Doctor John A. Ayala, MD Plastic Surgeon San Antonio, Texas 78229

Name: John A. Ayala, MD
Last name: Ayala
Gender: male
Began aesthetic medicine in: 1999
Years experience: 21
Primary Specialty: Plastic Surgeon
Business: Ayala Plastic Surgery
Address: 4499 Medical Dr
Address suite: Ste 301
City: San Antonio
State: Texas
Zip Code: 78229
Country: US
Consulting Fees: -1$
Has Sponsored Offer : No

Special Offers
Offer #1: Galderma Offer
Special Offer Treatments: Restylane, Sculptra Aesthetic, Dysport, Restylane Silk, Restylane Lyft, Restylane Refyne, Restylane Defyne
End Time: 12/31/2020
Detail: Sign up for Aspire Galderma Rewards prior to your appointment to receive $20 off on each treatment listed below: Dysport®, Restylane® family, Sculptra® Aesthetic.
Clinical Privileges
  • Chief of Plastic Surgery at Bryn Mawr Hospital
  • Undergraduate: BA, University of Texas at Austin, Austin, TX, 1986
  • Medical: MD, Baylor College of Medicine, Houston, TX, 1991
Postdoc Training
  • Residencies:
  • General Surgery, Texas Tech University, El Paso, TX, 1996
  • Plastic Surgery, Baylor College of Medicine, 1999
Member of
  • American Society for Aesthetic Plastic Surgery (ASAPS)
  • American Society of Plastic Surgeons (ASPS)

John A. Ayala, MD

Board Certification
John Anthony Ayala (ABMSUID -635824)

Viewed: 7/28/2008
Day of birth: 10/23/1964

Status: Alive
Certification: American Board of Plastic Surgery
Plastic Surgery – General

Status: Certified
Active Time-Limited Initial Certification:

– 12/31/2010}
Education: 1991 MD (Doctor of Medicine)
Location: 4499 Medical Dr Ste 301San Antonio, TX 78229-3713 (United States)

GPS coordinates on map: 29.5105677,-98.5737327

Primary location
Location name: San Antonio
State: TX
Country: US
Map point: 29.425,-98.49369812

Google plus:

  • African American Rhinoplasty
  • Age Spots Treatment
  • Botox
  • Brazilian Butt Lift
  • Brazilian Butt Lift Revision
  • Breast Augmentation
  • Breast Fat Transfer
  • Breast Implant Removal
  • Breast Implant Revision
  • Breast Implants
  • Breast Lift
  • Breast Lift with Implants
  • Breast Reconstruction
  • Breast Reduction
  • Brow Lift
  • Butt Augmentation
  • Butt Lift
  • Cellulite Treatment
  • Cheek Augmentation
  • Cheek Lift
  • Chemical Peel
  • Chin Implant
  • Chin Liposuction
  • Chin Surgery
  • CoolSculpting
  • Dysport
  • Ear Surgery
  • Eye Bags Treatment
  • Eyelid Surgery
  • ezPRF
  • Facelift
  • Facial Fat Transfer
  • Forehead Lift
  • Gynecomastia Surgery
  • Jeuveau
  • Juvederm
  • Liposuction
  • Lower Facelift
  • Male Tummy Tuck
  • Mini Facelift
  • Mini Tummy Tuck
  • Mommy Makeover
  • Panniculectomy
  • Radiesse
  • Restylane
  • Restylane Defyne
  • Restylane Lyft
  • Restylane Refyne
  • Restylane Silk
  • Revision Rhinoplasty
  • Rhinoplasty
  • Sculptra Aesthetic
  • Septoplasty
  • Tummy Tuck
  • Tummy Tuck Revision

RealSelf Info

Rating: 4.5
Profile views: 5658
Answer count: 27
Review count: 22
Anonymous votes: 0
Offer count: 1
Profile created: Nov 17, 2007
Profile modified: Mar 11, 2020
Profile promotion: No
Profile inactive: No
Premier status: Free
Tier: Free-Claimed
RealCare Promise: No
Directory link: Board Certified Plastic Surgeon
RealSelf’s PRO: No
Doctor Designation Start Time: Jun 9, 2014
Doctor Designation End Time: Jan 1, 2033


