Meet Our Patient Care Staff

Get to Know Your Caring Guides in Austin, TX

Austin Plastic & Reconstructive Surgery team photo with Dr. Fisher and Dr. Ehanire

At Austin Plastic and Reconstructive Surgery, our team of compassionate professionals will help guide you through your journey. Our staff includes breast cancer survivors who are also former patients of our surgeons. They serve our patients as navigators and care coordinators, having been through breast cancer treatment and reconstruction themselves. Our staff also includes physician assistants and nurse practitioners with specialized knowledge in caring for patients who have undergone cosmetic and/or breast reconstruction surgery, as well as aesthetic skincare procedures such as  BOTOX®, dermal fillers, and lasers for improving skin quality. We also have numerous nurses and medical assistants on staff specializing in surgical and non-surgical aesthetic and reconstructive medicine. As a women-run team we strive to provide high-quality, compassionate care to every patient.

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Contact Austin Plastic & Reconstructive Surgery in Austin, TX to set up a consultation to learn more. Call (512) 815-0123 to or send a message online

Marissa Arras, CST

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Marissa Arras

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Native Texan Marissa has been a certified surgical technologist (CST) for 25 years and works primarily in our onsite surgery center, Austin Cosmetic Surgery Center. She received her certification from Odessa College in 1996 and her associate’s degree in applied science for surgical technology in 2005. She began her career at Community Hospital in San Angelo before making her way to Austin. Her operating room experience spans the full spectrum of surgical specialties, making her a particularly knowledgeable staff trainer for our technologists and nurses.

In addition to scrubbing into the operating room to assist our surgeons and train staff, Marissa is responsible for maintaining our surgical equipment and supplies inventory, sterile processing, instrument decontamination, operating room environmental processes, and policy and procedure implementation. Marissa first began working with Dr. Fisher in 2018 at Central Park Surgery Center with HCA Healthcare and was recruited to the Austin Plastic & Reconstructive Surgery team in 2020. Marissa loves what she does and feels fortunate to be a part of the APRS team.

On her days off, Marissa enjoys unwinding from her week by going bowling and hiking. She also loves to go to concerts, gaming centers, and farmer’s markets, and relishes spending quality time with her sons and grandson.

Katie Bertling, RN, LE

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Katie Bertling

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Katie is a registered nurse and licensed aesthetician at Austin Cosmetic Medspa with over 10 years of experience in medical aesthetics. She is certified in multiple skin rejuvenation techniques, including advanced chemical exfoliation, microneedling, and dermaplaning. She has also trained with renowned physicians, nurses, aestheticians, and physicists specializing in cosmetic light and laser-based therapies. Katie holds true to the belief that healthy skin is beautiful skin.

Her focus is on educating patients on modern, scientifically proven therapies to achieve optimal skin health. At Austin Cosmetic Medspa, she specializes in Botox, dermal fillers, facials, chemical peels, dermaplaning, laser hair removal, and medical-grade skincare.

Follow her on the Austin Cosmetic Medspa Facebook and Instagram accounts to see “before and after” photos, get educational information, and be among the first to learn about product and treatment specials and giveaways.

Katie relocated to Austin in 2010 from Kansas City after falling in love with the Texas Hill Country. When not at work or school, Katie enjoys spending time outdoors with her family, especially anywhere near water, as well as exploring new local restaurants and wineries.

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Cathie Chairenza, Patient Care & Surgery Coordinator

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Cathie Chairenza

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Cathie has over 15 years of experience as a patient care coordinator, advocate and surgery scheduler. She began her healthcare career in Colorado where she raised her two children before relocating to Austin in 2019 to join the Austin Plastic & Reconstructive Surgery team. She is known for her great compassion and empathy for our patients, and strives to be as supportive as possible to our breast cancer and cosmetic surgery patients along their restorative journeys.

She is also passionate about the benefits of plastic surgery and the positive effect it can have on patients’ self-esteem. She aims to assist each patient in clarifying their goals and provide continual support along the way.

