Dr. Richard Balikian, MD, FACS
Ranch & Coast Plastic Surgery | Dr. Paul Chasan
Del Mar, CA
Cosmetic Surgery
- 23-hour overnight stay on site
- Accredited by AAAASF
- Virtual consults
- Financing available
- Rhinoplasty, on its websiteIts own website posts prices for rhinoplasty, checked in Afters’ price research.
What Ranch & Coast Plastic Surgery | Dr. Paul Chasan offers
Ranch & Coast Plastic Surgery | Dr. Paul Chasan is a plastic surgery practice in Del Mar, California. It has published 55 before-and-after results on Afters: 31 breast lift, 22 breast augmentation, 1 facelift and 1 mommy makeover.
Its surgeons are Dr. Paul Chasan, Dr. Cameron Francis and Dr. Richard Balikian. Consultations are offered in person and virtually, and financing is available through PatientFi, CareCredit and Alphaeon.
Dr. Richard Balikian, MD, FACS
Board certified
Dr. Richard Balikian is a facial plastic surgeon who sees patients at the Ranch & Coast Plastic Surgery office in Del Mar through his own practice, Balikian Facial Plastic Surgery, which also has an office in Murrieta. He is certified by the American Board of Facial Plastic and Reconstructive Surgery and the American Board of Otolaryngology–Head and Neck Surgery, and his work centers on surgery of the face and neck, including facelift, neck lift, eyelid surgery, brow lift and rhinoplasty.
He earned a bachelor’s degree in art history at Columbia University and his medical degree at Boston University School of Medicine, where he was elected to the Alpha Omega Alpha honor society. After a general surgery internship at Long Island Jewish Medical Center, he completed a residency in otolaryngology–head and neck surgery at the Albert Einstein College of Medicine in New York, serving as chief resident and receiving the Leo Davidoff Award for teaching. He then did a fellowship in facial plastic and reconstructive surgery at the Perkins Van Natta Center for Cosmetic Surgery in Indianapolis, and held an appointment as clinical instructor of facial plastic surgery at the Indiana University School of Medicine.
He has published articles in medical journals and written textbook chapters on plastic surgery of the face, head and neck, and he takes part in the Face to Face program, which provides cosmetic and reconstructive surgery to victims of domestic violence.
Credentials & affiliations
- American Board of Facial Plastic and Reconstructive Surgery
- American Board of Otolaryngology–Head and Neck Surgery
Publications & press
- Primary and adjunctive uses of botulinum toxin type A in the periorbital regionOtolaryngologic Clinics of North America · 2007
- Primary and adjunctive uses of botulinum toxin type A in the periorbital regionFacial Plastic Surgery Clinics of North America · 2005
Plastic surgeons
Board certified
Dr. Paul Chasan is a board-certified plastic surgeon and the founder and medical director of Ranch & Coast Plastic Surgery in Del Mar. He has more than 30 years of experience and focuses on revision rhinoplasty, facial rejuvenation and complex breast surgery, including breast revision.
Dr. Cameron Francis
Board certified
Dr. Cameron Francis is a board-certified plastic surgeon at Ranch & Coast Plastic Surgery who performs cosmetic surgery of the breast, body and face, including facelift, liposuction, tummy tuck, rhinoplasty and ear surgery. He is also on staff at Scripps Memorial Hospital La Jolla, where he performs reconstructive surgery for facial trauma patients.
Care team
Treatments
See its results for each, and ask for an interactive quote with your price.
Plastic surgery center and medical spa in Del Mar, California
Ranch & Coast Plastic Surgery & Med Spa is a plastic surgery practice and medical spa in Del Mar, in North County San Diego. It was founded by Dr. Paul Chasan, who practices with Dr. Cameron Francis, both board-certified plastic surgeons, and with facial plastic surgeon Dr. Richard Balikian. The surgeons treat the face, breast and body, and Dr. Chasan’s focus is revision rhinoplasty, facial rejuvenation and breast revision.
What to know
- In person & virtual consultations
- FinancingPatientFi, CareCredit, Alphaeon
- Accredited by AAAASFSurgery at Own surgical center, on site in Del Mar
- Hospital privilegesScripps Memorial Hospital La Jolla
Where it is
Hours
- Mon–Thu
- 9:00 AM – 5:00 PM
- Fri
- 9:00 AM – 3:00 PM
- Sat–Sun
- Closed
Reviews
175 Google reviews
“Brooke is absolutely amazing!! I got coolsculpting done before (different place) and I didn’t see much results. I came to Brooke, because of her results and she worked her magic! There is a complete difference in my photos and I feel so much more confident! She is so sweet and kind and just an amazing person all around. I definitely recommend her to anyone thinking about coolsculpting.”
“Exceptional Surgeon, Artist & Physician From my very first consultation, I knew Dr. Paul Chasan was the right surgeon for me. He has a rare combination of exceptional surgical skill, artistic vision, and genuine compassion that immediately put me at ease. One of the things that stood out most was his artistic eye. Rather than creating a "one-size-fits-all" result, he carefully evaluated my facial anatomy and recommended changes that would complement my natural features. I never felt like he was trying to change who I was—his goal was to create a refreshed, balanced, and natural version of me. His bedside manner is equally impressive. He is calm, honest, patient, and takes the time to answer questions thoroughly without making you feel rushed. Throughout my recovery, he and his team have been attentive, responsive, and genuinely invested in my healing. Having that level of support has given me a great deal of confidence during the recovery process. The entire staff at Ranch & Coast Plastic Surgery has been wonderful as well. Everyone is kind, professional, organized, and truly makes you feel cared for from the moment you walk through the door. Recovery from facial surgery requires patience, and Dr. Chasan was very clear from the beginning that my results would continue to evolve over 6–12 months. That realistic guidance has helped me understand the healing process and trust that my final outcome is still developing. If you're looking for a surgeon who combines technical excellence with an incredible artistic eye and genuinely cares about his patients, I would highly recommend Dr. Chasan and his entire team. I am grateful for the care I've received and would absolutely trust him again for future procedures.”
