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

The Best Cosmetic Surgeons in San Antonio, TX

From facelifts to body contouring, these surgeons excel in aesthetic procedures and patient satisfaction.

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.

Cosmetic surgery is a significant decision for many in San Antonio, where the quest for aesthetic enhancement meets skilled professionals. With a variety of procedures available, choosing the right surgeon can make all the difference in achieving the desired results.

We evaluated ten local cosmetic surgery providers based on reviews, ratings, and patient feedback to create this list. Our goal is to help you find trusted professionals who can assist you on your journey to looking and feeling your best.

10cosmetic surgeons evaluated in San Antonio
4.86average rating across the field
3.3Kcustomer 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(225 reviews)

With a perfect rating of 5 from 225 reviews, Ayala Plastic Surgery is renowned for its personalized care and exceptional results.

Read full review
Best Value
95Score

Ablavsky Plastic Surgery: Dr. Michael Ablavsky

★★★★★5.0(189 reviews)

Ablavsky Plastic Surgery holds a stellar rating of 5 from 189 reviews, with patients highlighting Dr.

Read full review
Most Reviewed
92Score

Baumholtz Plastic Surgery

★★★★★4.9(358 reviews)

Baumholtz Plastic Surgery boasts a remarkable rating of 4.9 from 358 reviews, reflecting a strong reputation in the community.

Read full review

All 10, compared

Data as of June 13, 2026
BusinessVetted ScoreGoogle ratingReviewsBest for
1
96Score
5.0★★★★★
225Personalized cosmetic procedures
2
95Score
5.0★★★★★
189Affordable cosmetic procedures
3
92Score
4.9★★★★★
358Community-focused cosmetic surgery
4
91Score
4.9★★★★★
299Expert cosmetic enhancements
5
90Score
4.9★★★★★
212Body contouring procedures
6
89Score
4.9★★★★★
202Collaborative cosmetic care
7
88Score
4.8★★★★★
405Thorough consultations and care
8
84Score
4.7★★★★★
1,029Artistic cosmetic procedures
9
82Score
4.8★★★★★
147Personable patient care
10
78Score
4.7★★★★★
201Welcoming patient environment
Methodology

How we evaluated all 10 cosmetic surgeons.

Our evaluation process involved analyzing over 1,000 reviews and ratings from multiple platforms to ensure a balanced view of each surgeon's reputation. We prioritize genuine patient experiences and satisfaction, ensuring that no business pays for placement in our rankings.

This ranking is refreshed monthly, incorporating the latest data to reflect current performance and patient feedback. Our commitment is to provide you with the most accurate and up-to-date information available.

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(225 reviews)
96Score

With a perfect rating of 5 from 225 reviews, Ayala Plastic Surgery is renowned for its personalized care and exceptional results. Dr. John Ayala is praised for his attention to detail and a compassionate approach, making him a top choice for various cosmetic procedures. However, some patients note that appointment availability can be limited due to high demand.

Pros

  • Excellent patient reviews
  • Personalized care
  • Wide range of procedures

Cons

  • Limited appointment availability
  • Higher pricing
Best forPersonalized cosmetic procedures
Service areaSan Antonio and surrounding areas
Typical pricing$5,000 to $10,000
2
Best Value

Ablavsky Plastic Surgery: Dr. Michael Ablavsky

★★★★★5.0(189 reviews)
95Score

Ablavsky Plastic Surgery holds a stellar rating of 5 from 189 reviews, with patients highlighting Dr. Michael Ablavsky's thoroughness and expertise. Known for competitive pricing and excellent outcomes, this practice is ideal for those seeking value without compromising quality. The only downside is a somewhat smaller range of services offered compared to larger practices.

Pros

  • Competitive pricing
  • Highly rated outcomes
  • Thorough consultations

Cons

  • Smaller range of services
  • Less availability for certain procedures
Best forAffordable cosmetic procedures
Service areaSan Antonio area
Typical pricing$3,000 to $8,000
3
Most Reviewed

Baumholtz Plastic Surgery

★★★★★4.9(358 reviews)
92Score

Baumholtz Plastic Surgery boasts a remarkable rating of 4.9 from 358 reviews, reflecting a strong reputation in the community. Patients particularly appreciate the caring staff and the thoroughness of Dr. Baumholtz in addressing their needs. While the practice is well-regarded, some reviewers mention longer wait times for consultations and procedures.

Pros

  • Strong community reputation
  • Caring staff
  • Thorough consultations

Cons

  • Longer wait times
  • Parking issues
Best forCommunity-focused cosmetic surgery
Service areaSan Antonio and nearby areas
Typical pricing$5,000 to $12,000
4
91Score

Alamo Plastic Surgery has an impressive rating of 4.9 from 299 reviews. Dr. William Albright is known for his expertise in various procedures, and patients commend his friendly demeanor and professionalism. However, some feedback indicates that the clinic can be busy, which might affect the personal touch during consultations. 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 expert cosmetic enhancements. It serves San Antonio and surrounding regions, with $5,000 to $10,000 pricing, and the honest trade-offs are busy clinic and limited one-on-one time.

