Dr. Sarah Karsmarski Acupuncture Physician is an acupuncture practice in St. Augustine, Florida, led by board-certified and licensed Acupuncture Physician Sarah Karsmarski. With over 15 years of clinical experience, she blends classical Chinese medicine with modern integrative techniques using acupuncture, herbs, cupping, moxa, and lifestyle guidance. The practice also offers facial rejuvenation treatments using acupuncture on specific facial points followed by facial cupping and gua sha. Karsmarski is trained in several styles and is known for a gentle approach that includes Japanese needle techniques.