  • San Antonio, TX, US. GPS coordinates: 29.425,-98.49369812

Latest ratings of treatments

  • Rhinoplasty (Jun 2019) – 5/5
  • Breast Lift with Implants (Jun 2017) – 1/5
  • Botox (Nov 2019) – 5/5
  • Breast Lift with Implants (Feb 2019) – 5/5
  • Breast Lift (Nov 2018) – 5/5
  • Breast Implant Revision (Jun 2017) – 1/5
  • Voluma (Oct 2017) – 5/5
  • Facial Reconstructive Surgery (Nov 2017) – 5/5
  • Nonsurgical Nose Job (Jan 2015) – 5/5
  • Neck Lift (Aug 2015) – 5/5
  • Stretch Marks Treatment (Jul 2017) – 5/5
  • Botox (Jun 2017) – 5/5
  • Breast Implant Revision (May 2017) – 5/5
  • Botox (May 2017) – 5/5
  • Tummy Tuck (Apr 2015) – 5/5

Latest Prices

Rhinoplasty Prices

  • $11000 – Jun 17, 2019

Breast Lift with Implants Prices

  • $22000 – Jun 24, 2017 – San Antonio, TX

Breast Augmentation Prices

  • $6509 – Jun 19, 2013 – San Antonio, TX

Breast Implant Revision Prices

  • $20001 – Jun 22, 2017 – San Antonio, TX

Voluma Prices

  • $800 – Oct 10, 2017 – San Antonio, TX

Nonsurgical Nose Job Prices

  • $800 – Jan 16, 2015 – San Antonio, TX

Neck Lift Prices

  • $6000 – Aug 12, 2015 – San Antonio, TX

CoolSculpting Prices

  • $700 – Feb 1, 2016 – San Antonio, TX

Tummy Tuck Prices

  • $8400 – Apr 7, 2015 – San Antonio, TX

Practice Locations

Name & Website
Ayala Plastic Surgery,
4499 Medical Dr.Ste. 301, San Antonio, Texas, US, 78229 (GPS coordinates: 29.5105677,-98.5737327)
(210) 692-3223
Working Hours
Mon: 9:00am – 5:00pm
Tue: 9:00am – 5:00pm
Wed: 9:00am – 5:00pm
Thu: 9:00am – 5:00pm
Fri: 9:00am – 12:00pm
Created / Modified
Jun 6, 2018 / Dec 6, 2019

Special Offers

Start Time / End Time

Galderma Offer
Nov 1, 2019 /
Dec 31, 2020
Sign up for Aspire Galderma Rewards prior to your appointment to receive $20 off on each treatment listed below: Dysport®, Restylane® family, Sculptra® Aesthetic.
Specific treatments

