Procedures
Sculpted To Your Desires, Perfected With Expertise

An Artist & Visionary in Plastic Surgery
Welcome to the plastic surgery practice of Dr. John Ayala, a renowned plastic surgeon offering state-of-the-art cosmetic enhancement of the face, breasts, and body. As a discipline that combines both art and science, aesthetic surgery requires a unique level of training and natural talent to achieve exceptional results. With his comprehensive educational background and illustrious experience training under the country’s most renowned plastic surgeons, Dr. Ayala melds his technical expertise with the principles of beauty, symmetry, and proportion to create the best possible outcomes for patients in and around the San Antonio area. From breast augmentation to a complete Mommy Makeover, Ayala Plastic Surgery provides the high-quality care necessary to meet your aesthetic needs.
DR. AYALA SERVING SAN ANTONIO FOR OVER 26 YEARS.
VOTED TOP DOC MULTIPLE TIMES.
Procedure Spotlights
Breast Augmentation
We understand the confidence that comes from having your appearance align with your aesthetic desires. Dr. John Ayala takes great pride in providing the latest breast augmentation techniques and implant options for patients seeking an improved body contour. By working with you to determine the best implant type, shape, and size for your cosmetic goals, Dr. Ayala is able to achieve elegant enhancement that can accentuate your feminine features and complement your natural beauty.
Rhinoplasty
When the nose appears disproportionately in relation to your surrounding features, you may feel an overall lack of facial harmony. Deemed a “surgery of millimeters,” rhinoplasty is among the most powerful aesthetic procedures to create a more balanced relationship between your facial features without sacrificing the natural character of your face. Whether the improvements you seek involve refining the nasal tip or bridge, adjusting the width of the nostrils, or simply establishing a more harmonious foundation for the nasal framework, even small changes made during rhinoplasty can yield a significant enhancement.
When skillfully executed by a highly experienced aesthetic plastic surgeon, rhinoplasty can achieve a greater sense of balance while improving any breathing issues caused by a deviated or misaligned septum.
Mommy Makeover
Motherhood is undoubtedly a gift, but our team understands that many women feel helpless after discovering the ways in which their body changes during pregnancy and breastfeeding. More than anyone, moms deserve to feel the confidence and empowerment of feeling like the best version of themselves. A Mommy Makeover can be exceptionally transformative in restoring a patient’s pre-baby body through a customized series of surgical and non-surgical treatments — each tailored to their individual concerns and unique goals.
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Reimagine Your Beauty, Non-Invasively
Dynamic rejuvenation without the downtime — explore a broad spectrum of non-surgical and minimally invasive services at Ayala Plastic Surgery designed to diminish signs of aging, encourage a more youthful complexion, and reveal a radiant, healthy glow.
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Planning Plastic Surgery in San Antonio With an Experienced Board-Certified Surgeon
Most people researching plastic surgery are at the beginning of a long decision. Some already know the procedure they want and are comparing surgeons; others know only that something about their body or face no longer matches how they feel, and they want to understand what is realistic. Dr. John Ayala has spent more than 26 years helping San Antonio patients in both positions, and the practice aims to make every consultation a clear, unhurried conversation rather than a sales pitch.
Dr. Ayala is a board-certified plastic surgeon who performs surgery of the face, breasts and body, with non-surgical treatments available through the practice med spa. His education includes the University of Texas at Austin, Baylor College of Medicine and Texas Tech University Health Sciences Center.
A useful way to start is to name the concern rather than the operation. Changes to the abdomen after pregnancy are often discussed alongside a mommy makeover, while loose skin after significant weight loss is usually a separate conversation about body contouring. Breast concerns range from size to shape to heaviness, which is why augmentation, lifting and reduction are best compared side by side. Facial concerns can be addressed surgically or, in some cases, through the med spa.
Patients travel to the practice from Laredo, Del Rio, Boerne and beyond, and the team offers virtual consultations and travel-friendly guidance for those coming from out of town. When comparing practices, it helps to look at credentials, before and after photos and how each practice supports patients before and after surgery.
Whichever route you are considering, the first step is the same: an open conversation about your goals and health history. If you would like to know more about the surgeon on the other side of that conversation, Dr. Ayala's training and background are a good place to start.
Is Dr. John Ayala board-certified?
Yes. Dr. Ayala is a board-certified plastic surgeon who has served San Antonio patients for more than 26 years.
Do I need to know which procedure I want before booking a consultation?
No. Many patients come in with a concern rather than a procedure in mind, and the consultation is the place to discuss which options may suit your goals.
Can I have a consultation if I live outside San Antonio?
Yes. Patients travel from Laredo, Del Rio, Boerne and other areas, and virtual consultations are available for out-of-town patients.













