Meet the Staff

The hard-working staff members at our cosmetic plastic surgery practice in Austin are the foundation of our success. They back up Dr. Rocco Piazza in all he does, providing expertise in the medical and business sides of the practice so we can all focus on giving our patients the best possible results and a pleasant experience from the first phone call to the final follow-up. Please read on to learn more about the staff who make up the backbone of our practice.

Heather Fontenot, RN, BSN, LSA, CSFA



Heather Fontenot, Integrator. What does that mean?

An Integrator is the Chief Operations Officer within the Entrepreneurial Operating Systems style of management. Heather is responsible for the global leadership, management and accountability within the practice. Her previous management experience, emotional intelligence, determination and dedication is what sets her apart and enhances her ability her to fulfill this role. She ensures that everyone on the team is truly following and adhering to the company’s core processes and operating system with consistency. Heather dependably demonstrates a relentless obsession with values alignment, focus, simplicity, clarity and safety. She is responsible for the health and overall success of the company and takes this very seriously. Honestly, she is just too stubborn to fail.

Heather graduated with honors from the University of Texas and currently holds a Bachelor of Science Degree in Nursing. She is not only licensed by the State of Texas in Nursing but she is also a credentialed as a Licensed First Assistant by the State of Texas Medical Examiners and has been working in the operating room for over 2 decades. She joined The Piazza Center in 2015; however, when she is not in the operating room, she is busy managing the practice, resolving issues and completing projects.

Devon Grisham

Advanced Aesthetician and Skin Consultant

Devon Grisham, Advanced Aesthetician and Skincare ConsultantDevon recently moved back to Austin to pursue her career in skincare.  Her background includes sales, consulting, makeup artistry and hair styling. She gained extensive experience in assessing and recommending skincare regimens during her tenure with high-end spas and prestigious skincare and makeup lines.

California was the big beginning of her career as a makeup artist. After being  featured on The Bachelor Season 12, she continued to do makeup for The Bachelorette and other Bachelor contestants and has worked professionally with US Weekly, New Beauty Magazine at Fred Segal, Showtime, The Emmy’s, The Grammy’s and various celebrities and high-profile producers.

Now back to her Texas roots, Devon has gained experience in sales and business development, leading her to her true passion in skincare. In 2021, she decided to continue her education and get her medical Esthetician’s License at Ann Webb Skin Institute and pursue her career in a more results-driven atmosphere. She knew The Piazza Center was the perfect fit for her to start her journey focusing on skincare and building lifetime relationships.

As a Skincare Consultant, her passion for knowledge in the ever-changing skincare/beauty industry ensures that she stays informed with the latest technologies and cutting-edge ingredients in medical-grade skincare, which she loves and looks forward to sharing with all of her clients!

Annie Pankl

Master Aesthetician, Laser Expert and Certified CoolSculpting Technician

Annie Pankl, Master Aesthetician, Laser, Expert, and Certified CoolSculpting TechnicianAnnie recently relocated to Austin and is a new member of The Piazza Center team.  Annie is a Kansas City native; however, she has lived all over the country and started her aesthetics journey in Salt Lake City, UT.

Annie graduated from Skin Science Institute of Laser and Esthetics in 2018 receiving her Master Aesthetics License as well as her certification as a Laser Technician. She has since been practicing medical aesthetics in Kansas City for the past 3 years.

Annie considers aesthetics to be her true passion, as she has had her own struggles with acne over the years which has evolved into a desire to help patients with their own skin conditions. She is continually researching new products and techniques to find the most exceptional treatments for her patients.

Annie has received glowing reviews from past clients about her generosity and commitment to help them achieve and maintain the best results possible. From her own experience, Annie understands the impact on a patient’s self-esteem and confidence if a skin condition is preventing them from feeling their best.

Annie strives to make lasting relationships and educate her patients by customizing treatment plans for their individual needs.

Annie lives in Southwest Austin with her partner Joseph and dog Lou. When she’s not at The Piazza Center, you can find her exploring Austin by hiking and paddleboarding or spending time with family.

Camille Rodriguez, LVN

Clinic Operations Manager


Camille joined The Piazza Center in July 2019, bringing over seven years of nursing experience in a variety of fields such as primary care, orthopedics and corrections, but with plastic surgery being her greatest passion. As a nurse, Camille has always made it a priority to treat and care for patients as if they are her own family. She truly values the trust that is gained from patients and enjoys being part of the positive patient experience The Piazza Center gives. Camille is pursuing her Bachelors in Science of Nursing. Camille lives with her husband, three kids, dog Sarge and cat Riley, just south of Austin. She loves spending time with her family and friends, enjoys tubing down at Canyon Lake in the summer, and during fall season is a faithful fan to Texas Longhorn volleyball and football games.

