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Paul E. Chasan, MD, FACS profile

Paul E. Chasan, MD, FACS

VERIFIED
Board Certified Plastic Surgeon
1431 Camino Del Mar , Del Mar, California
(858) 914-2925
Website
4.9 | 132 Reviews
1457 Questions Answered
AREAS OF EXPERTISE

Post-Pregnancy Procedures

360 Photosโ€ข57 Reviewsโ€ข776 Q&Aโ€ข0 Offers
Itโ€™s not uncommon for women who feel self-conscious about the effects of pregnancy on their bodies to consider plastic surgery. A mommy makeover can be a great way to get back to your pre-baby body and jumpstart your post-pregnancy life. At my San Diego area practice, mommy makeovers are always tailored to the needs of the patient. One may include a combination of a tummy tuck and breast augmentation, while another might involve a more comprehensive breast lift, thigh lift, arm lift, and liposuction. Often, these procedures are performed in a single operation which reduces the cost and recovery time, compared to having each procedure done separately. The results can be transformational.
BEFORE
AFTER

Breast Surgery

315 Photosโ€ข54 Reviewsโ€ข748 Q&Aโ€ข0 Offers
Breast augmentation should never be a one-size-fits-all procedure. As one of the most experienced plastic surgeons in the field of breast augmentation, I guide all of my patients to the right size and shape of implants to meet your aesthetic goals, taking into account the proportions of your entire body. During my career, I have performed over two thousand breast augmentation surgeries and authored numerous peer-reviewed papers on breast surgery and revisionary breast surgery (fixing poor results from other surgeons). I also often lecture on a national level to other plastic surgeons on breast enhancement surgery for the implant manufacturer Allergan. At my San Diego area practice, I offer a full range of other breast enhancement surgeries, including breast lifts, breast reductions, and breast reconstruction.
BEFORE
AFTER

Rhinoplasty and Nose Shaping

159 Photosโ€ข37 Reviewsโ€ข486 Q&Aโ€ข0 Offers
Rhinoplasty is one of the most transformative procedures for the face. Of all plastic surgery procedures, it also requires the most experience, skill, and artistry to master. You must maintain or improve the functionality of the nose, alongside the aesthetic changes. I have personally performed hundreds of rhinoplasties and am a well-known revisionary rhinoplasty expert, repairing poor results from a previous rhinoplasty plastic surgery. At my San Diego area practice, I also offer ethnic rhinoplasty, which preserves the patientโ€™s ethnic identity, as well as functional rhinoplasty, to improve nasal breathing by correcting a deviated septum, nasal fracture, or other structural problem. I look forward to discussing how youโ€™d like to refine your nose, and how I can help you breathe more easily and face life with renewed confidence.
BEFORE
AFTER
MEET PAUL E. CHASAN, MD, FACS
๐Ÿฉบ30 YEARS OF EXPERIENCE

Dr. Paul E. Chasan has been a board-certified plastic surgeon in Del Mar, California for nearly three decades. The founder of Ranch & Coast Plastic Surgery, Dr. Chasan specializes in facelifts, rhinoplasty, breast augmentation, and revisionary breast surge

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@drpaulchasan

๐Ÿ’‰ Revisions, Rhinoplasty, Face, Breast & Body ๐ŸŒŸ Board-Certified Plastic Surgeon ๐Ÿ“ Ranch & Coast Plastic Surgery in Del Mar, CA ๐Ÿ“ฒ Schedule a Consult

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QUESTIONS ANSWERED

Thank you for your question. A large portion of my practice is dedicated to revisionary breast surgery Over many years, I developed a technique called "Reductive Augmentation" in which an internal bra-capsulorrhaphy, mastopexy - lift, and removal of inferior pole breast tissue is performed. This procedure is particularly suitable for patients who would like a more round appearing breast and upper pole fullness and have a previous "bottoming out ". I have treated many patients with very similar breast issues as yours. I published this technique in the International Journal of Aesthetic Surgery in 2017. You should be able to have an excellent result. Best wishes to you,
provider-Paul E. Chasan, MD, FACS-photo

