How to Make Anxiety, Depression, Anger, and Fear Disappear…The Secret is Gratitude!

Fire Walker picttony robbins pict

I recently attended a Tony Robbins event in the NY area. I had heard a lot of things (some positive and some negative) about Tony’s “motivational” and “inspirational” style and I was curious to check it out for myself. My goal for attending the event was to re-focus my energy and find greater balance in my life between a demanding professional career(s) and balancing time with family and friends. But I when I was in the audience with 14k other people, I realized that many people in attendance were seeking strength to overcome anxiety, depression, anger, fear, insecurities, and many other debilitating emotions. I suddenly felt a little out of place and almost embarrassed by my desire to simply re-focus my energy.

For 4 days I listened to the most interesting, and sometimes disturbing, stories from the audience members and I studied Tony’s response to each person and their stories of heartache, abuse, and hopelessness. There was a key underlying message that Tony would relay to each person and it is a message that I often overlooked in my prior life and have since been trying to incorporate into my daily routine ever since I left the event and it has completely changed my perspective on every day life.

The emotional power of gratitude, as I learned at the event, is more powerful than anxiety, depression, anger, and fear. If you spend a few minutes every day focusing on what you are grateful for,  it can be small things like the sunny blue sky or big things like the love from spouse, family and friends or your health, the emotional response to the feelings of gratitude will slowly diminish the feelings of anger, anxiety, depression or fear. If you wake up each day and focus on a handful of DIFFERENT things than the prior day, your brain will register the gratitude emotions as the most powerful and the other debilitating negative emotions will diminish or completely disappear!
Tony has an AM ritual that he teaches at his events, but I find that for me, I have modified his ritual to 3 simple steps that work for me:
1. Close my eyes or position myself in a place with minimal distractions or at the beach looking at the water or looking at a favorite photo of a place I love
2. Consciously think of 3 things I am grateful for that day, being aware not to overlap from the day before and trying to mix in small and big things
3. Consciously think about where I am spending energy and re-direct my energy if needed to make sure that I am focusing my energy on my long term goals and not getting distracted or concerned with small frustrations of everyday life. I re-focus on the big picture and let go of everything else.

This process has changed my perspective on life. I find myself happier, feeling less stress, having more clarity, and enjoying life even more than before. I don’t work for Tony Robbins or benefit in any way from sharing my experience with others. This was a simple daily process that I learned at the 4 day event that made the whole experience worthwhile and I wanted to share it with you! I hope it helps you too!

I don’t usually dedicate my blog articles, but I would like to dedicate this blog article to my dear friends, Chrystele Escure who recently survived apocalyptic category 5+ Hurricane Irma on the tiny island of St Barths, Katherine Wilkens who narrowly escaped raging fires engulfing her home town of Sonoma/Napa, and Amanda Novelli who ran for her life as machine gun bullets whizzed past her head at the Las Vegas Route 91 Harvest Festival. I am forever grateful that my dear friends are safe and the universe was on their side during these recent horrific disasters. I am sooooo grateful! 🙂

Pictures below: Left is my hometown islands flying over Portland Maine and on the right is my favorite spot in Chicago- North of Lincoln Park on Lakeview Dr.


PWM islandsChicago Harbor Pict


I’m Back! Who’s in? Let’s Get The Party Started!


I am back! I am excited to announce that I am joining the team at Rejuva Medical in Brentwood, Los Angeles starting Oct 24! Dr. Kian Karimi and Dr Chester Griffiths are double board certified facial plastic surgeons and have been long time trusted and respected colleagues of mine. I am super excited to be able to practice as a team alongside them in their new state of the art facility at Rejuva!

Don’t get me wrong, my 7 week sabbatical was amazing…lots of bonding time with my husband and dog, family time with my parents and grandmother, quality time with old and new friends in Chicago, Zumba and spinning 3-4 times a week, a few extra opportunities to meditate, a new roof top deck design project on our Chicago pad, a new real estate project in L.A., and tons of team work re-organizing and re-strategizing with the Airelle Skin team. I am rested and focused but there is something that I just missed too much to stay away any longer…patient care!

Some of you who follow me on Facebook or Instagram already know about this exciting new chapter and have been asking me lots of questions about what I can offer that is “new”?  I have so many new options to offer patients now, it is truly awesome! I will be posting multiple photos and videos on my social media pages in upcoming days/weeks so feel free to follow along on FB or Instagram!