Pros

  • Expertise in various procedures
  • Friendly staff
  • Professional environment

Cons

  • Busy clinic
  • Limited one-on-one time
Best forExpert cosmetic enhancements
Service areaSan Antonio and surrounding regions
Typical pricing$5,000 to $10,000
5

New Image Plastic Surgery

★★★★★4.9(212 reviews)
90Score

New Image Plastic Surgery has earned a rating of 4.9 based on 212 reviews. Patients appreciate the attentive staff and the results they achieve. This practice is particularly well-regarded for body contouring procedures. A drawback is that some patients reported longer recovery times than initially expected. 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 area, with $4,000 to $9,000 pricing, and the honest trade-offs are longer recovery times and higher costs for certain procedures.

Pros

  • Attentive staff
  • Good results
  • Specializes in body contouring

Cons

  • Longer recovery times
  • Higher costs for certain procedures
Best forBody contouring procedures
Service areaSan Antonio area
Typical pricing$4,000 to $9,000
6
89Score

San Antonio Plastic Surgery Institute has a solid rating of 4.9 from 202 reviews. Patients commend the collaborative approach of Dr. Decherd and Dr. Isakson, who prioritize patient education and comfort. While the team is praised for their skills, some patients found the facility to be less modern than expected.

Pros

  • Collaborative approach
  • Patient education focus
  • Comfortable environment

Cons

  • Less modern facility
  • Limited parking
Best forCollaborative cosmetic care
Service areaSan Antonio and surrounding areas
Typical pricing$5,000 to $11,000
7
88Score

San Antonio Cosmetic Surgery has a commendable rating of 4.8 from 405 reviews. Dr. Delio Ortegon is recognized for his expertise and thorough consultations, making patients feel at ease. However, some reviews indicate that follow-up communication could be improved. 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 consultations and care. It serves San Antonio area, with $4,000 to $10,000 pricing, and the honest trade-offs are follow-up communication issues and busy schedule.

Pros

  • Expertise and thorough consultations
  • Comfortable environment
  • Good patient care

Cons

  • Follow-up communication issues
  • Busy schedule
Best forThorough consultations and care
Service areaSan Antonio area
Typical pricing$4,000 to $10,000
8

Dr. Jeneby Plastic Surgery

★★★★★4.7(1,029 reviews)
84Score

Dr. Jeneby Plastic Surgery has a strong rating of 4.7 from 1,029 reviews. Dr. Jeneby is well-known for his artistic approach to cosmetic surgery and has a loyal patient base. While many are satisfied with their results, some patients mention the cost can be on the higher side for certain procedures.

Pros

  • Artistic approach
  • Loyal patient base
  • Wide range of services

Cons

  • Higher costs
  • Busy practice
Best forArtistic cosmetic procedures
Service areaSan Antonio and surrounding areas
Typical pricing$5,000 to $12,000
9

Hill Country Plastic Surgery

★★★★★4.8(147 reviews)
82Score

Hill Country Plastic Surgery has a rating of 4.8 from 147 reviews. Patients appreciate the personable approach of the staff and the thorough explanations of procedures. While the practice is well-regarded, some feedback mentions longer waiting times for appointments. 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 personable patient care. It serves San Antonio area, with $4,000 to $9,000 pricing, and the honest trade-offs are longer waiting times and limited procedure options.

Pros

  • Personable staff
  • Thorough explanations
  • Comfortable environment

Cons

  • Longer waiting times
  • Limited procedure options
Best forPersonable patient care
Service areaSan Antonio area
Typical pricing$4,000 to $9,000
10

STARS Plastic Surgery

★★★★★4.7(201 reviews)
78Score

STARS Plastic Surgery has a rating of 4.7 from 201 reviews. Patients commend the friendly staff and the welcoming atmosphere. However, some reviews mention that the clinic can feel busy, which might affect personalized attention during visits. 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 welcoming patient environment. It serves San Antonio and surrounding areas, with $3,500 to $8,000 pricing, and the honest trade-offs are busy clinic and limited one-on-one time.

Pros

  • Friendly staff
  • Welcoming atmosphere
  • Good results

Cons

  • Busy clinic
  • Limited one-on-one time
Best forWelcoming patient environment
Service areaSan Antonio and surrounding areas
Typical pricing$3,500 to $8,000
Before you book

How to choose a cosmetic surgeon in San Antonio

Selecting a cosmetic surgeon requires careful consideration. Here are key factors to keep in mind during your search.

Credentials and Experience

Look for board certification and extensive experience in the specific procedure you're considering.

Patient Reviews

Read reviews to gauge patient satisfaction and outcomes. High ratings often indicate a track record of success.

Consultation Process

A thorough consultation can reveal a surgeon's approach and help you feel comfortable with your choice.

Before-and-After Photos

Request to see before-and-after photos from previous patients to assess the surgeon's skill and aesthetic style.

What it costs

What cosmetic surgery costs in San Antonio

Cosmetic surgery prices can vary significantly based on the procedure and the surgeon's expertise. Here’s a general overview of typical costs in San Antonio.

Facelift$7,000 to $15,000
Breast Augmentation$5,000 to $10,000
Liposuction$3,000 to $8,000
Rhinoplasty$5,000 to $12,000

Frequently asked questions

How much does cosmetic surgery cost in San Antonio?

Cosmetic surgery costs in San Antonio typically range from $3,000 to $15,000, depending on the procedure.

What should I look for in a cosmetic surgeon?

Look for board certification, experience, patient reviews, and a comfortable consultation process.

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 patients: Ayala Plastic Surgery

For those seeking the best in cosmetic surgery, Ayala Plastic Surgery leads the pack with its exceptional ratings and personalized care. Following closely are Ablavsky Plastic Surgery, known for best value, and Baumholtz Plastic Surgery, celebrated for its extensive community support.