Paul E. Chasan, MD, FACS

Board Certified Plastic Surgeon

4.9 | 132 reviews
Thank you for your question. I have been in practice for over 30 years and breast surgery and in particular, revision breast surgery is a large portion of my practice. Over the years, I have operated on many figure and fitness/body builder women and have found that the submuscular/dual plane breast augmentation is much more superior. In thin patients with low body fat, placing implants on top of the muscle often leads to significant wrinkling and also have a much higher percentage of capsular contracture/hardening. If the implants are placed higher on the chest/breast and are more of a higher profile and more cohesive, the animation deformity is much less. Although it is not perfect, it is much better than placing him on top of the muscle. I hope that helps. Best wishes to you.
provider-Paul E. Chasan, MD, FACS-photo

Paul E. Chasan, MD, FACS

Board Certified Plastic Surgeon

4.9 | 132 reviews
Thank you for your question. Over the last several years, I have developed a technique termed "thong" left. It addresses the lower pole of the buttock ptosis/laxity is very common in many women who have lost weight or of had liposuction in this area. I believe you would also benefit from adding a small amount of volume via fat transfer to your buttock as well. You should be able to have an excellent result. Best wishes to you.
provider-Paul E. Chasan, MD, FACS-photo

Paul E. Chasan, MD, FACS

Board Certified Plastic Surgeon

4.9 | 132 reviews
Thank you for your question. I have been in practice over 30 years and revision breast surgery is a large portion of my practice. I do see a lot of women who have implants on top of the muscle. The likelihood of capsular contracture is twice as common as under the muscle. Additionally, many people who have implants on top of the muscle have "slide down" in which the breast travels down there chest to a low position. I have written the only technical paper on replacing implants from on top to below the muscle. Oftentimes, you will also need a lift. Even though you do not have much breast tissue, you should be able to have an excellent result. Best wishes to you.
provider-Paul E. Chasan, MD, FACS-photo

Paul E. Chasan, MD, FACS

Board Certified Plastic Surgeon

4.9 | 132 reviews
Thank you for your question. A large portion of my practice is dedicated to breast revision surgery. I have been in practice for over 30 years. The answer to your question is more about the surgical technique then the implant. When somebody wants more upper pole fullness, I perform an internal bra/capsulorrhaphy procedure with mirror image capsulotomy. I wrote the very first paper on this in 1999. I will also usually use an ultra high-profile implant. I believe Sientra and Allergan make very similar style implants. I prefer Allergan. Without a picture, I cannot make any further comments. Best wishes to you.
provider-Paul E. Chasan, MD, FACS-photo

Paul E. Chasan, MD, FACS

Board Certified Plastic Surgeon

4.9 | 132 reviews
Thank you for your question. You are an excellent candidate for rhinoplasty, I think it is one of the most beautifying surgeries that we do as plastic surgeons. A large portion of my practice is dedicated to rhinoplasty surgery. It is important to only see plastic surgeons with extensive experience in rhinoplasty, ie perform at least 6 per month and have performed hundreds of cases. Also, critically evaluate on-line galleries to see if their art form resonates with yours. Rhinoplasty is definitely a grey haired plastic surgeon's sport. Best wishes to you.
provider-Paul E. Chasan, MD, FACS-photo

Paul E. Chasan, MD, FACS

Board Certified Plastic Surgeon

4.9 | 132 reviews
Thank you for your question. I have been in practice for over 30 years. I routinely performed rhinoplasty with my facial rejuvenation procedures. It really adds very little to the recovery and I recommend that you do it at the same time. Best wishes to you.
provider-Paul E. Chasan, MD, FACS-photo

Paul E. Chasan, MD, FACS

Board Certified Plastic Surgeon

4.9 | 132 reviews
Thank you for your question. I have been in practice for over 30 years and revisionary breast surgery is a large portion of my practice. If anyone is doing a two-stage breast implant revision and lift on you, you should go somewhere else. That by itself is a nonstarter. In my entire practice, I have never done that, and have had successful results. I believe that that surgeon that is not secure with his or her surgical abilities. Best wishes to you.
provider-Paul E. Chasan, MD, FACS-photo

