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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"Dr. Horndeski, Great doctor, minimal pain, very good bedside manners" "My breasts will be in good hands." "Dr. Horndeski was very experienced and explained the Bellesoma Breast Lift Method to me thoroughly."

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4.6 out of 5 stars 4.6 stars from 228 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
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Treatment results may vary

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

Dr. Horndeski is knowledgeable and to the point. I liked that. I expressed my desire to utilize this method because I wanted to reduce the strain on my neck and shoulders, even out size and lift my breasts with minimal scarring. He showed me pictures of the process itself. It's genius. I'm now 3.5 weeks out and I'm not sure how I feel about my choice just yet. I love that my breasts are a high and look great in a bra. As a matter of fact...I LOVE THE WAY THEY LOOK IN A PROPERLY FITTING BRA! I don't love that they look to me to be significantly smaller than what they were and there's a couple things that may need to be tweaked once I'm done healing. But hey, that's motive to shrink my body next. One of the things that you might want to note, if considering this procedure, is that forward projection of the breast is decreased but the base is significantly increased; and that's an adjustment in the way you view your breasts. I mentioned to him that I felt like the top of my breasts were somewhat flat. He said they looked good and were progressing well. At one point in time they were very triangular. The right one has significantly rounded out. So he was right. The left one still has a little bit to go. To clarify, I'm aware that this is a process and the results aren't apparent overnight. So for now, I'm still optimistic and patiently waiting. I think my shape, the feel of them and their placement in my chest is going to be fine. I am mildly concerned that my nipples do not look the same but I'm happy they are level and think this will be a quick, simple fix. I've had some complications but nothing that the doctor caused. Google Mondor's Disease. This happened to me and is a perfect example of why it's important to follow the instructions in the packet his office provides. When you're still swelling your bra can become tight causing this condition. Fortunately this is a temporary and isn't a major problem, but is definitely uncomfortable. After I read about how rare it was I was impressed that he immediately knew what I was talking about and provided insight. Today, one incision started weeping and I contacted his office staff. Jana was amazingly prompt, very helpful and gave me care instructions and called out a precautionary antibiotic immediately. Overall, I have to say my experience has been pretty positive and I'm confident my end results will be as well!

5 out of 5 stars Breast Lift

Ultimate Breast Lift (Bellesoma)

Dr. Hordneski and Elsa were great. If I ever need anything else concerning my breasts he is the doctor I will be going to! They were courteous and helpful as well as his staff.

5 out of 5 stars Breast Reduction

Hordenski Method and Bellesoma Method - Houston, TX

Awesome, attentive, didn't bother me unless needed.

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

Dr. H is absolutely fantastic. He is caring and he listens. His staff is absolutely wonderful. I live in Denver and when I returned home, his surgical nurse called and texted me almost every day to check up on me even on the weekends. That level of care is above and beyond!

5 out of 5 stars Breast Lift

Feeling Rejuvenated - Sugar Land, TX

Dr. Horndeski is definitely one of the best.

5 out of 5 stars Breast Lift

Ultimate Breast Lift with Dr H - Sugar Land, TX

Dr H and his excellent assistant Elisa gave me 100 percent professional and really friendly pre op and post op care and communication .

5 out of 5 stars Breast Reduction

Better Than I Could Have Imagined - Sugar Land, TX

Dr. Horndeski is a trailblazer. He is kind, thorough and precise.

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

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

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

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

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

Will 200cc, High Profile Implants on my 5'4", 114lbs. Frame Look Natural?

If you wear a size 34 or 36 bra then 200 cc corresponds to 1 cup size change. If you are a 30 or 32 then 200 cc will correspond to 2 cup sizes. If all... 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

Before and After Photos by Dr. Horndeski

Gary M. Horndeski, MD has shared 88 before and after pictures with 1,570 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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*Your results may vary. Any specific claims or permanence length of results vary for each patient and are not guaranteed.