For those who don’t have social media, here is a list of some of the treatments and concerns that I can address for you with very little, if any, downtime or recovery time;

-Tired looking eyes and wrinkles around the eyes

-Wrinkles, laxity, and sagging on the face, neck, chest

-Rough textured skin

-Blotchy Skin on the face, neck, chest, hands

-Pore size

-Acne scars and stretch marks

-Brown spots and red blood vessels on the face

-Leg veins

-Small areas of stubborn fat on abdomen, legs, or arms

-Unwanted tattoos

-Unwanted hair

-Mild or cystic acne, skin tags, warts, and skin lesions and growths

For those techies out there who like to read up on the latest technologies, these are some of the state of the are lasers that I am excited to offer: Halo, Fractora, Sciton BBL, Cynosure ICON IPL, Picosure, and Sculpsure.

If you live in LA, please stop by and say hi! I would love to show you around Rejuva!

Who’s in? Who’s ready to get the party started? Who wants a jump start to look rested and refreshed before the holiday season?!  I can’t wait to see you again-come on over!

Rejuva card

As always, feel free to email me directly with any questions anytime












Announcing a New Chapter! What’s Your Next Chapter?


Life has many chapters. Some chapters are more impactful than others. But all of the chapters have a purpose, all chapters come to an end eventually, and all chapters help to shape what kind of person we all become. Some people choose to float through life in the book that was dealt to them and others choose to write the next chapter in the book of life for themselves.
Sometimes when you are in the middle of the chapter you forget that there will eventually be an end to every chapter. Sometimes the adventure along the way is so enriching that you become 100% engrossed and just enjoy the ride. But all chapters must come to an end eventually. Sometimes they end abruptly and sometimes they seem to go on and on forever. Are you floating through your book of life waiting to see what happens next? Or are you preparing to write the next chapter for yourself?
I ask these questions because of recent life transition that I had to face head on. I had to choose. Was I going to wait for the next chapter to unfold in front of my eyes? Or was I going to take the risk of writing my own next chapter on a blank page? Tough decision. Scary decision.
I don’t know about you, but my recent chapter was Amazing. Enriching. Fulfilling. Satisfying.
But I could see that it was time for my recent chapter to come to an end. Should I wait and see what hand I was dealt and watch on the sidelines for what happens next? Or should I start making notes to write my own next chapter?
I chose to write. I chose to trust. I chose to control my destiny, scary as that may be. And the result…an exciting opportunity to work alongside a trusted colleague and advance my aesthetic skill set while forging full force ahead on my other business ventures and time remaining to enjoy life with my husband, family, and friends. Am I dreaming? Did the perfect chapter unfold before my eyes? I am not dreaming! An opportunity to learn and grow! An opportunity to support and giveback! An opportunity to inspire and empower! An opportunity that allows me to thrive in all of my passions! And an opportunity that allows me to share all of it with my husband, family, friends, and colleagues!
My 8 week patient care sabbatical will officially come to an end on October 23 when I will join forces with world renowned double board certified facial plastic surgeons, Dr Kian Karimi and Dr Chester Griffiths, at Rejuva Medical Aesthetics in Los Angeles, CA. I will take my aesthetic dermatology skills to the next level. I will use my new found energy from my 8 week sabbatical and share it with everyone I encounter! I will express daily gratitude to everyone who supported me through this process and offer solidarity and my commitment to give back and support them in all that they do! I will live life to the fullest every day in my new chapter!
Are you writing your next chapter? No? Remember that all chapters come to an end eventually so you have to decide for yourself if you want to “wait and see” or “start to write”. I am here to remind you that your destiny is in your own hands.
If you want to see what happens in my next chapter as it unfolds as I share tips and pearls on the most cutting edge aesthetic procedures as well as share experiences as a startup entrepreneur, feel free to follow along with me on FB or Instagram! And if you want to come see the state of the art facility at Rejuva and have a consult with me to learn about how I can help restore a more rested and youthful version of you call the friendly and energetic staff at Rejuva and mention that you read my recent newsletter! Phone # 424-644-2400



