All posts by Nina Copeland

Sunscreen Tips from JD staff

Some of you may not know that we have an in house lab at Johnson Dermatology. We have a board certified dermatopathologist, Dr. Amy Hudson right here at JD. That may not sound like a big deal but she is one of only five in the entire state of Arkansas! That’s the type of specialized care you get at JD right here in the River Valley. One of our awesome lab team members Beth might be who processes your skin sample if you have a biopsy at Johnson Dermatology. I can only imagine that looking at pieces of skin cancer all day would enhance your motivation to wear sunscreen. Beth has become a sunscreen expert over her four years at Johnson Dermatology and she wanted to share that knowledge with you. Knowledge is power. Let her give you the power to keep your skin young and beautiful!

From Beth:

Being quite pale, sunscreen has always been a staple in my outdoor life.  As a child, I was envious of my siblings who were allowed to continue swimming past the one hour mark while I had to move to the shade, dry off, reapply and wait fifteen minutes.  Despite my parents and my own vigilance against the sun, my father and I spent a lot of time applying cold Aloe Vera to each other’s sun burns (I inherited his skin tone).  Even into adulthood, I kept sunscreen in my purse, car, and backpack at college, pretty much anywhere I could possibly have need of it.  I also avoided sun exposure of more than fifteen minutes (I will burn in that time), because honestly sunburns hurt.  When I began working at JD, my eyes were opened to a whole new reason to avoid sunburns, skin cancer.

I had heard of skin cancer before. I knew it was a possibility, my grandmother had it when I was younger.  I even accepted that I would probably have it at some point in time.  What I didn’t understand was how serious it could be.  Research shows that as few as five blistering sunburns in your lifetime double a person’s risk of melanoma, the worst kind of skin cancer.  But getting any sunburn as little as every two years can triple your risk of getting skin cancer.  That’s not just the blistering ones, that’s if you just turn a little pink.  I cannot count the times I have been burnt in my lifetime.  So knowing that I have a high probability of getting skin cancer at some point, I made it my goal to protect my children to the best of my ability.  I learned a lot about what I had been doing wrong.

Did you know that sunscreens expire?  My grandmother had a pool in her backyard, and I know we just used whatever sunscreen we could find that hadn’t dried up.  This meant digging through the medicine cabinet to find a bottle stashed behind five years’ worth of old pills.  When we went fishing, we grabbed the pink bottle of Coppertone baby that had been under the seat for years.  How many sunburns did I get because we were using a sunscreen that was well past the three year mark?  Well not anymore. Now I buy new sunscreen every year just to be safe.

Did you know that sunscreen left in the heat doesn’t work as well?  Heat degrades the components of sunscreen much faster than if they are left at room temperature.  That sunscreen that I left in my car thinking I was being smart, it probably wasn’t protecting me as well as I thought it was.  If sunscreen is separated, meaning it has a watery layer to it, you most likely need a new one.  The sunscreen in the boat definitely wasn’t working.  Now I have a bottle in the house to apply before we leave for a day in the sun and one that I carry in my purse or the diaper bag for reapplication.  If they separate out, I throw them away.

Did you know you can get cancer in your ear?  My parents were always reminding me to get the backs of my ears when I applied sunscreen, but never once did I slather it around inside my ear.  Working in the laboratory at JD, I see cancers from all over the body.  I was shocked when I began to see multiple cancers from inside the ear, not just the outer rim.  I was even more shocked when I started seeing how much had to be cut out on ear cancers.  Entire chunks down to or even through the cartilage sometimes have to be removed to clear the cancer.  If my fingers can reach it, there is sunscreen on it.

Did you know that your hair may not protect your head from the sun?  I have always had really thick hair so I never thought about this, but when my daughter was born I could see her scalp.  Now you’re probably saying no duh, and yes I knew babies start out with thin hair, but if I could see her scalp so could the sun.  I had to rub sunscreen into her scalp through her hair.  It gave her a very funny hairdo and didn’t want to wash out, but at least I felt she was protected.  I even started wearing hats to keep the sun from burning my scalp where my own hair parts.

I now no longer envy my siblings ability to tan.  In fact they are quite tired of me nagging them to wear sunscreen.  So that’s what I’ve learned about sunscreen since working at Johnson Dermatology.  Hopefully it will help you better protect yourself and your family.

