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All Available Procedures

Dr. Ayala is Board Certified in ENT and Facial Plastic Surgery and Board Eligible in Sleep Medicine. That is why he believes that at Ayala ENT & Facial Plastic Surgery we can focus on helping you to Look Better, Breathe, Better, and Sleep Better. His aesthetic and functional expertise combine to improve form and function of the face and nose. Dr Ayala realizes that cosmetic surgery can help improve your appearance and confidence, but it involves many choices. The first and most important is trusting your face to an experienced Facial Plastic surgeon who can help you understand the benefits, risks and limitations of each procedure – ensuring the best choice for you.

Dr. Ayala Treats/ Procedures:


Skin lesions-mole, nodule, pigmented or non pigmented, skin tags and Scars Scar Revision is surgery to improve or reduce the appearance of scars. It also restores function, and corrects skin changes (disfigurement) caused by an injury Skin Cancer Excision & Reconstruction-Removal of lesions with surgical margins


Ear Proptosis/ Prominent ears– The most prominent ears often lack a normal fold, and sometimes one ear is more prominent than the other. Dr Ayala can correct his in a natural way restoring balance to face and enhancing natural beauty.


Dermatochalasis-Eyelids Drooping of the upper eyelid causing a narrowing of the palpebral aperture. It is often divided into two main types: congenital and acquired. Brow Ptosis- brow ptosis – sagging eyebrows. ptosis – Eyelid Surgery The eyes have a tremendous impact on appearance. Unfortunately, eyes are often the first place to show signs of aging. Skin around the eyes is half as thick as the rest of the facial skin, has fewer oil glands, and weaker internal support. The anatomic differences combine with heredity, sun damage, stress, fatigue, and a lot of exercise to make the eyes “the first to go”. That is why range of people, young and old, men & women, can benefit from eyelid surgery. The procedure can remove bags, pouches, and excess skin from under and over the eyes. It is sometimes accompanied by a eyebrow lift to lessen forehead wrinkles and creases, and raise sagging, eyebrows. Eyelid surgery usually takes 1-2 hours. Through incisions made along natural skin creases, the surgeon removes excess skin (which causes the wrinkles) and unwanted fat (which causes the heaviness). After surgery, any soreness is controlled by medication and cold compresses limit swelling and bruising. Occasionally, patients may experience excessive tearing or light sensitivity. This usually responds to eye drops and does not last long. Most patients are up and around in a day or two and back to work in 7 to 10 days. Friends and co-workers ask patients if they have been away on vacation or on a new health plan. For those whose drooping eyelids were limiting their vision, eyelid surgery can provide a widened window to the world. Patients look fit, refreshed, and alert. They are amazed at how a little improvement around the eyes can have such a dramatic impact on both the physical appearance and mental attitude.

Professional Voice

Voice Disturbance Voice disorders are medical conditions affecting the production of speech. These include: chorditis , vocal fold nodules , vocal fold cysts. Advanced diagnostic equipment in his office.

Nasal Function

Septal Deviation– Nasal septum deviation or deviated nasal septum (DNS) is a common physical disorder of the nose, involving a displacement of the nasal septum. How is it corrected? Turbinate Hypertrophy– The turbinates are structures on the side wall of the inside of the nose. The inferior turbinates can block nasal airflow when they are enlarged. Nasal Obstruction – A nasal obstruction is anything that impedes the flow of air into and out of the nose. The obstruction may block one or both of the nasal passages. How is it corrected? Sinus Complaints– Patients can suffer from a variety of symptoms. Generally speaking sinusitis is like a permanent cold. The common symptoms are: Headache, sore nasal obstruction, snoring, sleep disturbance. Balloon Sinuplasty– is a procedure ENT surgeons use for the treatment of blocked sinuses. How is it corrected? Unlike traditional sinus surgery, Balloon Sinuplasty requires no cutting and no removal of bone and tissue. Nasal Allergies– If you have irritation and inflammation inside your nose. Common symptoms of rhinitis are a stuffy nose, runny nose, and post-nasal drip. Provides Allergy testing and Immunotherapy in his office.


Snoring– Snoring is the vibration of respiratory structures and the resulting sound, due to .Snoring during sleep may be a sign, of obstructive sleep apnea.


Facial Deformity– Whether Congenital or Acquired Dr Ayala can help restore balance to face. Facial Fat Reduction – If you have fatty tissue on your cheeks, under chin and neck. These can be addressed either surgically or with non-invasive body contouring methods. Facial Fat Grafting– Adipose cells can be harvested from abdomen, thighs and buttocks and used to fill face. Facial Contouring- can achieve or restore pleasing facial aesthetics. Facial Implants– Working inside the mouth or through the lower eyelid, the surgeon places a contoured silastic implant over the cheekbone. It looks and feels natural. Implants can also be positioned to fill out hollow or sunken areas underneath the cheeks or in the chin. Facial Contouring– can be combined with chin augmentation or fat removal to improve all aspects of the “facial triangle” and create a more aesthetic, attractive appearance. Facial Piercing Repair Aging FaceBotox– With real, noticeable results, no surgery and no recovery time, there are many reasons why Cosmetic has been chosen by millions of men and women and their doctors. Botox injections are being used to erase the effects of time. Feel free to contact our offices in McAllen TX to learn more about Botox. Facial Fillers– Wrinkles, fine lines, and more can be improved with non-surgical facial fillers. Cosmetic dermal are designed to reduce the appearance of age and fatigue on the face, as well as fill out or plump up facial features such as the lips for a more youthful, contoured appearance. Dr. Ayala offers the popular Restylane® and JUVÉDERM® treatments for patients who would like to effectively rejuvenate their appearance without the need for surgery and long recovery times. Laser Facial Resurfacing– Can reduce facial scars, wrinkles and blemishes.


Body Contouring– After dramatic weight loss, body contouring reduces excess fat and sagging skin. Superficial Veins and Moles Hair Loss– If you see bald patches or lots of thinning, you may be experiencing hair loss.


Rhinoplasty (Nose Surgery) There is no single “perfect” “designer” nose. Cosmetic nasal surgery simply brings the nose into harmony with the rest of the face. This can be accomplished by reducing overall size, removing a bump, narrowing or widening the sides of the nose, or improving the details of the nasal tip and the angle between the nose and upper lip. Unbalanced, crooked, or curved noses can be straightened and made more symmetrical. Working either from entirely inside the nose or with small incision underneath the nose just before it meets the upper lip, the surgeon carefully modifies and reshapes the bones and cartilages. Rhinoplasty usually takes between 1-3 hours. After surgery a cast is a placed to maintain the new shape and protect the nose. Splints may be placed inside the nose for support. Patients are up and around in a day or 2 and any discomfort is controlled by medication. Head elevation and cold compresses on the eyes can minimize swelling and bruising. The splints and cast are removed within a week. Most bruising fades within 7-10 days, allowing an inconspicuous return to work. There will be subtle swelling of the nose which recedes slowly; the full benefits become evident over time. Revision Rhinoplasty – When a Rhinoplasty is done on a patient that has previously had nasal surgery and for some reason is unhappy with results. These cases are usually much more involved because of extensive scarring from previous surgery and can take much longer to complete between 3-5hrs at times. They may also require cartilage and tissue grafts to restore function or attain desire appearance of nose. Functional Rhinoplasty– Restoring the proper function of the nose by treating Nasal Valve collapse or vestibular stenosis of the nose allowing for improved breathing and function.