Gary M. Horndeski, MD

I'm a 35-year-old Canadian woman who was looking to improve the appearance of my lower face. I chose to travel to Houston because I liked Horndeski's before & after pictures and his personality. Having the procedure done while conscious is not the most comfortable thing in the world; however, it's doable and the obvious benefit is that you can walk out of the clinic yourself. I'm only 6 days post-op, but healing is going to be fairly uneventful from here. Am I happy? I think the difference between my before and after pictures speak for themselves.
I chose to stay in Texas for the acute healing period, but people who are less hypervigilant could probably go home. If this is a procedure you're interested in, you should strongly consider this surgeon.

Amazing results. Love Dr.Horndeski and all his staff. I had little pain and quick recovery. I love my results. I also had breast reduction and lift with his bellasoma method which changed my life. No more pain and amazing results also.

Excellent experience from beginning to end. I cannot recommend this doctor and all his staff enough. I love my results and love not having any scars and almost weightless breasts due to his bellasomo procedure.

45 yr old Mother of 3, Breastfed all 3 children. The last one until he was nearly 4.
I’ve been researching doctors for 10 years specializing in breast reductions and lifts without implants and they’re few and far between. Have had 3 prior paid consultations and Dr. Horndeski was my fourth and last and it was free! Our FaceTime consultation was very thorough and enjoyable. I appreciate his honesty and hard truths. He does not sugar coat anything and uses his skill to determine your individual outcome. I am 4 days post op and feeling fantastic! This is the best thing I’ve ever done for myself and my only regret is that I didn’t do it sooner.

I went from 36DDD to 36C using the Bellasoma method developed by Dr. Hordeski.
In my opinion, he is nothing short of brilliant for revolutionizing the traditional breast lift. No lollipop scars which were a major deterrent for getting a traditional lift.

Thanks to Dr. H, I have what I know will develop into beautiful, full, breast with zero sag factor.

I booked and paid a deposit over a year ago.
Traveled from very far away for this surgery. Had a very smooth pre- op the day before and I was not nervous at all. I was so excited and something about talking face to face with Dr. Horndeski and his staff just gave me a calm, reassuring feeling. I knew I was in good hands.
I feel the need to mention that I have been through several surgeries (none cosmetic) with a multitude of scars and have a profound disdain for some surgeons and doctors, others I respect highly. It takes discernment to know wether you’re being sugar coated or not and Dr. Horndeski never gave off any of these vibes.
Had surgery on Wednesday Nov 29, 2023.
While driving to the hospital (I’m not gonna lie) I was a little sketched out by the neighborhood the hospital was in. (Different surgery location from Dr.H’s office.)
The hospital staff was so friendly and efficient. They had me take a urine sample to assure I was not pregnant then I was asked to stand against a wall to get several measurements and photos. I was asked to lie down for more measurements because your breasts sit different while lying down. Then I was whisked away to surgery. I was in and out before I knew it.
I was met in recovery by doctor, assistants, and nurses who took the utmost care to ensure my comfort.
I had a 2 1/2 hour drive back to my girlfriends house in rush hour traffic and that was painful but I was pretty doped up so it was tolerable.
1st night I did not sleep much. Was uncomfortable but pain was always tolerable. The first night I took the pain meds and

Dr. Horndeski is super smart, confident, and has a very high expertise regarding all aspects of the body and face. As mentioned in an earlier review, my breast reduction and lift surgery was the best thing I've ever done. He's really an artist. I went back two years later for ear pinning and lift lip and mini facelift. I will go back next summer for additional lift lip, but I'm glad he wasn't over aggressive the first time. The mini-lift was painless, quick recovery, and made a big difference. What can I say about the ears as they are not so exciting, but he did the job! All of these procedures were done in his office and I came back two days later for a check and then was off. Recovery for all these procedures was fast, and within three weeks no evidence I had anything done except for the slight visible scarring under the nose. It was easily covered with makeup though until it went away. Highly recommend!