A California native, Cathie has had a lifelong passion for animals. Her move to the Austin area was in part precipitated by her desire to own a property where she could house her rescue horses. She is a true animal lover at heart and has several other pets, all rescues. She enjoys the outdoors, and especially likes hiking and horseback riding. She also enjoys live music, home remodeling and exploring the Austin scene.

Monique Colbert, Austin Cosmetic Medspa Administrator

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Monique Colbert

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Native Texan Monique is the friendly face who greets you at check in at Austin Cosmetic Medspa. She has worked in healthcare since 2005, and joined our practice in 2019 as our front desk coordinator for Austin Plastic & Reconstructive Surgery. Monique got her start in the medical field as an Emergency Room admissions specialist where she cross trained in outpatient registration and as a switchboard operator for seven years.

She then spent five years as the receptionist for a busy pain-management practice. Monique prides herself on maintaining her smile, no matter what comes her way, and in making every patient who comes to our practice feel special.

Monique is a mother of four who loves spending time with her children and husband. She describes herself as a “total football and cheer mom” who is at every game, rain or shine. On the weekends, she enjoys baking and working on craft projects.

Julie Culin, Cosmetic Patient Care Coordinator

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Julie Culin

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Julie is a breast cancer survivor and former patient of Dr. Christine Fisher's who joined Austin Plastic & Reconstructive Surgery in 2016. Her personal experience with breast cancer set the stage for her to volunteer with the Breast Cancer Resource Center's AsSisters program, as well as be involved in several of BCRC's fundraising events, including Art Bra® Austin. Julie has a B.S. in kinesiology from the University of Texas and an M.S. in allied health resources from Texas State University.

Working with Dr. Fisher and the patients who come through the office has brought Julie full circle back to her roots and love of the healthcare world. She is the go-to person for our cosmetic surgery patients, coordinating their care from the initial consultation through the post-operative period, and can speak from personal experience with our breast reconstruction patients.

Outside of the office, Julie is busy with her husband and two active kids, as well as playing tennis in leagues around the city. Her favorite tagline is, "Choose to be amazing!"

Rachael Davis, LE

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Rachael Davis

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Rachael is a licensed aesthetician with years of experience in skin health who joined Austin Cosmetic Medspa in January 2022. She is certified in several skin treatments including dermaplaning and facials. She believes everyone deserves to feel beautiful in the skin they were gifted with. Her main focus is to help her patients achieve their desired skin goals while educating them on how to maintain their results, empowering them to be in control of their own skin health. At Austin Cosmetic Medspa, she specializes in HydraFacial® treatments, custom clinical facials, dermaplaning, chemical peels, SkinPen® Microneedling and medical-grade skincare.

Follow her on the Austin Cosmetic Medspa Facebook and Instagram accounts to see “before and after” photos, get educational information, and be among the first to learn about product and treatment specials and giveaways.

Rachael is originally from California and made her way to Texas after serving in the United States Army. She is a veteran with multiple Army achievement awards, lending a unique perspective to her approach to patient care. She chose to remain in central Texas after realizing how much she loves being a Texan. When not at work or learning new skincare techniques, Rachael loves to spend time with her family and two fur babies, as well as explore delicious vegan restaurants.

Courtney Duesing, Reconstructive Patient Care Coordinator

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Courtney Duesing

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Originally from Corpus Christi, Courtney is a breast cancer survivor with personal experience with breast reconstruction and treatment for breast cancer, including chemotherapy. She serves as the practice’s reconstructive patient care coordinator, working directly with our breast cancer patients to schedule their first-stage and revision breast reconstruction consultations, provide education on the reconstructive process, and to support our patients through and beyond treatment. Diagnosed in 2015, Courtney is deeply passionate about connecting and working with fellow survivors, as her empathy for them is highly personal.

Courtney has been a proud resident of Austin since 2003. Before joining our team in November 2021, she was the director of communications and community relations for a large local surgical practice until leaving to be a stay-at-home mom to her two daughters. During that time, she was an active member of The Junior League of Austin and volunteered at her girls’ schools. She has a bachelor of arts degree in communications from Western Colorado University, where she was an avid snow skier and enjoyed hiking and fly fishing.

