Meet the Team

Cindy Mulligan Office Manager & Personal Assistant to Dr Ayala
Cindy joined the Ayala Team in 2022. She is responsible for the day-to-day management of the office and ensures the day runs smoothly and efficiently. You will find her on the computer replying to your emails, booking appointments, patient liaison, marketing and social media. In addition to managing the office, Cindy helps Dr Ayala manage his calendar and daily scheduled activities.
Plastic surgery is a big life decision and I love that I get to be part of it and help those feel the best versions of themselves. I look forward to meeting you.

Brissa Rodriguez - Surgical Coordinator/Clinical Supervisor, CMA
Brissa is a Clinically Certified Medical Assistant, recognized nationally. Born in Houston and raised in San Antonio, Brissa assists Dr. Ayala, our plastic surgeon, while he is seeing patients through consultations and during the entire post-operative process. She will be a familiar face for all of our surgical patients! Brissa specializes in plastic surgery, post-operative care and wellness to ensure the healing process goes as easily as possible. In her free time, Brissa spends time with her family, and loves to travel.
She looks forward to meeting you and welcoming you to the practice!

Salwa El Tanamli - Front Desk & Billing Coordinator
Hi! I’m Salwa — the friendly face you’ll meet first at Ayala Plastic Surgery. I was born and raised in Mexico City and moved to San Antonio in 2018. I love making people feel welcomed from the moment they walk in, and I’m passionate about skincare and helping others feel confident in their own skin.
When I’m not at the front desk, you’ll probably find me exploring local coffee shops, walking my dog, biking on trails, or checking out a farmers market. I’m bilingual in English and Spanish, and I love connecting with patients from all backgrounds. I’m all about good energy, great skin, and becoming the best version of ourselves — inside and out.

Ashlyn Tommas - Registered Nurse and Aesthetic Injector
shlyn is a registered nurse with experience in both plastic and reconstructive surgery, as well as aesthetics. Originally from Ohio, she got her start at the Cleveland Clinic working as a circulating and scrub nurse in plastic surgery. After moving to North Carolina, Ashlyn found her passion in aesthetics—working with laser hair removal, neurotoxins, PRP, skincare, and more. She loves helping people feel more confident and comfortable in their own skin. When she’s not working, you can find her hiking, working out, spending time with family, reading, or traveling with her fiancé, Chris.

Pat Hernandez - Aesthetic Injector
I am a registered nurse with 13 years of experience, specializing in cardiovascular disease. Since 2021, I’ve been working as an aesthetic nurse, where my favorite treatments to perform are lip fillers and facials. I work closely with Dr. Ayala, providing patient consultations, post-operative care, and injectable treatments.
In my free time, I love traveling, exploring new restaurants, and spending time with my family. I’m also fluent in Spanish—which always handy.

Jessica Coffelt - Sr Laser Aesthetic Technician
I completed my training at the National Laser Institute, and with six years of experience, I specialize in customizing laser aesthetic treatments to help you achieve your unique skin goals. From CO₂ resurfacing and hair removal to pigment correction, scar therapy, and anti-aging skincare, my focus is on helping you feel confident in your skin—whether you’re preparing for a special event or investing in long-term skin health.
Outside the treatment room, I love movies, attending sporting events, and spending time at the beach.

Lainey Gregory - Medical Assistant & Intern for Dr Ayala (Future MD)
Lainey recently joined our team in July 2025.
She graduated from the University of Chicago in 2025 and is a certified medical assistant with experience across multiple surgical subspecialties.
In the office, you will see her at the front desk, or assisting Dr. Ayala during patient appointments. In her free time, she enjoys running and hanging out with her 5 dogs.
Learn About Us
Our skilled medical professionals and plastic surgery team are passionate about bringing your underlying aesthetic desires to the surface. Ayala Plastic Surgery has been providing top-notch care to patients seeking surgical and non-surgical treatment for over 19 years. With the wide spectrum of facial rejuvenation, breast surgery, and body contouring options available at our practice, you can be confident that Dr. Ayala will help you find the perfect treatment for your unique needs, concerns, and cosmetic goals.