Paul E. Chasan, MD, FACS

Board Certified Plastic Surgeon

4.9 | 132 reviews
Thank you for your question. You are an excellent candidate for buttock augmentation with implants. Often times, I combine buttock augmentation with implants and fat transfer/BBL. In your case, you appear not to have enough fat for a BBL. I have heard patients gain weight so that they can have a BBL then when you lose the weight, you lose all the fat that was put into your buttock. You should be able to have an excellent result. Make sure that you seek out surgeons who have extensive experience with buttock augmentation with implants. Best wishes to you.
provider-Paul E. Chasan, MD, FACS-photo

Paul E. Chasan, MD, FACS

Board Certified Plastic Surgeon

4.9 | 132 reviews
Thank you for your question. A large portion of my practice is dedicated to revisionary breast surgery. The term internal bra refers to capsulorrhaphy or suturing of the pocket. I wrote the very first paper on this in 1999. I perform this surgery multiple times per week. Generally, this is a straightforward procedure that should lead to long lasting results. There are many plastic surgeons are not well versed in performing the capsulorrhaphy correctly, and these are prone to failing. In your case, you may need additional mesh. Make sure that you interview multiple surgeons who have considerable experience in breast revision. Best wishes to you.
provider-Paul E. Chasan, MD, FACS-photo

Paul E. Chasan, MD, FACS

Board Certified Plastic Surgeon

4.9 | 132 reviews

Paul E. Chasan, MD, FACS reviews

Paul E. Chasan, MD, FACS

RATING DETAILS

4.9
132 reviews

All reviews are evaluated by the RealSelf team to ensure they're written by patients like you and meet our guidelines. Your results may vary. Doctors can never pay to have reviews removed or hidden.

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Paul E. Chasan, MD, FACS
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10 Results
Breast Implant Revision

SarahK84

I Am So Grateful I Came to Dr. Chasan!

I am very pleased with my results and so grateful for Dr. Chasan and his team. I was so happy with the friendliness at the office, the assistance with setting up financing and the ease of every appointment. I feel like family every time I call or come into the office. I was loosing hope for my reconstruction before coming here, because either the price was a range (one surgeon had a potential $10,000 price difference) or another doctor had a way of planning the surgery that didnโ€™t quite make sense to me. I had my consultation with Dr. Chasen and felt immediate relief. I had complete confidence in his ability. I certainly recommend Dr. Chasen and his office for surgery. For more information about my surgery and โ€œsituationโ€ please continue to read. I had a BA just over 10 years ago in Salt Lake City, and unfortunately, did not do enough research before hand. I got my implants just after I finished breast-feeding around 10 years ago. My original surgery was a great size, but unfortunately the implants were too far apart. Then after a year of getting fit at the gym, the implants were pushed out of the pocket and even further to the side, down and into my armpits. Since they had fallen out and they were due for a change, I started shopping around in San Diego and Los Angeles for a reconstruction surgery. I had almost lost hope before coming to Dr. Chasan. When I came in for my consultation with Dr. Chasan, he explained my situation in more depth and showed me what he could do to help. My ribcage is curved, not flat; which is one reason they were so far apart. For other doctors, I was a โ€œdifficult case,โ€ but for Dr. Chasan; he knew he would be able to help me with his mesh technology (internal bra). Dr. Chasan moved my muscles, gave me the best shape and size for the new implants and was able to give me a natural looking cleavage (which I never got in the initial surgery!). The ripples are gone, the weird muscle squishing my implants down is gone, it feels so good; I actually feel more feminine and sexy. Iโ€™m so grateful for everyone at Ranch & Coast!

Rhinoplasty

Honest780209

Highly Highly Recommend Dr. Chasan for Rhinoplasty

I had a rhinoplasty by Dr. Chasan in February 2025 and am SO happy with the results. My nose is exactly what I wanted (if not better). He listened to what I wanted and did exactly that. Getting a rhinoplasty here was the best decision I have ever made, truly. I had been thinking about it for 10+ years but was too nervous previously. My friend got her nose done by him 1.5 years ago (her nose is amazing!) so when I started seriously considering it because I'm getting married this year and didn't want to hate every photo of my face (lol), I interviewed Dr. Chasan and 5 other doctors and am so glad I ended up going with Dr. Chasan. Best decision ever!!!