 

Thanks Beth! That was awesome! Stay sunscreentastic! Nina

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Psoriasis

Do you know why Batman was so good at fighting crime? Because he recruited all of the best team members. What would Batman be without his extraordinary Butler Alfred? Or without Robin? And for the toughest of criminals what did he do? He called for help from the Justice League. He worked with only the best of the best. He teamed up with Wonderwoman and Superman and Flash and more! That’s why he is a successful super hero. If you want to be a successful Super hero in all that you do then you better start recruiting your team. That’s exactly why Johnson Dermatology is a superhero line-up for skincare. We have the best front office, the best lab, the best clinical staff, the best laser team, the best surgical techs, the best board certified dermatologist, the best physician assistant and quite frankly the best Nurse Practitioner in the tri-state area. And Muhammad Ali said it’s not bragging if you can back it up! Honestly and seriously we are a team and that’s what makes Johnson Dermatology a clinic that makes you go zero to superhero status real quick! Honey has an honest passion for treating psoriasis and has made treating it her specialty within the Dermatology specialty. She is the psoriaisis Batman and her Robin is Kirsten. Kirsten is a surgical tech that works with our psoriasis patients to make sure they are taken care of and have access to their medications. She wanted to write a blog and tell you more about Honey, herself and psoriasis at Johnson Dermatology. Enjoy her blog and remember Batman can’t beat any bad guys without Robin and Alfred. Find your side kick, find your Alfred and fight crime with success! As always be successfully Skintastic!

From Robin, I mean Kirsten:

Johnson Dermatology’s mission statement is as follows: “To deliver efficient, quality, compassionate, comprehensive, patient centered care.” In the four and a half years that I have worked for Dr. Brad and Dr. Sandra Johnson, this has been nothing short of the truth. We see surgical, medical and cosmetic patients, all treated under the same mission statement.

As a Certified Surgical Technologist, all of your schooling, training, and clinical rotations are focused in the operating room, at the hospital. You all could not believe what a culture shock clinic life was like for me when I was fortunate enough to rotate at JD as a student. Patients were awake, talking, and some were visiting with a provider in less than 5 minutes — emphasis on efficient. I caught a lot of grief from my friends at the hospital when I was blessed with and accepted a position to be Dr. Sandy’s scrub. In the medical field, there is a large misconception that Dermatology’s time and attention goes to just acne and warts… And, while our providers love to treat those conditions, there is so much more to the Dermatology world than just those conditions.

Psoriasis is a skin condition in which your skin cells are turning over in a matter of days rather than a matter of weeks. Since your skin cells are developing quicker, you can develop red, scaly plaques. Some patients only have psoriasis on their scalp. Other patients are unfortunate enough to have plaques and scaling over their entire body. It can be genetic, but it can also just happen without reasoning. Additionally, 30% of people who have psoriasis can also develop a concurrent condition caused Psoriatic Arthritis. Psoriatic Arthritis can cause joint pain in the hands, wrists, knees, ankles, and feet. Furthermore, the inflammation on the surface (our skin) and on the inside (our joints) can cause inflammation elsewhere. Patients with untreated psoriasis are at a higher risk of developing other comorbidities like hypertension (increased blood pressure) hyperlipidema (high cholesterol), diabetes, depression, and the list goes on. . . It is important to know that psoriasis is not contagious. It is a chronic condition and although there is no cure, there is help.

I work alongside Honey Schaumburg, PA-C, and National Speaker for Psoriasis daily. What an honor, right? She often tells our patients that we can be delicate in our treatments or as aggressive as the patient wants to be (when she deems necessary). Delicate treatments would include topical prescription creams, ointments, solutions, or NB-UV light three times a week. NB-UV light therapy is offered at JD. This is one of the few exceptions your Dermatologist will say it’s okay to get UV exposure. Tanning is still a no-no. Hence the only three times a week rule under supervision of your dermatologist. Aggressive treatments would include “Biologics.” These are the advertisements you see on TV. Most of these are injectables, although, there are some pills. Most of these can help with both skin and joints. Psoriasis is Honey’s favorite skin condition to treat and we do not give up easily. We do not let the insurance companies intimidate us. We will fight for you and your skin. Between all of our providers, there are over 230 patients on some type of Biologic medication at our clinic currently.

You probably witnessed our B&A on instagram of a patient that is being treated with Tremfya. If not, shame on you. Follow us on all of our social media platforms to keep up with the latest and greatest.
The patient has been treated with literally everything. Their disease was primarily on their elbows, back, and shins with associated joint pain. Luckily, Tremfya has been a life changer for them. Honey and I discussed what the patient would like other people to know about psoriasis. In jest, their response was: “There is help. You do not have to be miserable. You are not alone. You can be happy, and you can take the leap and make the decision to change your life.”

Whitney, my partner in crime, (and jack of all trades) helps me manage our Biologic patients. We can be reached at Kirsten@johnsondermatology.com or Whitney@johnsondermatology.com to schedule you an appointment or answer questions.

I would also like to mention that we frequently have clinical trials for psoriasis, eczema, acne, and other skin conditions which is a great way to be involved in research and get healthcare at no out of pocket cost to the patient. Send those inquiries to study@johnsondermatology.com. Please let us help you.

Thank you Nina for letting me shine light on Psoriasis for Psoriasis awareness month.

