Home / Texas / Dr. Carlos Ayala
Texas
#20
Top 500
#266
Score
74/100
Facial plastic surgeon

Dr. Carlos Ayala, MD

Carlos Ayala, MD is an otolaryngologist and facial plastic surgeon at Ayala ENT & Facial Plastic Surgery, 800 E. Dove Avenue, McAllen, Texas. His site describes upper and lower blepharoplasty, including transconjunctival surgery with fat repositioning, and direct and lateral brow lifts, and shows an eyelid before-and-after gallery.

Practice
800 E. Dove Ave. Suites F & G, McAllen, TX 78504
Phone
956-688-3223
Website
texasfaceandnose.com
Plastic surgeonsFacial plastic surgeonsOculoplastic surgeons

Dr. Carlos Ayala (large marker) and the top 24 eyelid surgeons in Texas, numbered by state rank. Markers sit at the center of the practice's ZIP code. Map data © OpenStreetMap contributors.

Training and board certification

Source for all rows: source

Stage Detail
Medical school M.D., UCLA School of Medicine; Alpha Omega Alpha Honor Society
Residency Harvard Otolaryngology Program, Mass Eye & Ear Infirmary
Fellowship Facial plastic surgery, Lasky Clinic, Beverly Hills
  • Board certifications listed on the page: American Board of Facial Plastic and Reconstructive Surgery; American Board of Otolaryngology. The eyelid page calls him a "double board-certified otolaryngologist and facial plastic surgeon."
  • Clinical Professor of Surgery, UT Rio Grande Valley School of Medicine; Adjunct Assistant Professor of Surgery, Uniformed Services University of the Health Sciences.
  • Military service of more than 20 years in the Navy and Air Force: Navy Nurse Corps officer, Air Force ENT surgeon in Germany, and facial plastic surgeon at Bagram Airfield, Afghanistan. Retired from the Air Force in 2013 as a lieutenant colonel.
  • Fluent in English and Spanish.

Eyelid surgery work

  • Setting. Performed at an accredited surgical facility under general or local anesthesia, in one to two hours.
  • Upper blepharoplasty. The incision sits in the natural crease, the supratarsal fold. Excess skin is removed and, where appropriate, fat and muscle are addressed. Fine sutures come out after one week. When excess skin limits peripheral vision, the page describes the procedure as partly functional.
  • Lower blepharoplasty. When skin is the main concern, the incision runs just below the lower lash line. When puffiness from displaced fat is the main concern, a transconjunctival incision inside the lid is used and the fat is repositioned.
  • Combined surgery. Upper and lower lids can be treated in one session, and blepharoplasty can be combined with a facelift or brow lift.
  • Brow lift. He uses a direct brow lift, with an incision just above the brow, for heavier brows, and a lateral brow lift for the outer brow, under general anesthesia or local anesthesia with IV sedation (source).
  • Gallery. The eyelid gallery shows six before-and-after cases (source).

Other procedures

The site offers rhinoplasty and functional rhinoplasty, septoplasty, sinus and nasal airway surgery, facelift, neck lift, otoplasty, chin and cheek augmentation, skin cancer removal and reconstruction, injectables, Morpheus8, FaceTite and AccuTite, and ENT and allergy care.

Insurance and cost

  • Functional blepharoplasty "may be covered by insurance, depending on the degree of obstruction," when upper lid skin blocks peripheral vision (source).
  • Price: "blepharoplasty starts at $5,000"; the final cost depends on which lids are treated and any combined procedures.
  • A $500 deposit secures a surgery date; the balance is due two weeks before surgery. Financing through Prosper and CareCredit and an in-office layaway plan.
  • All follow-up visits are included at no extra cost.

Recovery

  • Days 1 to 3: swelling and bruising peak; cold compresses and head elevation.
  • Days 4 to 7: sutures removed; bruising begins to fade.
  • Weeks 1 to 2: return to desk work, makeup and contact lenses.
  • Weeks 2 to 4: bruising largely resolved.
  • Weeks 4 to 6: eyelids close to the final result.

Prices and recovery, from the practice

From texasfaceandnose.com, read 2026-10-16, each with its source page.

Published prices

ProcedureAs publishedSource
BlepharoplastyBlepharoplasty starts at $5,000; final cost may vary depending on which lids are treated and combined procedures.texasfaceandnose.com/procedures/eyelid-surgery

Recovery, in the practice's words

TopicStatementDays
Swelling"Days 1 to 3: swelling and bruising are at their peak; cold compresses help." Source3
Sutures out"Fine sutures are removed after one week." Source7
Back to work"Weeks 1 to 2: most patients return to desk work and light daily activities; makeup and contact lenses resume." Source14
Bruising"Weeks 2 to 4: bruising has largely resolved; residual swelling continues to settle." Source28
Final result"4 to 6 weeks: the eyelids look and feel close to their final result." Source42

Why #266: the score, line by line

Points come from sources read the same way for every surgeon. The method is on the methodology page.

SignalPointsOfSource
Before-and-after gallery4040an eyelid before-and-after gallery on the practice site, scored on how many eyelid cases it shows
Eyelid procedure pages910eyelid surgery pages on the practice site, more for each further eyelid operation
Cosmetic society1015cosmetic surgery society member
Training1515Facial plastic surgeon
Eyelid research015eyelid surgery papers in PubMed
Teaching05eyelid sessions taught at medical meetings, 2023 on
Score74100Rank 266 of 500

Before you book

The operations Dr. Carlos Ayala offers, what they cost, when insurance pays and the other surgeons nearby.