$30,300Rhinoplasty

SG975

I Can't Be More Happier

After my first consultation with Dr. Chasan for rhinoplasty, we discussed what could realistically be achieved and set clear expectations. He also brought up the idea of enhancing facial harmony through facial fat transfer, due to the volume I lost after shedding 80 pounds. Dr. Chasan explained that he could improve the balance of my jaw by about 50%, which was a significant improvement from my starting point. I really appreciated his honesty and thoughtful approach. We scheduled the surgery for two months out. In the meantime, I browsed through his gallery to find wish photos and came across the endoscopic brow lift section. After my weight loss, I was left with heavy brows, so I returned to Dr. Chasan to ask whether this could be addressed as well. Ultimately, we decided to proceed with a combination of procedures: septorhinoplasty, endoscopic brow lift, and facial fat transfer to achieve a more harmonious look. The results have been outstanding. I can't speak highly enough about Dr. Chasanโ€™s bedside manner and surgical skill. Iโ€™m currently almost three months post-op, and every single person whoโ€™s seen my before-and-after photos has given me compliments. People who didnโ€™t know me before, or havenโ€™t seen me in a while, donโ€™t even realize Iโ€™ve had surgery โ€” it all looks very natural. The office staff and nurses are also incredible โ€” always responsive to emails and calls. I even received a few personal follow-up calls from Dr. Chasan himself to check in and see how I was doing, which meant a lot. My overall experience has been phenomenal, and the results have exceeded my expectations. I initially found Dr. Chasan by simply searching for the โ€œTop 10 Plastic Surgeons in San Diego.โ€ I had a couple of consultations in Beverly Hills, but I didnโ€™t want to travel for my procedures. From the top 10, I easily narrowed it down to the top four based on their galleries and board certifications. I then scheduled consultations with those top four. While the others were kind enough to redo morphs for me several times, I ultimately didnโ€™t connect with their aesthetic as much. Dr. Chasan stood out, and Iโ€™m so glad I chose him.

Breast Implant Revision

Fab0829

Back for Breasts! Reductive Augmentation & Lift

I Just wanted to share my continued five star experience at Ranch & Coast Plastic surgery with Dr. Chasan A year ago I was very fortunate to have a Del Mar thong lift as I mentioned in my previous review. The results have been beyond outstanding. My confidence has been restored with my perky bum. I had been wanting to have a breast augmentation/lift revision for a while and there was no question in my mind that I would be going back to see Dr Chasan. He is an absolute wizard to say the least! His expertise, talent, artistry, and thinking outside the box makes him an outstanding provider when it comes to these specialized niche procedures. It wasn't that I just needed a breast augmentation revision. It was the fact I needed a reductive augmentation. That is not something I have seen any providers really discuss. That is why I had gone through 4 different other augmentations with a different provider in Beverly Hills where I just been given different implants and multiple lifts, but still had all this extra hanging breast tissue underneath. They would look OK at first and then overtime I became unhappy. It kept causing my breast to sag and be uncomfortable. Also it was causing poor posture and not fitting in my clothes nicely. Well, I just had my reductive augmentation a just over a week ago and Dr. Chasan performed his magic and I now have the breasts I've always wanted! I am now so happy with the size, symmetry/shape and they are the perkiest they have ever been in my entire life. Iโ€™ll follow up with photos after my one month post appointment. Pain was very minimal and had hardly any bruising. All the staff, as always, Emery, Sasha, Mary and Jennifer were all extremely helpful, accommodating and kind throughout all my visits to the clinic. I highly recommend Dr Chasan to anyone who is looking for their dream body as he makes the dream come true. Thank you Dr Chasan and team Ranch & Coast!

Calf Implant

JZIE

Great Surgeon, Great Team

I am highly satisfied with the procedure I had, with the results, with Dr. Chasan and with his overall team. This is despite having a few post-op unexpected small difficulties. Dr. Chasan and his team have been amazing in terms of their responsiveness and follow up. They have been on top of everything showing patience, diligence and that they really care. Dr. Chasen is a skilled surgeon, he utilizes innovative methods and is a great specialist. He and everybody in his team are very professional, caring, compassionate, flexible, friendly and patient. You can't ask for more from a team of true professionals. I highly recommend Dr. Chasan.