Stay healthy and Skintastic,

Kirsten, Biologic Coordinator

The Grind

The grind. We’ve all been caught in it at some point. Wake up, go to work, feed kids, bathe kids, sleep then repeat. Our minds can easily get set on cruise control. How many times have you left your house to go somewhere on the weekend and find yourself parking at work. Am I the only one that happens to? That is exactly what happens to us with our skin goals. We go every three months for our Botox and totally forget the bottom half of our face is starting to sag. For me personally I have been caring for my face meticulously for the past 6 years. I get Botox every 4 months, a filler touch-up every six months, laser here and there and I use the GRASS routine (e-mail Brooke@johnsondermatology.com if you don’t know about this skincare and change your skin forever)daily for skincare. Then a couple weeks ago I, figuratively speaking, realized I was parked at work when I went to get groceries when I looked in the mirror. My neck. My poor 40 year old neck holding up my flawless 29 year old face. I was stuck in the grind and totally neglected my neck. Dr. Sandy quickly injected my neck (platysmal bands) with Botox and in the blink of an eye (1 week later) my neck went from this

Before

To this…..

After

Just like that I was a new woman. Best 36 units of Botox I’ve had in a LONG time. You know what the moral of the story is? For me it was treat yourself as good as you treat your patients. For you it is make sure you don’t get in the grind with your skin regimen. Five years ago we had no injections that safely treated eczema (atopic dermatitis) and today we are changing lives with it everyday. It’s called dupilimab and if you suffer with atopic dermatitis and have been in the grind with your topical creams that never get you completely clear it’s time to make an appointment with your dermatologist. Are you going to a spa and getting Botox every three months and never changing your regimen? As we age our skins needs and wants change. Margaret, Dani, Dr. Sandy and I reassess our patients at least every three months and make changes or additions or subtractions to the plan at every assessment. Sometimes we recommend filler, sometimes botox, sometimes topical regimen changes, sometimes laser, sometimes no change to what you are already doing. You always need to stay on top of it if you want to age backwards. Are you stuck in the grind? Don’t be. Whether it’s your diet, exercise routine, skin health, social health or mental health shake it up. Change is a good thing. If you would like to change your skin. E-mail dani@johnsondermatology.com or Margaret@johnsondermatology.com

Have a great week everyone! Back to the grind gracefully! Nina

JD Turns 12!

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Everyone loves to celebrate, or at least I think they do.  That is why we are celebrating 5 days for our JD anniversary this year.  Dr Brad and I opened Johnson Dermatology on August 1, 2006. Thank you to Lynne and Shelly who have been with us all 12 years. Thank you to every team member who has been with us, is with us now or will be with us in the future.  Thank you to our team members and our families and friends for a great celebration last week at Alma aquatics park.  Thank you to every single patient who has trusted us, trusts us now and who will trust us in the future with the care of your skin.  Thank you to John Craig who was at Simmons Bank and is now at Bancorp South for approving us for the loan to open our business…especially since 2 other banks told us we were too high risk. Thank you to the medical community who included us and sent us patients and continue to send us patients.  Thank you to the community groups and businesses who allowed us and continue to allow us to speak at an event to or be a part of their group.  Thank you to everyone one of you who takes the time to read Nina’s the skinny on skin blog, even when I get to guest blog. Anyway, we have a lot to celebrate at Johnson Dermatology and we can’t stop the feeling yet.  Have you seen our 10 year anniversary video..I know it was 2 years ago…time flies.  Thank you to Regan and Mona Jones for our video.

https://youtu.be/l4FzXhX_Dkk

This year the team led by Nina, Shelly, Dani, Margaret, Brooke, and Sarah Jane have decided we need to celebrate big with 5 days.  Also EVERY elite member who comes to the clinic this month will be given a special gift and the chance to win one of the 75 special gifts that are valued up to $1000.  We will have special guests on the 5 cosmetic days for any patient to meet.  There are lots of unadvertised specials and goodies.   They are correct, we have so much to celebrate. Here are a few of the things that we are celebrating.
…You trust us with the care of your skin.
… Drs Nelson and Brad performed more than 2500 skin surgeries last year.
…Our Dermatopathology lab led by Dr Amy and Lisa are able to get you good answers to your skin condition.
…Honey is a certified dermatology physician assistant who is a national expert and speaker for the treatment of psoriasis.
…the JD clinical trials team has performed more than 50 studies and is led by Crystal, Christa and Lara to provide free care while advancing science.
…our Elite members have received lots of free treatments and savings in addition to concierge level personalized care.
…JD is a leading laser practice in the country with more than 10 devices.  The JD laser team led by Alice, Sonya and Patience takes pride in getting you great results in a comfortable environment.
…the JD cosmetic team led by Nina has been recognized nationally by Allergan (who makes Botox and Juvederm) as a top 250 practice in the country.  Allergan even invited Dr Sandy to be the only physician speaker at their national meeting this year.
…the JD skin care education team has been trusted to research new products.  We know that you can purchase skin care products anywhere including Target, Amazon, Sephora, other medical offices.  We take pride in providing products with great ingredients that we use personally.  We also take pride that we are not sales people but are your skin care partner and educator to help you use skin care products to maximize your results.  My daughter Anna had a recent skintastic skin care consult and make up session with Brooke to help prepare for her sophomore year of high school.
…the JD team worked with many local businesses and groups to increase awareness of the importance of skin care.  Thank you to the local schools, UAFS, Reynolds cancer support house, the Purple Plume, Hazels Haven, Roots hair salon, Hanging City, Fort Smith Chamber of Commerce, Doug’s, Mercy, etc.
…JD has been recognized by the readers of eFort Smith and the SW Times Record as the best dermatologist and place to get skin care.
…the JD team is extremely thankful and grateful for you.  Come celebrate with us and let us help you feel more skintastic.
If there is anything else you would like us to offer or if there is anything you think we can do at JD to be better, please let me know.  Make sure you repeatedly check out our Instagram, Facebook, YouTube and website as well as come into the clinic to stay current on all of the celebrations at JD.  After all, doesn’t everyone love a party?
Stay skintastic!  Dr. Sandy

