Medical Spa (Non-Surgical Treatment)

Our San Antonio medical spa boasts a range of cutting-edge treatments designed to enhance the face, skin, body, and breasts. In addition to our surgical procedures, we also offer high-quality cosmetic enhancement without the need for surgery or downtime. From anti-aging and facial rejuvenation procedures to non-surgical fat reduction and laser hair removal, our minimally invasive treatments are designed to accommodate a diverse range of patient needs.

Explore our advanced med spa services by selecting the aesthetic concerns you seek to improve below. If you would like our experienced providers to help you determine the most optimal treatment(s) to achieve your goals, or if you’re ready to book an appointment, please contact Ayala Plastic Surgery online or by calling (210) 962-5654.

What Concerns Can I Improve With Non-Surgical Treatment?

Stubborn Fat

Slim and sculpt problem areas with CoolSculpting®—a state-of-the-art method of non-invasive fat reduction that uses controlled-cooling technology to destroy fat cells.

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Unwanted Hair

Eliminate the hassle of shaving and waxing, and enjoy silky smooth skin all year long.

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Acne, Pigmentation, and a Damaged Complexion

Erase imperfections and restore a radiant, even skin tone.

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Loose Skin

Combat skin laxity and recontour areas of excess skin.

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Wrinkles, Volume Loss, and Facial Aging

Turn back time on your appearance by smoothing wrinkles and rejuvenating flat facial features.

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What are My Med Spa Treatment Options?


Struggling with excess fat, but hesitant to commit to the downtime and invasiveness associated with surgery? CoolSculpting® is an innovative fat reduction technique that uses controlled cooling technology to “freeze off” fat cells, allowing fatty tissue to be eliminated through natural processes and without needles or incisions. This non-surgical treatment can slim and contour the abdomen, arms, thighs, flanks, and many other pockets of localized fat around the body.


Laser Hair Removal

Laser hair removal can help you enjoy smooth skin without the hassle and inconvenience of routine shaving and waxing. This very popular cosmetic treatment uses high-concentration bursts of light energy to target and destroy unwanted hair follicles with laser precision. This can be accomplished without harming the surrounding skin tissue. At Ayala Plastic Surgery, we can treat virtually any area of the body with laser hair removal, including the underarms, legs, arms, chest, hands, and more.


Laser & Resurfacing Treatments

Chemical Peels

Chemical peels can be a simple treatment to refresh and revitalize the face through exfoliation, a process that can remove dead skin cells from the surface layer of the skin to reveal a softer, smoother complexion. There are many different chemical peel formulas that can be applied according to your unique needs and concerns, allowing for customization in the strength, depth, and topical solution of the peel.


Dermaplaning and Vibradermabrasion

Clogged pores, dirt, oil, and sun damage on the surface of the skin can make your complexion look dull and unhealthy. Dermaplaning and vibradermabrasion are two medical spa treatments designed to remove dead skin cells from the superficial layer of the skin, revealing a more radiant skin tone and texture. While dermaplaning uses manual exfoliation to rid the skin of impurities, vibradermabrasion utilizes a vibrating surface that is guided over the facial planes to minimize pores and improve the appearance of fine lines, acne scarring, and other skin imperfections.


Laser Skin Resurfacing

Laser skin resurfacing can provide a vast improvement to a variety of skin concerns, including fine lines, acne scars, wrinkles, and sun damage. This skin rejuvenation treatment is designed to remove the top layers of dead skin, leaving behind healthier skin cells and a more radiant complexion. Dr. Ayala offers two laser skin resurfacing technologies, the AcuPulse™ and the Eclipse Skinfinity RF™, at our med spa to rejuvenate damaged skin and achieve a more youthful look.


Secret™ RF Microneedling

Secret™ RF microneedling incorporates two advanced facial rejuvenation technologies that are each capable of treating wrinkles and fine lines, lightening pigmentation, reducing stretch marks, and tightening loose skin. When combined, microneedling and radiofrequency (RF) energy can completely revitalize the tone and texture of your complexion. As one of the most in-demand rejuvenation techniques available today, microneedling works by making thousands of tiny micro-perforations in the skin via a special handpiece. The applicator is guided along the skin, triggering the body’s natural healing mechanisms and stimulating the growth of new skin cells. Radiofrequency energy is delivered below the skin’s surface at the same time, gently heating the underlying tissues and tightening excess, crepey skin. With the versatility to treat delicate regions of the face as well as larger portions of the body, Secret™ RF microneedling can improve concerns including acne, blemishes, wrinkles, laxity, stretch marks, and sun damage to produce more supple, firm, and healthy-looking skin.

