Our Nurses

Karlene Dermatology



Lori Hilliard, RN, BSN, was trained by Dr. Karlene over 25 years ago and has developed very specific expertise in the area of fractional laser resurfacing and Profound skin remodeling. Although not for everyone, few techniques can provide the degree of facial rejuvenation possible with such great safety. Patients love Lori’s no nonsense, scientific approach, and like all of our providers, Lori places safety first and foremost. In addition, Lori is highly experienced and certified in laser hair removal and facial rejuvenation. She has performed over 10 thousand Botox and filler injections and is sought out for her expertise in these areas, as well for her extensive experience in Laser Medicine.



Jeanette Segovia, LPN, CLT, was trained by Dr. Karlene 25 years ago and has particular interest and expertise in treating patients with dark skin tones and loves the challenges and rewards this area of appearance holds. In our view, she is the city's foremost expert in skin care products and has hand selected the best products from a wide variety of manufacturers in order to pinpoint the exact needs of patients so no time is wasted. As is the case of all our appearance providers, she has performed thousands of procedures including laser hair removals, intense pulsed light, and photo facial treatments, as well as countless microdermabrasions and chemical peels. 



Annamarie Montreuil, CMA, CCT, has 30 years experience in General and Cosmetic Dermatology, working with Dr. Karlene for 20 years. Her original training took place in Hollywood with renowned dermatologist, Allan Wertzer, M.D. Annamarie returned home to Warren, where she has worked for the past 20 years. She is known as the "Queen" of cosmetics to all east siders in the know. As one of Metro Detroit's first injectors of dermal fillers (Restylane, Juvederm and Botox), she has performed over 20,000 injections and has great passion for her work. Her motto is "slow and steady wins the race" which speaks to her unparalleled safety record. In addition to injectables, Annamarie is also highly experienced in all facets of appearance care, having treated thousands of patients with intense pulsed light therapy, microdermabrasions, facial and body chemical peels.

Annamarie received her degree from Macomb Community College and is a Certified Medical Assistant, Surgical Assistant, Certified Collagen Technician, Laser Technician, and Moh’s Technician. She also has certification in Microdermabrasion and Chemical Peels.