Do You Have the Special Sauce?

When I’m doing a bad job posting on this blog Dr. Sandy always comes in clutch. This might be one of my favorite blogs she has ever written. Enjoy!!!!!

I was fortunate to go back to my hometown of Niles Ohio this past weekend. It was amazing catching up with family and friends…some who I have not seen for way too long.  When I saw Aunt Phyllis, my godmother and younger sister to my mom, Justin Timberlake came to mind.  My mom has been using TNS essential serum for years.  My mom (known affectionately at JD as “Mama Jo”) considers TNS-ES as the secret sauce.  My mom and her family immigrated from Italy when she was a young girl.  To us, sauce is an important ingredient in food and in life.  She has tried to get her sister to use this TNS-ES sauce but has been unsuccessful.  Aunt Phyllis really only uses sun block (important) and moisturizer (aka the juice).  She has never really bought in to the importance of the ingredients that I advise.  (Tangent:  Aunt Phyllis was a premier beautician in town and many people thought that as a dermatologist I would join and possibly take over her business when I finished with my long training.  They were disappointed to find out I was not coming back to Niles and that I would not be able to cut hair—what was my training good for?)

 

Anyway, I love my Aunt Phyllis but I was really surprised when I first saw her because her skin looked so much older, wrinkled and duller than my mom’s skin. This really surprised me because all of my life, Aunt Phyllis was always known as the beautiful younger sister.  I have decided it is time to convince Aunt Phyllis to start using the TNS-ES sauce.

 

Those of you who know me know that I encourage everyone at a  minimum to use TD&R and retinol.  I love TD&R because it is a broad spectrum sunblock protecting against UVA, UVB, and infrared radiation in addition to repairing damage caused by radiation and the environment.  Even my mom agrees this is a single product that does it all.  My mom uses the tinted TD&R because it also acts as her makeup foundation.  As for retinol, I would bet that EVERY dermatologist uses it in some form or fashion.  Topical Vitamin A is the ingredient that has the most science to support its use to prevent aging, acne, and cancers of the skin.    One cannot argue with science and results.

 

I must admit however that I understood the science of TNS-ES and growth factors but have not promoted it to everyone.  I know it is one product that has not changed its formulation in about 15 years. I know that once people start using this product, they continue to use it.  It is not an overnight success story like a moisturizer (remember juice is temporary).  By now hopefully you know that it takes at least 2 skin cycles  or 2 months to create real change and improvement in the skin.  Any product (not counting in office procedures) that  promises results in less than 2 months is just a moisturizer or colored cosmetic.  Real change takes time.  If you don’t believe me, just think about any diet or exercise program—if you lose more than a few pounds in a week it is just water weight and will come right back—real weight loss takes time, dedication, and good food/ingredients.  Real changes to your skin take time, dedication, and good ingredients.  Juice is temporary but sauce is forever.

 

After seeing the difference in skin tone, texture and brightness between my mom and Aunt Phyllis, I am going to advise everyone to add the secret sauce of TNS-ES to their regimen twice a day.  In fact, I am going to send Aunt Phyllis some TNS-ES today since I love her that much.  The   combination of growth factors and antioxidants in TNS-ES is unrivaled.  Online, TNS-ES has a 5 star rating and a 92% satisfaction rate.  If you want to learn more about this product, come see one of our skin care experts for a complimentary consult.  If you want to order some TNS-ES  from us but do not want to come to the clinic, you can purchase it on our online store https://johnsondermatology.brilliantconnections.com/search?q=TNS&lang=en_US  If you order it online, you will always get free 2 day shipping and gift with purchase.  You can also sign up for a subscription service and save 20%.  You can also order TNS-ES with some other of my favorite products in a package system.