IPL Therapy

Short for “Intense Pulsed Light,” IPL is a resurfacing treatment that can erase an array of scarring and pigmentation concerns. This laser is designed to emit multiple wavelengths of light energy to the target area, non-invasively eliminating wrinkles, dark spots, unwanted hair, unsightly veins, freckles, and other blemishes. Also known as a “photofacial,” treatment with IPL can reach the deeper dermis without penetrating the superficial skin layer, leaving the surface of the skin unharmed.

Erbium Laser Resurfacing

The erbium laser is a leading skin resurfacing technology that can treat fine lines, acne scarring, pigmentation, and other concerns on the surface of the skin. Since the dermal laser is “fractional”—meaning it only addresses a fraction of the skin at a time—treatment with the erbium laser can lead to less swelling and discomfort when compared to other technologies. Erbium can also be more amenable to darker skin types when compared to other laser-based resurfacing treatments.

Tattoo Removal

Our med spa also offers tattoo and pigmentation removal using state-of-the-art IPL skin resurfacing lasers. During treatment, short pulses of light energy gradually break down ink particles into tiny fragments. After multiple sessions, the tattoo is gradually lightened with the help of the body’s natural clearing cells (called macrophages). With our cutting-edge Intense Pulsed Light technology, laser tattoo removal can be very effective at clearing pigmentation with a minimal risk of scarring.

Enlighten® Pico Tattoo & Pigmentation Removal

Enlighten® is another cutting-edge option to address unwanted tattoos and pigmentation on the skin. Using advanced laser technology, Enlighten® can help remove old tattoos or benign pigmented lesions to restore an even skin tone. This system utilizes a series of short and long pulses to shatter pigmentation and lighten age spots, brown spots, multi-colored tattoos, and more. Not only can Enlighten® target pigment without harming the surrounding tissue, but treatment also often produces a brighter, healthier look to the skin in treated areas. Best of all, Enlighten® can erase unwanted tattoos and pigmented lesions in fewer sessions than other tattoo removal technologies.

Vein Removal

If unsightly veins on the face or legs are hindering your confidence, Intense Pulsed Light therapy can be utilized to destroy these blood vessels and help you achieve a clear, even skin tone. This is accomplished by emitting bursts of high-intensity light, which target the dermis to fade and eventually eliminate dark red or blue blood vessels. Since the IPL laser passes harmlessly through the surface skin, there should be little to no risk of scarring.

Skin Tightening

If loose skin and wrinkles are causing you to look older than you feel, John Ayala, MD offers two treatment options to non-surgically lift and tighten sagging skin. For in-office treatment, EndyMed™ is designed to emit radiofrequency energy to revitalize collagen production and tighten lax skin on the face and neck. Patients who would like to rejuvenate their skin in the comfort of their own home may benefit from treatment with NEWA®, an FDA-approved at-home beauty tool that uses the same radiofrequency technology as EndyMed™ to minimize facial lines and skin laxity.



Some of the most common concerns caused by decreased collagen production include a lack of skin elasticity and firmness, resulting in loose, excess skin. Using radial pulse therapy, ZWave® can be an exceptional skin tightening treatment to stimulate the production of new collagen and achieve firmer, smoother, and more elastic skin. In addition, ZWave® has been proven to reduce the appearance of cellulite and skin dimpling.


Thread Lift

A thread lift is designed to suspend the facial skin using internal sutures, thereby creating a tightening effect that can make the face look more youthful. Smoothing the skin with a thread lift can also catalyze the body’s natural healing response and lead to increased production of collagen, which is essential to maintaining a full and firm skin tone. This non-surgical treatment can be ideal for patients who are not yet ready for a facelift and offers the advantages of virtually no downtime, scarring, bruising, or bleeding.

Injectables & Facial Rejuvenation

BOTOX® Cosmetic

BOTOX® Cosmetic has helped countless men and women smooth expression wrinkles that contribute to the look of facial aging, such as brow creases, frown lines, and crow’s feet. This highly popular injectable works by temporarily relaxing the muscles that cause facial lines to develop, refreshing the appearance of the face and achieving natural-looking results that can last months.



