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41 Years
experience
Trusted Plastic Surgery Solutions in Houston
Looking Good has been dedicated to delivering exceptional plastic surgery results since 1985. Our board-certified surgeons, Dr. Alfonso Barrera and Dr. Eric Ruff, combine decades of expertise with personalized care to achieve natural-looking outcomes tailored to each patient's unique goals. We operate an on-site AAAASF-accredited surgical facility, utilizing IV sedation and local anesthesia to ensure safety, comfort, and faster recovery. Our commitment to patient education, transparency, and ethical standards has established us as a trusted leader in Houston's aesthetic and reconstructive surgery community.
Services
Breast Augmentation Liposuction Facelift Hair Transplantation Rhinoplasty Blepharoplasty Tummy Tuck Gynecomastia Correction Otoplasty Laser Skin Rejuvenation
Details
  • Year established: 1985
Highlights and features
  • Board-certified surgeons with decades of combined experience
  • On-site AAAASF-accredited surgical facility for safety and convenience
  • IV sedation eliminates risks associated with general anesthesia
  • Personalized care emphasizing natural, long-lasting results
  • Pioneering techniques in hair transplantation and facial rejuvenation
Associations and certifications
  • AAAASF
What people say
Natural-looking results Exceptional bedside manner Professional and knowledgeable Outstanding post-surgery follow-up Highly skilled team
Services
Breast Augmentation
Breast augmentation enhances breast size and shape using implants or fat transfer. Ideal for women seeking fuller contours, this procedure addresses asymmetry or volume loss post-pregnancy. Our surgeons prioritize natural results with minimal scarring, using advanced techniques to ensure symmetry and comfort.
Liposuction
Liposuction removes stubborn fat deposits to refine body shape. Targeting areas like the abdomen, thighs, or arms, it's ideal for patients near their ideal weight. We use precision techniques to ensure smooth results and faster recovery, complementing a healthy lifestyle.
Facelift
Facelifts restore youthful facial contours by tightening skin and underlying tissues. This addresses sagging jowls, deep creases, and neck laxity. Our approach preserves natural expressions while delivering long-lasting rejuvenation through meticulous, individualized techniques.
Hair Transplantation
Hair transplantation relocates healthy follicles to thinning areas using follicular unit grafts. Effective for male/female pattern baldness or scarring, our method creates natural hairlines. Dr. Barrera's expertise ensures dense, aesthetically pleasing results with minimal donor scarring.
Rhinoplasty
Rhinoplasty reshapes the nose to improve proportion and function. Addressing congenital defects, injuries, or breathing issues, we balance aesthetics with structural integrity. Techniques preserve nasal support while achieving harmonious facial symmetry and enhanced airflow.
People
Alfonso Barrera
Board-Certified Plastic Surgeon
Dr. Barrera has practiced plastic surgery in Houston since 1985. Certified by the American Board of Plastic Surgery and Otolaryngology, he specializes in cosmetic procedures and hair transplantation. A former president of the Texas Society of Plastic Surgeons, he performs surgeries at his AAAASF-accredited facility using IV sedation.
Eric Ruff
Board-Eligible Plastic Surgeon
Dr. Ruff, a Houston native, completed his medical training at Texas A&M and a competitive plastic surgery residency. Known for his compassionate approach, he focuses on personalized results in cosmetic and reconstructive surgery, emphasizing patient education and natural outcomes.
Rebeca Guzman
Office Manager
Rebeca Guzman oversees daily operations, ensuring seamless patient experiences. With extensive experience in medical administration, she coordinates consultations, appointments, and post-operative care, maintaining the practice's commitment to professionalism and patient-centric service.
Isabella Kim
Aesthetician
Isabella Kim provides non-surgical skincare treatments, including laser rejuvenation and microneedling. Her expertise in aesthetic procedures complements surgical outcomes, offering patients comprehensive options for maintaining youthful, healthy skin through advanced, minimally invasive techniques.
Questions
What anesthesia options are available for plastic surgery procedures?
We use IV sedation and local anesthesia for most procedures, avoiding general anesthesia to enhance safety and recovery. This method ensures comfort with minimal post-operative nausea or sore throat.
How long do liposuction results last?
Liposuction results are long-lasting when maintained with a stable weight. Removed fat doesn't return, but remaining fat cells can expand if significant weight gain occurs post-procedure.
Can hair transplants address female pattern baldness?
Yes, our follicular unit transplantation effectively treats female pattern hair loss, creating natural density while preserving donor areas. Dr. Barrera specializes in gender-specific hair restoration techniques.
What is the recovery time for a facelift?
Most patients recover within two weeks, with swelling subsiding gradually. Full results become visible after three months, revealing rejuvenated, natural facial contours.
Do you offer financing options for procedures?
Yes, we provide financing through third-party providers to make procedures accessible. Our team helps patients explore affordable payment plans tailored to their budget.
Are breast implants safe?
Modern implants meet rigorous safety standards. We use FDA-approved options and thoroughly discuss risks, benefits, and maintenance to ensure informed decisions aligned with each patient's health and goals.
Videos
Reviews (5)
Anne Damron
Apr 23, 2022 Report
Dr. Barrera is wonderful and I had such a great experience with rhinoplasty and a small fat transfer to my lips. He is an incredible and skilled surgeon, and really listens to your concerns. His staff is also fantastic - Jessie is so kind and was so patient with answering any questions that I had leading up to my surgery date, and all of his office staff are so sweet and patient as well. I travelled from Dallas for my appointments and would have travelled further if I needed to.

The whole process, from consultation to the day my cast was removed were such a breeze. The fact that the surgery itself was painless and that I had virtually no bruising after truly speaks to Dr. Barrera's skill and experience. Just 7 short days after surgery, my nose already looks perfect with hardly any swelling. My lips are exactly what I was hoping for, with a bit more volume but still very natural. There are a few more small procedures that I want to have done and I would not go to anyone else besides Dr. Barrera.
Kristi Cain
Sep 26, 2021 Report
Dr. Barrera is the absolute best at what he does! I am so amazed at my results and I'm only 3 weeks out! I'm sure I was not the easiest patient out there either! He is so caring and wants only the best for all of his patients! I have the utmost respect for all of his staff! They are phenomenal! Y'all all know how to make a girl feel relieved and taken care of! I can never thank you enough!
Susan Spitzberg
Jul 26, 2021 Report
I definitely hit the jackpot with Dr. Barrera. He is kind, methodical, and an incredible surgeon. Without general anesthesia, Dr. Berrera performed a 5 hour facelift surgery without me feeling a thing. I never had any bruising and never needed pain medicine once I got home. It's been 13 days and you would never know I had surgery. I now know why he is rated #9 for plastic surgery in the entire country. He's number one in my book.
Christine Schmitz
Dec 06, 2020 Report
It's only been 2 wks since my surgery but I am excited with the results. I can't wait to see what I will really look like in about a month when the swelling subsides. I'm already a new person with new confidence. Dr Barrera and his staff have been very professional and only wanted the best outcome for me.
Timothy Thompson
May 19, 2020 Report
I have seen Dr Barrera and his staff 3 times over nearly 20 years. I would not go anywhere else. The staff is exceptional and Dr. Barrera is highly skilled. The post surgery follow-up is outstanding by both the staff and Dr. Barrera. They over-deliver which is rare these days. BTW, I travel to Houston from some distance because I believe they provide some of the very best hair transplant work/service in the country.