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We'd be honored to have you choose US!

Our treatments are not a quick fix solution – we focus on solutions and treatment plans to provide long-term results.


Elan Medspa sets the benchmark for high-end medical grade treatments ranging from; 

Medical Grade Skin Peels, Botox, Juvederm, Voluma, Vollure, Acne Treatments, Platelet Rich Plasma Facial treatments, Microneedling, Resurfacing therapies,  Scar Revision, Vascular Therapy, Depigmentation programs, Anti-Wrinkle Injections, Dermal Fillers and Hormone Replacment Therapy.  

Meet the Team
at Elan Med Spa

Energy. Style. Enthusiasm.

Our philosophy is to create a place for relaxation, rejuvenation, and wellness at an affordable price. We strive to provide elite services to guide you through your unique journey of aging and wellness.

Kacie Tisdale

Nurse Practitioner

Kacie began her medical career 20 years ago. Her career has involved taking care of women in an OB/GYN practice, family practice, rural healthcare, and urgent care. In 2014 she was given the opportunity to start doing aesthetic and wellness medicine; and a love was born.

Since 2014; Kacie has worked with multiple practices to develop their aesthetic programs and provide quality aesthetic care.

In early 2019,  Kacie achieved a dream and opened her own small business, Elan MedSpa.  Elans’ vision and practice culture reflects things near and dear to her heart- wellness, family, beauty, and healthy aging.

When not at work you’ll find Kacie enjoying all that Montana outdoors’ has to offer. Her spare time is spent enjoying outdoor activities and spending time with her three daughters and family.


Tawnya Yarger


Tawnya brings a wealth of knowledge and experience to the Elan Medical team. She has been an esthetician for the last 8 years specializing in Medspa services. Her knowledge and passion for skincare and skin treatments is surpassed by none! 


In her free time she enjoys time with her boys at home and traveling with her husband. 

Melissa Donahue

Aesthetic Nurse Injector

My name is Melissa Donahue and I am an Aesthetic Nurse Injector at Elan Med Spa. I started out my nursing career in the ICU and have been there for the last 16 years. My love for aesthetics has taken me to this new adventure in life. I am certified in neuromodulators, fillers, microneedling, PDO threads and lasers. I find all of this incredibly exciting. Aesthetics, as in General Medicine, is constantly changing and I love learning especially from other injectors so that I can provide an experience that is tailored to each individual need and desire.

I love working for Kacie at Elan Med Spa because she has so much experience in so many different areas and I am constantly learning from her. I also love the people I work with at Elan, their cumulative experience gives the clients at Elan Med Spa such a well-rounded experience where all their needs can be met in one spot.


I grew up in Billings and married my husband Mitch here. We moved around and lived in some big cities during his football years but knew that we wanted to raise our children here. We have two grown children Dylan and Devon and a great addition to our family our son-in-law Christian. I adore spending time with my family and friends and love that I can stay in the medical field in such a fun way that is still helping people feel confident.

Nickole Ellestad

Nickole Ellestad

Licensed Massage Therapist, Certified Medical Assistant & Laser Technician

“Wellness is not just a state; it's an evolving journey, a chosen way of life.”


At the core of Nickole's life are the bonds she shares with her family. A proud wife and devoted mother of two, her family represents her greatest joy and inspiration. Together, they chase adventures, whether it's camping under the stars, navigating dirt bike trails, or immersing themselves in nature's embrace.


Nickole's journey into the realm of health and wellness is fueled by a desire to give back to the community. Drawing from her rich educational background and diverse healthcare experience, she believes in a holistic approach to well-being. For Nickole, wellness encapsulates the harmony of body, mind, spirit, and emotions. She is an advocate for the active process of self-awareness and growth in all these areas.


As a certified Licensed Massage Therapist, Nickole specializes in a range of techniques, including therapeutic, Swedish, deep tissue, wellness lymphatic drainage, post-operative lymphatic drainage massage, and cupping. Her role as a Certified Medical Assistant and Laser Technician further amplifies her commitment to offer cutting-edge treatments. Additionally, her Dermaplane certification adds another dimension to her skincare expertise.


Nickole's vision goes beyond mere treatments. She's on a mission to empower individuals to recognize their inherent worth and unlock their potential for growth. Each treatment plan is customized with utmost respect, dignity, and integrity, reflecting her core belief in treating every individual as unique. Open, honest, and direct communication is her mantra, always delivered with a touch of respect.


Embark on a journey of holistic health with Nickole. Let her guide you, educate you, and provide you with tools to navigate a life of balance, diminishing stress and enhancing well-being.

Hanah Heser

Nurse Practioner

Meet Hanah Heser, a spirited Nurse Practitioner whose heart beats for wellness, preventative medicine, and helping patients embrace their best selves. With her roots in the vibrant community of Gonzaga University and a flourishing graduate journey at Idaho State University, Hanah has become a beacon of both fun and professionalism in healthcare.

Hanah's career commenced in the tender domains of maternal, newborn, and neonatal care, where her passion for transformative healthcare took root. Over the past decade, she transitioned seamlessly into Family Practice, accumulating a wealth of experience while maintaining a commitment to holistic well-being.

What truly sets Hanah apart is her fervent dedication to making a difference in the lives of her patients. She is not just a practitioner; she's a proactive advocate for wellness and preventative medicine. Hanah believes in empowering individuals to proactively take charge of their health, facilitating a journey of not just recovery but flourishing vitality.

Raised amidst the majestic landscapes of Montana, Hanah carries that love for nature into her own family, now raising three wild and loving boys. Beyond the confines of healthcare, you'll find her immersed in the great outdoors, skiing down slopes, conquering mountain biking trails, and camping under starlit skies. Her adventurous spirit is not just a part of her personal life; it's an integral aspect of her approach to healthcare, where she encourages patients to discover joy in their own wellness journeys.

Join Hanah to guide you through a transformative healthcare experience, where every step is infused with expertise, compassion, and the spirit of adventure.

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Sarah Smith


Sarah is a seasoned esthetician and a ten-year veteran in the med spa industry. With a profound love for all things skin-related, Sarah has dedicated her career to helping people rediscover confidence through skincare. Born and raised in the breathtaking landscapes of Montana, she brings a touch of nature's beauty to her work.

For a decade, Sarah has been a guiding light in the world of esthetics, infusing her passion into every treatment she performs. Her joy lies in not just pampering skin but in fostering a sense of self-assurance and radiance in her clients. 

Outside the realm of skincare and medical aesthetics, you'll find Sarah in her element—outdoors, hiking, and walking with her loyal canine companion. Nature serves as both her sanctuary and her inspiration, influencing her approach to wellness and beauty.

Schedule your appointment today and let her blend her expertise, love for skincare, and the beauty of Montana into an experience that goes beyond skin-deep. 

Annie Walker

Patient Coordinator/Booking manager

Annie is the Patient Coordinator and booking manager at Elan, so when you call or text, you'll be in touch with her! She joined the Elan team in August 2023 and holds a bachelor's degree in Marriage and Family Therapy. Currently, she's working towards completing her Master's in Human Resource Management, with graduation expected this spring. Annie has been happily married to her husband since 2019, and they've been residing in Billings since 2021. Their furry friend, Rusty, an aussie doodle/heeler mix, brings joy to their home. Among the many excellent services offered at Elan, Annie's top picks are microneedling and dermaplane. Don't hesitate to reach out to her for any inquiries or to schedule your next appointment!


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