Texas Plastic Surgeon
14887 Southwest Freeway
Sugar Land, Texas 77478 US

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Free Consultation- No Vertical Scar Breast Lift
Free consult- No Vertical Scar Breast Reduction
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31 years experience
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4.6 out of 5 stars 4.6 stars from 222 reviews See details Hide details
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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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5 out of 5 stars Breast Implant Removal

60 year old breast explant and lift - Great Experience!

60 year old with 10 year old implants. One breast was sagging almost to my belly button and the other was only two or so inches higher. I had over filled (450 cc) implants that were almost falling out. Surgery was Friday, March 3, 2017 - I am SUPER PLEASED. Today- 5 days later- the drains were removed. The drains were the most difficult part of recovery. Dr. H explained everything in...

5 out of 5 stars Breast Reduction

Bellesoma Reduction and Lift - Sugarland, TX

I had a reduction and lift with the Bellesoma technique and it's genius! I love that I don't have the extra scar. My breasts are so much more youthful looking than my friends who had the traditional lift. The pain was minimal and well handled by the meds. His Office Manager is top notch. Jana was fabulous and so helpful with all the zillion questions I asked. I'm loving that the top of my...

5 out of 5 stars Breast Lift

Ultimate Breast Lift (Bellesoma)

I'm writing this review again, somehow it didn't post the first time. It is almost 6 months post-op since I had the Ultimate Breast Lift by Dr. Hordneski. I love my breasts. I had a lift back in 2008 and 6 months later back to where I started. I still have to go for scar revision later in January or I can start it by then. Still with the scars I love my breasts. I just wanted normal...

5 out of 5 stars Breast Reduction

Hordenski Method and Bellesoma Method - Houston, TX

This procedure was the best thing ever for me. I was in and out and back to work, helping with the kids, and school after a week. I definitely had to be careful but I wasn't dependant on anyone for more than a week. The best part, it feels like I have no breast weight, I'm finally working on my posture without back cramps, and I look thinner and normal sized now, thank God! Definitely...

5 out of 5 stars Breast Lift

Best Decision Ever

After 3 pregnancies and the accompanying fluctuation in weight and breast size, along with nursing 3 children a total of 7 years, my breasts were in desperate need of a lift. A few hours of online research later, I came across Dr. Horndeski and his Ultimate Breast Lift procedure. As a person with an engineering background, I found it very comforting and reassuring that he was an engineer by...

5 out of 5 stars Breast Lift

Over 50 with Much Needed Breast Lift

I had been looking at this issue for about 20 years, but could not bring myself to do the traditional breast lift due to the vertical scars. In 2015, I was checking to see if there were new options, and was thrilled to run across Dr. Horndeski. Thanks to him, I have the shape breast I have always wanted, and the scars are hidden except for the outsider side of each breast... whose appearance...

5 out of 5 stars Breast Lift

Pain Free After 8 Years

I had two breast reductions and lifts before Dr. H. They resulted in severe pain in my left breast. I am short waisted and even after 2 lifts/reductions, my breasts were still large and sagging. I was considered high risk because of the two previous surgeries but I was in severe pain constantly and needed another surgery. Dr. H found massive scar tissue in my breast, spent hours removing it,...

5 out of 5 stars Breast Lift

Feeling Rejuvenated - Sugar Land, TX

After years of being discouraged that my breasts were sagging, I went to Dr. Horndeski for a breast lift. I did a lot of research and I knew from customer reviews, the before and after pictures, and from his unique procedure that he was the right person to do my beast lift. I wasn't disappointed, the procedure went well and I don't have an ugly scar down my breast (like other breast lifts will...

5 out of 5 stars Breast Lift

Ultimate Breast Lift with Dr H - Sugar Land, TX

This was an ultimate breast lift following a breast lift I had had done ten years earlier . ThrcdyFg, Elisa , Dt H were Sll just fantastic . I was given much pre op and post op advice . The operation went well . One year later my scars have faded , I have upper pole fullness , no back or neck ache ! I always scar very badly - I just have slow healing and that sort of skin . My UBL was the...

5 out of 5 stars Breast Reduction

Better Than I Could Have Imagined - Sugar Land, TX

I had been considering a breast reduction for several years and in particular the last 2 years. After years of fluctuations in weight due to 2 pregnancies and personally, my breasts had gone from a 34/36D to 36 G/I. I found Dr. Horndeski from a random Google search and felt comfortable with his approach to his craft from a practical math standpoint. After meeting him for a consultation in May...

Personal Statement

"There is scarcely a subject that cannot be mathematically treated and the effects calculated or the results determined beforehand from the available theoretical and practical data. " Nikola Tesla

Board Certifications

Board-certified by the American Board of Plastic Surgery


Fellow, American College of Surgeons (FACS)

Awards & Recognition

RealSelf Top Doctor


  • Undergraduate & Medical School

    Medical: MD, Case Western Reserve University
  • Post-Medical School Training

    General Surgery, University Hospital of Cleveland
    Plastic and Reconstructive Surgery, University of Texas branch at Herman Hospital
    Microvascular Reconstructive Surgery, with M.D. Anderson
    Hand Surgery, Wayne State University

Treatments offered at Horndeski Plastic Surgery, where he invented the Bellesoma Method

Blog Posts and Articles

Abdominoplasty with Mesh Reinforcement Ventral Herniorrhaphy

Plastic & Reconstructive Surgery: August 2011 - Volume 128 - Issue 2 - pp 101e-102e Abdominoplasty with Mesh Reinforcement Ventral Herniorrhaphy Horndeski, Gary M.D.; Gonzalez, Elisa P.A.-C. Mainland Medical Center, Texas City, Texas Ventral hernias occur postoperatively in 10 to 20 percent of laparotomies from failed healing or develop spontaneously from architectural deterioration of the abdominal wall.1 Hernias unload the muscle-aponeurosis, allowing it to retract,...

