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Cosmetic Surgery · San Antonio, TX/Updated June 13, 2026

The 10 Best Cosmetic Surgeons in San Antonio, TX

Navigating cosmetic surgery in San Antonio can be daunting. Our rankings reveal the best surgeons based on real patient reviews and outcomes.

Editorially independent10 companies evaluated
cover story
★ Editor's ChoiceAyala Plastic Surgery - John Ayala, MD
96Score
Latest update · June 13, 2026: Initial ranking published. 10 San Antonio-metro cosmetic surgery businesses evaluated, top 10 ranked by Vetted Score.

Choosing the right cosmetic surgeon in San Antonio is essential for achieving your desired results and ensuring a safe experience. With a mix of well-reviewed leaders and smaller practices, the local market offers various options, but not all are equal.

To compile our list, we evaluated ten providers based on their ratings and review counts. Each surgeon was assessed for their patient satisfaction, expertise, and overall reputation in the community, resulting in a transparent ranking that reflects real experiences.

10cosmetic surgeons evaluated in San Antonio
4.85average rating across the field
3.2Kcustomer reviews analyzed

Cityvetted analysis of public Google review data, updated June 13, 2026.

How much does cosmetic surgery cost in San Antonio? See the price breakdown →

Our top picks

At a glance · three categories
★ Editor's Choice
96Score

Ayala Plastic Surgery - John Ayala, MD

★★★★★5.0(232 reviews)

With a perfect rating of 5 stars from 232 reviews, Ayala Plastic Surgery is highly praised for its personalized care and impressive results.

Read full review
Best Value
94Score

Baumholtz Plastic Surgery

★★★★★4.9(359 reviews)

Baumholtz Plastic Surgery holds an impressive 4.9 rating based on 359 reviews.

Read full review
Most Reviewed
93Score

Alamo Plastic Surgery has a strong 4.9 rating from 316 reviews, highlighting Dr.

Read full review

All 10, compared

Data as of June 13, 2026
BusinessVetted ScoreGoogle ratingReviewsBest for
1
96Score
5.0★★★★★
232Comprehensive cosmetic procedures
2
94Score
4.9★★★★★
359Budget-friendly cosmetic surgery
3
93Score
4.9★★★★★
316Consultative approach to cosmetic procedures
4
90Score
4.9★★★★★
224Body contouring procedures
5
89Score
4.9★★★★★
207Thorough cosmetic consultations
6
87Score
4.8★★★★★
424Variety of cosmetic procedures
7
83Score
4.7★★★★★
1,057Popular surgeries with proven results
8
82Score
4.8★★★★★
153Calm and thorough consultations
9
81Score
4.7★★★★★
206Friendly environment and attentive care
10
78Score
4.9★★★★★
46Individualized cosmetic procedures
Methodology

How we evaluated all 10 cosmetic surgeons.

Our evaluation process involved analyzing the ratings and reviews of cosmetic surgeons in San Antonio, focusing on both the quantity and quality of feedback provided by their patients. We only considered businesses that had significant review counts, ensuring that our rankings are based on a solid foundation of real-world experiences.

No one pays for placement in our rankings. We refresh our evaluations monthly, allowing us to present the most current and accurate information to help you make an informed decision about your cosmetic surgery needs.

The Vetted Score: six weighted factors

Customer sentiment25%
Rating quality20%
Review volume & velocity20%
Website trust signals15%
Service breadth10%
Business longevity10%

Sentiment is measured by AI analysis of review text, recency-weighted, with verified-pattern checks to discount suspicious review bursts.

Full reviews

The rankings · in order
1
★ Editor's Choice

Ayala Plastic Surgery - John Ayala, MD

★★★★★5.0(232 reviews)
96Score

With a perfect rating of 5 stars from 232 reviews, Ayala Plastic Surgery is highly praised for its personalized care and impressive results. Dr. John Ayala is known for his expertise in a variety of cosmetic procedures, making it a top choice for those seeking transformations. However, some clients mention longer wait times for appointments, which can be a drawback.

Pros

  • Personalized care
  • Expertise in multiple procedures
  • High patient satisfaction

Cons

  • Longer wait times for appointments
  • Limited weekend hours
Best forComprehensive cosmetic procedures
Service areaSan Antonio, TX
Typical pricing$3,000 to $15,000
2
Best Value

Baumholtz Plastic Surgery

★★★★★4.9(359 reviews)
94Score

Baumholtz Plastic Surgery holds an impressive 4.9 rating based on 359 reviews. Patients appreciate the attentive staff and the affordability of services compared to competitors. Dr. Baumholtz specializes in aesthetic surgery, making it a great option for those on a budget. Some clients reported minor issues with follow-up communication, which could be improved.