Breast Implant Revision

momma528

The best! My results are fantastic.

My results are fantastic. I would say that my revision journey has been a challenge but Dr Chasan went above and beyond and came up with a way to fix the damage that had been done by other doctors. He did what no one else knows how to do. He didnโ€™t have to but thatโ€™s who he is. I once asked him if I was his most difficult case, he said โ€œno but top 3โ€. He stuck with me and like a wizard, gave me perfect results.

Breast Lift

McFlip

Breast lift last month and am loving the results

Had a breast lift last month and am loving the results. I went from saggy to perky, with very little pain for only a few days after surgery. I cannot wait to go bikini shopping! Thank you to Dr Chasan and his wonderful team! Great choice and I would recommend to anyone! Updated on 7 Apr 2025: Here are my before and after photos at about a month or two post op. Love love love the results! Working with Dr Chasan and his team was a delight! Thank you for these great new boobs- I cannot stop looking in the mirror in awe! Again very little pain post op that essentially went away after a few days. I am very happy with them and am so happy I chose Dr Chasan. Definitely worth every penny!

Breast Implant Revision

mikkibe

Outstanding - truly exceptional level of care and expertise

I canโ€™t speak highly enough about Dr. Chasen and his team. After undergoing multiple reconstructive breast surgeries to address persistent encapsulation, Dr. Chasen is the only surgeon who has been able to resolve the issue effectively. His approach is incredibly thorough; he truly takes the time to listen, understand, and tailor his techniques to address my specific needs. Dr. Chasen utilizes innovative methods I hadnโ€™t encountered with other surgeons, and his dedication to follow-up care has ensured that the problem has not reoccurred. The office itself is just as outstanding. From the front desk to the nursing staff, every person Iโ€™ve interacted with is warm, professional, and efficient. They go above and beyond to make each visitโ€”whether a simple check-up or a more involved procedureโ€”as comfortable as possible. I feel at ease and fully supported every step of the way. I wholeheartedly recommend Dr. Chasenโ€™s office to anyone considering plastic surgery or non-surgical treatments. The level of care and expertise here is truly exceptional.

Mommy Makeover

AlexandriaAnderson

Absolutely thrilled with how everything turned out

I recently had a Mommy Makeover with Dr. Paul Chasan at Ranch and Coast, and I couldn't be more thrilled with my experience and results! From the moment I walked in, the staff made me feel comfortable and welcomed. They're always enjoyable to be around.During my consultation, Dr. Chasan took the time to really understand my goals and showed me exactly how we could achieve the results I was looking for. He went over the procedure options, explaining everything clearly including looking through photos of his work on clients that were tailored to my body type. This made me feel confident in my decision, and I booked my surgery shortly after. The surgery itself went incredibly well, and I felt I was in the best hands possible throughout the entire process. The aftercare was just as impressive. The staff made sure I was comfortable and well-cared-for as I recovered. I am absolutely thrilled with how everything turned out. If you're considering any procedure, I highly recommend Dr. Chasan and the team at Ranch and Coast. They truly deliver incredible results with a personal touch.

$23,000Butt Lift

Polite31980

Thong lift to remove the excess skin left hanging by a different surgeon

Dr. Chasan is an AMAZING surgeon! I had been botched from a failed fat transfer around my hips by a different surgeon. I was left with asymmetries, but I specifically sought out Dr. Chasan to fix my deflated backside. The previous lipo in that area left me with sagging buttocks with double banana rolls. I came from out of town and, from the moment I met him, felt like I was in more than capable hands. He genuinely listened to me and assured me he would make things better. He helped me feel less anxious and he took his time explaining everything and answering my questions. I had a thong lift to remove the excess skin that had been left hanging. I absolutely LOVE what he did for me. He took a bad situation and turned it into something that gave me some of my confidence back. My butt looks so much better now! He truly is an artist and puts his patients first. I cannot recommend him enough! Brilliant, empathetic, dedicated surgeon whom Iโ€™m so lucky to have found. Thank you Dr. Chasan! Iโ€™m so happy to have found you!