Images of pregnant women, newborns, mothers and their children


Uniting the latest medical research and surgical techniques, Four Seasons ob/GYN offers personalized care in a warm, friendly environment.

The doctors and staff of Four Seasons ob/GYN are committed to providing the highest quality care with compassion and integrity. We understand that you are entrusting us with your health and well-being, and would be honored to serve all of your women's healthcare needs.

Please click on a set of services for more information :

  • Medical Services
  • In-Office Surgical Procedures
  • Cosmetic Services
  • Mental Health
  • BioTe Hormone Therapy

Robotic Surgeries

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Comprehensive prenatal care including high risk pregnancies.


Complete gynecological care for women of all ages. We pride ourselves in keeping abreast of the latest gynecological surgeries such as Robotic Assisted Total Laparoscopic Hysterectomies and TOT (Transobturator Tape) to correct stress urinary incontinence.

Menopausal Management

Evaluation and treatment of issues such as hot flashes, night sweats, decreased libido, and vaginal dryness.

In-Office Ultrasound

*First Trimester Genetic Screening *Second Trimester Fetal Surveys *Gynecologic Ultrasounds

Urodynamic Testing

Comprehensive study of the bladder to help better diagnose urinary incontinence

Genetic Screening

BRAC Analysis ™ and Colaris™ Blood tests that determine if you have a genetic predisposition to breast, ovarian
or colon cancer.

Birth Control Options

Offers a variety of birth control options from monthly birth control to birth control that lasts 3-5 years
and Implanon

In Office Phlebotomist

Novasure™ Endometrial Ablation

The safe simple procedure to help control heavy menstrual bleeding.


An in-depth look at the lining of the uterus to identify causes of irregular bleeding.

D & C

Scraping of the uterine contents


Removal of precancerous cells of the cervix.

Removal of vulvar and vaginal lesions.


Adiana Permanent Contraception is a simple, safe, minimally invasive procedure that permanently prevents pregnancy. It works by stimulating your body's own tissue to grow in and around tiny, soft inserts that are placed inside your fallopian tubes.

We will happily do package pricing for all cosmetic procedures

Laser Hair Removal - 20% Off w/ Purchase of 7 Treatments
Microdermabrasion - 20% Off w/ Purchase of 6 Treatments
Chemical peels – 20% Off w/ Purchase of 6 Treatments
Photo Rejuvenation - 20% Off w/ Purchase of 3 Treatments
We offer discount pricing for Botox if done in multiple areas

Laser Hair Removal

For the past several years our Medical Aesthetician has successfully been treating patients with unwanted facial or body hair. Our office uses the latest technology in permanent laser Hair Removal. Spectra Pulse most effectively disables hair that is in the active growth (anagen) phase.

The procedure is quick and virtually pain free when done with a cool gel and the use of our Zimmer cooler. Most people will have noticeable hair loss with just one session. Popular areas include, face, underarms, and bikini.


Microdermabrasion is a gentle and effective way of removing dead cell tissue from the outer most layer of your skin by using a machine that delivers tiny medical grade crystals to the surface of the skin. These crystals are then removed with layers of epidermis by a hand piece which suctions the entire face. When the suction occurs new cells are stimulated to improve blood flow and cell turnover rate. This process results in vibrant, healthier and younger looking skin. Microdermabrasion is also used to remove scarring, acne and fine lines and wrinkles. It is done in 30 minutes with little to no downtime. Patients see wonderful results with this procedure and tend to come at least once a month to be treated.

Chemical Peels

A chemical peel is the application of an acid solution used to improve the outer most layers of the skin resulting in a smoother and more youthful appearance. Peels are used by themselves or in combination with microdermabrasion treatments to treat signs of aging and acne or to just get rid of the unwanted “dull” skin.

Botox Treatments

Botox stands for OnaBotulinum Toxin Type A. It is used to treat lines most commonly located in the frowning are (glabellar) Forehead, and around the eyes (crows feet). Unlike collagen, which fills in lines, Botox reduces the cause of facial lines, which can be the result of repeated contractions of the facial muscles. A small quantity of solution is injected directly into the muscles that are the cause of the prominent furrowing or expression lines. Typically several injections are given with each treatment, and one treatment is usually effective for 3-4 months.

Photo Rejuvenation

Photo Rejuvenation also known as (photo facials), is a unique and effective way of removing fine lines, brown spots, and broken capillaries from the skin. This procedure is preformed in our office using our Q4 Spectra Pulse laser and Zimmer cooler. A combination of effective lights are released from the filter and absorbed into skin where it is needed resulting in a more even skin tone and texture. This procedure is most effective on both men and women who suffer from sun spots and melasma. The procedure can be done on a lunch hour and patients can quickly return back to their normal activities. Patents have seen great results with this procedure and appreciate the little downtime it yields.

Acne Treatments

Our medical Aestheticians are able to offer customized acne treatments for men and women of all ages. Acne is prevalent in both teenagers and adults and needs to be treated accordingly. At the time of your consultation our Aesthetician will assess your skin and speak to you about the different options we have available for your specific type of acne. Many patients see results in a matter of weeks. It is recommended you be treated every 2-4 weeks for the first 3 months then patents are able to go on a maintance routine to ensure the acne does not return.

Facial Fillers

Fourseasons offers several different dermal fillers. Fillers are usually a smooth consistency gel made of hyaluronic acid – a naturally occurring substance in your skin that helps to add volume and hydration. Your healthcare professional eases the injectable gel under the skin to instantly restore your skin's volume and smooth away facial wrinkles and folds, like your lips, “smile lines” or “parentheses” (nasolabial folds – the creases that run from the bottom of your nose to the corners of your mouth). With facial fillers the injection process takes only about 15 minutes and results are immediate. Plus, there’s minimal recovery or downtime. So you can step into your doctor’s office for treatment and step right back into your life. All the facial fillers we offer are FDA approved. Fillers are commonly done in conjunction with Botox.