Ann Gallegos, RN, BSN

Ann Gallegos, RN, BSNAnn joined The Piazza Center family in January of 2022. Ann was born and raised in Houston, TX. After receiving her Bachelor’s degree in Health at Texas A&M University, she made her way to Austin to receive her second Bachelor’s degree in nursing at Concordia University Texas.

Pediatrics was her first specialty and she spent the next few years at Dell Children’s Hospital working on the acute care and neonatal ICU units. Ann was specially known for being able to comfort and build connections with Spanish-speaking-only families.

Ann is dedicated to patient safety and lifelong learning. She looks forward to meeting you during the consultation process and learning how we can best serve you. She enjoys educating patients through the pre-op process and being a part of their journey throughout the entire surgical experience. Walking alongside her patients from start to finish is so special to her!

Ann looks forward to evolving her nursing career at The Piazza Center and feels very lucky to work with such an amazing team. When Ann is not at work, she likes to paddle board on Lake Austin, play with her golden retriever at Zilker Park, read books, and spend time with her friends and family.

Alyson Crater

Non-Surgical Business Development Manager  

Alyson cropped photo Alyson joined The Piazza Center Team in January 2020 after being a loyal patient and fan for years. She has degrees in Psychology and Communications with a Master’s degree in Interior Architecture. She planned, launched and ran her first furniture store and interior design business before she was 30. With over 15 years of experience in sales management and business development, she brings her entrepreneurial spirit and connection-building skills to The Piazza Center to help create truly exceptional experiences for their patients. She is beyond excited to help curate a premier line-up for advanced skin care and medical aesthetic products to meet our client’s individual needs. Alyson lives in Dripping Springs with her husband and two daughters. She enjoys live music, sunshine, great food and working on her fitness.

Emily Young

Patient Concierge

Emily Young, Patient ConciergeA true Austin native, Emily has worked in hospitality and customer service ranging from hotels to private clubs for over 10 years. She is finalizing her license to become a medical aesthetician at Ann Webb Skin Institute. She is passionate about combining her hospitality roots with her passion for marketing and skincare. She currently loves creating fun content for The Piazza Center and sharing knowledge ranging from skincare to skin treatments.

When she’s not at work you can find her exploring new restaurants around Austin or enjoying a coffee and lounging in her favorite face mask.

Mia Lekocaj

Phone Concierge

Mia joined The Piazza Center in 2021, bringing an incredible amount of customer service experience. A native of Northwest Indiana, Mia helped manage her parents’ restaurant for 5 years and was able to acquire knowledge in business operations. This has helped her value the needs of establishing and building relationships to provide professionalism, excellence, and exceptional customer service. Mia has a license in cosmetology and recently relocated to Austin in 2021 from New York.

She has an eye for fashion and a passion for travel with her husband on her free time.

Gracen Pesl

Front Desk Concierge

Gracen Pesl, Front Desk ConciergeAfter calling New Orleans home for a couple of years, Gracen decided to move back to the Texas Hill Country, where she was raised. Following five semesters of undergraduate coursework, she graduated with honors from Tulane University, obtaining a Bachelor’s degree in Political Science and Homeland Security Studies. Gracen is pursuing her Master’s in Homeland Security Studies with a concentration in Cybersecurity at Tulane’s School of Professional Advancement. Once she completes her postgraduate education, she hopes to work in an investigative capacity to combat trafficking-related crimes.

Although unrelated to her field of study, she loves learning about the world of aesthetics. She is passionate about helping others and thoroughly enjoys working with patients to maximize their experience at The Piazza Center.

In her free time, you can catch Gracen rooting for the ‘Stros to win another World Series, making sure her dog, Zelly, doesn’t eat any more chickens, painting, or singing at the top of her lungs to any of The Weeknd or Harry Styles’ songs.

Alessondra Viviann

Director of People and Culture

Ally Viviann - Director of People and CultureAlessondra is a native of Austin and spent her years growing up in the Lake Travis area.  She graduated from St. Edward’s University in 2002 with her Bachelors’ degree in Business Management. After college, she helped her family open and manage an Italian restaurant in the Lakeway area for the next 17 years. It was her mission to learn every aspect of running a successful business. Over the course of her career, she has learned the value of creating excellence in hospitality and lifetime relationships with clients; knowledge and experience that she has carried with her to her new career at The Piazza Center. She believes in treating others with kindness and is driven to create exceptional experiences for our clients. She enjoys spending time with her two children and her family, cooking with her mother, and enjoying summer days on the lake.

At The Piazza Center, we believe that beautiful surgical results are enhanced by leading a healthy lifestyle. Our aim is to help you achieve your cosmetic goals and desires. Our reputation for personalized care and excellent results attracts plastic surgery patients from San Antonio and beyond. If you would like to get to know us in person, you can request an in-person or virtual consultation online, or call our office at (512) 288-8200.

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