 

Together, let us enjoy some sauce together and stay skintastic with an old Italian toast that I learned from my Aunt Phyllis:

May your life be like a good wine… tasty, sharp, and clear.  Like a good wine, may it improve with every passing year.  Salute!

 

Collaboration

I forgot to post this last week!! What is wrong with me? We did an awesome collaboration with Hanging City Supply Co. yesterday and it reminded me to post this! If you haven’t shopped the boutique before go now, green pointe shopping center in Fort Smith!

I have spent the past five days at a Dermatology conference in Colorado Springs, CO. It’s alway great to learn what’s new and changing in Dermatology. It’s crazy how much changes in such a short period of time in healthcare. It’s always fun to learn but one of my favorite things to do at these conferences is networking. Shocker, I know. I love getting to talk with the different companies about where they are taking things with their drugs or devices. I love talking to other NP’s  and PA’s about how they do things. Sometimes I learn more from them than I learn from all the speakers and slide decks. One of my favorite people said to me this week, “I’m an extrovert but you make me look like an introvert”. I took it as a compliment. How great is it that God made us each different. We all can learn and improve so much by getting to know each other. The world really is full of good people. On my way to Colorado I met a man at DFW that was traveling to Colorado to surprise his friend that he served over seas with for years. While in Colorado I met so many great people that taught me so many new ways to help my patients. I had an uber driver stationed in Colorado that taught me all sorts of military FAQs that made me a better American.  On the way home I met the most inspiring woman in the airport. She was a welder working in a mans world and making the workforce more diverse. She is a serious boss babe who taught me how to be more fierce professionally in a short time at the bar over a glass of wine. My point is this: the more people you allow to influence you, the better life is! God made us all different in part so that we could make an awesome team. Together our world is better. So for those of you that don’t feel comfortable meeting new people or maybe new conversations are awkward for you this is the one blog you need to read. These are my tips on networking and meeting people.

  1. Don’t hesitate to smile. Most people will introduce themselves after a simple smile. If I was walking past a booth I wanted to learn more about at the conference I would simply make eye contact and smile. That usually shows you have interest in engagement and the other party does the inviting. Seems simple but it works! 
  2. Have a go-to. Everyone is different but if you find that one thing to say that feels natural for you and you’re prepared to approach people with it then meeting someone is easy. For example, at the airport I always say “where you headed?”. At the conference I always say, “Are you enjoying the conference?”. At work I always meet new patients with “Thank you for trusting me, welcome!”. Whatever feels comfortable to you use it. Then use it. Then use it again because practice makes perfect. The more times you use it the more natural it feels and the easier it is to strike conversation. 
  3. Fear loneliness. Instead of fearing someone won’t want to talk to you or think you are weird or be annoyed by you fear what would happen if you didn’t say hello. Would I rather sit in an airport on my phone having zero interaction or would I rather get to know a little something about somebody that makes me cooler? Obvious choice! Fear the right things.
  4. Surround yourself with extroverts. My husband has never met a stranger. I joke when we travel he talks to other people more than me! When we went to Vegas to get married he almost asked a couple at our hotel pool to come to our wedding(I vetoed it thinking my parents would be offended that strangers were at my wedding and they weren’t). If someone else has the gift to gab then ride their coattails! Let them be the icebreakers and you can be introduced and reap the benefits.
  5. Make people feel like they are special. Tell someone you love their hair. Tell someone you think meeting them changed you a little. Tell people their company makes your life better. The more positivity you spread the more positivity will come back to you. Be nice. And don’t worry about alternative motives when being nice. People worry too much about making the wrong impression when being nice. 
  6. Realize how short life is. Do you want to limit yourself in this short time we spend on earth? Do you want to shut someone out because of fear? The best thing about life is the people in it. If you have this realization it will conquer all fears.
  7. Accept different. Some people will reject you. Some people will annoy you. Some people you will wish you didn’t meet. But who cares? Maybe you can learn from those differences. Maybe you won’t, but honestly, first world problems. Worse is happening everyday.

Or don’t network. Don’t socialize. Don’t meet the world. You will never know what you are missing. But that’s a whole other blog. 

Whatever you do, please! Please! Stay Skintastic, Nina

regiMen


With Father’s Day right around the corner we are celebrating men the entire Month of June. I personally find it much easier to convince a woman she needs good skincare than a man. I’m sure all men have their own reasons for not having a daily skincare routine but these are the ones I most commonly hear.

