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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, offering 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.


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.

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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.

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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.

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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.

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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.

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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.

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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.

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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.

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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.

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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.

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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.

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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.

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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.

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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.

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