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Writer's pictureRenee Topala
Nov 213 min read

Transitioning from Acute Care to Dermatology: Lessons in Building a Holistic Practice

By Renée Topala, DNP,DCNP, DCPNP, Dermatology Nurse Practitioner @basslinetobeauty




Introduction

Life often leads us down unexpected paths, and sometimes those paths are born from personal challenges. For me, the transition from acute care nursing to dermatology and aesthetics was not just a career change; it was a deeply personal journey.

My time in the ICU taught me the importance of precision, adaptability, and empathy in patient care. However, my own battle with breast cancer and the subsequent PTSD reshaped my perspective, leading me to create a dermatology practice that prioritizes not just physical health but emotional well-being and systemic wellness.

In this blog, I share the lessons I’ve learned and how I’ve built a practice that treats the whole person by blending dermatology, weight loss, aesthetics, and wellness in a welcoming and judgment-free environment.


From ICU to Dermatology: A Journey of Resilience

The high-stakes world of acute care nursing is a crucible that sharpens critical thinking, quick decision-making, and the ability to connect with patients during some of the most vulnerable moments of their lives.

After my breast cancer diagnosis, returning to the hospital environment became overwhelming. Dermatology and aesthetics offered the perfect blend of science, artistry, and human connection. It allowed me to focus on long-term wellness and self-care while helping others rediscover their confidence.

This transition wasn’t easy, but it taught me the value of stepping into the unknown and embracing change.

Building a Holistic Practice

  1. Integrating Multi-Disciplinary ServicesBy offering services like medically supervised weight loss, aesthetics, and wellness treatments, I address both external and internal factors impacting health. Aesthetic treatments, for instance, can improve not just appearance but confidence and emotional well-being.

  2. Creating a Judgment-Free ZonePatients often feel self-conscious about their appearance or health. Whether it’s acne, weight struggles, or aging skin, our practice is a place where they can feel heard, valued, and safe.

  3. Emphasizing Education and PreventionTeaching patients about the importance of sunscreen or how systemic inflammation affects their skin empowers them to make informed decisions.

  4. Balancing Art and Science Every treatment, whether injectables or laser therapy, is tailored to the individual. This blend of evidence-based medicine and artistic skill ensures effective, personalized results. My background in wire sculptures and painting greatly contributes to my work with the skin and how I look at the face and body.



Lessons Learned

1. The Power of Listening

Patients often reveal their biggest concerns indirectly. Listening deeply helps uncover the root of their frustrations, whether it’s confidence issues or health concerns.

2. Building Resilience

Transitioning from one specialty to another comes with challenges, but setbacks are opportunities for growth. My background in acute care gave me the skills to adapt and persevere.

3. Creating a Strong Team

A successful practice relies on a team that shares your vision. I’m grateful for the talented individuals I work with, who bring their own expertise and compassion to our patients.

Looking Ahead

Holistic care is the future of dermatology. By integrating disciplines like weight loss, wellness, and aesthetics, we offer patients comprehensive care that enhances not just their appearance but their quality of life.

For anyone considering a career shift into dermatology or aesthetics, my advice is simple: follow your passion, trust the skills you’ve built, and don’t be afraid to reinvent yourself. You might be surprised at the beauty that can emerge from embracing change.


About the Author

Renée Topala, DNP, DCNP, DCPNP, AGACNP-BC Dr. Renée Topala is a Dermatology Nurse Practitioner and the founder of a multi-disciplinary dermatology and aesthetics practice in Montgomery, Ohio. With a background in ICU nursing and a personal journey that includes overcoming breast cancer, Dr. Renée Topala is an artist, musician, and devoted mom of four. Married to her loving husband for 19 years, she balances her passion for patient care with creative pursuits like painting and playing bass guitar. At home, she shares her life with two dogs, three cats, two turtles, and an array of tropical fish. Dr. Topala brings a compassionate, holistic approach to dermatology, creating a judgment-free space for her patients to achieve their health and aesthetic goals.


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