Our Clinicians

Dedicated to You
Our team of highly skilled surgeons, dermatologists, nurse practitioners, and physician assistants is dedicated to providing personalized treatment plans that prioritize your health, comfort, and satisfaction. From advanced cosmetic procedures to essential dermatological care, we are committed to delivering exceptional results in a safe and welcoming environment.

Candace Spann, MD

Board-Certified Dermatologist by the American Board of Dermatology
Candace Thornton Spann, M. D., is a board-certified dermatologist in Las Vegas. As Co-Owner of Couture Dermatology & Plastic Surgery, her mission and promise to her patients is that they have both healthy skin and vibrant, gorgeous results. Dr. Candace Spann specializes, diagnoses and treats conditions of the skin for patients of all ages and skin types. Her areas of expertise include women's hair loss, the prevention and treatment of various skin cancers, as well as the treatment of numerous skin disorders. She offers both dermatologic surgery for the removal of both cancerous and benign lesions, and is an expert in skin rejuvenation. For patients seeking cosmetic skin treatments, she offers countless nonsurgical treatment options for the signs of aging.
Learn More

Marvin Spann, MD

American Board of Plastic Surgery
Board-certified Las Vegas plastic surgeon, Dr. Marvin Spann specializes in cosmetic and reconstructive surgery for the face, breast, and body. As co-owner of Couture Dermatology & Plastic Surgery, Dr. Spann provides the utmost care to his patients. With a sincere approach, Dr. Spann provides thorough consultations with honest evaluations and straightforward recommendations, all with a goal of helping you achieve the most beautiful, natural- appearing results.
Learn More

Mitch Lyons, MD

Board Eligible Plastic Surgeon by the American Board of Plastic Surgery
Dr. Mitchell Lyons is a dedicated plastic surgeon with a deep passion for both reconstructive and cosmetic surgery. His journey into medicine was shaped by his personal experience growing up with a sister born with a cleft lip and palate, a condition that required more than 20 surgeries to address. Inspired by the impact of skilled surgeons like his sister’s craniofacial specialist, Dr. Lyons decided to pursue a career where he could help transform lives in meaningful ways. He received his medical degree from SUNY Upstate Medical University, where he earned recognition in the Alpha Omega Alpha Honors Medical Society. Dr. Lyons is committed to improving his patients' quality of life and building lasting relationships.

Joi Sawyer, MSPH FNP-C

Practitioner
Joi Sawyer is a board-certified nurse practitioner in Las Vegas. Her mission is to treat all patients the same as she would any family member while providing them with individualized care.
Sawyer is dedicated to the prevention and reduction of chronic disease within the community. Sawyer gained an interest in integrative medicine after working in the emergency department as a nurse practitioner for more than 10 years. Being in the emergency department, she gained first- hand knowledge of the long-term effects of chronic disease that eventually can lead to the end of life. Sawyer decided to change her approach to medicine by transitioning to preventative in the form of integrative medicine. Her goal is to help decrease the incidence of morbidity and mortality in Las Vegas and hopefully beyond. She has a strong passion for all forms of anti-aging including aesthetics, cosmetic dermatology, and non-surgical treatments. Not only does she want to keep her patients healthy inside, but she also wants to help intensify their natural beauty on the outside.
Learn More

Alexander Daoud, MD

Board-Certified Dermatologist
Dr. Alexander Daoud is a board-certified Dermatologist and Mohs Micrographic Surgeon, with additional fellowship training in Co patient ase is thy in and his pati Pats dre a team on the journey to optimal health. Through open advocate for his patients interests, he sten drive to conversational yet professional approach to patient encounters that leaves patients feeling empowered in their own care.
Learn More

Kate Pham, PA-C

Certified Physician Assistant
Kate Pham is a board-certified and licensed dermatological physician assistant. She received her Master of Science in Physician Assistant Studies from Touro University Nevada and is a member of the Pi Alpha National Honor Society. After graduation, she joined Couture Dermatology & Plastic Surgery and trained under Dr. Candace Spann, a board-certified dermatologist.
Kate is passionate about medical and cosmetic dermatology. She practices all aspects of medical dermatology, including diagnosis, treatment, and minor surgery. Kate makes patient comfort, satisfaction, and safety her highest priority. She has developed a reputation for her thorough skin exams and high quality of care. Kate enjoys spending her leisure time with family and friends, playing tennis, trying new foods, and shopping for house plants.
Learn More

Pauline Heuser, PA-C

Certified Physician Assistant
Pauline Heuser is a board certified physician assistant who graduated from Touro University in 2013 with a Masters in Physician Assistant Studies. She first discovered her passion for skin and aesthetics during her undergraduate years while working as the lead medical assistant for a local dermatologist. She is passionate about encompassing a team- centered approach toward providing high quality patient care and outcomes.
She is passionate about encompassing a team- centered approach toward providing high quality patient care and outcomes. She is a first generation American born and bred Las Vegan. Outside of the office, she loves to spend time with her family, play tennis, work out and root for her Vegas Golden Knights. 
Pauline is certified by the National Commission on Certification of Physician Associates and is licensed by the Nevada State Board of Medical Examiners and Nevada State Board of Osteopathic Medicine. She is also a fellow member of the American Academy of Physician Associates.
Learn More

Lizelle Lizardo

Lead Medical Aesthetician
Lizelle has been a licensed Advanced Aesthetician since 2017. She is a graduate of the Aveda Institute of Las Vegas with additional training from NIMA (National Institute of Medical Aesthetics). Her desire for Aesthetics stems from her struggles in growing up with acne and having difficulty finding the right resources. Through her skin care journey, she found that there was a lack of confidence in proper treatment for skin of color. In that, she is committed to continued training and education in effectively treating all skin types through lasers, chemical peels, and other advanced treatments. Spending several years working in hospitality as a VIP Concierge and a Medical Assistant in Plastic Surgery, Lizelle is passionate about the importance of providing personalized care and a luxurious experience for each of her patients.

THE CARE YOU DESERVE

The Results You Desire

Couture Medical is where exceptional care meets exceptional results. Our patient-centered approach ensures that every treatment is designed to not only enhance your appearance but also to boost your confidence and well-being. With us, you receive the care you deserve and the results you’ve always envisioned.
main form
Couture Dermatology & Plastic Surgery
9950 West Flamingo Road Ste. 105
Las Vegas, NV 89147
Privacy Policy
Plastic Surgery Marketing and Website
Design by Evolved Marketing
Individual results are not guaranteed and may vary from person to person. Images may contain models.
hello world!
arrow-right