Doctor's answers

Answer Header & Date
Answer Snippet
I'm not sure if I want high profile or moderate. Which one would look better on me?
I'm not sure if I want high profile or moderate. Which one would look better on me? (Photo)
Feb 2, 2015
Hello: A moderate profile implant is a flatter and wider implant, typically used on patients who have a wider chest and prefer less projection. A High profile implant is preferred if you have a more petite chest width, but still want a nice projection. Upon examination, your surgeon will measure your chest width, the distance from the sternum to the areola, compare your folds, and determine what cup size you are wanting to be. Please make...
Is there a specific type of Spanx to wear post op revision of dog ears w/ lipo?
Specific type of Spanx to wear post-op revision of dog ears w/ lipo
Oct 6, 2014
Hello. A compression garment is very crucial during recovery, however, the right garment must be selected. Your plastic surgeon surely has a brand and style that he prefers his patients to wear as it is very important to apply the right compression without compromising circulation. Call your surgeon's office and speak express your concerns as I'm sure they will guide you to the right website, or perhaps order it for you. Good Luck!
5 weeks after tummy tuck feeling heavy on left hand side of lower abdomen. Is this normal?
5 weeks after tummy tuck feeling heavy on left hand side of lower abdomen
Sep 8, 2014
Hello. Photos would help to assess your concerns. Nevertheless, having your plastic surgeon examine the area would definitely be your best choice. Swelling typically is present even at 5 weeks. Good luck!
Left columella has protruding skin day 2 after septorhinoplasty. Will it need corrected?
Left Columella
Aug 26, 2014
Hello: Congratulations on your recent surgery. Based on the photos you provided us, I would schedule an appointment as soon as possible to make sure a suture did not come undone. With swelling and the angle we are looking at, its hard to determine if either swelling would be the culprit. Godd luck!
What do I wear after Breast Augmentation?
What to wear after Breast Augmentation surgery
Aug 12, 2014
Hello. This particular bra seems to be fine after 6-12 post-breast augmentation. Make sure the bra does not put direct pressure to the incision if the incision is located in the breast fold. We prefer a supportive bra along with a bra strap after 1 week from surgery. After 6 weeks patients have the option to use a sports bra. Good luck!
3 weeks post op Rhinoplasty, there is still a curve and bump present on the bridge. Tip extremely ful
3 weeks post Rhinoplasty
Jul 22, 2014
Hello. 3 weeks is still too early to determine the outcome of the procedure. It is very normal to still have swelling. The tip will take up to 1 year for the swelling to resolve. Some surgeons encourage taping and using a nasal splint to help reduce the residual swelling left from surgery. Talk to your surgeon and share your concerns with him. I'm sure he or she will have some tips to help with your swelling. Best of luck!
Once my implants settle do you think my boobs will be perky and lifted?
Perky and Lifted Breast
Jul 16, 2014
Hello. After reviewing your photos, there is no doubt you need to allow more time for the implants to settle. At least 3-6 months from surgery. Depending on the outcome you are wanting to achieve, if you wish to have more fullness in the upper pole of your breast, you may need to have more skin removed and the folds raised. If you wish to achieve a more natural look, additional surgery will not be necessary. Good luck!
7 days post op Tummy Tuck, I think I am psychologically dependent on my binding garment. Is this norm
7 days post op Tummy Tuck
Jul 11, 2014
Hello. The compression garment gives you that support and compression that you need after surgery. Some patients feel anxious if they don't have the additional compression because they are afraid the tightening of the muscles won't last if they don't apply the proper support. The fact that you are very compliant with wearing the compression garment is great habit to have as this will continue to compress the swelling you acquire after surgery and help support your abdominal...
How can an indentation caused by liquid nitrogen used to freeze a seborrheic keratosis on the bridge
Indentation caused by liquid nitrogen
Jul 11, 2014
Hello. Being that it has only been 2 weeks ago, it is best to allow at least a couple of months to go by. Once that area is completely healed and there is an indentation, consult with a Plastic Surgeon regarding what options will best correct the indentation. Good luck!
I'm considering a tummy tuck to get rid of stretch marks. Do I have enough to tuck? How low would the
Considering a Tummy Tuck to get rid of Stretch Marks
Jul 7, 2014
Hello. Thank you for your inquiry. Tummy Tuck (Abdominoplasty) surgery is definitely a great approach to help minimize the appearance of the stretch marks, tighten the abdominal muscles and remove the excess skin some women are left with after pregnancy. The skin below the belly button is primarily the area that is removed. There are several options, but it is difficult to discuss your options with the one photo you provided as I am unable to see how high your stretch...
4 weeks after the surgery, there is some redness, and when I touch it, there is a pinching pain. Is t
4 weeks after surgery with some redness and pinching pain
Jul 7, 2014
Hello. Based on the photos you provided there is some redness evident. This sometimes can be a result of early stages of infection or a due to dissolvable sutures coming ahead. Please consult with a doctor as soon as possible to make sure you are not developing an infection. Best of luck to you!
Leaking fluids from incision line 8 weeks post op. Had infection wound stitched up, 5 days later star
Leaking fluid from incision line 8 weeks post op.
Jun 24, 2014
Hello. I'm sorry you are experiencing drainage and infection. If you have fears of a returned infection, I would discuss the option of obtaining a culture and sensitivity as well as a gram stain of the fluid to determine if the infection is still lingering. If it comes back positive, the culture and sensitivity will help determine the type of antibiotic the bacteria would respond to. Hang in there and make sure to communicate your concerns with your surgeon...
12 days post op, my left implant drop. Would a band help?
12 days post-op, would a band help?
Jun 24, 2014
Hello. A breast band can help push the implants down. Always make sure to have your PS confirm if it's okay. Massaging is great, but I would massage the one breast with the opposite breast so that the breast muscle is relaxed. Best of luck!
I received a Septorhinoplasty 8 days ago. I feel congested again and have been spitting bloody mucus
Septorhinoplasty 8 days ago
Jun 23, 2014
Hello. Although it is very common to experience nasal congestion, drainage and some bloody mucous, it is best to have your surgeon examine you to make sure you are not having a small area of active bleeding. Also, make sure you are not taking Motrin, Aleeve, (anti-inflammatories), herbal supplements that will increase your chance of bleeding. Best of luck!
I'm 6 weeks post Breast Augmentation. My left breast has felt odd, could I have Capsular Contracture
6 weeks post Breast Augmentation
Jun 23, 2014
Hello. Although it is not uncommon for each breast to not settle at the same time, it is very difficult to determine what is going on without a physical examination. Call your plastic surgeon and share your concerns with them. Good luck!

Latest Before And After Photos