JUVÉDERM® is a hyaluronic acid-based injectable gel designed to treat volume loss in the face. The formulation can be used to fill facial depressions, smooth wrinkles and creases, and generally enhance fullness in your facial features. This can achieve a more rejuvenated look without the downtime or invasiveness required by surgical procedures.



If you’ve lost the youthful contour around your cheeks or struggle with deep nasolabial folds, JUVÉDERM VOLUMA XC® can be an excellent dermal filler to restore youthful volume in the mid-face. As one of the only FDA-approved fillers specifically designed to treat mid-facial volume loss, JUVÉDERM VOLUMA XC® can improve the appearance of flat cheeks, minimize nasolabial folds, and enhance fullness in sunken facial planes.


PRP Facial Rejuvenation

Platelet-rich plasma therapy, or PRP, is an advanced technique that uses the growth factors found in your own plasma to stimulate cell growth. When applied towards facial rejuvenation, PRP can accelerate the skin’s healing processes and stimulate the production of new collagen, thereby reducing the appearance of wrinkles, fine lines, acne scarring, and other skin imperfections.



For patients who struggle with volume loss or moderate to severe facial folds, injectable treatment with RADIESSE® may be an effective solution to your concerns. As a dermal filler composed of substances that are biocompatible with your own natural tissue, RADIESSE® can enhance regions in the face and neck that lack fullness, such as the cheeks, nasolabial folds, and hands. With the ability to achieve enhancement that is noticeable very quickly after injection, the results of RADIESSE® can last up to two years.



Do you see frown lines when you look in the mirror? “Eleven wrinkles” typically develop as a result of repeated facial expressions, and often become more noticeable over time as collagen production slows down. Jeuveau™ is a groundbreaking injectable designed to smooth moderate to severe frown lines for a brighter, more refreshed appearance. As the first aesthetic-only neurotoxin approved by the FDA, Jeuveau™ can produce results that are on par or superior to BOTOX® Cosmetic.


Lip Injections

Lip injections can provide temporary augmentation that looks natural and doesn’t require surgery or downtime. Our medical spa offers several treatment options to enhance the shape, texture, and contour of the lips, including JUVÉDERM® Ultra, JUVÉDERM® Ultra Plus, Restylane® Kysse, and Restylane® Defyne. In most cases, the results of lip injections can last as long as one year after your initial treatment.



Produced by Galderma®, Restylane® is a family of fillers that can be injected to volumize the face, hands, lips, or cheeks. Each Restylane® product is designed to augment a different area: the original solution can treat wrinkles and facial folds; the Refyne® and Defyne® formulations specifically target laugh lines; Silk® is meant to smooth lip wrinkles; Kyss®e can plump the lip shape; and finally, Lyft® can restore fullness in the cheeks, mid-face, and the backs of the hands.

Revanesse® Versa™

Revanesse® Versa™ is a filler specifically designed to correct nasolabial folds or laugh lines. Composed with hyaluronic acid, Versa™ differs from other injectables because it can offer virtually immediate results that last as long as 12 months with optimal treatment. Plus, Versa™ has been proven to result in approximately 50 percent less swelling than similar facial fillers.

Why Choose Ayala Plastic Surgery for Your Treatment?

Once you’ve made the decision to pursue non-surgical enhancement, your choice of where to receive treatment will largely affect your results and personal satisfaction. There are countless med spas in the San Antonio region that perform cosmetic services, but very few of these practices are led by a board-certified plastic surgeon. At Ayala Plastic Surgery, Dr. John Ayala not only serves as our lead plastic surgeon, but he also acts as the Medical Director of our fully equipped non-surgical facility. Under his guidance and leadership, our team is able to provide top-notch care in a relaxing, pleasant, and private environment.

Having the expertise of a board-certified plastic surgeon available on-site can offer several advantages, including the abilities to maximize patient safety, act quickly in the rare event of complications, and utilize the most effective and advanced technologies. Like Dr. Ayala, those who have been accredited by the American Board of Plastic Surgery specialize in aesthetic treatments and have completed some of the most rigorous levels of training in the field of plastic surgery. This comprehensive experience, combined with the skill of our talented aesthetic professionals and registered nurse injectors, is proficiency that every patient deserves in their med spa provider.

Dr. Ayala and our highly skilled aesthetic team are committed to helping you make your desired look a reality with medical-grade treatments and long-lasting results. Don’t hesitate to contact our practice to schedule an in-person or virtual consultation, or if you would like to speak to a friendly member of our office.