About Our Practice

Dr. JoAnne Lopes is a distinguished plastic surgeon with credentials from prestigious institutions, including a Cum Laude B.S.N. from Old Dominion University and an M.D. from Eastern Virginia Medical School. Following her education, she undertook advanced surgical training at the University of Connecticut and fellowships in plastic and cosmetic surgery in Virginia. She’s held esteemed positions like Assistant Professor at Eastern Virginia Medical School and has been recognized with accolades such as Who’s Who in Medicine and Healthcare.

Notably, Dr. Lopes is deeply involved in community service, including impactful work with Operation Smile. Professionally, she is affiliated with renowned associations like the American Society of Plastic Surgery and the American Medical Association, among others.

Denise Kail is a native of Chesapeake, VA, and a seasoned Nurse Injector with over 18 years of experience, brings a wealth of expertise to the Cosmetic Surgery Center. After earning her nursing degree from Tidewater Community College, she pursued advanced training in dermal fillers and neurotoxins. Denise is also a proud member of the Society of Plastic Surgery and Skin Care Specialists.

Passionate about aesthetic enhancement, Denise is committed to helping patients improve their appearance, always striving for excellent outcomes. Her joy is in witnessing patients’ excitement as they achieve their aesthetic goals. With ongoing education in the plastic and aesthetic industry, she ensures patients receive expert care.

In her downtime, Denise cherishes her role as a mother to her son, Noah, enjoys traveling with her boyfriend, and spending quality time with her family in the Outer Banks.

Kara’s passion for all things beauty, particularly cosmetics and skincare, is what led her to pursue a career as an Esthetician. In 2011, she began her studies at the Chrysm Institute of Esthetics, where she completed both the Professional and Master Esthetics programs. Once licensed, she worked in a variety of settings, including plastic surgery, day spas, dental offices, laser clinics, and wellness centers. Through her career as an Esthetician, she treated many different types of skin and gained extensive experience with lasers, radio frequency, and other esthetic modalities.

In 2022, with over a decade of experience in the Esthetics industry, she went on to study at the Sentara College of Health Sciences, where she graduated with her Bachelor of Science in Nursing. Through this education, she gained greater insight into the physiological process of aging and how it affects our skin. 

When she’s not busy rewinding the hands of time, she enjoys being by the water and spending time with friends and family. She makes a mean baklava and is a huge plant lover with 80+ cultivars in her collection. 

Rain De Guzman serves as the Practice Manager at the Cosmetic Surgery Center, bringing over 15 years of diverse medical experience spanning clinical settings to healthcare management. His professional background includes time spent at Chesapeake Regional Medical Center’s emergency department since 2007, roles as an oncology research coordinator, and involvement in travel nursing acquisition.

A graduate of Capella University, Rain holds a bachelor’s degree in healthcare management and administration. As an active member of The National Society of Leadership and Success, he continually engages in conferences and further education to stay at the forefront of his field.

Outside of work, Rain enjoys spending quality time with his energetic and talkative husky, Bailey Alexander, who keeps his household lively. He appreciates exploring new restaurants with loved ones and has a keen eye for fashion, always on the lookout for the best sales.

Rain is committed to delivering exceptional patient experiences at the Cosmetic Surgery Center, working hand-in-hand with his dedicated and skilled team.

With over 25 years of experience in the medical field, Tonya brings a wealth of expertise to her role as Patient Coordinator at the Cosmetic Surgery Center. As a certified surgical technician and CNA, she has spent two decades specializing in plastic surgery, now assisting patients with education, consultations, and surgical preparations while addressing financial concerns and scheduling needs with her signature “red-carpet treatment.”

Outside of her professional commitments, Tonya’s vivacious personality shines through as she cherishes spending time with her husband and children, as well as her fur-babies Auggy and Austin. She finds joy in creating lasting memories with her grandson Jaxon, whether it’s playing in the sandbox or taking leisurely walks in the park.

Holly Carroll is a certified surgical technologist who graduated in 2014 from Sentara College with her Associates in Health Science and Certification in Surgical Technology. Holly has always had a passion for plastic surgery and has worked in plastics for eleven years. She assists Dr. Lopes in and out of the operating room. Patient care is her top priority and she loves seeing her patients from the beginning of their journey to their final result. Holly always has a smile on her face and loves to make her patients smile. Holly was born and raised in Norfolk and resides there with her husband and six children. She enjoys spending time with her family, working out and going to amusement parks on her time off.