Mother Nature Brings Strength…

How To find strength from the world in a time of natures fury?Alouette roof

The world can be unsettling.
Mother Nature can unleash an unfathomable amount of fury at a moment’s notice.
Recently, everyone in the western hemisphere has been touched by Mother Nature’s fury. Irma. Jose. Maria. Terrible destruction from winds. Terrible destruction from floods. Terrible destruction from fire. Terrible destruction from earthquakes. In some cases the destruction is completely apocalyptic. For those who lived through it, life as they know it will never be the same. For those who love the ones who lived through it, the heartbreak and pain is almost as intense as we stay glued to the TV, internet, and social media desperately waiting for a glimpse of our loved ones to know they are okay. As the hours pass, sleepiness nights ensue, and images of an unimaginable future plays out in our minds. It is anxiety provoking. It is terrifying. It is a montage of unacceptable thoughts.
And then…we hear from loved ones. They are okay! But they have lost everything. No house. No workplace. No belongings. No water. No food. No shelter. No basic hygiene products. No hope.
Some give up hope completely. Some live in extreme fear. Some cannot bear the thought of waking up the next day. But some rise above. Some find strength in loved ones near and far. Some are comfortable asking for help. Some know that there are people out there who care. They lean on the big world out there and rely on the love and energy pouring in to them from friends and family. They lean on the ones who remember the way life used to be. They lean on solidarity. They lean on unity. They know that with united strength there is power. Power to survive. Power to wake up and face tomorrow. Power to create a future that is brighter than the past. Power to grow, thrive, and look toward a fruitful and bright future without looking back.
Houston, California, Mexico, Montana, Florida, Puerto Rico, USVIs, BVIs and my home away from home of St Barths and other beautiful Caribbean islands have all experienced the horrific wrath of Mother Nature in recent weeks. Life as they know it will never be the same. The thought of tomorrow is so challenging for many local people that it is almost too difficult to bear. But, what our friends in those areas must hear is that we are watching. We are listening. We are here and ready to help in any way that we can. They are not alone. The world is watching and the world cares.
No matter where you are in the world, we all wake up tomorrow. We all take our next breath. We are grateful for what we have and who we share our life with. No matter where you are in the world, near or far, we are united. We all need to commit to making tomorrow a better day than today for everyone, especially those recently affected by natural disaster. There is strength in numbers and the future is bright for those who stand in solidarity.
My dear friends on St Barths remind me every day that the simple gesture of writing a note telling them that I am thinking of them lets them know that they are not forgotten and gives them strength to face the next day. Our energy from 3000 miles away helps give them strength to face complete destruction and focus on the only option in front of them- a rebuild of their amazing, beautiful, and magical island to an even more beautiful and magical state than ever before.
Whether you know someone personally affected or not, please support relief efforts in the local areas that have been affected by recent natural disasters. Here are some links to efforts that I know are legitimate relief efforts being used in unique ways:

From my friends who are from St Thomas to support USVI and BVI:
Project Shine nonprofit organization supporting St Thomas recovery-Email Kayla Bruzzese at for info. Organized by my friend who lives on St Thomas (items requested by local people that are being shipped from the production studios at 20th Century Fox and shipped directly into St Thomas to those people-organized by a friend of mine)

From my friend from St Martin who’s family lost everything:

From people we know organizing private relief efforts to St Barths:

For the Pets:

General Disaster Relief:


Please comment if you know of any other private or non profit organization relief efforts.
From the hearts of my friends and their families who live in affected areas, thank you for reading this blog post and taking a few moments to think of them.

Please follow me on Facebook and Instagram for more updates and opportunities to help those areas in need.
(the photos on this page are of the house that my husband and I spend 3.5 weeks a year for the past 8 years-Villa Alouette, our home away from home in St Barths…)


alouette roof 2

Cheers from Life on Sabbatical!

Cheers from Life on Sabbatical!

