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1129 East 2nd Street Casper, WY 82601

   Call Us (307) 234-4585

Here at John L. Roussalis’ office, we hope you will enjoy our professional, discrete, and compassionate atmosphere. We strive to provide you the best experience -from the initial consultation to pre-operative visits and post-operative recovery. We will support and pamper you as your desires for an improved appearance are realized.

We carefully listen to your concerns and wishes, and then develop a customized plan designed for your best interest. Once you have decided upon plastic surgery, we provide you the finest quality cosmetic and reconstructive surgical care using safe and proven techniques and technologies.

Whether you are coming to see us for skin care, or cosmetic and reconstructive surgery, we will make sure your visit is a wonderful and pleasant experience!

Tiffany Waters

tiffanyMedical Aesthetician and Skin Care Liaison

Tiffany Waters has been with our office since we first opened in October of 2007, and is our licensed Medical Aesthetician and Skin Care Liaison. She received her license in Cosmetology from the Academy of Hair Design in Casper, Wyoming. She then obtained extensive additional training and certification at the Colorado School of Paramedical Esthetics, for Microdermabrasion, Chemical Peels, and Medical Skin Care, in Lakewood Colorado. She has also completed multiple laser training and certification courses, and is an active member of the Society of Plastic Surgical Skin Care Specialists. Tiffany completed her training for Micropigmentation (Permanent Cosmetic Tattooing) through Permark with Kathleen K. Jones BSN, RN, CPSN, in Kentucky Greater Cincinnati Area. She attends national Plastic Surgery and Skin Care meetings each year, where she obtains continuing education courses in the latest technology on the market. Tiffany continues to educate patients with the most advanced concepts in anti-aging skin care, treatment of acne and pigmentation problems. Whether Tiffany greets you on the phone or in the office, she can answer any skin care questions you may have, to ensure your concerns and needs are met.

Amy Jackson

amyOffice Manager and Billing Specialist

Amy Jackson is the Office Manager and Billing Specialist. She attended Billings Business College where she majored in accounting. She has worked in a medical office setting for the past 11 years in which over 6 of them were mastering the art of medical billing. She enjoys answering billing questions and it also gives her great pleasure to successfully negotiate the insurance maze. Whether Amy assists you with scheduling your consultation or coordinates your surgery billing she is here to ensure you have a wonderful experience with us.

Kaitlyn Pfister

kailtynMedical Aesthetician

Kaitlyn Pfister is from Lusk, Wyoming and is the newest member of our team. Kaitlyn is a Medical Aesthetician and received her license in Cosmetology from Rocky Mountain Academy of Hair, Skin, and Nails in Casper, Wyoming. Kaitlyn is skilled in eyelash extensions and would love to create that new look everyone will notice. She has also had training in Chemical Peels, Microdermabrasion and Laser. Kaitlyn is eager to assist our patients with procedures in skin care, and to answering any questions you may have. Kaitlyn continues to educate herself in the most advanced and cutting edge procedures.


kristyMedical Assistant

Kristi was born in a small town in Wyoming. She has been in the medical field for over 10 years, Kristi enjoys assisting our patients by answering any surgical questions and helps coordinate patients surgeries to ensure everything flows smoothly, she also assist Dr. Roussalis in all office procedures. Whether Kristi is greeting you on the phone or in the office, she is always happy to coordinate any questions you may have.


JessieJessie is the newest member of our team. She was born and raised in California, until moving to Wyoming in the summer of 2013. She attended college in Napa Valley. In her spare time she enjoys concerts, cooking, rooting for her favorite baseball team, and spending time with her family. Her 17 years working with the public has expanded her customer service skills immensely. She looks forward to meeting all of our patients, and making your visit to our office even more enjoyable than it already is!