“Dr. Chasan is truly an incredible plastic surgeon. He performed reconstructive surgery on my breasts, and the results are beyond anything I could have imagined. He took them from sad and saggy to looking like they did 20 years ago! The results look natural, and I feel so much more confident. The entire team at his office was amazing from start to finish. Everyone was warm, professional, and genuinely caring. They made me feel comfortable throughout the entire process and were always available to answer my questions. The aftercare has been outstanding. I felt supported every step of my recovery, and my scars are healing beautifully thanks to Dr. Chasan’s skill and attention to detail. You can tell he truly cares about his patients and takes pride in his work. If you’re looking for a talented, compassionate plastic surgeon, I wholeheartedly recommend Dr. Chasan. I’m incredibly grateful for the care I received and couldn’t be happier with my results!”
“I had an otoplasty procedure done with Dr. Francis at Ranch & Coast Plastic Surgery, and I genuinely cannot say enough good things about my experience and my results. From the very first consultation, Dr. Francis made me feel completely comfortable and heard. He took the time to really understand what I wanted to improve, explained everything in a clear and realistic way, and never made me feel rushed or pressured. I felt like I was in very capable hands right away, which made a huge difference in my decision to move forward with surgery. The procedure itself went smoothly, and the entire process—from pre-op to recovery—was much easier than I expected. Any anxiety I had going in quickly faded because of how professional and reassuring Dr. Francis and his team were throughout everything. Now that I’m healed and seeing my results, I can honestly say I am beyond happy. I am obsessed with how natural and balanced everything looks. It still feels like me, just improved in the exact way I was hoping for. My confidence has improved so much, and I truly feel like this was one of the best decisions I’ve ever made. I’m so thankful I chose Dr. Francis because he delivered exactly what I envisioned while still keeping it subtle and natural-looking. The staff at Ranch & Coast Plastic Surgery deserves just as much praise. Every single person I interacted with was kind, welcoming, and professional. From scheduling to post-op appointments, everything was organized and smooth.”
“I unfortunately had a very disappointing experience with Dr. Chasan and ultimately regret choosing him for my reductive breast augmentation. I initially chose him because of his published work and because reductive breast augmentation was presented as an area of his specialty. Unfortunately, my experience involved inadequate preoperative planning, persistent postoperative problems, multiple revisions, contradictory explanations, and ultimately feeling dismissed as a patient. Before surgery, I had high-profile implants that I had tolerated very well and had never experienced any significant problems with. I chose the reductive breast augmentation primarily because I felt my existing implants were somewhat too large for my frame and I had developed uncomfortable sagging. I did not feel I was given adequate time to discuss implant profiles, sizes, or aesthetic goals, and no actual implants were brought out for me to compare. Following my first surgery in February 2025 and throughout the two subsequent revision procedures, I experienced multiple issues, including left-sided animation deformity, asymmetry, an implant that remained excessively high and did not settle properly, palpable implant edges along my inner cleavage, and redundant excess skin. I repeatedly followed the advice to wait and heal, but the problems persisted. I ultimately underwent two additional revisions, in October 2025 and May 2026. I also sought opinions from two independent plastic surgeons, who independently identified the issues and agreed they could be addressed. One of my biggest concerns involved the implant profile. Before my second revision, I specifically requested a high-profile implant and did not want an ultra-high-profile implant. While I was under anesthesia, Dr. Chasan decided that HE did not like the appearance of the high-profile option because, in his opinion, it "looked flat," and chose an ultra-high-profile implant instead. When I later questioned that decision, I was given a different explanation: I was told that the ultra-high-profile implant was necessary to correct the animation deformity. I was never given a clear explanation as to why it was the only option. I was also troubled by the suggestion that my anatomy or the way my body responded made an acceptable result difficult to achieve. That was difficult for me to reconcile with the fact that Dr. Chasan proceeded with two additional revision surgeries after already knowing my anatomy, seeing the problems that had developed, and seeing how my body had responded to the initial surgery. If he believed my anatomy made a satisfactory result unlikely, I believe that should have been clearly communicated before proceeding with additional surgeries. Throughout the process, I felt that I was not given adequate time or attention to discuss my concerns. Follow-up calls were often extremely brief less than 2 minutes, and on more than one occasion I traveled to San Diego for appointments that lasted approximately 15 minutes. I also received contradictory postoperative instructions, which further contributed to my loss of confidence in my care. What was most troubling was feeling blamed rather than supported when I continued to raise concerns. After three surgeries, significant financial and travel commitments, and repeated attempts to find a meaningful solution, the communication ultimately ended with, "I wish you the best moving forward." I felt dismissed and discarded as a patient. I have since found another plastic surgeon whom I trust to address the remaining problems, but I now face another surgery and additional expense to correct what remains. Patients deserve to be listened to, to have their preferences respected, to receive adequate postoperative care, and to know their surgeon will work with them with empathy and patience when something does not go as planned. Based on my experience, I would not choose Dr. Chasan again and would not recommend him for reductive breast augmentation.”