As an incentive for posting a review, this reviewer received an entry into RealSelf’s monthly $500 gift card giveaway

My experience with Dr. Horndeski was wonderful. I went from being a 30 F to a 30C. It's been a few years and I am still lifted, can easily go braless. They are SO MUCH higher than they were before that it took years off of my looks. Very youthful. Also, lifelong adulthood backaches that I always attributed to my curved spine are all gone. He's an efficient and very capable doctor, not super chatty, which is perfect for me.

I’ve been a patient of Dr Horndeski since 2000. He has performed many plastic and cosmetic procedures on me. I’ve been very happy with all of them. While I lived out of town for a brief time, I came over here just to see him.
He is honest with opinions pertaining what is best for the patients.
Last year I wanted to enhance my upper lip. He suggested a procedure that would make my lips look more natural and it would be permanent.
I’m extremely happy with the results.

The very first interaction with the office staff set a high standard! Jana and Shiloh are professional, kind, and simply wonderful to work with. Due to many personal issues I had to cancel and change dates for my surgery more than a few times and they made everything workout seamlessly.

Dr. Horndeski is a true innovator and perfectionist. His assessment of my needs and desires as well as the through explanations of the procedures, made me feel complete at ease. Post operative care by all three has been exceptional.

I highly recommend without any reservation,Dr. Horndeski for anyone seeking plastic surgery of any kind, but especially breast augmentation.

As an incentive for posting a review, this reviewer received an entry into RealSelf’s monthly $500 gift card giveaway.

I was very nervous to get this procedure done but i'm very happy with my results.
Day 1 was the worst. I couldn't do anything by myself. I was helped
when going to the restroom and even sitting up so i could take medication.
Day 2: i was able to walk a little bit but it was a little bit too much for my body. I went to the mall and had to take breaks whenever i walked. I was able to sit up by myself this day.
Day 3: i was able to walk around with ease. Getting up was a lot easier than day 2. I'm in less pain. my mom left the airbnb and i took care of myself just fine.
I'm waiting for them to drop and i might get a laser scar treatment!

Updated on 17 Aug 2024:
little update. i got 1 session of scar lightening so far and 1 session of a areola lightening tattoo. planning to do more :) i cant wait to see what ill look like in the future. I think i waited a year before doing any type of lightening/tattoo procedures

Backstory: My breasts grew overnight the summer between 8th and 9th grade. At first I loved them but then slowly I began to hate them. They grew to be bigger than a 38DDD but I refused to buy bigger bras and they would spill over giving me quad boobs. I couldn’t run, jump on a trampoline with my kids, hop, or just do anything that would jiggle the girls and draw attention. They became such a pain as I aged and slowly they began to sag. My body is not terribly huge and it was always so hard to find clothes to fit due to how big the girls were. I’d have to order a size 14 dress so it would be big in the tummy area, don’t get me started on swimsuit sets, I’d have to buy two different sizes and pay double so I could piece together the top and bottom.

I met with several different breast doctors before deciding to go with Dr. Horndeski. I read all the bad reviews and good reviews. I love how there are so many patient pictures on this website. The one thing I loved is the consistency with how well they all turned out. I think not having a vertical scar really does something aesthetically. I met with Dr. Horndeski and I immediately knew I wanted him to do my surgery. He’s not a kiss your butt and all warm and fuzzy person. He reminds of a super smart person that has a hard time socially so he talks fast and doesn’t have things linger. He answered all of my questions and he stepped the process out for me. I told him I’d sleep on my decision and the next day I called and scheduled my appointment.

I went for my preop two days before the procedure and got my meds, post op packet, made payment and got everything ready at home.

Surgery Day: my husband and I got to the surgery center bright and early to do bloodwork and get all checked in. The surgery goes for 4 to 5 hours. The staff of the airy center was amazing. The doc did all of his software calculations and drawings all over my boobs and then I was whisked away for treatment. The next thing I knew I was waking up in post op.

