Damaris Fonseca
Damaris has worked with the doctor for over ten years. She handles the front desk operations and scheduling, as well as maintaining patient medical records. She has enjoyed her tenure at L.A. Viñas Plastic Surgery & Med Spa because of the staff interaction, connection and care for patients’ needs.




Kara Shank
With a deep knowledge of the Cosmetic Surgery and aesthetic industry and superb customer service skills, Kara will act as your personal liaison from consultation to beauty transformation. Kara has been a Patient Care Coordinator in south Florida for a number of years and has continued her education regarding the philosophy of beauty and cosmetic surgery through multiple seminars and workshops. Helping patients reach their aesthetic goals with grace and ease, Kara is committed to making your experience at L.A. Viñas Plastic Surgery and Med Spa enjoyable and addressing all of your concerns prior to surgery.

Kara is originally from Pittsburgh and loves football and hockey. She is still exploring south Florida and all the fun things to do. Kara enjoys spending time with her husband and daughter Rylee.



Breny Castano Preciado
Breny is our Insurance Billing Manager. Originally from South America, she came to the US at a young age and lived in New Jersey for many years where she attended Essex County College and graduated from TBI technical institute of business. Breny came to South Florida on a vacation trip with her family, and it didn’t take her to long to fall in love with the beautiful South Florida Weather and the quality of life. She soon decided that this was the place she wanted her son Javier to grow up, and has been living in the Sunshine State for over 25 years.

After graduating she started working in the medical field where she obtained her expertise in medical billing by working in different hospitals, doctor’s offices and collection agencies where she was trained in all aspects of accounts receivables. She quickly became the billing manager/office supervisor for several practices and has seen many changes in the healthcare industry with her 30 years of medical field experience. Breny has attended numerous seminars for CMS (Centers for Medicare and Medicaid Services) as well as for many managed care and commercial insurance companies. She loves the challenge of her job and has been very successful in this role.

One of Breny’s favorite things to do with her husband Alex is traveling around the world to go visit her son Javier and daughter in law Meg. A previous employee of many years, Breny re-joined our practice in 2015 and is happy to have reunited with her work family.



Jessica Larkin, C.S.T
Jessica graduated from Palm Beach State College in 2009 with a Vocational Certificate in Surgical Technology and Associates of Science Degree. Over the course of 5 years, Jessica has worked in the operating room assisting the doctor in all reconstructive and cosmetic surgeries. As a Certified Surgical Technician, she enjoys helping patients succeed in reaching their surgical goals.

She enjoys spending time with her family and nephews Treysen and C.J.

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