congratulations on your engagement! Make sure you guys follow jdermatology on snapchat and johnsondermatology on instagram because we are doing lots of live injections and education there lately and you don’t want to miss out!

As always, stay hip, stay cool, keep warm and be skintastic, Nina