
At James Rough, MD Plastic Surgery, we believe transformative care begins with people — a team devoted to skill, compassion, and making you feel truly understood. From our highly trained surgeon to our warm, bilingual support staff, we work together to ensure your experience in our Tucson office is personal, professional, and supportive every step of the way.
We are trained in the latest aesthetic techniques to help patients achieve their goals through transformative treatments for the body and face. Each team member enjoys getting to know our patients one-on-one and developing trusting relationships with them, ensuring they have a satisfying and comfortable experience. We cannot wait to meet with you and get started, so schedule a visit with us today.

Board-certified by the American Board of Plastic Surgery, Dr. Rough combines advanced surgical expertise with a calm, thoughtful approach.
With fellowship training at UCLA and mentorship in body contouring under Dr. Alfredo Hoyos, he brings precision, artistry, and a deep sense of care to both aesthetic and reconstructive procedures. Fluent in English and Spanish, Dr. Rough ensures that every patient, regardless of language, feels heard and respected.
Claudia Rough, NP, spearheads our medspa treatments, injectables, and non-surgical rejuvenation. With an eye for natural beauty and an empathetic bedside manner, she collaborates closely with Dr. Rough to offer treatments that enhance without exaggeration. NP-Claudia is also fully bilingual, helping Spanish-speaking patients feel at home during every medspa visit.

As your guide to everything cosmetic, Marissa ensures your experience is seamless, informed, and tailored to your goals. With over 14 years in the cosmetic industry and fluency in Spanish, she excels at coordinating consultations, helping you explore options, and being there for every question — big or small. Tucson native = understands the local vibe and culture, which shows in everything she does.
About Me: I'm Marissa, your dedicated guide to all things cosmetic! With a passion for helping coordinate and enhance natural beauty, I specialize in skin care, coordinating cosmetic surgery, and assisting in aesthetic procedures.
Credentials: As a Medical Assistant and a Patient Care Coordinator, I bring over 14 years of hands-on experience in the cosmetic industry to enhance patient care.
Philosophy: I have a great passion for the cosmetic industry because it enhances confidence, promotes natural beauty, and embraces individuality. I love sharing tips, answering questions, and being a part of your beauty transformation.
Outside the office, I love spending time with my family. Balancing their sports activities keeps us super busy. And of course, being a Tucson native, we’re all about exploring and enjoying new restaurants!
We look forward to seeing you and bringing out the best version of you!


We’d love for you to meet the people behind the results. Whenever you're ready, come see us at:









