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Meet the Team
A physician-owned practice rooted in Troy, MO — most of our team is from Lincoln and St. Charles County, caring for their own community. Now with a second location in Chesterfield.
Our Surgeon
Brandon T. Beal, MD, FAAD
Double Board-Certified Mohs Surgeon & Cosmetic Dermatologist
A St. Louis native, double board-certified in dermatology and Mohs surgery and fellowship-trained in facial plastic and reconstructive surgery at Zitelli & Brodland, PC. Dr. Beal provides advanced care for complex skin cancers and reconstruction alongside natural, personalized cosmetic surgery and facial rejuvenation.
Our Medical Providers
Jennifer Swofford, PA-C
Physician Assistant
Jennifer L. Swofford, PA-C, is a nationally certified physician assistant with 10 years of experience in medical dermatology. She has cared for patients in St. Charles County for the past decade and is glad to bring her knowledge and passion for dermatology to her hometown in Lincoln County. As a physician assistant in dermatology, she performs complete skin examinations, diagnoses and treats skin malignancies and many other skin diseases, prescribes medications, and performs biopsies and other minor surgical procedures. She is licensed by the State of Missouri’s Board of Healing Arts and certified by the National Commission on Certification of Physician Assistants.
Born and raised in Troy, Missouri, Jennifer graduated from Troy Buchanan High School, then earned a Bachelor of Science in Health Science (magna cum laude) from Truman State University and a Master’s in Medical Science from Saint Louis University’s Physician Assistant Program. She lives in Lincoln County with her husband and two sons, and enjoys adventures with her boys, serving at her church, and a good book with a cup of hot tea.
Kayliegh Nissle, NP-C
Nurse Practitioner
Full bio coming soon.
Practice Leadership & Clinical Team
Amanda Fair
Practice Manager
Amanda joined St. Louis Dermatology & Cosmetic Surgery in fall 2022, bringing over 10 years of managerial experience in the medical field. As Practice Manager, she oversees the day-to-day operations of the clinic and works to ensure every patient has a positive experience. In her spare time she loves to travel with her husband and two children, and enjoys the beach, live music, and cheering on the UGA Bulldogs.
Jessi Shields
Office Lead & Histotech
Jessi joined the practice in January 2023. She is a Licensed Practical Nurse with over 10 years in the medical field, 7 of them in dermatology, and has trained and worked as a Mohs histotech since 2020. You might find her in the lab, filling in at the front desk, or assisting Dr. Beal. She lives in Troy with her husband, Alex, and their daughter, Nora, and enjoys cooking, crafting, home projects, and her chickens.
Marla Hopkins
Billing
Marla has worked in the medical field for 25 years, beginning as a biller and progressing into management. She joined St. Louis Dermatology in summer 2024 and oversees all billing for the clinic. She grew up in Troy with her five siblings, lived in California for 28 years raising her son, and has since returned to Missouri. In her free time she enjoys family, horseback riding, and camping.
Christeen Tate
Medical Assistant / Mohs Assistant
Christeen joined the practice in January 2023. She has 13 years in the medical field, with experience in Mohs surgery and dermatology, and worked early in her career assisting a busy facial plastic surgeon. She enjoys her days operating with Dr. Beal. Christeen grew up in Winfield, MO, has three kids who keep her busy, and likes to relax, listen to music, and spend time with family and friends.
Lacy Graham
Medical Assistant
Lacy joined St. Louis Dermatology & Cosmetic Surgery in fall 2023. She has been a dermatology medical assistant for 7 years, with experience assisting providers in general dermatology, surgeries, and Mohs. Raised in Troy and a graduate of Troy Buchanan High School, she lives in Lincoln County with her husband and two kids, and enjoys side-by-side rides and time with family and friends.
Katy Hahler
Medical Assistant
Full bio coming soon.
Susan Burroughs
Front Office Coordinator
Susan has 18 years of medical experience across different settings, specializing in insurance, and has found dermatology to be her favorite. A graduate of Troy Buchanan and Missouri College, she lives in Troy with her husband and two children. Outside the office she enjoys staying active, watching her kids play sports, gardening, cooking, music, and home projects, and looks forward to welcoming you to the office.
Stephanie Constant
Front Office Coordinator
Stephanie joined the team in April 2024 with six years of prior medical experience. She works at the front desk, checking patients in and out, answering phones, and performing insurance verifications to keep check-in and billing smooth. She grew up in Utah and moved to the St. Louis area in 2017; she now lives near Troy with her husband and their two dogs.
Amber Sexton
Front Office Coordinator
Full bio coming soon.
Hayley F.
Medical Assistant
Hayley joined St. Louis Dermatology & Cosmetic Surgery in May 2025 and primarily assists Jennifer day to day. When she’s not at the office, she enjoys racing dirt bikes and taking care of her mini farm.
Baylee H.
Medical Assistant
Baylee has worked in the medical field for a few years, beginning as a medical assistant in family medicine. She joined St. Louis Dermatology in February 2026.
Arvin Ebreo
Administrative Assistant
Arvin joined St. Louis Dermatology & Cosmetic Surgery in October 2024, supporting the team with backend operations including reporting, analytics, and general administrative tasks. He brings 15 years of experience at global financial institutions including HSBC and Capital One, and has worked as a virtual assistant supporting U.S. businesses. He has a passion for research and enjoys reading about ancient civilizations and historical figures.
Kimberly L.
Verification Specialist
Kimberly joined St. Louis Dermatology & Cosmetic Surgery in July 2025. She began as a healthcare associate handling customer service, prescription concerns, enrollment, prior authorizations, and refills, then moved into a remote role supporting insurance verification and administrative tasks. Outside of work she stays active with badminton and volleyball and loves exploring new things.
Jennifer A.
Verification Specialist
Jennifer joined St. Louis Dermatology & Cosmetic Surgery in March 2025 and brings over 10 years of experience in customer support, operations, training, and medical insurance. She has worked remotely since 2018 and supports insurance verification and prior authorizations. Outside of work she’s a traveler at heart, exploring new places with her partner, and stays balanced through running.
Care from people who know your community.
Physician-owned dermatology and cosmetic surgery in Troy, MO, with a second location opening in Chesterfield in July 2026.