Monthly Archives: March 2018

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 ( 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

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