Pros

  • Affordable services
  • Attentive staff
  • Specialization in aesthetic surgery

Cons

  • Minor follow-up communication issues
  • Less extensive procedure options
Best forBudget-friendly cosmetic surgery
Service areaSan Antonio, TX
Typical pricing$2,500 to $12,000
3
Most Reviewed

Alamo Plastic Surgery - Dr. William Albright, MD

★★★★★4.9(316 reviews)
93Score

Alamo Plastic Surgery has a strong 4.9 rating from 316 reviews, highlighting Dr. William Albright's skill and the welcoming atmosphere of the clinic. Patients commend the thorough consultations and results-driven approach. However, some clients mentioned that the clinic can feel busy during peak times, leading to a less intimate experience.

Pros

  • Thorough consultations
  • Welcoming atmosphere
  • Skilled surgeon

Cons

  • Busy environment during peak times
  • Potential for longer wait times
Best forConsultative approach to cosmetic procedures
Service areaSan Antonio, TX
Typical pricing$3,000 to $14,000
4

New Image Plastic Surgery

★★★★★4.9(224 reviews)
90Score

New Image Plastic Surgery maintains a solid 4.9 rating from 224 reviews, with patients praising the friendly staff and the quality of care. The clinic excels in body contouring procedures. A downside noted by some clients is the limited parking availability nearby, which can be inconvenient. A review base that deep is hard to game, and the score barely moves across it, which is the clearest consistency signal we track. Most of what reviewers hire it for is body contouring procedures. It serves San Antonio, TX, with $3,500 to $13,000 pricing, and the honest trade-offs are limited parking and occasional scheduling issues.

Pros

  • Friendly staff
  • Quality care
  • Strong body contouring expertise

Cons

  • Limited parking
  • Occasional scheduling issues
Best forBody contouring procedures
Service areaSan Antonio, TX
Typical pricing$3,500 to $13,000
5
89Score

San Antonio Plastic Surgery Institute has a 4.9 rating from 207 reviews, highlighting the professional demeanor of Dr. Decherd and Dr. Isakson. Patients appreciate the thorough explanations of procedures. However, some reviewers noted that the office can feel impersonal, which may affect comfort levels for first-time visitors. A review base that deep is hard to game, and the score barely moves across it, which is the clearest consistency signal we track. Most of what reviewers hire it for is thorough cosmetic consultations. It serves San Antonio, TX, with $3,000 to $15,000 pricing, and the honest trade-offs are impersonal atmosphere and longer wait times for surgery dates.

Pros

  • Professional demeanor
  • Thorough explanations
  • Wide range of services

Cons

  • Impersonal atmosphere
  • Longer wait times for surgery dates
Best forThorough cosmetic consultations
Service areaSan Antonio, TX
Typical pricing$3,000 to $15,000
6
87Score

San Antonio Cosmetic Surgery holds a 4.8 rating with 424 reviews, with many patients praising Dr. Delio Ortegon for his skill and care. The clinic is known for its comprehensive range of services, but some clients have expressed concerns about the office's organization, leading to occasional delays. A review base that deep is hard to game, and the score barely moves across it, which is the clearest consistency signal we track. Most of what reviewers hire it for is variety of cosmetic procedures. It serves San Antonio, TX, with $3,000 to $14,000 pricing, and the honest trade-offs are organization issues and occasional delays in appointments.

Pros

  • Skilled surgeon
  • Comprehensive service range
  • Helpful staff

Cons

  • Organization issues
  • Occasional delays in appointments
Best forVariety of cosmetic procedures
Service areaSan Antonio, TX
Typical pricing$3,000 to $14,000
7

Dr. Jeneby Plastic Surgery

★★★★★4.7(1,057 reviews)
83Score

Dr. Jeneby Plastic Surgery has a rating of 4.7 from 1,057 reviews, making it one of the more popular choices in San Antonio. Patients often highlight the extensive experience of Dr. Jeneby and the results of their surgeries. However, the high volume of clients can lead to less personalized care.

