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A Chicago, IL native, Rob moved to Texas in 1988, where he attended St. Edwards University, graduating with a Bachelors Degree in 1992, in Austin, Texas.

Rob began his career in the medical device industry in 1995, and founded AAI in 2002.

There are two things I love about my job:

  1. I get to work with many of the same physicians I started working with in1995.  Today, I consider these folks among some of my dearest friends. 

  2. I have a team that is really a family, both literally and figuratively....I’ll let the reader investigate which are which.  We share a passion for our industry, embrace it’s advancements and have fun each and every day we are lucky enough to be here.  


CEO & Founder

Rob Pupelis

Email Rob



I like to joke that the team doesn’t let me in the field anymore because I just mess things up. The truth is, they are so terrific, I think I am better served supporting them from the sidelines. 


Our mission is to bring our customers products that improve the surgical experience OR improve patient outcomes . . . If you know of a product that can accomplish one of those goals, do let me know.


Our team cares. Let us care for you.

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With nearly 15 years experience in the industry, Zach is your resource for office-based and surgical needs.  


Zach earned a BS from the University of Texas At Austin.  After college, he spent several years in the social service industry before coming on at AAI.  Zach's industry experience initially began in the cosmetic laser realm. That experience later segued into product sales for plastic, reconstructive, and aesthetic services.  


Zach supports all products represented by AAI and is most excited about the non-invasive, office-based products and services that assist customers in building their business and helping patients to look their very best. He truly enjoys collaborating and partnering with each and every practice he works with.


In his free time, Zach enjoys basket weaving and pottery making. If time allows after that, he enjoys spending time with his wife, Amanda, and 2 children, Campbell and Miles.  He also enjoys traveling (not necessarily with the family).  ;)

Vice President

Zach Mefford



Leia Cromwell

A founding partner, Leia Cromwell brings more than 30 years medical device experience to AAI, and was consistently recognized for outstanding sales performance during her tenure at Johnson & Johnson, Bausch & Lomb, Stryker, and Mentor Corporation. 

Leia holds a B.A. in Psychology and Marketing from Stephen F. Austin State University, as well as a minor in English.  Ms. Cromwell serves in the St. Michael Women’s Guild, PTO of St. Michael Catholic School, and the Junior League of Houston.  She enjoys spending free time with her family; husband, Bob and daughters, Lily and Margaret, as well as friends at their home on Galveston Bay.

“The best part of my career has been the opportunity to foster and engage in long term relationships with some of the best and brightest plastic and reconstructive surgeons in the industry.”