When she is not working or chauffeuring her children to and from activities and playdates, Courtney enjoys playing golf with her husband of 15 years, boating on Lake Austin, traveling with her family, cooking, Barre classes and running Town Lake with their miniature Australian Shepherd, Bella Mae.

Vangie Hemphill, Surgery Coordinator

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Vangie Hemphill

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Native Texan Vangie has been in the medical field for over 20 years. After earning her associate’s degree at El Paso Community College, she got her start in healthcare in family medicine before finding her way to plastic surgery. She joined the Austin Plastic & Reconstructive Surgery team in early 2021 after relocating from Dallas. Vangie is the helpful voice our patients hear over the phone when they are ready to schedule reconstructive surgery.

She takes care of insurance authorizations and pre-op appointment scheduling, as well as coordinating surgery between our office, the hospital, and the breast surgeon. Vangie admires the strength of our breast reconstruction patients and enjoys getting to know every patient who walks through our doors.

Outside of work, Vangie enjoys staying active with spin classes, weight lifting, yoga, golf and volleyball. She has two four-legged children, Fergie and Peppercorn, who also keep her busy, and is currently working on her green thumb by learning to landscape.

Elizabeth Janson, PA-C

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Elizabeth Janson

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Elizabeth is a certified physician assistant whose experience spans cosmetology, cosmetic and reconstructive plastic surgery, and non-surgical medical aesthetics. She joined our practice in 2021 from New York City, where she specialized in plastic surgery. She is certified through the National Commission on Certification of Physician Assistants and is licensed through the Texas Medical Board. She is a member of the American Society of Plastic Surgery, the Association of Plastic Surgery Physician Assistants and the American Society for Aesthetic Plastic Surgery.

Elizabeth’s journey in aesthetics started in 2004 when she became a licensed cosmetologist. She then chose to pursue her bachelor of science at Colorado State University, where she studied nutrition, the health sciences and cardiac rehabilitation. A native New Yorker, Elizabeth returned to her home state for her medical training as a physician assistant and began her career in New York City in plastic and reconstructive surgery. Following a family move to Austin, she found her “home away from home” with the Austin Plastic & Reconstructive Surgery team. She is proud and humbled to be part of such a knowledgeable team that puts compassion at the forefront of every patient interaction. “We are all unique and diverse individuals, not carbon copies of one another,” says Elizabeth. “This makes every consultation an exciting challenge of collaboration to develop a treatment plan for a happier, healthier and more youthful you.”

Elizabeth enjoys being active by practicing daily yoga, playing volleyball and tennis, sailing, and walking her miniature bernedoodle, Truffles. Volunteerism is important to Elizabeth; she has served as a volunteer in New York and Texas with food pantries, Emergency Medical Services and the Fire Department, and internationally with humanitarian medical clinics.

Sandy Lanier, PA-C

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Sandy Lanier

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Sandy has a master of science in physician assistant studies from Rosalind Franklin University in Chicago, Illinois, and has worked in aesthetic medicine for more than 10 years. She is certified through the National Commission on Certification of Physician Assistants and is licensed through the Texas Medical Board. She joined our practice in 2017. Her focus is on giving patients a natural, rejuvenated appearance through comprehensive treatment plans to improve facial contours, reduce fine lines, and improve skin quality.

She specializes in BOTOX® Cosmetic, dermal filler, resurfacing lasers, sclerotherapy, diVa® Vaginal Rejuvenation, minimally invasive body contouring procedures such as BodyTite and FaceTite, and medical-grade skincare.

Follow her on the Austin Cosmetic Medspa Facebook and Instagram accounts to see “before and after” photos, get educational information, and be among the first to learn about product and treatment specials and giveaways.

When not at the office, Sandy enjoys spending time with friends, exploring all Austin and the Texas Hill Country have to offer. She likes hiking trails, kayaking, and trying new restaurants.