  1. It feels gross. Men say this to me all the time. Unlike women who can’t remember what it’s like not to put skincare on their face. This is one of the reasons a powder sunscreen is so easy for me to convince men to use.
  2. It runs in my eyes because I’m so hardworking. Oh I forgot, women don’t sweat or swim or work hard. Men! You too can find a luxury product that won’t sweat into your eyes boys! Probably just been picking the wrong products. I know it’s hard to believe that the sunscreen you picked up in the gas station on your way to the lake wasn’t an educated choice.
  3. I’m a man’s man. Some men want to feel like a lumberjack, bear hunter, NFL quarterback or anything else that’s major masculine. They feel like using skincare makes them more feminine. I’m here to tell you that some of the most masculine men I know use skincare. I have a patient in his 70’s that cuts his own firewood, only wears cowboy boots and could likely go Mike Tyson on half the 40-something men I know and he has a dang good skincare routine. It is 2018, men wear pink and tight jeans! Plus, Deion Sanders is a Botox Rep for goodness sake. Taking care of your skin is for everyone these days!

I’m sure most men that don’t have a good skincare routine could find multiple excuses as to why they don’t but the fact is that skin is our largest organ. We should all take care of our skin. If men don’t step up to the skincare plate they are going to look older than women in general. They will have more brown spots, more wrinkles and more skin cancers(if we can get these women out of tanning beds).

Now comes the good part. SkinMedica (my own personal favorite skincare line) has developed a regimen just for men. It is made to help with razor bumps, redness, discolorations, wrinkles….. okay everything, it literally does it all. It is TSA friendly and comes in a man’s man travel case. It’s easy, no 22 steps for the men. They think they don’t have time for that. Well, ain’t nobody got time for that but that’s a whole different post. It’s 4 steps in the AM and 3 steps at night. The first step is cleansing so I feel like it doesn’t count. I mean if you don’t at least already wash your sweaty face at night we have other issues to discuss( BO 101). Here are the products included in the kit and what they do.

  1. Facial cleanser. It’s gentle and gets the job done. That’s all you need to know.
  2. Recalibrate applied all over face and neck. This is a new product to SkinMedica and real powerhouse of the regiMen. It’s potent ingredients target the needs of men. It helps with post shave irritation, ingrown hairs, oil production and overall healthy look of skin. It feels weightless and when I rubbed it on my hand I felt a cooling effect. I’m not gonna lie, I might have put some on my bikini line after shaving and it was so calming. Not that I wear a string bikini or anything, just for home scientific research. When I recommend a product, not only does it have to have the science to back it up but I have to like it. So when you are testing a product for men, you get creative. What can I say? This will be most men’s favorite!
  3. HA5! Ladies, how many of you have husbands stealing your HA5?!?!? It is the best feeling product on Earth, hands down. It makes your skin look flawless. I can’t leave the house without it on because it gives you a dewy, matte look. How is that possible? I don’t know. Just try it, it speaks for itself. It smooths the skin over time with its secret weapon algae and vitis flower extracts. It smooths it almost immediately with 5 different hyaluronic acids(the stuff in Juvederm fillers). Best thing to rid his wrinkles…… until you get him on the Brotox bandwagon anyways.
  4. Sunscreen. SkinMedica did a lot of research to find men’s favorite sunscreen. This one is for oily skin (men tend to be more oily than women). It’s lightweight, won’t run in their eyes nor get stuck in the scruff! A sunscreen men won’t complain about?!?!? Count me in!

The night regimen is steps 1-3.

This is a great gift for Dads and will retail for $225 but don’t miss the introductory price of $199. And if you are an Elite member get 10% off that! And did I mention you can use your brilliant distinction points? Or how about signing up for a subscription of the stuff in clinic and get 20% off! We will ship it to you free at the interval of your choice! You can delay shipments anytime and cancel whenever! Could we have made it any easier or any more cost effective?!?!? I think not. Click Here to purchase now….. just trust me.

SkinMedica says regiMen is “the mans answer to skin that wins”. Ummm okay. You know what I say? “Man up, take care of your skin or before you know it people will start thinking you are your wife’s Dad. Who will be the masculine man when that happens?” (Dr. Sandy helped me with that, obviously).

Lots of specials for men at the clinic this month. E-mail brooke@johnsondermatology.com to learn more about regiMen. E-mail alice@johnsondermatology.com to find out how men are getting $500 off UltraShapePower for permanent fat destruction this month!

Stay skintastic, Nina

Politics

It’s finally here! I am days away from turning my mind’s focus back to its usual routine of skin, skin and skin!!!! As you all know the primary election is Tuesday, May 22nd. My husband and I feel nervous, excited and tired. Jarrard running for Sheriff has been an experience that has been great for our family. Although I complain about it frequently, I honestly believe it has been a wonderful experience. With a 3 year old, five year old, full time job and a husband running for Sheriff I have had events most nights of the week. I think I am averaging a baby sitter 4 nights per week the past few months. But I believe God puts us through trials to teach us something about ourselves, others and Him(Thank you Pastor Will Harmon for speaking those words into my heart a few weeks ago at Church, shout out to Cavanaugh Free Will Baptist, join the Copeland’s any time!). That is exactly what has happened. I have learned that Jarrard has more good in him than I even knew possible as his wife. I have learned that I strive on new experiences. I enjoy meeting new people and learning new things and no matter how much time it consumes, I enjoy that. I have learned that when you want to curse someone and pray for their demise God gives you peace and patience when you least expect it and shows you how you should be praying. So win or lose on Tuesday, I’m thankful Jarrard put himself out there and got our family into politics. With that being said, boy I hope we win {insert laughing emoji}. This blog post will not teach you about skin. It will, however, teach you why I am voting for my husband for Sheriff and why you should too.

