Lena RiveraChoosing to change your nose is personal, whether you want a cosmetic update, easier breathing, or help after an older procedure.
If you’re looking for the best rhinoplasty clinics in San Antonio, it helps to find a specialist who understands both nasal function and facial balance.
I went through the city’s standout options to narrow this list to surgeons and aesthetic clinics known for careful work, natural-looking results, and stronger patient support.
How much does rhinoplasty cost in San Antonio?
Primary rhinoplasty procedures in the area generally range from $7,300 to $9,000, while complex revision surgeries typically cost between $9,500 and $15,000+.
| Procedure Type | Cost Range |
| Primary Rhinoplasty | $7,300 – $9,000 |
| Revision Rhinoplasty | $9,500 – $15,000+ |
| Preservation Rhinoplasty (Dr. Barrera) | $10,500 |
| Ethnic Rhinoplasty | $5,000 – $15,000 |
1. Jose Barrera, Doctor of Medicine (MD) Facial Plastic Surgeon
Website: https://www.drjosebarrera.com/
Address: 14603 Huebner Road, Building 1, Suite 101, San Antonio, TX 78230
Contact: (210) 468-5426
Hours: Monday-Friday: 8:00 AM – 5:00 PM
For patients who are worried about looking overdone, Dr. Jose Barrera stands out for preserving rhinoplasty and a more natural-looking result.
He also brings triple board certifications to the table, which is reassuring if you want both cosmetic refinement and better breathing.
A close friend of mine went to him for a procedure, and what she liked most was that her breathing improved without losing the features that still felt like her. That balance between function and appearance is a big reason people keep seeking him out.
He also uses advanced techniques like ultrasonic bone sculpting.
The tradeoff is that this level of specialization usually comes with a higher price, but the VIP concierge support is helpful if you’re traveling in for surgery.
Customer Reviews
I am still extremely happy with my results.
I am 7 years post op from my rhinoplasty and I am still extremely happy with my results. Dr. Barrera was kind and helpful throughout my journey. Whenever I tell people I’ve had a nose job they are shocked because of how natural it looks. 10/10 recommended Dr. Barrera!!
- Lauren Leal | Google Review
Very professional and did a great job.
Dr Barrera performed a rhinoplasty on me. He is very professional and did a great job. He explained everything he was going to do beforehand. There were more things he had to do once I was under, but didn’t charge any additional fees. He explained all the additional things he had done afterwards which made me feel comfortable. Making appointments with him was also very easy and convenient. I hope everyone’s experience with him is the same as mine. Thank you Dr Barrera. 👍
- mi A | Google Review
2. Kenneth Yu MD Facial Plastic & Reconstructive Surgery
Website: https://www.dryuplasticsurgery.com/
Address: 23119 I-10, Building 11, San Antonio, TX 78257
Contact: (210) 876-6868
Hours: Monday-Friday: 9:00 AM – 5:00 PM
What stands out to me here is how much attention Dr. Kenneth Yu gives to recovery. He folds homeopathic remedies into his post-op routine to help reduce bruising, and he also offers a male-focused reshaping approach that aims to keep stronger facial proportions intact.
He’s also well known for revision work, especially when a prior surgery left behind functional problems or uneven results. That makes him a good fit for patients who need more than a simple cosmetic tweak.
The main limitation is that his work stays focused on the head and neck, so you would need a separate surgeon if you wanted to pair rhinoplasty with a neck lift or a larger body procedure.
Still, his minimally invasive closed techniques are a strong plus for anyone trying to avoid visible external scarring.
Customer Reviews
The results have been 100% what she was looking to achieve.
Upon our first consultation we knew Dr Yu was the right surgeon for my daughter’s rhinoplasty. His calm & conservative approach gave us the confidence to proceed with scheduling her surgery. The results have been 100% what she was looking to achieve. Thank you Dr Yu for giving my daughter the nose she wished she was born with.
- Maria Kalb | Google Review
It was the best decision.
Had been contemplating getting rhinoplasty for a few years and did a plethora of research until I was able to find Dr Yu. It was the best decision, as he was able to address every single one of my concerns and was even able to give me an idea of what the final result would look like via digital imaging. His staff was very kind, professional and accommodating. Overall, he made the entire process feel easy and seamless. I love my results and should have gotten this done sooner. I definitely recommend him if you’re considering getting any work done.
- Mario Leal | Google Review
3. Dr. Jeneby Plastic Surgery
Website: https://drjenebyplasticsurgery.com/
Address: 19323 Stone Oak Pkwy Floor 2, San Antonio, TX 78258
Contact: (210) 468-8573
Hours: Monday-Thursday: 7:00 AM – 5:00 PM; Friday: 9:00 AM – 3:00 PM; Saturday: By appointment
Scheduling is one of the biggest strengths here. Dr. Jeneby offers after-hours consultations and Saturday availability, which can make a real difference if your weekdays are packed.
