Meet Our Doctors


Meet L. Patrick Miller, M.D.


A native of South Dakota. He received his undergraduate degree at the University of South Dakota and received his medical degree from Pritzker School of Medicine in Chicago, Illinois. He completed his general surgery residency in 1985 at Vanderbilt University in Nashville, Tennessee. After attaining his general surgery residency he was in active duty in the United States Naval Reserve from 1985-1991. During this time, he completed his plastic surgery residency at Walter Reed Army Medical Center in Washington, D.C. in 1989.(more)

Dr. Miller was an attending general surgeon at the Naval Hospital in Charleston, South Carolina from 1985-1987 and an attending plastic surgeon at the Naval Hospital in San Diego, California from 1989-1991. After his honorable discharge from the military, Dr. Miller started his private practice in Aiken, South Carolina and specialized in plastic and reconstructive surgery. In 1996, he moved to Sioux Falls and joined the staff at Plastic Surgery Associates of South Dakota. Dr. Miller is certified by the American Board of Plastic Surgery and is a member of the American Society of Plastic Surgeons and the South Dakota State Medical Association. Dr. Miller is on staff at Avera McKennan Hospital, Avera Heart Hospital, Sanford Health, Sioux Falls Specialty Hospital, SiouxLand Surgery Center in Dakota Dunes and Avera Sacred Heart in Yankton and Prairie Lakes Hospital and Mallard Pointe Surgical Center in Watertown. Dr. Miller’s practice includes the entire scope of plastic and reconstructive surgery, especially breast reconstruction, breast augmentation and facial rejuvenation. He lives in Sioux Falls with his wife Beth and their four children.


Meet J. Anthony Breit, M.D.


A native of Sioux Falls, S.D. He attended the University of South Dakota and received his medical degree from the University of South Dakota School of Medicine, Vermillion, S.D. He completed his general surgery residency at Iowa Methodist Medical Center, Des Moines, IA in 2003 and his plastic surgery residency at Indiana University, Indianapolis, IN in 2005. During his residency he received the Latchem-Phillips-Schropp Award. This esteemed award is given to the outstanding chief resident for manifesting the highest standards of medical training, medical skills and caring relationships with patients and colleagues.(more)

He is board certified in plastic surgery and general surgery and is a member of the American Society of Plastic Surgeons, a member of the American Society of Maxillofacial Surgeons, AMA, and a member of the South Dakota State Medical Association. He joined the practice of Plastic Surgery Associates of S.D. in July 2005. He is on staff at the Sioux Falls Specialty Hospital, Avera McKennan Hospital, Avera Heart Hospital, Sanford Health, all in Sioux Falls, S.D., and Spencer Hosptial, Siouxland Surgical Center in Dakota Dunes, S.D., Mercy Medical Center and Unity Point-St. Lukes both in Sioux City. His practice includes the entire scope of cosmetic and reconstructive surgery with special emphasis in breast reconstruction, breast augmentation and facial rejuvenation. He strives for perfection in the operating room as well as developing an honest and sincere rapport with all of his patients. Dr. Breit grew up in Sioux Falls, S.D. and is happy to be relocated back in his hometown. He has two children. He enjoys playing competitive tennis, snow skiing, hunting, fishing and reading.



Meet Kelsey Isaacson, Physician Assistant

Kelsey attended undergrad at Baylor University with a degree in Health Science Studies. She then received her Masters in Physician Assistant Studies from Midwestern University in Glendale, Arizona. Kelsey performs the laser tattoo removal and laser resurfacing at our office and also assists our surgeons in surgery. She now lives in Sioux Falls with her husband. She enjoys being outdoors and spending time with family.

Meet Jodi Pierret, Clinic Manager

She joined Plastic Surgery Associates of South Dakota in 1991, back when Drs. Meyer and Witzke were the senior partners.  As a 26 year senior staff member and successful women in business, Jodi  now oversees the day to day activities for their main office in Sioux Falls plus the other 5 regions they practice. She is a native South Dakotan growing up in Brandon and after high school, attended and is a graduate of Black Hills State in Spearfish.  She reside in Sioux Falls with her husband Paul and daughter Megan and they all enjoy traveling, adventurous activities and the outdoors.


Meet Our Nursing Staff


Meet Brooke Munk, RN

In 2013, I graduated from the University of Sioux Falls with my B.S. in Nursing. My background is in Oncology and Transplant, so switching to plastic surgery was a big (but welcomed) change. I am so glad that I was given this opportunity!