Here I am. Second official week of my sabbatical writing a blog intended to supply information to people/patients about skin care and life pearls only to explain why I Kasey Bugsy Mainedecided to take a brief sabbatical from patient care? Some may think this is a strange topic? Others may wonder why I would take sabbatical from a thriving and successful patient following in Los Angeles? I could see both of their perspectives but I took a step back and thought about it, and I decided that there could be some value in my story that maybe could help others if, and when, they come to a cross roads in life.
Life is complicated. That’s an understatement.
Sometimes life gets ahead of you and you find yourself stretched in too many directions. Don’t feel bad, it happens to everyone. The question becomes, how do you handle it? Do you let life pull you in multiple directions at the risk of becoming exhausted? Do you let life pull you in multiple directions at the cost of relationships with loved ones? Do you let life pull you in multiple directions at the cost of your own physical or mental health? Do you let life pull you in multiple directions at the cost of your happiness? Do you let life pull you in multiple directions at the risk of regrets down the road?
I believe that my passion and purpose is to lift up those who are around me and leave the people I touch in a better state after my encounter. I believe that everyone has a chemistry and energy that is contagious to others. I channel this in all that I do. I can be tough on others at times, and light hearted at times, but no matter what I want to make an impact in everything that I do.
In my opinion, patient care is a unique opportunity to not only help care for someone else’s wellbeing but to also be a bright spot in their day. It is an opportunity to help people feel better inside and out. It is an opportunity to make a difference in someone else’s life beyond simply writing them an Rx. Perhaps I am “old school”, but I believe in getting to know my patients on a semi personal level because knowing what makes them tick helps to make me a better provider of their care and helps me have more of an impact on their overall wellbeing. And, every day I feel grateful that my profession fulfills my true life passion!
Recently I have had an extraordinary amount on my “life’s plate” and it has temporarily made my energy splinter in multiple directions. I recognize this and realize that this is not fair to my patients, not fair to my business partners, not fair to my husband, not fair to my friends and family, and not fair to any of my loved ones. You all deserve more from me. You deserve for me to be the bright spot in your day. You deserve to feel empowered by me. You deserve to be fueled by my energy. You deserve me at 110%.
It is for this reason that I decided to take a brief sabbatical, a.k.a extended vacation, from patient care. I am going to re-charge my batteries and bring myself back to my peak state so that I can pass my energy on to you.

To answer the question so many have asked me in recent weeks, I am NOT retiring. I am NOT permanently moving. I WILL continue with patient care in Los Angeles and Chicago both. I WILL become the most successful Entrepreneur Dermatology PA in the history of the profession. I WILL motivate and inspire through consulting, coaching, and educating. Quite frankly, I can’t wait to do all of it! But, I know that I need time to take a quick breath before I dive back in. I feel so fortunate to have multiple passions in life and to be so excited at the prospect to tackle whatever life throws my way.

For the next few weeks, I am going to recharge, spend some quality time with my husband and dog, spend some quality time with my family on the east coast and my aging 92 year old grandmother, meditate and exercise, and study. I plan to surround myself with likeminded successful driven people. I plan to focus with a capital F. And then…watch out…because in a month or so I will be back in the bi-city saddle with a vengeance! My locations and schedules may be new and I may be a new and improved version of me but my ultimate goal will be the same; to share my energy with you, uplift you, and help you find your passion, find your inner energy, and help you get in your peak state too! Stay tuned for my adventures over the next few weeks and to be the first to know about my return to bi-city life by following me on FB or Instagram !
As always, I am available for questions, thoughts, or suggestions anytime by email


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The top 5 skin care questions asked of a Dermatology PA