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Africa Maldonado, Certified Laser Hair Removal Technician, Certified Restorative & Cosmetic Tattooist, Medical Assistant

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Africa Maldonado

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Born in Guadalajara, Mexico, Africa has lived in Austin for over 30 years. She started her career as a medical assistant for a family practice before moving to orthopedics and podiatry. For 13 years, she served as medical assistant, surgery scheduler, and limited X-ray technician for a busy orthopedics practice. She joined the Austin Plastic & Reconstructive Surgery team in May 2019.

Africa serves as a medical assistant for our cosmetic and reconstructive surgery patients, and also provides services in our medspa that include laser hair removal, nipple-areolar tattooing for our breast reconstruction patients, and permanent makeup. For Africa, plastics is very different from orthopedics — although patients are glad to be moving without casts or braces, many have impaired mobility going forward. She made the switch from orthopedics because she enjoys seeing the all-encompassing physical, mental and emotional transformations of our patients. It brings her joy to experience our patients’ excitement and renewed confidence, whether from them getting the body they always wanted, or from regaining the body they had before pregnancy or breast cancer.

Follow her on the Austin Cosmetic Medspa Facebook and Instagram accounts to see “before and after” photos, get educational information, and be among the first to learn about product and treatment specials and giveaways.

Africa is the proud mother of two girls. In the evenings and on weekends, you’ll most likely find Africa supporting her kids at band practice, gymnastics, and various sports activities — she even spent five years coaching her children’s cheerleading team! The trio also enjoys amusement parks, concerts, and traveling. Africa is also a fluent Spanish speaker.

Lara Montfort, BSN, RN

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Lara Montfort

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Lara is a surgical nurse and provider at Austin Cosmetic Medspa who specializes in a variety of non-surgical aesthetic treatments, including BOTOX® Cosmetic, dermal fillers, laser skin resurfacing, SkinPen® microneedling, diVa® Vaginal Rejuvenation, Hair Restoration and medical-grade skincare. She studied arts and humanities at Indiana University - Purdue University Indianapolis before pursuing nursing at Indiana State University. She has been a registered nurse since 2009 and absolutely loves what she does. Her nursing background includes caring for patients in cardiac, oncology, women’s health, and surgical settings.

She has taken care of cosmetic plastic surgery patients since 2017, and joined our practice in 2018. Lara is known by our patients for her specialized surgical and aesthetic expertise, warm sensibility, and empathetic demeanor.

Follow her on the Austin Cosmetic Medspa Facebook and Instagram accounts to see “before and after” photos, get educational information, and be among the first to learn about product and treatment specials and giveaways.

Lara and her husband have lived in Austin since 2011. They have three children (a boy and two girls), plus a fur baby — a Boxer from Austin Boxer Rescue. Lara says Austin is the perfect place for her and her family to call home: Lara is a half-marathon runner who enjoys the outdoors, her husband is a musician, and the family volunteers by fostering dogs through Austin Boxer Rescue.

Hawna Mumm, MSN, APRN, FNP-C, RNFA

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Hawna Mumm

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Hawna is a nurse practitioner certified by the American Academy of Nurse Practitioners and licensed through the Texas Medical Board. Her experience spans cosmetic and reconstructive plastic surgery, operating room circulating, and nonsurgical aesthetic medicine. She joined our practice in 2022.

Hawna grew up on a ranch outside of Austin in Liberty Hill. She obtained her bachelor's degree in nursing from the University of Texas Medical Branch at Galveston in 2011 and then then worked as an operating room nurse in Austin, circulating for many specialties. It was during this time that she discovered her passion for cosmetic surgery and chose to pursue a career as a plastic surgery nurse practitioner. In 2017, she graduated with her master's degree in nursing from the University of Texas Health Science Center at Houston.

At our practice, Hawna assists our plastic surgeons in the operating room during cosmetic surgery cases and takes care of cosmetic and reconstructive surgery patients in the office. Her knowledge, experience, compassion, and dedication to helping patients feel like the best version of themselves combine to make her a much-loved member of our team by patients and staff alike.

Interestingly, Hawna was named after Hana on the island of Maui, one of her favorite places to travel. Her number one love is her corgi, Archie. On the weekend, Hawna enjoys Austin's live music scene, camping, discovering new restaurants, reading classic novels (John Steinbeck is her favorite novelist), sleeping in, and talking loudly with her friends.

