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About The Plastic and Cosmetic Center Of South Texas Staff:

Dr. Jeneby & Staff

Dr. Jeneby & Staff

Josh Lopez - Business Manager

Josh LopezJosh Lopez –A true University of Arizona Wildcat Alum that brings a unique background and expertise to Plastic Surgery. As an Elite Level gymnast, Josh has competed on some of the world’s largest stages. Chasing Olympic glory, Josh was honored to be an Olympic Hopeful for the 1996 Olympic Games in Atlanta, GA and the 2000 Olympic Games in Sydney, AU. After watching the movie “Jerry McGuire,” Josh focused his energy on the sports and entertainment world and became an Agent representing actors, models, musicians and professional athletes for a Los Angeles Based agency. After 11 years in the business, Josh moved to San Antonio where he began working in the medical field in both business development and medical tourism. Josh and his wife Lori live in San Antonio with their two boys Jayce (3yrs old) and Jordan (2 yrs old).

Sylvia Montes - Clinical Manager

Sylvia Montes – Clinical Manager

Sylvia Montes has been with Dr Jeneby since 2004. She is a licensed M.A.(Medical Assistant) and has been involved in the medical field since 1986. She is Dr Jeneby’s Clinical Manager and handles all Breast Reconstructions as well as the clinical aspect and all follow-up care. She can be reached at sylvia@drjenebyplasticsurgery.com. She is also a patient and would love to answer any questions that you may have! In her spare time she enjoys spending time with her husband, three children and attends softball functions.

Roxella Bella Roxy- Medical Aesthetician/Patient Relations Coordinator

Roxella Bella “Roxy” – Medical Aesthetician/Patient Relations Coordinator

Roxy is a Licensed Aesthetician with over 8 years experience working for Plastic surgeons and Medical Spas. She is one of our lovely “concierge” Patient Relations Coordinators (PRC). Roxy and Monica see the majority of Dr Jeneby’s patients first as they describe the procedure and get quotes to you as well as assist in financing. These “initial” consults are always at no cost to you and answer 75% of your questions. She also performs skin care at SPA BLACK. Roxy graduated from the Vogue College of Cosmetology and has a passion for patient care. Roxy has been with Dr. Jeneby for 2 years now and is also a patient. In her spare time she loves yoga, running, reading and spending time with her husband. She is bilingual and is more than willing to answer any questions that you may have and can be reached at roxy@drjenebyplasticsurgery.com

Melissa Votion - Spa Director/Medical Aesthetician

Melissa Votion – Spa Director/Medical Aesthetician

Melissa is a LVN (nurse) and an Aesthetician. She recently joined us and is the SPA Director upstairs at Spa Black. Melissa comes to us with a wealth of experience in multiple SPA settings. She consistently ranks very high in customer satisfaction and is in charge of our Smooth Shapes Cellulite Therapy, Laser Hair Removal and IPL skin rejuvenation programs. With her nursing and aesthetician background she brings a high degree of and knowledge to our spa. She can be reached at melissa@drjenebyplasticsurgery.com

Michelle Leyva - Medical Assistant-MA

Michelle Leyva – Medical Assistant-MA

Michelle is an upbeat licensed Medical Assistant and recent patient! Michelle enjoys all aspects of her job and provides excellent patient care. She assists both Spa Black and The Plastic and Cosmetic Center and can be found in all areas of the facility.  She assists with all duties, including concierge duties for the Spa. In her spare time Michelle enjoys spending time with her three year old son, going shopping, tanning and traveling.

Jetsy Balderrama - OR Director/C.S.T

Jetsy Balderrama – OR Director/C.S.T

Jetsy is Dr. Jeneby’s right hand in the operating room. She is a Certified Surgical Technologist for over 14 years and holds the title of OR Director. Jetsy graduated in 2008 from UTSA and holds a Bachelors of Science in Kinesiology. Previously she worked with the San Antonio Eye Clinic as a Recovery Technician. She will be there throughout your procedure and is in charge of all aspects of the OR.  She has been with Dr Jeneby for a year. In her spare time Jetsy is a drummer for local bands and has been playing since she was 11.
You may reach Jetsy at jbalderrama@drjenebyplasticsurgery.com.