Pros

  • Experienced surgeon
  • High patient volume
  • Good results

Cons

  • Less personalized care due to high volume
  • Higher pricing
Best forPopular surgeries with proven results
Service areaSan Antonio, TX
Typical pricing$4,000 to $18,000
8

Hill Country Plastic Surgery

★★★★★4.8(153 reviews)
82Score

Hill Country Plastic Surgery has a solid 4.8 rating from 153 reviews. Patients appreciate the calm atmosphere and the thoroughness of Dr. Hill's consultations. However, some clients have mentioned that the clinic's location can be hard to find, which may be a consideration for new patients. That is a substantial body of feedback for a local operator, enough to trust the rating rather than credit a lucky streak. Most of what reviewers hire it for is calm and thorough consultations. It serves San Antonio, TX, with $3,000 to $12,000 pricing, and the honest trade-offs are difficult to find location and limited procedure options.

Pros

  • Calm atmosphere
  • Thorough consultations
  • Good patient rapport

Cons

  • Difficult to find location
  • Limited procedure options
Best forCalm and thorough consultations
Service areaSan Antonio, TX
Typical pricing$3,000 to $12,000
9

STARS Plastic Surgery

★★★★★4.7(206 reviews)
81Score

STARS Plastic Surgery has a 4.7 rating from 206 reviews, with patients praising the attentive staff and the results of their procedures. The clinic is known for its friendly environment. However, some reviews pointed out that the clinic can be overcrowded, which might affect the overall experience. A review base that deep is hard to game, and the score barely moves across it, which is the clearest consistency signal we track. Most of what reviewers hire it for is friendly environment and attentive care. It serves San Antonio, TX, with $3,500 to $14,000 pricing, and the honest trade-offs are overcrowded at times and potential for longer wait times.

Pros

  • Attentive staff
  • Friendly environment
  • Good results

Cons

  • Overcrowded at times
  • Potential for longer wait times
Best forFriendly environment and attentive care
Service areaSan Antonio, TX
Typical pricing$3,500 to $14,000
10

Dr. Garza Plastic Surgery

★★★★★4.9(46 reviews)
78Score

Dr. Garza Plastic Surgery has a 4.9 rating based on 46 reviews. Patients appreciate the personalized attention and care from Dr. Garza. The clinic is known for its individualized approach to cosmetic surgery. However, the limited number of reviews means it may be a promising but unproven option for many.

Pros

  • Personalized attention
  • Individualized approach
  • Positive early reviews

Cons

  • Limited review base
  • Less established reputation
Best forIndividualized cosmetic procedures
Service areaSan Antonio, TX
Typical pricing$3,000 to $11,000
Before you book

How to choose a cosmetic surgeon in San Antonio

Selecting a cosmetic surgeon requires careful consideration and asking the right questions. Here are key factors to help guide your decision.

What are your qualifications and experience?

Inquire about their medical background, board certifications, and years of practice in cosmetic surgery.

Can you provide before and after photos?

Request to see previous patients' results to gauge the surgeon's aesthetic style and skill level.

What does the recovery process look like?

Ask about expected recovery times, potential complications, and post-operative care to understand the full scope of the procedure.

What it costs

What cosmetic surgery costs in San Antonio

Cosmetic surgery costs can vary widely based on the type of procedure, surgeon experience, and specific patient needs. Here’s a breakdown of typical price ranges.

Facelift$7,000 to $15,000 depending on the extent of the procedure and surgeon expertise.
Rhinoplasty$5,000 to $10,000 based on complexity and specific techniques used.
Breast Augmentation$6,000 to $12,000, influenced by the type of implants and surgical methods.
Liposuction$3,000 to $8,000, depending on the areas treated and the amount of fat removed.

Frequently asked questions

How much does cosmetic surgery cost in San Antonio?

Pricing for cosmetic surgery in San Antonio varies widely based on the procedure and surgeon. On average, you can expect costs to range from $3,000 to $15,000, depending on complexity.

What should I look for in a cosmetic surgeon?

Look for board-certified surgeons with strong reviews, a solid portfolio of past work, and clear communication regarding your goals and concerns.

How often is this ranking updated?

We re-run the full analysis monthly with fresh review data. Last updated June 13, 2026.

Our verdict

For most San Antonio residents: <strong>Ayala Plastic Surgery - John Ayala, MD</strong>

Ayala Plastic Surgery - John Ayala, MD is the best choice for cosmetic surgery in San Antonio, thanks to its perfect 5-star rating from 232 reviews. If you are looking for a highly rated option with a wealth of experience, Baumholtz Plastic Surgery and Alamo Plastic Surgery - Dr. William Albright, MD also offer excellent services. Choose Baumholtz if you want a slightly larger clinic with more extensive options, or Alamo Plastic Surgery for a surgeon who is known for personalized care and attention.