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(760) 837-0364

Meet the Staff



The staff at our cosmetic plastic surgery practice in Palm Desert serving Rancho Mirage, Indian Wells, La Quinta and beyond, is the foundation of our success. Each and every one of the healthcare professionals at Cosmetic Surgery Institute has been an industry leader in their own right. Through circumstance, timing, and good fortune, CSI has been able to attract this talented group of professionals and offer our patients the highest quality of care and compassion.

Our patients come to us to restore their bodies, yet we help them transform their lives. We feel honored to be able to provide support and solutions to our patients through their journey. It is truly a privilege to do excellent, reputable work and take part in positive transformations each and every day.

Find out more about our staff or learn about the nonsurgical and surgical services we offer by online or calling (760) 837-0364.

Adrienne Cascio, RN, Esthetician

Adrienne has worked in medical aesthetics for the past six years, specializing in chemical peels and medical-grade facials. She takes pride in patient satisfaction and patient care, and recently went on to earn her Bachelor of Science degree in Nursing from Cal State San Bernardino. Adrienne's patients often remark on the difference she has made in their skin, and describe her as "knowledgeable, bubbly and kind."

Danielle Flanagan, Esthetician

Danielle joined CSI in January 2012 and is the newest member of our team. She has worked for several world-renowned Dermatologists and Plastic Surgeons from Washington D.C. to Los Angeles. Danielle's facial treatments have been featured on various websites and several magazines, including two times in Allure for their "Little Black Book Directory". She is also a licensed massage therapist and studied Thai massage in Bangkok, Thailand for further education. Listening to her patients' needs and ensuring that our patients have the best possible experience is very important to her. Danielle can provide a wide range of services from facial treatments, lash tinting and post-op recovery treatments.

Karen Nystrom, Esthetician

Karen has been in the beauty industry for over 20 years and an Esthetician since 2000. Originally from Arlington, VA, she moved to Los Angeles at the age of 18 and worked for film and T.V. doing skincare and makeup. Her career has taken her to the Virgin Islands, San Diego, Washington D.C. and finally to the Coachella Valley and Cosmetic Surgery Institute four years ago. With her broad skincare knowledge and warm and caring hands, Karen has built an amazing clientele at CSI.

Marisa Rivera, Esthetician

Marisa joined Cosmetic Surgery Institute six years ago as a medical Esthetician. Marisa completed her training in San Francisco, which is where she and her husband lived. Prior to pursuing her passion in the skincare industry, she graduated from California State University, Chico with a Bachelor of Arts in Journalism and worked for the Kimpton Group as a Public Relations Manager. Marisa specializes in dermaplaning, peels and oxygen treatments.

Peggy Murgo, RN

Peggy completed her nursing studies in 1985 at Williamsport Hospital School of Nursing in Williamsport, PA. Peggy has worked in the plastic and cosmetic surgery industry since 1995 and has had the opportunity to work with several, world- renowned plastic and cosmetic surgeons.

Peggy is the Director of Nursing at Cosmetic Surgery Institute and joined the team in 2003. Her primary emphasis has been injecting fillers and BOTOX®/Dysport, of which she has been doing for over 15 years, with a secondary emphasis on surgeries.

Rebecca Barnett, Surgical Coordinator

Rebecca, known to our patients as "Becky," has been with CSI for eight years and has spent the last six as the Surgical Coordinator. She takes great pride in making each patient feel comfortable and confident – handling everything from the initial consultation appointment to recovery arrangements after their procedure. Prior to CSI, Becky spent eight years in the hospitality industry and credits her ability to work well with others and juggle multiple projects at once to her experience in this field.

Susan Sauerbrey, Front Office Patient Coordinator

Susan joined the Cosmetic Surgery Institute in 2016 Front Office Patient Coordinator. She joined CSI after working for another local aesthetic medical office for over 6 years. Her background in Marketing and retail management serves her primary focus of building patient relationships. She is dedicated to helping patients achieve their aesthetic goals by being a warm and caring Patient Advocate. As a Patient Liaison, she will be there to answer any questions you may have before and after your visit as well as help bridge a positive and open relationship with our practice.

Tamara SullivanTamara Sullivan, Office Manager

Tamara began working at Cosmetic Surgery Institute in 2008. She has an extensive management and marketing background in the spa, hospitality and retail industries. Excellence in customer service is a top priority of Tamara's and she is very involved in the day to day operations of the practice. Prior to coming to work for Dr. Zakhireh at Cosmetic Surgery Institute of Palm Desert, Tamara managed a spa at a local resort and held other management positions for different companies in her home state of Colorado.


Staff Interviews

Get to know the dedicated workers at Cosmetic Surgery Institute by clicking on one of the videos below.

Peggy Murgo, RN


Marisa and Adrienne

For additional videos on specific procedures and the practice, please visit our Video page.