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.

Mellissa Honerlah, LVN

Aesthetic Nurse Specialist

Mellissa Honerlah, RN, BSN Mellissa recently relocated to Austin and is a new member of The Piazza Team.  Mellissa is a native of Mississippi, but has been working in Maryland for the past 12+ years where her passion for skincare evolved.  Mellissa graduated from Von Lee School of Esthetics in 2007 and received her Nursing degree in 2013.

Mellissa chose Esthetics as her career after realizing her love for helping people look and feel good, both inside and out.  She believes skincare is always evolving and strives to stay educated with the latest technology and services.  Her ongoing training, dedication, and experience, along with her friendly personality provide clients with all the tools they need to get the results they desire; leading to many lasting relationships.

Mellissa’s years of practice has provided her with knowledge and understanding in all aspects of skincare.  She recognizes how difficult skin conditions can impact your self-esteem and confidence.  As a skincare specialist and nurse, Mellissa feels that educating her clients on their skin is one of the most important aspects of her career.  Mellissa loves customizing a plan that meets the needs of each individual client.  Her motto is “Love the skin you’re in” and her dedication and passion for skincare has gained her the loyalty of all her clients.

Mellissa recently moved to Lakeway with her husband, Hans.  When she isn’t working you can find her hanging out with her family and friends on the lake, hiking, or traveling.

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.

Heather Fontenot


staff-heather-fontenot Heather Fontenot, RN, LSA, CSFA, has been working in the operating room for nearly 2 decades. Although she has surgical experience in many specialties, cosmetic and reconstructive plastic surgery are her passions. Since 2012, she’s been assisting Dr. Piazza. She is a licensed nurse, licensed surgical assistant, and a certified first assistant. Heather officially joined tour team in December 2015 after earning her nursing degree with honors from Central Texas College. She continued her education and earned her bachelor’s degree, also with honors, from the University of Texas. Heather received training as an assistant from the Meridian Institute for Surgical Assistants in conjunction with Vanderbilt College. She was licensed by the State of Texas Medical Examiners in 2011 and certified by the National Board of Surgical Technologists and Surgical Assistance in 2007. She is also a member of the Association of Surgical Assistants, as well as the Association of Surgical Technologists. Heather is currently working toward her Certified Nurse Operating Room (CNOR) certification, which will further validate the specialized knowledge and skills she regularly uses as an operating room nurse. After obtaining this certification, she will then go on to earn her Certified Plastic Surgery Nurse (CPSN) certification, which will improve the proficiency of her practice in the specialty of plastic and reconstructive surgical nursing.

Camille Rodriguez, LVN

Licensed Vocational Nurse


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.

Alessondra Viviann

Administrative Liaison

Alessondra Viviann, Administrative LiaisonAlessondra is a native of Austin and spent of 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. [feature type=”dr-piazza”]

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