San Antonio Plastic Surgeon
4499 Medical Dr, Ste 301
San Antonio, Texas 78229 US
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18 years experience
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5.0 out of 5 stars 5.0 stars from 12 reviews See details Hide details
5.0 out of 5 stars Doctor's bedside manner
5.0 out of 5 stars Answered my questions
5.0 out of 5 stars After care follow-up
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5.0 out of 5 stars Staff professionalism & courtesy
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Treatment results may vary

5 out of 5 stars Botox

I had an amazing experience

My experience with Dr Ayala has been excellent. He did my augmentation and took great care of me. I also like his staff very much how they explain my procedures. And detailed. They're very professional

5 out of 5 stars Breast Implant Revision

So glad Dr. Ayala was recommended to me!

My visits to Dr. John Ayala have been great. He is a very professional doctor yet he still relays caring and concern for doing just the right thing. He wants to help you be successful in the experience. I had breast implants that had ruptured and wasn't sure, at 70 years old, exactly how to proceed. So, we discussed several avenues and I had a good comfort level as I went to surgery to have...

5 out of 5 stars Botox

I had a great experience

Doctor Ayala, is a very professional person and also his staff, whenever I come to his place he takes care of me well. I am very satisfied with the service you provide. I have no doubt that I will return. Thank you Doctor Ayala


Very unhappy with procedure, I was convinced into getting dysport instead of Botox. He injected two times, to the top of my nose in the middle of my forehead, instead of across the forehead. I have wrinkles there I wanted to get rid of. 4 days later the wrinkles are still very visible and it was a waste of money. I'm very disappointed. I've gotten Botox in the past with another doctor and got...

Don't Get Coolsculpting at Dr. Ayala's Office- Go Somewhere else - San Antonio, TX

The female staff who performed the coolsculpting criticized my body in a very insensitive way. She told me to expect some numbness, but this didn't occur leading me to believe the procedure was not done correctly. She was also unsure of where to put the apparatus on my body; couldn't understand the notes of previous staff, but did not ask for help. I never saw Dr. Ayala.

Get Coolsculpting Done Under the Supervision of a Doctor!!! - San Antonio, TX

The lady who performed my procedure asked why I didn't go to a gym when I do. She looked at my body very disapprovingly. She asked what I was eating. I felt very ashamed and wished I had gone elsewhere. To say the least, I thought it was unprofessional.

5 out of 5 stars Neck Lift

38 Year Old Professional. Need to Look my Best.

Dr. Ayala was very professional and caring. He took his time to answer all my questions and didn't seem in a rush to get me out of his office, like other offices I visited.

5 out of 5 stars Tummy Tuck

my belly doesn't go past my breast anymore! *Best Decision Ever

I waited for years to have surgery. A couple of months before the surgery I set out to find a Doctor. I came across a wounderful doc & staff. Dr Ayala truly made me feel comfortable & answered all my questions. His staff is absolutely the best set if ladies out there. All of them are very knowledgeable and have the nicest personalities. They always make me feel welcome and put me at ease. This...

5 out of 5 stars Non Surgical Nose Job

The Best Filler/botox Work I've Had. - San Antonio, TX

Very knowledgeable, skilled and honest. Does beautiful breast augmentations and nose jobs.

5 out of 5 stars Botox

Now in my 50's and After a Long Illness Need to Start Looking After Myself Again .... - San Antonio, TX

Excellent member of staff. Both very knowledgeable of the drug but obviously extremely experienced.

*Your results may vary. Any specific claims or permanence length of results vary for each patient and are not guaranteed.

Board Certifications

Board-certified by the American Board of Plastic Surgery


American Society for Aesthetic Plastic Surgery (ASAPS)
American Society of Plastic Surgeons (ASPS)


  • Undergraduate & Medical School

    Undergraduate: BA, University of Texas at Austin, Austin, TX, 1986
    Medical: MD, Baylor College of Medicine, Houston, TX, 1991
  • Post-Medical School Training

    General Surgery, Texas Tech University, El Paso, TX, 1996
    Plastic Surgery, Baylor College of Medicine, 1999

Treatments offered at Ayala Plastic Surgery

Most popular answers from John A. Ayala, MD

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What do I wear after Breast Augmentation? (photo)

Hello. This particular bra seems to be fine after 6-12 post-breast augmentation. Make sure the bra does not put direct pressure to the incision if the... READ MORE

I'm not sure if I want high profile or moderate. Which one would look better on me? (Photo)

Hello: A moderate profile implant is a flatter and wider implant, typically used on patients who have a wider chest and prefer less projection. A High... READ MORE

Left columella has protruding skin day 2 after septorhinoplasty. Will it need corrected? (Photo)

Hello: Congratulations on your recent surgery. Based on the photos you provided us, I would schedule an appointment as soon as possible to make sure a... READ MORE

Once my implants settle do you think my boobs will be perky and lifted? (photos)

Hello. After reviewing your photos, there is no doubt you need to allow more time for the implants to settle. At least 3-6 months from surgery.... READ MORE

7 days post op Tummy Tuck, I think I am psychologically dependent on my binding garment. Is this normal?

Hello. The compression garment gives you that support and compression that you need after surgery. Some patients feel anxious if they don't have the... READ MORE

Rhinoplasty for a narrower nose. (photos)

Hello. You can certainly reduce the width of the nasal bridge. Keep in mind that reducing the width of the bridge alone, it will make the tip of your... READ MORE

What are some cost effective ways of straightening a nose? (photos)

Hello. It is evident that your photos show a deviation of the bridge of your nose. Rhinoplasty will be your best option. Fillers will not help. It is... READ MORE

Is there a specific type of Spanx to wear post op revision of dog ears w/ lipo?

Hello. A compression garment is very crucial during recovery, however, the right garment must be selected. Your plastic surgeon surely has a brand and... READ MORE

5 weeks after tummy tuck feeling heavy on left hand side of lower abdomen. Is this normal?

Hello. Photos would help to assess your concerns. Nevertheless, having your plastic surgeon examine the area would definitely be your best choice.... READ MORE

3 weeks post op Rhinoplasty, there is still a curve and bump present on the bridge. Tip extremely full. Is this normal?

Hello. 3 weeks is still too early to determine the outcome of the procedure. It is very normal to still have swelling. The tip will take up to 1 year... READ MORE

Before and After Photos by Dr. Ayala

John A. Ayala, MD has shared 10 before and after pictures with 13 helpful votes from the RealSelf community.

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*Your results may vary. Any specific claims or permanence length of results vary for each patient and are not guaranteed.