Raymond L. Brewer, MD - MD-Anesthesiologist

Raymond L. Brewer, MD – MD-Anesthesiologist

Raymond L. Brewer, MD
Diplomate, American Board of Anesthesiology
Diplomate, American Board of Pain Medicine
Dr. Raymond L. Brewer, MD is a recognized research clinician with over 20 years of experience in advanced clinical/ pharmaceutical trials, anesthesia, as well as pain and general medicine. As a 1978 honors graduate of the US Merchant Marine Academy, Dr. Brewer has a well-rounded business background which supplements a broad-based clinical research resume.
Graduating from the Uniformed Services University, SOM, Dr. Brewer subsequently became board certified in both anesthesia and pain medicine with the focus of combining his business experience with a strong acumen towards clinical research. Towards that end, Dr. Brewer has owned and operated medical clinics with million dollar annual revenues.
In addition, he has served as primary research investigator on countless corporately sponsored clinical research studies which have led to successful product distribution with multi-billion dollar market capitalization(s). Indeed, in one successful research medical product for which Dr. Brewer was a lead investigator, the product’s success was so impressive that the sponsor company was purchased by Johnson & Johnson through a multi-billion dollar offering, Since serving his country honorably in the Air Force on active duty for over 12 years.
Dr. Brewer continues his service in the USAF Reserves as a Lt Colonel with a keen eye of developing pharmaceutical products that have ready adaptability for use in our armed forces, as well as developing expanded markets with sales to the Federal Government & expanding to the general population.

Robert A. Luedecke, M.D. - Anesthesiologist

Curriculum Vitae: Robert A. Luedecke, M.D.

7940 Floyd Curl, Suite 1030 210-614-3371 O
San Antonio, Texas 78229  210-614-1055 F
Robert.Luedecke@gmail.com 210-316-8946 C

Professional Experience

Anesthesiologist – Solo practice   1994 – present
Personal Anesthesia Services
San Antonio, Texas

Founder, President & Business Consultant  1994 – 1998
Advanced Integral MedServices
San Antonio, Texas

Chairman of the Formation Board  1992 – 1994
Tejas Anesthesia
San Antonio, Texas

Anesthesiologist, President & Treasurer  1984 – 1994
Spillar Anesthesia, PA
San Antonio, Texas

Postgraduate Medical Education

Residency in Anesthesiology 1982 – 1984
Bexar County Hospital District
San Antonio, Texas

Internship – Rotating  1981- 1982
Bexar County Hospital District
San Antonio, Texas


Texas A&M University College of Medicine             1977- 1981
College Station, Texas
Bachelor of Science in Medical Science             1979
Doctor of Medicine             1981
Texas A&M University, College Station, TX             1975-1977


Board Certified, The American Board of Anesthesiology             1987
Basic Cardiac Life Support
Advance Cardiac Life Support


Texas Medical License F9758 Current with registration to provide office based anesthesia in Anesthesiology

Honors and Awards

Chief Resident in Anesthesia – Bexar County Hospital District1983 – 1984
Magna Cum Laude – Texas A&M Medical School 1979
Research Assistant Dep’t of Medical Physiology 1978
Early Admission Student and Member of Charter Class, 1977
Texas A&M College of Medicine
Valedictorian, Calallen High School, Corpus Christi, Texas 1975
Valued Academic Mentor Award, Northside ISD, San Antonio, Texas 2006-2007

Professional Memberships

American Medical Association
Texas Medical Association
Bexar County Medial Society- Board of Directors, Chairman of Board of Mediations,
Publications Committee, Public Health and Patient Advocacy Committee
American Society of Anesthesiologists
Texas Society of Anesthesiologists
San Antonio Society of Anesthesiologists
Doctors for America
Society for Ambulatory Anesthesia- Committee on Office Based Anesthesia

Research and Papers Presented

“Effect of Chronic Ventricular Sympathectomy.” Presented at National Student Research Forum, University of Texas Medical Branch, Galveston, Texas, 1979.
“AMSA at Texas A&M Presented at American Medical Branch, Dallas, Texas, 1979.
Luedecke, R.A., Jones, C.E.: Improved Collateral Perfusion After Ligation of the Circumflex Coronary Artery in the Chronically Sympathectomized Ventricle. Abstract, Proceedings of National Student Research Forum, Galveston, Texas, 1979
DuPont, E., Jones, C.E., Luedecke, R.A., Smith, E.E.: Chronic Ventricular Sympathectomy. Circulatory Shock 6:323-311, 1979.