Jeremy Porche, CRNA, MSNA, BSN

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Jeremy Porche

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A southwest Louisiana native with over 25 years of experience in healthcare, Jeremy joined the Austin Cosmetic Medspa team in 2019. After earning his bachelor of science in nursing in 1996, Jeremy worked as a critical care nurse before going on to earn his master of science in nurse anesthesia in 2004 from Texas Wesleyan University. He practiced as a certified registered nurse anesthetist (CRNA) in Los Angeles before moving to Austin in 2007, serving as Chief CRNA at Austin Anesthesiology Group for 10 years.

Jeremy continues to practice anesthesiology at St. David’s Medical Center and for our patients having surgery at our onsite cosmetic surgery center. He is licensed by the Texas Board of Nursing and certified by the National Board of Certification and Recertification of Nurse Anesthetists. As an adjunct to his anesthesia practice, Jeremy chose to pursue aesthetic specialization in neurotoxin modulators (BOTOX® and Dysport®), cosmetic dermal fillers and SkinPen® Microneedling. He is focused on enhancing patients’ natural appearance with the key goals of providing treatments that are proven to be medically safe while also innovative. Jeremy is known among our patients and staff for his enthusiastic demeanor, genuine passion for improving one’s aesthetic appeal, and participation in collaborative approaches to quality patient care.

Follow him on the Austin Cosmetic Medspa Facebook and Instagram accounts to see “before and after” photos, get educational information, and be among the first to learn about product and treatment specials and giveaways.

In his free time, Jeremy enjoys traveling, landscaping and spending time with his husband, Huston, and their fur-child goldendoodle, Bentley.

Rebecca Risher, PA-C

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Rebecca Risher

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Rebecca is a native Austinite. She attended the University of Texas at Austin and the University of Texas Medical Branch at Galveston, graduating in 2000 with high honors from the physician assistant program. She then completed her master of science in physician assistant studies in 2002. She first began working with Dr. Christine Fisher in 2014. Prior to plastics and reconstructive surgery, she worked in cardiovascular surgery, gaining extensive surgical training and patient care experience.

Rebecca works alongside Dr. Fisher, assisting in the operating room and providing post-operative care and education to their patients. She is an experienced practitioner specially trained in reconstructive and cosmetic surgeries, as well as non-invasive procedures, such as dermal fillers, BOTOX®, and skin resurfacing lasers. Rebecca is certified through the National Commission on Certification of Physician Assistants and is licensed through the Texas Medical Board.

Rebecca found a passion for taking care of breast cancer patients after her mother was diagnosed and underwent breast cancer treatment. In her free time, she enjoys traveling, exercise, playing with her dog, and spending time with her family.

Claire Spera, MA - Director of Communications

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Claire Spera

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A native of Santa Barbara, California and Austin resident since 2010, Claire is a breast cancer survivor and former patient of Dr. Christine Fisher's. She has personal experience with bilateral DIEP flap breast reconstruction and treatment for breast cancer, including chemotherapy and radiation. She joined the Austin Plastic & Reconstructive Surgery team in 2016 after completing treatment. Claire is very active in the breast cancer community, particularly as a volunteer for Austin's Breast Cancer Resource Center, as a member of the Susan G. Komen Young Professionals Council, and as a trained Young Advocate with Living Beyond Breast Cancer.

Her first six years at Austin Plastic & Reconstructive Surgery, Claire served in a dual role as the director of communications and the reconstructive patient care coordinator for the practice's breast cancer patients. In 2022, she transitioned to communications fulltime. In her role as communications director, Claire leads the practice's community outreach efforts and sponsorships, and manages our website and social media presence. She has a B.A. in English from the University of California, Berkeley, and an M.A. in journalism from the University of Southern California.

When she's not at the office, Claire spends her time teaching and performing flamenco dance, which she's done for more than 25 years, practices yoga, and writes about the arts for publications including the Austin American-Statesman and Arts+Culture Texas.

