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 9 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
5.0 out of 5 stars Time spent with me
5.0 out of 5 stars Phone or email responsiveness
5.0 out of 5 stars Staff professionalism & courtesy
5.0 out of 5 stars Payment process
5.0 out of 5 stars Wait times
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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

My coolsculpting procedure rendered no results whatsoever. I never saw Dr. Ayala. The procedure was performed by staff who did not have medical training. The female staff who performed it did not put the apparatus in the correct place on my body, but would not ask for help. She also made me feel ashamed of my body. I will never go there again for anything.

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

The coolscuplting personnel do not have MD supervision or special certification. The person who did my coolscuplting did not treat the exact areas I had chosen. When I cautioned this, she said the other person made mistakes and also wanted to charge me more than what was previously agreed. This staff was very disapproving about my body, made me feel ashamed. Afterwards, the coolsculpting has...

5 out of 5 stars Neck Lift

38 Year Old Professional. Need to Look my Best.

Hi everyone, I have been thinking about doing a neck lift for years now. I inherited a saggy little neck from my father and to say the least it's gotten saggier each year. I didn't have a problem with my front profile, the problem was when I caught an image of my side view. My decision to move forward was predicated upon me finding the right plastic surgeon. I consulted with 4 plastic...

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

Dr. Ayala's office is amazing. I've traveled coast to coast in search of a good doctor that could really use fillers but, it was always a bust. I've even met with "A list" surgeons from Beverly Hills to NYC- all left me with decent results; nothing spectacular. Moving to San Antonio; I never gave it much thought to scope the area out for local surgeons so, I finally did (since travelling...

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

It is bad enough reaching your 50's and looking in the mirror and wondering who is staring back at you, but I am in the position of having been seriously ill after being diagnosed with an auto-immune. It has taken me almost five years to get back on my feet again .... But now is the time to start looking after my physical appearance and not just my health again. I attended the clinic on an...

5 out of 5 stars Botox

Botox and Other Services - San Antonio, TX

Really enjoy my office visit every time I go! The staff is always so nice and friendly! I've had many Botox treatments before and Cynthia is by far the best I've been too! I've had other services as well, and had really great experience and awesome results! Thanks again to Genevieve and Cynthia!!! They always take great care of me, leaving me w/ the most positive experience!!!

Can't Wait for Boobies :) - San Antonio, TX

So I'm finally doing it. It's paid for & just waiting for my turn. Pretty much have the details figured out. I'm 5'6" about 120 lbs, wearing a 34A/B. Decided on 450cc high profiles, under the muscle, crease incision. I have some droop to my breasts and considered a lift but really didn't want to do it. After a few consults & posting my question here, I've decided to do the BA first and do...

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 12 helpful votes from the RealSelf community.

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