  1. He is a family man. He retired sooner than he wanted to after 25 years at the Fort Smith Police Department because I asked him to retire. He had already spent years on the night shift losing time with his sons. After 25 years of service working nights, weekends, holidays and being on call I thought he earned time to help me raise our little girls. He did, reluctantly, he retired. Any man that puts his family before his career is a man you want leading a department. You can sleep at night knowing he understands the importance of family to those officers. Because no man can go out at night and put his life on the line successfully and at his best without a supportive family behind him.
  2. He is the only name you knew before the campaign started. That’s not a brag. It’s the way Jarrard has policed for 25 years. He has been helping the community. He has made his presence known and let Fort Smith citizens know he is a cop who was there to help. He has never put his ego or authority before his duty to serve the citizens. He made me jump into a freezing cold pool for the polar bear plunge to raise money for Special Olympics when we were dating 12 years ago. He has always been a servant to Fort Smith, that’s what the county needs, proven dedication.
  3. He is a natural born leader. He has leadership skills you can’t teach. He leads by example. Being married to him I understand what officers say when they tell me he motivates them to be good. He is the kind of person you want to follow. I wish I had a penny for every time someone said “oh you’re married to the chief of police”. No, not the chief, just a leader without the title.
  4. I am his wife. I often joke, “why didn’t we make shirts that said to vote for Nina Copeland’s husband”. Honestly, we are married, we are a team. If you like me, you will love him. If you vote for him, you are voting for me. Plus, I will make sure the Sebastian County Sheriffs Office is sunsmart and Skintastic! Duh
  5. He has the experience and a new vision. Have you ever worked a puzzle for hours and get stuck? Your spouse walks by, takes one glance, grabs a puzzle piece and snaps it right into place. It’s not because they are smarter than you. It’s because they got a fresh look at things. The SCSO has not had someone from outside the agency voted as Sheriff in more than 50 years. He has law enforcement experience that gives him tools to understand the department plus that new vision which might just be the refreshment the SCSO needs right now.
  6. He listens. We have had countless citizens and employees of the SCSO in our home telling us what they would like to see happen if Jarrard is elected. If he has spent hours listening before he is even elected that proves the open door policy he will continue for his employees and citizens of Sebastian County.
  7. He has the experience. He has more experience than any other candidate in working homicides, theft, kidnapping and every other crime for which the FBI keeps statistics. You already know how well he does as public information officer after years of watching him on the local news. He  has supervised multiple departments at the FSPD so successfully that his former employees and co-workers with the Fraternal Order of Police have endorsed him.
  8. He is good looking and charming. I mean he has to be the best looking candidate. Why wouldn’t you vote for him for his good looks?
  9. He is sunsmart! Have you seen how dedicated he is to the wide brim hat to protect his face, neck and ears from the sun. If you were one of the thousands he met going door to door I bet you saw it!
  10. He has not said one bad thing about another candidate and made sure the committee to elect Jarrard Copeland for Sheriff hasn’t either. He has made sure people are voting for him and not against his opponents because that’s the only way he wants to win.

Get out and vote! It’s important and an easy way for your voice to be heard in how our community is run. This year you can vote at any poll, the one close to your house, work or wherever! If you see me standing out with a sign stop and say hello. Or just run in, ask for the Republican ballot and vote Jarrard Copeland for Sheriff!

Stay skintastic, Nina

May is Melanoma Awareness Month

Thank you to all my readers who have stuck by my side while I am on the campaign trail! Don’t forget to go vote if you live in Sebastian County (If you are voting for my husband, Jarrard Copeland, otherwise go ahead and forget). Thank you to Dr. Sandy who has so graciously been keeping all of you blog readers entertained. Thank you to Gabbi, one of our amazing lab techs who stepped up to the plate to educate you all about sun protection! We are so blessed to have our own lab right here in our office. Thank you lab team for all you do and thank you to Gabbi for educating us all during Melanoma Awareness Month!

When I was a kid, my mom would pour buckets of sunscreen (okay, not literally) on me during the summer because she didn’t want me to get sunburnt. I always complained, because I hated the feel of icky, sticky sunscreen (still hate the feeling of it, TBH). But my mom drilled into me that it was important to take care of my body and that meant using sunscreen.

 

Now, after working at a dermatology office for a while, I realized that all of those cute freckles and moles and golden tans from the sun can actually be really harmful, even fatal. As the Center for Disease and Control (CDC) says, “tanned skin is damaged skin[1].”