Information Current as of March 15, 2012

Concierge Bio: Tom Carriello

Tom Carriello is a native of New jersey but has been in San Antonio since 1975. He has been in the hospitality and Limosine industry for over 25 years. His career path started in the military 40 years ago as a private where he used to drive generals and upper echelon and provide private security. His assignments also included Walter Mondale (Vice President of the United States) and other Washington Senators and Congressman. Dr Jeneby met Tom in 2004 and he has been on our staff since then, providing the following private functions:

  • Airport shuttle (for our fly-ins/out). He also performs this for our past patients.
  • Transportation to and from hotels and Remington Recovery Resort.
  • Full concierge service including the pickup of medications, family members and forgotten items or groceries.
  • Shuttling for various physicians and their families (children , parents)
  • “Nights out” for patients & friends looking for a private driver.

He is available at (210) 365.6025. Special rates are given for patients of Dr Jeneby and most driving services are included in some surgeries and procedures requiring sedation (now your significant other does not need to bring you–you will have to have someone “receive” you at home).

Patricia Zarate-Medical Aesthetician/Make-Up Artist

Patricia Zarate-Medical Aesthetician/Make-Up Artist

Patricia Zarate is a well noted Master Medical Aesthician and licensed massage therapist who comes with over 13 years of experience. Patricia graduated from Texas Beauty College in 1999 and graduated from Academy for Massage Training in 2000. She has been published in magazines such as Allure, LA Scene, and San Antonio Express. Patricia has taught and trained Esthetics all over the United States. Her background consists of working on celebrities in Beverly Hills as well as in San Antonio. That has made her a top request at Spa Black. In her spare time Patricia loves to spend time with family and friends. She also has a deep passion for traveling.

Jennifer Lugo - MA/Spa Concierge

Jennifer Lugo – MA/Spa Concierge

Jennifer Lugo is a medical assistant who began her education at Stanford Brown college, where she received her ma certification. she began her career as an extern with the Plastic and Cosmetic center in june of 2011. her drive, dedication, and customer service skills landed her a permanent position with Spa Black where she is the lead spa conciere. jennifer comes with 8 years of retail/customer service experience. she enjoys all aspects that her job entails. her enthusiasm and outstanding service make her a strong edition to the medical spa. in her spare time, jennifer enjoys spending time with her three children, having bbq’s with the family and traveling.

Carrie Wallerstedt Medical Aesthetician Make Up Artist

Carrie Wallerstedt Medical Aesthetician Make Up Artist

Carrie Wallerstreet is a licensed medical esthetician who joined the Spa Black team in November of 2011. carrie comes with four years of paramedical experience. she graduated from the Aveda School of Esthetics in 2006 and began her career with Smooth Solutions where she received her laser hair removal certification. she then furthered her esthetic education with Skin Concepts. Carries quick and effective laser techniques has made her a strong addition to Spa Black. In her spare time, carrie enjoys spending time with her husband and her son.

Priscilla Raya - Receptionist

Priscilla Raya – Receptionist

Priscilla Raya is our smiling face in the reception area for The Plastic and Cosmetic Center. She comes to us with a background in Medical Reception and Billing/Coding and graduated from Kaplan and San Antonio College for Forensic Science. Priscilla loves to meet new people and interact with all patients. She will be here to greet you upon arrival as well as answer any questions you may have regarding your appointment or our practice. Her hobbies are ballroom dancing, spending time with her family and friends as well as Crossfit. Priscilla joined our team in January of 2012.

Click on any of the names below to learn more about our staff.