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Meet Our Staff
At Alexander Cosmetic Surgery we are fortunate to have an excellent, caring, and dedicated staff, many of whom have been with the practice for decades. The longevity of our staff’s service is a testament to the commitment to quality and excellence provided by the Alexanders to our patients.

Alexander Skin Care
Our Skin Care technicians are specialists in their field. Working under the direction of our Board Certified Plastic Surgeons they have extensive experience and provide exceptional patient care.

Joanna C. Nicholson
Joanna C. Nicholson - Physician Assistant
Joanna Nicholson is a board certified Physician Assistant, specializing in aesthetic skin and laser treatments. Having completed extensive advanced training in all arenas of aesthetics and skin care management, she offers innovative medically proven skin care treatments. After receiving her Bachelor's Degree in Science from San Diego State University, Joanna continued her education and training as a Physician Assistant at the renowned University of Southern California. She received the Ethel Gardener PEO Scholarship Award and was on the Dean’s List during both didactic and clinical phases of training.

Joining the prestigious Alexander Cosmetic Surgery practice in 2003, she has worked extensively with both Dr. Alexander Sr. and Dr. Alexander II. She is frequently asked to attend roundtable discussions regarding new products and is often invited to educate other medical professionals.

Joanna has extensive experience in all FDA approved fillers including Botox,® and Dysport.® Joanna has practical general dermatology experience and offers a variety of laser treatments such as FotoFacial™ treatments and Laser Hair Removal using the most effective and advanced systems available.

Joanna has successfully combined her passion for science and medicine with an exceptional approach to patient care, a quality that has earned the respect and admiration from both our patients and staff.

LeAnne Howard
LeAnne Howard - Registered Aesthetician
LeAnne has over 17 years experience working closely with cosmetic plastic surgeons and dermatologists in the field of medical aesthetics. She completed her training as an aesthetician at Je Boutique in San Diego, and has participated in several specialty courses in acne, acne scarring, photodamage, and numerous peels. She was the west coast educator for a cosmeceutical skin care line from New York for two years. She understands that aesthetic skincare and cosmetic surgery are private and individual and helps patients feel secure with their decisions.

LeAnee has developed skin care programs integrating the care of Dr. Alexander and our Physician Assistant, Joanna, to help patients learn how a more youthful appearance can be achieved through current innovations.

She works closely with Alexander Cosmetic Surgery patients providing pre-operative and post-operative skin care treatments. Leanne’s knowledge of skin care has advanced with certifications in both medical strength products and chemical peels. She continues to broaden her knowledge with cutting edge skin care allowing Alexander Cosmetic Surgery and Alexander Skin Care to provide our patients with an assortment of effective, versatile and personalized treatments.





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