Commonwealth Plastic Surgery: Jared Nimtz, MD
715 Shaker Dr., Suite 100
Lexington, KY 40504
Phone: (859) 277-9435
Monday–Friday: 9 a.m.–5 p.m.

Commonwealth Plastic Surgery: Jared Nimtz, MD
100 London Mountain View Dr.
London, KY 40741
Phone: (859) 277-8615
Monday–Friday: 9 a.m.–5 p.m.

Our Staff


At the heart of an exceptional plastic surgery practice is its staff. At Commonwealth Plastic Surgery in Lexington and London, KY, our team of qualified, knowledgeable, and caring professionals was hand-selected by Dr. Dowden to provide the highest level of care for the people of our community. These dedicated individuals chose to stay on with Dr. Nimtz and continue providing the exceptional standard of care that was established. We are proud of the family atmosphere our people project and the fact that most are familiar faces our patients have known for years.

Renee Nimtz

Renee Nimtz – Director of Operations

Renee is relatively new to the Bluegrass State as a transplant from Southern California. Her life has gone through a complete overhaul from being an English professor to running a medical practice in Kentucky. Renee and Dr. Nimtz own a small farm, so she helps raise their cows, chickens, and horse, not to mention their 6 kids. In the wee hours of the morning, you will find her running or cycling. When time permits, Renee enjoys exploring new cities.

Debbie Slatten

Debbie Slatten – Front Desk Manager

Debbie came from the book manufacturing industry, formerly with Rand McNally, where she held various positions that ranged from accounting to customer service.  Coming to the medical filed was an exciting change for her. Debbie worked for Dr. Dowden for 10 years prior to his retirement. She continued with the practice as it transitioned to Dr. Nimtz.  Debbie enjoys working with the patients from the first phone call to their final results. She finds it rewarding to see their expectations met and exceeded.  Debbie enjoys spending time with family and friends, enjoying the outdoors, singing, playing hand bells, and serving on mission trips.

Debbie Hoover

Debbie Hoover – Front Desk/Reception

Debbie is a Lexington native. Her daughter Nikki worked with Dr. Nimtz in his London clinic and brought Debbie to Commonwealth Plastic Surgery. Having never worked in the medical field, Debbie enjoys the challenge of learning and having new daily experiences.  When asked what she enjoys about her job, Debbie answered, “It is rewarding to be able to see the before and after results and the joy on our patients’ faces.”  Debbie has been married to her husband for 32 years; they have 2 daughters and 2 grandchildren.  She enjoys gardening and reading, as well as traveling with her family.

Mary Osbourne

Mary Osborne – Nurse

After working 6 years as an LPN at Good Samaritan Hospital’s medical surgical floor, Mary interviewed with Dr. William Dowden to become his office nurse.  She worked with Dr. Dowden for 38 years.  When Dr. Nimtz took over the practice, the high quality of care in plastic and reconstructive surgery remained. Computer imaging has been an important part of our practice for many years and Mary considers it the exciting part of her job description.  In her free time, she enjoy cooking, gardening, and constantly redecorating her home.

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Leticia Ducas

Leticia “Tisha” Ducas – Skincare Nurse

Tisha was employed at St. Joseph Hospital when she first had the pleasure of meeting Dr. Dowden. He asked her to join his practice in 2006 to train in the use of cosmetic lasers. In 2011, Dr. Dowden invited Tisha to develop a skincare service within his practice. She received  training through Skinceuticals. Her 20+ years of combined service in laser, skincare, perioperative plastic and surgical nursing, and perinatal research includes 11 years with this practice. She earned an RN-BSN from the University of Kentucky.

Tisha truly values the opportunity to become acquainted with the people she treats. “There is no greater satisfaction than knowing I have played a part in someone leaving the office feeling better about themselves,” she explained.

Blessed to be surrounded by a family of 4 men, Tisha enjoys spending time with them on Lake Cumberland along with various outdoor adventures, cooking, and gardening.

Megan McFarland

Megan McFarland – Skincare Nurse/Permanent Makeup

As a patient of Dr. Dowden and Dr. Nimtz, Megan asked the staff if they were in need of any help. She wanted to be a part of the practice because everyone was so kind, warm, welcoming, and nurturing. Megan earned a Bachelor of Science degree in nursing from the University of Kentucky, which made her a highly qualified member of our team. Today, she has 20 years of nursing experience has earned advanced certifications in permanent makeup, areola pigmentation, microblading, microneedling, and full lip color.

Megan enjoys working with our team and appreciates the level of care and compassion they use in taking care our patients. She says, “I love the field we work in and the diversity of procedures and services Commonwealth Plastic Surgery has to offer.”

In her free time, Megan enjoys spending time with her husband and 3 children. She also likes surfing, wake-boarding, boating, weekends at the lake, as well as running and fitness activities.

Our staff of welcoming professionals looks forward to your visit to our office in Lexington or London for plastic surgery or nonsurgical treatments. To get started, request a free consultation using our online form or call  (859) 277-9435 to schedule an appointment.