COVID-19 Vaccine Updates

We are not currently scheduling patients for COVID-19 vaccines. Please help us keep our phone lines open. Do not call to ask for vaccine updates. We will keep you informed as we learn more. The most up-to-date vaccine information is available on our vaccine page.

More COVID-19 resources: Testing & Treatment | Visiting MultiCare


Joshua Elston, MD

Joshua  Elston, MD

Joshua Elston, MD

Plastic Surgery

Accepting New Patients

Phone: 253-403-2120    Fax: 253-403-2654

Call For an Appointment

Provider Details

Certification: Plastic Surgery

Practice Philosophy: I approach each patient as an individual, with the goal to help them reach informed decisions based on options that are tailored to their needs and lifestyle. I pride myself on finding creative solutions to complex problems that helps patients get back to their lives in a functional and timely fashion.

Professional School: University of Louisville School of Medicine

Residency: University of South Florida, Morsani College of Medicine

Research & Publications

  1. Sandhu SS, Laun J, Elston JB, Panetta NJ.  Management of a Spontaneous Carotid Artery Blowout.  Eplasty.  2019 Feb 21;19:ic8.

  2. Kordahi AM, Elston JB, Robertson EM, Cruse CW.  Desmoplastic Melanoma.  Eplasty. 2017 Sep 7;17:ic23.

  3. Elston JB, Prabhakaran S, Lleshi A, Castillo B, Sun W, Kumar A, Ma Z, Smith PD, Dayicioglu D.  Complications and Recurrence in Implant-Sparing Oncologic Breast Surgery.  Ann Plast Surg. 2017 Jun;78(6S Suppl 5):S269-S274.

  4. Prabhakaran S, Elston JB, Lleshi A, Kumar A, Sun W, Khakpour N, Dayicioglu D.  Single Institution Review of Patients With Prior Breast Augmentation Undergoing Breast Conservation Therapy for Breast Cancer.  Ann Plast Surg. 2017 Jun;78(6S Suppl 5):S289-S291.

  5. Applebaum MA, Lee TE, Barnes C, Elston JB, Smith DJ.  An Interesting Case of a Retrobulbar Cavernous Hemangioma.  Eplasty. 2016 Dec 22;16:ic48. eCollection 2016.

  6. Laun J, Laun K, Muftah M, Zimmerman A, Elston JB, Smith, DJ Jr. Stevens-Johnson Syndrome. Eplasty. 2016 Dec 7;16:ic47. eCollection 2016.

  7. Riccio C, King K, Elston JB, Harrington MA, Cruse CW.  Bilateral Plantar Verrucous Carcinoma.  Eplasty. 2016 Dec 7;16:ic46. eCollection 2016. 

  8. Laun J, Elston JB, Harrington MA, Payne WG.  Severe Bilateral Lower Extremity Pyoderma Gangrenosum.  Eplasty. 2016 Nov 21;16:ic44. eCollection 2016.

  9. Sandhu SS, Elston JB, Harrington MA, Payne WG.  Juxta-articular Myxoma of the Hand.  Eplasty. 2016 Oct 17;16:ic41. eCollection 2016.

  10. Elston JB, Little A, Weinstein B, Segars KA, Smith PD.  Myxoid Dermatofibrosarcoma Protuberans of the Abdomen.  Eplasty 2016;16:ic1.

  11. Laun J, Gopman J, Barnes CW, Segars KA, Elston JB, Stone J.  Aggressive Digital Papillary Adenocarcinoma.  Eplasty 2015;15:ic60.

  12. J Burns, JB Elston, MA Harrington.  Intraoperative Chemosis During Resection of Lower Eyelid Lesion.  Eplasty 2015;15:ic52.

  13. K Segars, JM Gopman, JB Elston, W Carter, MA Harrington.  Squamoid Eccrine Ductal Carcinoma. Eplasty 2015;15:ic33.

  14. J Laun, J Gopman, JB Elston, MA Harrington.  Rhinophyma. Eplasty 2015;15:ic25.

  15. J Harb, AW Watt, JB Elston, MA Harrington. Calciphylaxis. Eplasty 2015;15:ic11.

  16. K Segars, JM Gopman, JB Elston, MA Harrington. Nevus Sebaceus of Jadassohn. Eplasty 15, ic38-ic38

  17. Elston JB, Payne WG.  Maffucci Syndrome.  Eplasty 2014;14:ic11.

  18. Kelishadi SS, Elston JB, Rao AJ, Tutela JP, Mizaguchi NN.  Posterior wedge resection: a more aesthetic labiaplasty.  Aesthet Surg J 2013;33(6)847-53.

  19. Billington AR, Shah J, Elston JB, Payne WG.  Klippel-Trenaunay Syndrome.  Eplasty 2013;13:ic64.

  20. Shah J, Billington AR, Elston JB, Payne WG.  Raynaud’s Phenomenon.  Eplasty 2013;13:ic58

  21. Elston JB, Ching JA, Hiro ME, Payne WG.  Pure orbital floor blow-in fracture.  Eplasty 2013;13:ic39.

  22. Lefkowitz T, Hazani R, Chowdhry S, Elston J, Yaremchuk MJ, Wilhelmi BJ.  Anatomical landmarks to avoid injury to the great auricular nerve during rhytidectomy.  Aesthet Surg J 2013;33(1):19-23.

  23. Hazani R, Engineer NJ, Elston J, Wilhelmi BJ.  Anatomic landmarks for basal joint injections.  Eplasty 2012;12:e2.

  24. Hazani R, Elston J, Wilhelmi BJ.  Transverse anatomic landmarks for the A1 pulley of the thumb.  Hand (N.Y.) 2011;6(4):416-9. 

  25. Hazani R, Elston J, Brooks D, Wilhelmi BJ. Bridging the gap in hand replantation: use of the common digital artery for completion of the superficial palmar arch. Plast Reconstr Surg 2010;126(6)

  26. Hazani R, Elston J, Whitney RD, Redstone J, Chowdhry S, Wilhelmi BJ. Safe treatment of trigger thumb with longitudinal anatomic landmarks. Eplasty 2010;10:e57.

  27. Chowdhry S, Elston JB, Lefkowitz T, Wilhelmi BJ. Avoiding the medial brachial cutaneous nerve in brachioplasty: an anatomical study. Eplasty 2010;10:e16.  

More Info

Dr. Elston is a board-certified plastic surgeon specializing in complex reconstruction surgery after facial injuries, acute and chronic wounds, breast disease and burn injuries. His clinical interests include complex reconstruction, facial trauma, salvage procedures, reconstruction after skin cancer removal and improving patient education. Away from work, he enjoys hiking with his wife and two mutts, flying his drone or getting lost in his hands-on hobbies: leatherwork, woodwork and metalwork.

The conditions Dr. Elston treats include:

  • Skin cancer
  • Facial injuries
  • Acute and chronic wounds
  • Aesthetic/reconstructive breast
  • Burn injuries
  • Elective and traumatic hand conditions

Return to Search