Our patients are like our family. We want to see them achieve their aesthetic goals just as much as they do. As part of our commitment to patient satisfaction, our practice emphasizes individual attention and personalized care.

The dedicated staff of Dr. Leo Otake make ourselves available before, during, and after treatment to answer questions, listen to concerns, and educate our patients.

Our goal is to build professional and friendly relationships with each patient to help them feel comfortable in our practice and welcome at all times.

Carin Gustavson

Carin Gustavson, Medical Spa Director and Cosmetic Laser Technician utilizes her distinct combination of beauty expertise and medical knowledge to non-surgical aesthetic procedures, working with our team of physicians to achieve the best results for our patients with both facial and body rejuvenation laser procedures. As an Aesthetic industry veteran, she has over 20 years in the beauty and skincare industry.

She began her career working for a leading cosmetic companies, eventually becoming the Director of Education for several brands developing and teaching education programs attended by thousands of beauty advisors across the country on in-depth seminars about skin, make-up artistry and customer service. Her love of helping people look and feel their best led her to the medical side of beauty and aesthetics.

Carin now uses her comprehensive knowledge to treat acne, scarring, anti-aging concerns and hair removal for the face and body. She specializes in treating each patient with the very best service, sharing her vast knowledge of the skin, skincare products, laser procedures and make-up.

Carin has a Bachelors Degree from the University of Washington, is EMT licensed and CLT certified.

Caunie Chiaia

As VP Patient Relations, Caunie is the liaison, ensuring patients receive an experience characterized by sensitivity and awareness of their aesthetic goals, coupled with adhering to the highest standards of excellence in patient care. Critical to this process is a personalized consultation educating and informing patients of their best options.

Caunie’s ability to connect with patients in a caring and passionate way is her greatest asset in maintaining the practice’s commitment to superior quality of care. She brings over ten years of committed industry and patient experience on a foundation of a Bachelor of Science in Psychology. She continues to be driven by a desire to ensure her open door policy with honesty and the ability to make patients feel comfortable throughout every stage of their surgical journey.

Outside of the practice, Caunie values spending time with her children and her rescue adopted four-legged pets. Her other interests include exploring art and culture in the process of better achieving social and cultural awareness.

Christina Dwyer

Our VP Patient Relations, Christina Dwyer, was born and raised in Trumbull, Connecticut, thus a long time local resident of the area. Living in such a quaint town while being only a 45 minute train ride away from Manhattan, she gets the best of both worlds.

Christina graduated West Virginia University in 2017 and then took the opportunity to do several post-graduate marketing classes which she finds a valuable skill to have working in the field of aesthetics.

Christina loves the ever-changing field of aesthetics and being the best that she can be to give patients the most memorable experience.

Outside the office, Christina loves to travel and explore different places – whether it be flying or road trips. She is particularly fond of the beachside and being out on the water during the summer. She enjoys staying fit and going to the gym and always loves to spend time with her family and friends.

Leslie Bauer

Leslie is our Patient Coordinator since 2007. Having been in the medical field for almost 30 years she has had the pleasure of helping many patients over the course of her career, including working with breast cancer patients as well as those who are in transition to become their true selves and seeing them move gracefully through their journey.

She has lived a worldly early life, moving to Amsterdam at a young age where she lived for some years before moving back to the US to live in New England. She has a great love for Connecticut, New England for it’s quaintness, four seasons and being close to the ocean.

She and her wife, Joanne, have two lovable rescue pups – Peaches and Panda – who keep them laughing and on their toes! Outside the office, Leslie and Joanne love to spend time with their four nephews, or having some quiet time with a good book or enjoying an engaging game of Mahjong!

Alicia O’Shaughnessy

Alicia O’Shaughnessy is a certified Surgical Assistant. She was a valedictorian graduate of California Paramedical and Technical College and has worked in the plastic surgery industry for the last 30 years (more than 25 of those in an operating room). Alica is a highly valued member of our team. Over her tenure she has seen many new trends in the aesthetics field and has had direct, hands-on training by some of the very best in the industry.

Alicia enjoys being able to make surgery a comfortable experience for her patients and making them feel at ease before, during and after their procedure. What she loves most about her job is being able to use her skills to make things easier for her coworkers and patients on a daily basis. She loves being able to help others feel better about themselves.

Alicia was born in Redondo Beach California and lived in New Mexico for 15 years before moving back to Southern California. She and her husband of 20 years now reside on the East Coast. When not working, Alicia enjoys traveling to beautiful golf destinations with her husband and they’re currently working on hitting all of the top 100 courses in the country! Alicia also enjoys cooking and baking and bringing these delectable baked goods to her co-workers who equally enjoy her baking!