When thinking about plastic surgery, most people think of the various cosmetic surgeries offered. What I love about Plastic Surgery Associates of SD, is that we offer so much more than that! We provide a variety of noninvasive procedures in addition to the several cosmetic surgeries that typically come to mind. It is rewarding to see the increase in mental and physical well-being of our patients after having one of our various services.

My husband and I recently got married and we got our first fur baby in March. Mabel is our English Bulldog that we can’t get enough of. We love to spend our time with her and teach her a trick or two.

My biggest passion is in health and wellness. I enjoy everything from eating healthy, to sports and attending workout classes. I also love to travel. My favorite destination is Cabo San Lucas, Mexico. My husband and I like to plan little weekend trips to different cities when the opportunity arises. We love being outdoors so we can usually be found camping, hiking, or hunting. I have a long list of cities I would still love to visit…any suggestions are welcome! And when I can find the time, I enjoy sitting down to read a good book.

Meet Ashley Vogt, RN BAN

Ashley Vogt, RN BAN began her employment at Plastic Surgery Associates (PSA) in the clerical area as she studied nursing at Augustana College in 2011. When she graduated in June 2013 with her Bachelor of Arts in Nursing she started at Rivers Edge Aesthetic Surgery (REAS), the ambulatory surgery center on site, as a part time employee. She worked full time at the Veteran’s Hospital. Ashley appreciated the diversity REAS had to offer which influenced her decision to accept a full time position at PSA and REAS in June 2015.  She enjoys the versatility of her nursing role as her favorite aspects of the position are the ability to provide continuity of care to the surgical patients and cosmetic injections.

Ashley lives in Sioux Falls with her two dogs Tucker and Jacie. She is from a small town in southwest Minnesota.  She grew up there with her mother, father, and three younger brothers. She enjoys traveling, biking, learning new things, and sushi.  Ashley always knew she wanted to pursue a profession in the medical field, but was uncertain as to what capacity, from her experience as a certified nursing assistant at a local nursing home. As she began her college experience it became clear that nursing was a great fit for her.  Ashley loves her nursing career and all of the opportunity it has lent. She hopes to further her education in nursing sometime in the near future.

Ashley is very enthusiastic and passionate about the care and services she provides patients. She loves meeting new people and is excited to see where her nursing career with PSA and REAS will take her.

Meet Kelsey Wire, ST

Kelsey is originally from Madison, SD and attended school at Southeast Tech. She was employed at a local hospital for 7 years before coming on board at Plastic Surgery Associates. Kelsey has been working at Plastic Surgery Associates for over a year now, but has been working in our general anesthesia operating room for 4 and 1/2 years. She has always had a passion for Plastic Surgery ever since her first job. Kelsey enjoys being outdoors, going to sporting events and spending time with her husband, Monte and their very spoiled dog.

Meet Our Administrative Staff









Meet Our Dakota Dunes Staff

Jami Nelson RN, CANS, CPSN
Jami is our Registered nurse who has been with PSA since June of 2000 and
manages our Dakota Dunes office while also running our Yankton outreach
clinic. Jami has always had a passion and an eye for facial asthetics. Her
career as a Nurse Injector began in 2007 with courses at the Esthetic Skin
Institute in Flordia where she was trained in neurotoxins, cosmetic fillers,
chemical peels, microdermabrasions, and skin care. Since then, she has taken
numerous advanced training courses to become one of the areas most advanced
and respected Nurse Injectors. In 2013 she traveled to San Diego to sit for
one of the first certification exams as a Registered Nurse Injector. She
continues to further her education and holds the title as a Certified
Aesthetic Nurse Specialist (CANS) and is one of the only RN’s to hold this
certification in the Siouxland area. Jami’s goal with her clients is to
provide honest and expectations while achieving natural looking results.
Since 2013, Jami has also served as a faculty member for American Academy of
Facial Esthetic. With AAFE, she travels the country to give hands-on
training and education to other medical professionals wanting to learn the
necessary skills.

Before becoming a nurse, Jami attended Southeast Community College in
Lincoln, NE. She graduated in 1992 as a Surgical Technologist. She moved to
the Sioux City area and worked in surgery for 14 years, before joining us as
a Certified Surgical Technician (CST). Soon after she became a Certified
First Assistant which qualified her to assist the surgeons in surgical
procedures. While continuing to work for Plastic Surgery Associates,
returned to nursing school at St. Lukes College of Nursing and graduated in
2005. She is certified as a Plastic Surgery Nurse (CPSN) and a member of the
American Society of Plastic Surgical Nurses. With her education and
experience as a Surgical Technologist, Registered Nurse, Surgical Assistant,
and Certified Aesthetic Nurse Specialist, our clients can confidently be
assured that she possess the qualities and knowledge necessary for providing
the best possible care.

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