Bruce V. Lattyak, MD

Board Certified Plastic Surgeon


Dr. Lattyak is the founder of the Élan Clinic Plastic Surgery and Medspa. He began private practice in 2001, providing a wide range of cosmetic and reconstructive procedures.

Dr. Lattyak is board-certified in both plastic surgery by the American Board of Plastic Surgery and the Royal College of Physicians and Surgeons of Canada, and otolaryngology by the American Board of Otolaryngology. In addition, he has received sub-specialty fellowship training in facial plastic surgery.

Dr. Lattyak completed his undergraduate degree in Biological Chemistry at the University of Chicago. He graduated from medical school at the University of California in San Francisco. He remained at the University of California for his surgical training, where he completed his internship in general surgery and his residency in otolaryngology (head and neck surgery). He was also selected for a fellowship in Facial Plastic and Reconstructive Surgery at the University of California, Davis, in Sacramento California. Following his fellowship, he completed his residency in plastic surgery at the McGill University in Montreal, Canada.

  Board Certifications

  • American Board of Plastic Surgery

  • Royal College of Physicians and Surgeons of Canada

  • American Board of Otolaryngology

​  Hospital Privileges

  • Sierra Nevada Memorial Hospital, Grass Valley, CA (2008 – present)

  • Grass Valley Surgery Center, Grass Valley, CA (2009 – present)

  • King Edward VII Memorial Hospital, Paget, Bermuda (2006-08, 2001-04)


  • Medical License, Medical Board of California (1997 – present)

  • Registrant (licensed) in Plastic Surgery, Bermuda Medical Council (2006 – present)

  • Registrant (licensed) in Otolaryngology, Bermuda Medical Council (2001 – present)


  • American Society of Plastic Surgeons


Peggy McQuade

Registered Nurse Aesthetician

Peggy McQuade, RN, has been administering expert nursing care for almost two decades. A former oncology nurse, she has the compassion and outstanding listening skills necessary to result in the best possible individualized treatment for all her patients. She specializes in everything from Botox and fillers, to lasers and body contouring, and has developed a loyal following of patients/friends. She has instructed many other professionals in some of the most innovative procedures in the world, and her passion for state-of-the-art aesthetics and her love for her patients shines through every treatment.


Peggy has an artistic eye, with the perfect sense of symmetry and balance necessary to enhance the natural beauty in men and women’s faces. She grew up in Denver, and now resides in Granite Bay with her two dogs. When she is not skiing in the Sierras or enjoying her garden, Peggy continues her education to stay current on the latest aesthetic products and injectable techniques.

Linda Monroe

Certified Physician Assistant

Linda is a board-certified physician assistant with specialized training in multiple areas of medicine. It is her goal to provide excellent and compassionate care to all of her patients.


Originally from the San Francisco Bay Area, she earned her bachelor’s degree from the University of California, San Diego. In 2009, she completed her medical training at the University of California, Davis.


Outside of work, she enjoys trail running, swimming, scuba diving and surfing, playing piano, travel and spending time with her son. 

Helena Velasquez

Licensed Aesthetician

Helena brings over two decades of aesthetic expertise and has a true passion for skin care. Helena is results driven and creates customized treatment plans designed to help patients achieve the best possible outcome. Along with her extensive knowledge of facial treatments Helena is trained in advanced medical chemical peels, full body waxing, HydraFacial, and BTL Vanquish. Helena will be working under the supervision of Dr. Lattyak to bring a wide variety of new services to the practice. Her knowledge and expertise are an exciting addition to the Elan Clinic team of providers. Through Helena we look forward to bringing patients the very best of services in the Aesthetic and Medical Spa industry!


Residing in Alta Sierra, Helena has two talented and accomplished daughters. She enjoys all things nature and can often be found hiking, kayaking, or on the ski slopes. Helena continues her education to stay current on the latest aesthetic treatments, products, and service techniques.