 

Mom was right. Who would have thought? 😉

 

But how do we best protect ourselves from the sun’s harmful rays? There are lots of ways, and quality sunscreen is a good place to start. But, are all sunscreens equal? When it comes to picking out a sunscreen, there are a few factors to consider. The American Academy of Dermatology, a leading expert in skin care, recommends to look for these three essentials: SPF 30 or higher, UVA/UVB protection (also known as broad spectrum protection), and water resistant[2].

 

SPF stands for Sun Protection Factor. Think of SPF as armor for your skin and the sunrays as dangerous, flaming arrows. SPF compares the time it takes for your skin to burn in the sun with sunscreen compared to burning in the sun without sunscreen. The more sunscreen, the longer your skin takes to burn, the higher the SPF number. To further that thought, the higher the SPF, the more protection you have against the sun’s rays.

For example, imagine you’re paper white (like me), and your skin burns within 5 minutes in the sun. If you put on sunscreen with an SPF of 30 and you burn within 5 minutes: 5 minutes x SPF 30 = 150 minutes of sun protection. Hint: if you’re out in the sun all day, this is why you need to reapply that sunscreen, and then reapply and reapply!  This SPF factor is only accurate if you use your sunscreen as directed—which means a nickel sized amount of sunblock for the face.  If you use less than this, which most of us do then you are not getting the SPF as advertised.

 

Also, you want to make sure to use a sunblock that works on UVA, UVB, and infrared rays (IR). SPF refers only to UVB protection.  One of our favorite sunblocks is TD&R because it totally defends you against UVA, UVB and IR as well as repairs your skin—more than a sun block.

 

So how else can you guard your skin, besides a good sunscreen?

 

Being sun smart is more than just sunscreen. It’s a life style change. It takes conscious effort. Like putting your sunscreen by your toothbrush so you are ready to face the day with those pearly whites and that glowing, healthy skin.

 

Ladies, did you know that some makeup brands contain SPF in them? Look for mineral-based makeup with an SPF of at least 15; here at Johnson, we like Jane Iredale’s makeup line. Who knew you could be gorgeous and sun safe at the same time!

 

Here are some other ways to be kind to your skin for the upcoming summer.

  • Hats! Hats are your friends, especially wide-brimmed ones! Protect your neck, ears, and face by being stylish and sun safe at the same time.
  • Maxi dresses are great for the summertime too! They protect your legs and are light and breezy. Add a stylin’ umbrella and you’ll be a sun-smart fashionista. And what do you use for the skin exposed to the sun? *Cough* sunscreen *cough* You guys are so smart!

 

  • Since we gearing up for summer and those beach vacays, it’s only right that we talk about swimsuits. How cute are these swimsuits by TheSeea?! While they aren’t traditional bikinis, they are still super cute and fashionable.

 

Photos Courtesy of TheSeea

 

 

  • While on the topic of clothing, there are retailors who make clothes that contain an UPF, ultraviolet protection factor. This is especially important in swimsuits, since you’ll likely be in the sun a lot[3].

 

  • Avoid being in the sun at peak hours: between 10am and 4pm. Alternatively, if you are outside during those hours, find or make some shade! A tree, an umbrella, the side of a building, your husband, your best friend, anything that makes a barrier between you and the sun.

 

  • ABSOLUTELY NO TANNING BEDS. Just no.

 

 

  • Also, when planning your outdoor activities, take a look at the daily UV index. This can help you prevent accidental overexposure to the sunlight, since there are a lot of factors that play into the UV index[4]. To find the UV index, look at the US EPA website or download their nifty app onto your phone! Your UV index is just a click away!

 

  • And don’t forget about your eyeballs! Arguably one of the most important sensory organs in our body, we need to protect them too. Look for sunglasses that block 100% of UV rays. Can’t be having cataracts at our age[5]! Or any age for that matter.

  • Some people swear by herbal supplements, such a niacin, to maintain healthy skin. While taking a quality multivitamin definitely has health benefits, the FDA has not approved oral supplements alone as a way to guard against the sun’s harmful rays[6]. The only form of sun protection regulated by the FDA is good sunscreen.

 

There you have it folks, sun protection 101! Hope you enjoyed the ride as much as me!

 

[1] https://www.cdc.gov/cancer/skin/basic_info/what-is-skin-cancer.htm

[2] https://www.aad.org/media/news-releases/american-academy-of-dermatology-statement-on-oral-supplements-for-sun-protection

[3] https://www.aad.org/media/news-releases/american-academy-of-dermatology-recognizes-coolibar-for-sun-protective-clothing

[4] http://www.who.int/features/qa/40/en/

[5] https://www.ewg.org/sunscreen/top-sun-safety-tips/#.WmVLhVQ-eAx

[6] https://www.aad.org/media/news-releases/american-academy-of-dermatology-statement-on-oral-supplements-for-sun-protection

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