I love my job, it is so exciting and every day is different than the last!  I am often asked about various treatments and skin care and thought I would share the top 5 skin care questions that I get in my practice with all of you!
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Q. I can’t be bothered to use a lot of skin care products, if you had to choose one skin care product that was the best “bang for the buck” what would it be?
A. I would recommend a product that is moisturizing and conditioning.  Dry skin can look dull and tired so it is important o keep your skin hydrated. Look for products that contain aloe Vera, manuka honey, or vitamin E.  For a simple over the counter one step option, I would recommend Cerave. For a product with tint for coverage, I would recommend Revision. For a medical grade natural antioxidant based product with additional anti-aging properties I would recommend Airelle Intense Repair Complex.
Q. Is there a skin care that will really work on fine lines, wrinkles and texture or do I have to do injectable or laser to see improvement in my skin texture?
A. Yes, there are ingredients that will help improve the appearance of fine lines and wrinkles. It is important to have realistic expectations because there is not going to be a topical product that is equal to injectable treatments but there are certainly many ingredients  that can deliver noticeable results. Look for ingredients like Hyaluronic Acid which will absorb 1000 times its weight in water within the skin and “plump” up the appearance of fine lines, or Peptides which have been shown to help strengthen cells in the collagen layer of the skin to help with “tightening” effect.
Q. Does it matter what number of SPF I use?
A.  SPF is important to protect your skin from both skin cancer and pre-mature aging. It is important to use an SPF of 30 or higher but what is more important is to use an appropriate amount of sunscreen. The proper amount is a golf ball size for your entire body. And remember to re-apply often if you are sweating, swimming, or in prolonged sun exposure. The only effective natural ingredients that are approved by the FDA for SPF are zinc and titanium dioxide. Look for micronized zinc if you want a something lightweight and that won’t leave you looking white faced like regular zinc can do.
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Q.What is the best skin lightener that I can use for my sun spots?
A. Hydroquinone is the most effective skin lightening ingredient and it is also the most controversial. In some countries it is illegal and banned from the market. Natural alternatives to look for in skin care that can help lighten those pesky brown spots are Kojoc acid, Vitamin C, or licorice root. Don’t forget your sunscreen and hat. Skin lighteners won’t work without the addition of sunscreen to prevent more damage.
Q. My co-worker said I look tired/angry and I don’t want to look tired anymore.  Is there anything I can do to look less tired or angry?
A. Our faces and facial expressions can give away our mood or may reflect a mood that is not how we feel. Muscles under the skin can tense and pull on the skin surface causing furrowed brows, squinty eyes, or pursed lips. All of these movements will create fine lines in these areas and make us look angry or tired even when we are not feeling that way. Try to re-train your muscles and relax your face as much as possible. You can do this with Botox, regular facials, and even meditation.  Try to concentrate on keeping your face calm throughout the day. To enhance your effort use a skin care product that is designed to spot treat areas where your muscles have pulled and started to show evidence of fine lines. Target treat those areas around the eyes and mouth region. My favorite go to product is the Airelle Eye and Lip treatment because it is a lightweight fast drying serum that is easily applied with a cool roller ball. This type of applicator makes it perfect for daily use and on the go touch up treatments throughout the day. In just a few weeks you will notice that you look less tired and will understand why so many of my celebrity patients use this product on and off set!
*Disclosure-I love skin care and skin health!  I am Co-Founder of Airelle Skin and for that reason I am  extra passionate about this new and exciting super natural medical grade skin care product line. There are many wonderful products on the market.  Feel free to stop by set an apt and we can chat about all of the different wonderful skin care that is available on the market today!

How does the antioxidant power of blueberry help my skin look better?

How does the antioxidant power of blueberry help my skin look better?photo-woman looking in mirror6224718_s 

Since July is National Blueberry Month, how could I not highlight the amazing benefits of this small-but-mighty superfood?

Blueberries are most notably recognized because of their deep blue pigment and this color is not just for visual aesthetics. This deep royal blue is indicative of the potent antioxidant profile that helps fight collagen destruction in our skin and preserve our “youthful glow”. The presence of Collagen, a protein, is what makes the skin appear young, supple, and plump. Who doesn’t want more of that?

Recently, USDA scientists have conducted studies to determine the antioxidant concentration and antioxidant capacity per serving size in over 100 whole foods. They found that blueberries ranked among the top 20 most concentrated sources of antioxidants, even higher than cranberries and blackberries!

So what makes blueberries so special? The answer is simple; blueberries contain vital “phytochemicals”, antioxidants, in the forms of anthocyanins and resveratrol.

Anthocyanins are natural pigments that give certain whole foods their deep crimson or royal blue hue. Resveratrol is a potent phytochemical originally found in red grapes (and red wine!) and more recently, in blueberries. When these powerful antioxidants are applied topically, they can actually help slow the mechanisms that cause fine lines and wrinkles!

With these fun facts, you can impress your friends at your next dinner party with your knowledge that blueberries are not only a superfood for your body, but also a superfood for your skin!

I am always looking for new blog topics or interesting products. Send your ideas to

I have been asked if I receive any financial incentive to mention products in my newsletter/blog and the answer is no. I only comment on products that I have used myself or that I recommend to patients because they have unique benefits. However, I do occasionally sit on some advisory panels for pharmaceutical companies and I am co-founder of Airelle Skin.