Weight Loss Surgery as Systems Engineering

Gary Horndeski was early into his plastic surgery practice in the 1990s when he noticed that his tummy tuck patients continued to lose excess fat and maintain their new weights without trying. He says he might have shrugged it off as a coincidence if it weren't for his engineering background. Instead, he speculated that a person's satiety could be controlled by additional intra-abdominal pressure. Horndeski—an aspiring electrical engineer before detouring into medicine in...

Abdominoplasty with Mesh Reinforcement

Aesthetic operations of the abdominal wall have evolved from skin excision to fascial plication and muscle transposition. Many techniques have been advocated without objective proof of superiority. Weight reduction after abdominoplasty is an aesthetic improvement that is easily quantified. The use of mesh for hernia repair and abdominal wall reconstruction is well established. The combination of mesh and plications for aesthetic abdominoplasties has been reported previously.(1,2) During...

Most popular answers from Gary M. Horndeski, MD

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Consensus on the Ultimate Breast Lift Technique? Would I Be a Good Candidate for No Vertical Scar? (photo)

Dear Bean, Unfortunately for my well meaning colleagues the Ultimate Breast Lift is a proprietary technique and, therefore, not readily available... READ MORE

Why Hasn't the No-vertical-scar Breast Reduction and Lift Technique Gained Wide Acceptance?

Thank you for your question. I invite you to research the Ultimate Breast Lift/Reduction technique. This technique does not require a vertical... READ MORE

After a Tummy Tuck Will I Be Limited on my Food Intake for the Rest of my Life? Will my Stomach Get Enlarged Again?

The answer is no. What you are experiencing now is the tightness of your abdominal muscles. This creates intra-abdominal pressure which translates... READ MORE

How Long is the Recovery from Brow Lift?

Recovery time from a standard brow lift is usually about 2 wks. Your recovery can be sooner if you can sleep without laying on your back. I generally... READ MORE

Not happy with my 550cc breast implants, should I have them redone? (photos)

550 cc implants weigh over 1 lb each, which stretches your skin and the implant descends.Unfortunately, you have not told us your bra size just your... READ MORE

Breast Lift Alternative for Large Breasts?

Hi, The most commonly used technique to lift large breasts is currently based on the Wise pattern. This was developed in 1957 based on the concept... READ MORE

I would like to ask opinions. I want new implants. Mine have lost volume and rippled due to weight loss. (Photo)

Hi,Just a word of caution. The larger the implant, the heavier it is, the sooner they will sag. I suggest you have them placed behind the muscle to... READ MORE

I Am Wanting to Have Large Implants Exchanged for Smaller Ones, What About the Risk of Loose Skin?

If your current size is 32 DD and you desire a C, that is 3 cup sizes smaller. For a 32 inch chest that corresponds to 300 cc's. Your 350 cc... READ MORE

I Want More CC's, Why Won't My Doctor Go Bigger?

Hi, 50 cc will NOT make a visible difference. As a general rule; 200cc roughly equals 1 cup size. So, if he is suggesting 450cc implants that will... READ MORE

Will Breasts Sag if I Decide to Explant?

The answer to this question varies greatly. But, in an effort to keep things simple, here it goes. Breasts usually return to their original state... READ MORE

Before and After Photos by Dr. Horndeski

Gary M. Horndeski, MD has shared 70 before and after pictures with 1,474 helpful votes from the RealSelf community.

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Videos by Gary M. Horndeski, MD

Gary M. Horndeski, MD has shared 5 videos.

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Alternative Breast Lift: No Implants or Vertical Scarring

Dr. Gary Horndeski joins us live at PSTM 2016 to discuss the why breast implants make it difficult to get a lift for drooping breasts and what can be done instead. WATCH VIDEO

How to Avoid a Vertical Scar — The Doctor Shares His Breast Lift Technique

Live from Vegas at ASAPS 2016, Dr. Gary M. Horndeski answers questions about breast lifts and breast reductions. WATCH VIDEO

Don't Make Them Smaller, Just Lift Them — See This Woman's Surgery (GRAPHIC)

This young woman wanted her breasts lifted but wanted to make sure she could breastfeed. Dr. Gary Horndeski explains his technique. WATCH VIDEO

Pre-Op Video: See This Patient Before Her Surgery

This patient of Dr. Gary M. Horndeski's is happy with her current volume and doesn't want a vertical scar. See what she looks like before a breast lift. View her post-op results: http://bit.ly/1DeMlrK WATCH VIDEO

Do You See Any Scars? This Woman Shares Her Breast Lift Results

See the results of this breast lift using the patient's own tissue. Incisions are hidden in the shadow of the breasts and around the areolas. See this woman before surgery: http://bit.ly/1ACPH6U WATCH VIDEO

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