The practice also operates alongside one of the busier aesthetic clinics in the area, so you can combine surgical plans with skin-focused treatments more easily. That setup is convenient for people who want a broader makeover plan in one place.
When I stopped by to ask about services, I was also impressed by their use of SMS alerts for quick updates.
The downside is that the clinic can feel busier and more high-traffic than a smaller boutique office, even though their pre-op planning process is clearly organized.
Customer Reviews
I’m happy with the results.
I had a mini facelift, neck lift and rhinoplasty two weeks ago. I’m 55 years old. The first week was rough but I’m happy with the results and I’m sure in time once all the swelling goes away I’ll love my results. Doing everything at once is not for the faint of heart, I would recommend doing it in two separate times. The staff and doctor treated me very well. Highly recommend Dr Jeneby for these procedures.
- Estela Gearlds | Google Review
This is the man you’re looking for!
Just wanted to take the time to say how amazing Dr. Jeneby is!! Went in for my one week check up and I’m so happy with my results. He could not have done a better job with the rhinoplasty surgery. He also corrected my breathing as well. His staff is amazing and so kind and helpful. Everyone is always in great spirits. Thank you so much for everything Dr. Jeneby your the best and thank you to your amazing staff 😊 If your looking for a great plastic surgeon Dr. Jeneby is the man your looking for!
- Lorena Lopez | Google Review
4. Texas Plastic Surgery – Dr. Christian Stallworth & Dr. Jennifer Rokosz
Website: https://texasplasticsurgery.com/
Address: 3103 Napier Park, Shavano Park, TX 78231
Contact: (210) 997-3223 | [email protected]
Hours: Monday-Friday: 8:30 AM – 5:30 PM
Texas Plastic Surgery stands out for depth of expertise, especially if your case leans more reconstructive or function-heavy.
Dr. Christian Stallworth is double board-certified in facial plastic surgery and focuses closely on cosmetic and reconstructive work of the head and neck.
The clinic’s partnership model also helps. With a dedicated body contouring specialist in the same practice, patients can get a more specialized experience instead of relying on one generalist for everything.
I also appreciate his academic background and cleft team work because that kind of reconstructive experience translates well to complex nasal anatomy.
The main drawback is timing, since balancing private practice with hospital cases can make consultations harder to book quickly.
Customer Reviews
I highly recommend him.
I just want to share my experience at Texas Plastic Surgery. I am so grateful I found Dr.Stallworth to do my rhinoplasty, I couldn’t be happier and extremely satisfied. It took me two years to get the courage to do this procedure. Not only he is an exceptional surgeon but also a great artist. He is professional, has excellent bedside manners and took the time to answer all my questions. If anyone is thinking about having facial plastic surgery, please schedule a consultation with him. I highly recommend him.
- Nasreen Berdiyev | Google Review
I could not be happier with the results.
If you want someone who pays attention to detail and is honest, this is the doctor to go to. I had a septo/rhinoplasty done and I could not be happier with the results. Not only do I not have a bump on my nose anymore, but I can actually breathe so much better. Dr. Stallworth and his team are fantastic. I bothered them numerous times with questions and concerns post-surgery both during office hours and after hours and they were there for me. Thank y’all for everything, I really appreciate it!
- Jillian VanDamme | Google Review
5. Ayala Plastic Surgery – John Ayala, MD
Website: https://www.ayalaplasticsurgery.com/
Address: 4499 Medical Drive, #316, San Antonio, TX 78229
Contact: (210) 971-4954
Hours: Monday-Thursday: 8:30 AM – 5:00 PM; Friday: 8:30 AM – 2:00 PM
Dr. John Ayala offers a setup that feels especially appealing if privacy is high on your list. The practice has a renovated, accredited surgery center on-site, so patients can stay in a more controlled environment instead of moving through a larger hospital system.
That can make the whole process feel calmer from consultation through recovery. The practice also offers virtual consultations, which help if you want to talk through goals before making the trip in person.
The main catch is scheduling. Initial surgical consultations are limited to Tuesdays and Thursdays, so it may take a little more planning to lock in a spot.
Even so, the adult-only atmosphere adds a quieter, more focused feel that some patients will really value.
Customer Reviews
AMAZING RESULTS!
I love to visit Ayalas office, Dr Ayala & his staff are always very attentive to my needs. They have great bedside manner & always make my facials & Laser Hair Removals pain free! I have seen his patients before & after results of Breast Augmentation & Rhinoplasty and all I could say is WOW, AMAZING RESULTS! I Highly Recommend Dr Ayala.
- Laura Raines | Google Review
It’s absolutely perfect.
HE IS THE BEST!!!! I had a rhinoplasty done by him that completely changed my life! It’s absolutely perfect. I also had him remove keloids from my ear and now it looks like I never had them in the first place. He is so nice and takes such good care of you. I would give him more stars if I could.
- Madison Fay | Google Review