OBAGI Skin Care products

Over the years, Obagi has developed clinically-proven skin health products and systems primarily for the dermatology, plastic surgery and related aesthetic markets. Using its Penetrating Therapeutics™ technologies, the company’s products are designed to improve penetration of prescription and cosmetic agents across the skin barrier for common and visible skin conditions in adult skin including photo damage, hyperpigmentation (chloasma, melasma and freckles), acne, sun damage and rosacea. Because the Obagi® Systems and Products contain prescription-strength formulations, the systems are only available through physicians, primarily dermatologists, plastic surgeons, medical spas and other skin care and medical specialists.

Who should use the OBAGI System?

This product was developed for all skin types and can be tailored to fit any skin care goal you may have. Including photodamaged, hyperpigmented, acne prone, dehydrated, and more mature skin. Regardless of your skin type and condition, the OBAGI system has demonstrated superior results time and time again and is the number one requested medical grade product line.

Glo Minerals!

Glo Minerals is makeup that works with your skin, not against it. This revolutionary, good for you makeup, delivers a flawless complexion and helps correct and protect while offering the hottest hues and color favorites. This is a favorite for people who want to protect their skin after procedures and do not want a harsh makeup that will clog their pores.

Glo Minerals is:
   • Oil Free
   • Synthetic/Fragrance Free
   • Powerful Antioxidant Blend
   • Perfect Coverage for All Skin Types
   • Broad Spectrum UV Protection
   • Anti-Inflammatory


VIVITÉ® is skincare by the makers of Botox. It is an advanced skin care regimen based on exclusive GLX TechnologyTM, an ultra-charged formula matrix that helps infuse the skin with a glycolic compound and antioxidants to help optimize skin rejuvenation. The VIVITÉ® line extends the Allergan promise of scientifically formulated and clinically shown products that help promote beautiful, healthy skin. VIVITÉ® is the only skin care line with GLX TechnologyTM. VIVITÉ® also helps exfoliate, hydrate, and protect the skin. Exfoliation helps remove the nonproductive outer layer of skin to help reveal healthy, new skin. Hydration helps keep the skin smooth. Antioxidant protection helps prohibit the skin from premature aging.


Our Clarisonic Sonic Skin Cleansing Systems and our new Clarisonic Opal™ Sonic Infusion System work together to cleanse, smooth and refresh the appearance of your skin with immediately noticeable results. These professional-recommended products are gentle enough for all skin types and provide improved effectiveness compared to manual methods.

Sonic infusion benefits
   • An immediate reduction in the appearance of fine lines and wrinkles; build over time
   • Younger looking skin
   • Skin appears refreshed and energized
   • Skin appears brighter
   • Skin appears healthier
   • Improved skin texture
   • Noticeably firmer skin
   • Increased skin hydration

Bernie Byars is licensed as an LPC-Intern supervised by Dr. Michelle Holcomb, Ph.D., LPC-S. She received her undergraduate degree from Texas A&M University and her Masters from the University of Texas at San Antonio in Clinical and Mental Health Counseling.

At Four Seasons, she creates a safe place in each counseling session to help clients work collaboratively toward goals. She works with clients to address life’s challenges using different techniques that best suite the client.

Her student practicum experience was at the Eating Disorder Center of San Antonio where she saw individual clients as well as lead groups. During her time at the center she was exposed to dialectical behavior therapy and incorporates those techniques in her counseling. She also has worked in the university setting seeing students dealing with grief and loss, depression, anxiety, life-transition, relationship issues, and emotional abuse.

Bernie practices personal work life balance and creates space in her life to workout, spend time taking care of her plants, practice yoga, as well as devotes time with her friends and family.

Common issues:

  • Grief
  • Eating Disorders
  • Interpersonal Relationships
  • Identity
  • Fertility Struggles
  • Anxiety
  • Depression
  • Emotion Regulation
  • Managing Stress

BioTe® Bio-identical

Hormone Replacement Therapy Pellets

Tired of the fatigue, low libido, mood swings and lack of focus that comes from getting older or having a baby?

Most people start losing testosterone, the key ingredient in energy, vitality , stamina, muscle building and focus, in their twenties. Ask your doctor about BioTE Pellet Therapy, our new service providing a revolutionary new treatment— BioTe® Bio-identical Hormone Replacement Therapy pellets. Inserted under the skin, it’s the most hassle free and naturally releasing form of testosterone supplementation you can get. Better than creams. Better than pills. Just ask. It’s just the fuel your body has been looking for.

If you want to maximize your workouts, and optimize your fitness level, your testosterone needs to be in check first. This new therapy can be used to replace what your body is no longer producing. And it’s the only way to get to a leaner, meaner “you” without even breaking a sweat.

Look at the benefits of BioTE Hormone Pellet Therapy:

For Men

  • Less Fatigue
  • Increased Energy
  • Improved Strength
  • Increased Sex Drive
  • Better Sleep
  • Increased Focus
  • Decreased Hair Loss
  • Less Depression/Anxiety

For Women

  • More Energy
  • No Hot Flashes/Night Sweats
  • Better Sleep
  • Easier Weight Loss
  • Less Mood Swings
  • Increased Focus
  • Less Depression/Anxiety
  • Enhanced Libido

To Learn More about BioTe Bio-Identical Hormone Therapy visit:

Please complete the BHRT checklist and contact the office at 210-593-0700 to schedule your consultation today.

Click this link to answer some of the most commonly asked questions about this therapy: Commonly Asked Questions