Holly Thiel

Holly Thiel is our highly educated Anesthetist Specialist with a Masters of Science in this field from Columbia University. After obtaining her Master’s degree, Holly started her own anaesthesia practice in New York City and that’s when her career in the medical industry began. In fact, her career path was shaped after speaking with a plastic surgeon at a friend’s wedding who enlightened her on the field of anesthesia. 17 years later Holly still thoroughly enjoys what she does and finds being an Anesthesia professional is a most rewarding career. She loves everything about her role – the responsibility and care for the patient, the constant learning challenges. She considers becoming a CRNA was one of the best decisions in her life.

Holly considers the North East and particularly Connecticut the perfect place to live. Being just a short drive from NYC while at the same time having the opportunity to visit the slopes of New England, it’s the best of both worlds. Outside the office Holly enjoys spending time with her husband and two children as well as their large goldendoodle, Simba.

Amy Arnow

Amy Arnow will help take care of your Pre and Post Operative Care. A true local to Connecticut, She was born and raised in Stamford and attended St. Vincents college where she trained and graduated in 2010 as a Nurse Manager.

Amy enjoys utilizing her skills as a Nurse to guide and support her patients as they navigate preparing for and recovering from surgery. She also loves being a part of our dynamic team.

Outside of the office, Amy loves dining out at local restaurants and trying new foods. She also loves spending time with her two sons Sean and Ryan.

Tracy Caggiano

Tracy is our friendly and efficient Front Desk Manager. She has always loved the fields of fashion and aesthetics and this is what drew her to work for us. Tracy is a Pratt Institute trained fashion designer with 10 years of experience working with numerous designers on 7th Avenue. She was born and raised in New Canaan, lived in NYC for 10 years then moved to Princeton where she and her husband raised their son and daughter.

Tracy loves working and assisting patients on a daily basis as well as working with amazing surgeons and wonderful coworkers who make coming to work every day a joy.

Outside of work Tracy enjoys gardening, skiing, cooking, sewing and spending time with her husband, son, and daughter.

Deborah Kellner

Deborah Kellner is our Front Desk Coordinator. She attended Stamford High School and graduated in 1986. Deborah has been in her field of expertise for over 15 years and has earned various awards and recognitions for her work. In her free time, Deborah enjoys country music/concerts, attending her daughter’s college basketball games, summertime sun, trying new recipes & spending time with family. She is also an animal lover and currently has two pups, a Havanese named Howie and Bentley a very moody Shih Tzu. Deborah was born and raised in Stamford, CT. What she loves most about her job is working with talented surgeons and coworkers who make coming to work every day enjoyable.

Lori Dastoli

Lori Dastoli joined us in 2013 as Front Desk Coordinator. She is a 1983 graduate of JM Wright Tech and has been in her field of expertise for 10 years. Lori enjoys cooking, reading, spending time with family, and going to the beach. She is married to her husband, Tony, and they have two children, Nicole and Anthony. Lori was born and raised in Stamford and loves the quiet wooded neighborhood she lives in. She is motivated and inspired by the patient interaction, seeing patients from consult to follow-up with positive results. Lori strives to make every patient/client feel comfortable and satisfied with their experience.

Cassandra Esposito

Cassandra Esposito is our highly trained Nurse Practitioner, born and raised in Stamford, CT. She graduated from nursing school in 2008, went on to obtain her Bachelor’s degree graduating Magna Cum Laude at the Anna Maria College in 2017, and then achieved her Master’s degree as a Family Nurse Practitioner in 2019 at the University of Southern California. Cassandra also serves on the Connecticut Nurses Association Board of Directors as the Chair of the Leadership Committee.

Most of her nursing career was spent as a bedside RN in a hospital setting, predominantly in the ER, and as an APRN in the Urgent Care setting. Cassandra loves helping her patients meet their aesthetic goals with a conservative /natural approach to treatment.

In her free time, Cassandra enjoys live music, sporting events and creating mixed media art. She and her husband, Mark, are the proud owners of their rescue dog with a hearing disability and Cassandra got around this communication barrier by teaching her pup sign language!

Shannon LaPerche

Shannon LaPerche is a Registered Nurse. She specializes in pre and postoperative care, as well as recovery. Shannon graduated from Mount Saint Mary College in 2018 and has been working in plastics and reconstructive surgery for 4 years. With a passion for helping patients feel their best after overcoming breast cancer, Shannon went on to receive advanced training in cancer reconstructive surgery. New York is where she is originally from but currently resides in Westchester County. In her free time, Shannon loves to travel and spend time with family and friends. She is an animal lover and has two dogs, Bentley and Sadie. Shannon’s goal is to provide every patient with compassionate care and personalized attention.

Schedule a Consultation

If you are considering plastic surgery in Darien or anywhere in Connecticut, contact us to schedule a one-on-one consultation.

722 Post Road, Suite 202, Darien, CT 06820