Katrina Whitehair, Practice Administrator

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Katrina Whitehair

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Katrina was born and raised in Louisville, Kentucky, and lived in New York City for six years before relocating to her forever home in Austin. She has a bachelor's degree in psychology and a master of business administration from Bellarmine University. Katrina's professional background spans corporate human resources, human service work, and eight years in the field of healthcare.

She has worked in ophthalmology and dentistry, and was a consultant for private healthcare practices before joining our practice in 2017.

Katrina enjoys spending time with her family, including her husband, niece, and nephew, as well as her friends, and exploring Austin and the surrounding communities' food, brewery, and outdoor adventure offerings.

Audre Zellman, Patient Care & Surgery Coordinator

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Audre Zellman

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Audre works closely with our cosmetic and reconstructive surgery patients and physicians, acting as liaison to help plan and schedule surgeries at our onsite surgery center and at area hospitals. Audre graduated from George Mason University with a bachelor's degree in communication and minor in psychology and finds great joy in making genuine connections with those around her.

Eager to join our ever-growing, all-female power team, Audre joined Austin Plastic & Reconstructive Surgery in September 2021 as the front office coordinator. With over 17 years of experience in the sales and hospitality industry, two years of experience in the world of plastic surgery, and a true passion for all things aesthetic, Audre was the perfect fit for the patient care and surgery coordinator role that she transitioned to in September 2022. She strongly believes in the power of self-confidence and in and helping others feel like the best version of themselves. Audre works tirelessly to curate seamless and exceptional experiences for each patient, and she’s known on staff for being energetic, fun-loving, and eager to help those around her. 

Audre was born in Seattle, raised in southern Virginia, and has lived several places in between, but she’s always been a Texas girl at heart. Wanting to lay down long-term roots, Audre moved to Austin in 2016 with her husband Cannon, son Gavin, and dog Yellow. Together, they enjoy Austin’s active, outdoor lifestyle and lively music scene, and Audre especially loves the endless options for brunch with girlfriends. 

Marta Zinyuk, BSN, RN

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Marta Zinyuk

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Marta began her nursing career at St. David’s Medical Center in Austin as an operating room nurse specializing in plastic surgery after receiving her Bachelor’s of Business Administration from St. John’s University in New York and her Bachelor of Science in Nursing from Concordia University.

She quickly developed a passion for facial aesthetics and rejuvenation and found herself drawn to helping people look and feel their best. She specializes in BOTOX® Cosmetic, SkinPen® Microneedling, Hair Restoration, the Halo® laser and Forever Young® Broad Band Light treatments at Austin Cosmetic Medspa. Marta is a strong advocate for “investing in yourself,” and enjoys helping her patients achieve youthful-looking skin with an emphasis on natural-looking results by focusing on detailed, individualized treatment plans that safely blend the art and science of aesthetic medicine. Marta is studying to become a nurse practitioner and is member of the American Society for Aesthetics and the American Association of Aesthetic Medicine and Surgery. In addition to nonsurgical aesthetic expertise, Marta has two years of experience providing pre- and post-operative nursing care while also circulating in the operating room for plastic and reconstructive surgeries such as DIEP flap breast reconstruction, breast augmentation, abdominoplasty, fat grafting and liposuction cases.

Follow her on the Austin Cosmetic Medspa Facebook and Instagram accounts to see “before and after” photos, get educational information, and be among the first to learn about product and treatment specials and giveaways.

In her free time, Marta enjoys working out and spending time with her husband and her dog, Takoda. Marta also likes spending time exploring her passions for sculpture-making, beauty and fashion.

Austin Plastic & Reconstructive Surgery

  • Known for natural-looking aesthetic results in breast reconstruction and cosmetic surgery.
  • Elected by peers for inclusion in Texas Monthly's Texas Super Doctors®: Rising Stars listing.
  • Reconstructed over 6,000 patients, including more than 2,500 DIEP flap reconstructions.
  • 4.9-star average rating over hundreds of reviews for reconstructive and cosmetic surgery.
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Learn more about Austin Plastic & Reconstructive Surgery. Set up a consultation by calling (512) 815-0123 or sending a message online.

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