Post Op: I’m 2.5 weeks out of surgery writing this review. I needed help the first 5 days. Had my husband wash my hair and help me in the shower. I slept a ton in a gravity chair and had everything I needed next to me on a table but it was easy to get up and down if I stayed on top of all my meds consistently. My steristrips came off at the two week mark. I had drains that come out on the 5 day mark. The part of my underboob that looks like a hole isn’t. There is a stitch internally that breaks and that comes down eventually. I’m able to fit in a 38D and I might end up in a C cup but time will tell. There is still bruising but Arnica has been my best friend for getting rid of that.

Please ask if you have any questions.
Updated on 24 May 2023:
I have been on this journey ever since the summer between 8th and 9th grade when my boobs grew overnight. They grew into DDD’s by the time I went to college. The neverending stares or comments from people were annoying. I didn’t want these and I dang sure didn’t want the attention that they granted me. Fast forward to the age of 39, I visited 4 doctors for consults to have a breast reduction. None of them sat right with me except for one.

When I went for my first meeting with Dr. Horndeski, he was very thorough in his explanation of his method, pictures included. He seemed very proud of his work and very confident he could get me to where I wanted to be. The thing that stuck with me about our meeting is his mathematical equation process, which made perfect sense instead of eyeballing how they should look. None of the other doctors did anything like this. I read the reviews about him and people say his bedside manner is not their favorite. I will say this, I would rather have someone who is straight to the point and not all warm and fuzzy that does an amazing job, than someone who wants to hold my hand and butchers my boobs.

My pre-op appointment went smoothly, I went in to pay, get my instructions and prescriptions and left.

Surgery Day! (05/03/2023) - My husband drove me to the surgical center where we waited to be called back. I had to do a urine test and it was off to the surgical table. Dr. Horndeski drew all over my chest and used his software to determine what we were doing. I had to lay on the table, get up, lay on the table, get up and then lay back down for the last time. The nursing staff at the center were so kind. I’m so nervous when it comes to needles so they talked to me and told me stories. They put me under and the next thing I know I was waking up with everything done. Word of advice, bring your own saltines and 7up because theirs was nasty. They started going over the discharge instructions and going over the drains when my husband was standing up walking to the other side of the bed, he passed out, hit his head and they had to rush him to the emergency room (luckily, thanks to the staff, he’s doing great) needless to say it was very eventful for us. So they decided we couldn’t leave and the staff took great care of me until another family member could come get me and they transferred my husband to another hospital that could take better care of him. He was discharged the day after. During all of this Dr. Horndeski and his PA, came back to the surgery center to check on my husband, which was incredibly kind of them to do.

Day after surgery - My mother took me to my post op appointment where Dr. Horndeski took the bandages off and put my bra on. The car ride didn’t hurt a bit which was nice since it’s an hour to my home from his office. I was able to take a shower after this which made me feel so much better.

4 days after surgery - The drains came out and I felt so much better with them out. I was able to wash my own hair and keep up with my own pain meds and muscle relaxers.

I am now 3 weeks out posting about my experience. I’m so glad that I went with Dr. Horndeski, I think he did a beautiful job. Yes, there’s a couple small things that are fixable, I have a dog ear on one side and a dent that is supposed to pop out when the suture dissolves but all in all they still look a hundred times better than the doctors that use the vertical scar method. I am able to do most things except reach my arms over my head or smoosh my boobs down. I have two kids and one of them doesn’t realize to not hug me hard because my boobs are still healing. All in all I should’ve done this sooner but I’m glad it’s done and according to the doc, they should continue to look better and more round. So far I went from a 38DDD to a 38D, I might end up being a C by the end of the healing process. I am so incredibly happy with Dr. Horndeski and I will recommend him to anyone who asks me about my experience.

As far as the bad reviews go, some are ridiculous since they didn’t even have surgery. I researched all the things about him and found those reviews to be false. Don’t take everything you read as law, do your own due diligence and let the photos speak for themselves.

RealSelf is not letting me upload all of my photos, I'm going to post this review and try and upload them in the comments.



Updated on 21 May 2024:
I’m updating on my one year breast reduction surgery showing how they look with the scars faded. I never got the imperfections fixed because life happened but they definitely let me know some things that needed to be fixed.