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Dr. Richard Gangnes, MD, FACS - Board Certified Facial Plastic Surgeon in San Clemente, California

Dr. Richard Gangnes, MD, FACS

Board Certified Facial Plastic Surgeon

San Clemente, California
NPI: 1003834318· License: g30030 (CA) verify

46+ years of experience · self-reported

Industry payments (2024): $827 across 13 payments (what this means)
4.06(16 ratings)

Consultation $85

In Dr. Richard Gangnes's own words

How Dr. Richard Gangnes describes their own approach, from their Instagram posts. Each statement links to the original.

Approach

  • Music or silence during surgery? Ooh, yeah, definitely music. I can't do anything with just pure silence. I need a little bit of music just to kind of drown out the inner monologue going on
  • Her story is a beautiful reminder that the goal isn’t to look like someone else. It’s to feel more like yourself again

Specialization

  • Favorite procedure to see results from? Facelift. It's a lot of fun

Technique

  • For male patients especially, I tend to favor a conservative, anatomy-preserving approach

Consultation

  • Patients should talk with the practice's team to determine if IPL is right for them.

Results

  • When friends and family notice that you look refreshed—but can’t quite figure out why—that’s usually the result we’re looking for

Statements are quoted or closely paraphrased from Dr. Richard Gangnes's own public posts and are their claims, not NavMDs' medical advice. Doctors can correct or remove any item via their claimed profile or support [at] navmds.com.

About

Dr. Richard Gangnes, MD, FACS, is a Double Board Certified Facial Plastic Surgeon practicing in San Clemente, California. He specializes in facial cosmetic surgery, offering procedures such as Eyelid Surgery, Lower Facelift, Botox, Filler, Laser treatments, Brow lift, Fat transfer to the temples, and IPL. Dr. Gangnes's philosophy is to help patients feel more like themselves again, aiming for natural, refreshed, and slightly more polished results rather than dramatic transformations. He emphasizes that improving skin quality often makes the biggest difference, recommending a medical-grade skincare routine to protect and maintain results. Every treatment plan is customized to a patient's goals, lifestyle, and budget, focusing on the right combination of treatments for the smartest investment. For male patients seeking lower eyelid surgery, he favors a conservative, anatomy-preserving approach to achieve subtle, natural-looking results that maintain masculinity. He also provides guidance on seasonal skincare and understanding future skin needs.

Connect with Dr. Richard Gangnes on Social Media

SpecialtiesProceduresAverage CostReviewsIndustry PaymentsInsuranceLocationAffiliationsEducationFAQ

Specialties

  • Board Certified Facial Plastic Surgeon

Procedures & Services

Select a service to schedule an appointment · each is approximately 60 minutes

Average Cost of Surgery

Healthcare costs shouldn't be a mystery. Below, you'll find crowdsourced data on the actual costs of surgeries performed by Dr. Richard Gangnes, submitted anonymously by the patient community. Use this as a guide to better anticipate your own expenses. Please note that final costs can vary based on your specific medical needs.

Lower Facelift

$17,500

About typicalTypical in California: $8,150–$17,625 (median $15,001, 12 reports) compare ↗

Help us keep this data current and accurate. If you've had a procedure with Dr. Richard Gangnes, please take a moment to contribute your cost information.

Questions, Answers, and Information Directly from Dr. Richard Gangnes

Sourced directly from Dr. Richard Gangnes's social posts and replies.

When is the ideal time to consider aesthetic treatments before a big event?
The practice suggests considering treatments well in advance of big events like weddings or reunions. This allows sufficient time for skin and treatments to settle, ensuring optimal results and a refreshed, confident look, rather than waiting until the last minute.
Source →
What are wrinkle relaxers used for?
Wrinkle relaxers, such as Botox, are used to soften expression lines.
Source →
What should patients consider when choosing a doctor for aesthetic procedures?
Choosing a doctor involves more than just credentials; key factors include trust, connection, and feeling comfortable in their care.
Source →
What are the benefits of IPL (Intense Pulsed Light) treatments?
IPL treatments can help reduce the appearance of sunspots, improve uneven skin tone, and reveal a brighter, more refreshed complexion by hitting the reset button on sun damage. Patients should consult with the team to determine if IPL is right for them.
Source →
What are Dr. Gangnes's goals and approach for lower blepharoplasty?
The goal of a well-executed lower blepharoplasty is not to change the shape of the eyes or give a 'surgical' appearance, but to address under-eye bags and contour irregularities that make one look tired. The desired outcome is a subtle, refreshed look where friends and family notice an improvement without being able to pinpoint why. For male patients especially, Dr. Gangnes favors a conservative, anatomy-preserving approach to achieve smoother lower eyelid contours, less puffiness, and a more rested appearance while maintaining natural character and masculinity.
Source →

From Dr. Richard Gangnes's Instagram

@facorangecounty →

Recent photos posted by @facorangecounty, Dr. Richard Gangnes's own Instagram account. Each image opens the original post on Instagram.

Images © Dr. Richard Gangnes / @facorangecounty, shown here with a link to the original post. Procedure labels are inferred from the post's caption and hashtags. If you are the account owner and want an image removed, contact support [at] navmds.com.

Technologies & brands Dr. Richard Gangnes mentions

Devices, implants, injectables and products named in Dr. Richard Gangnes's own posts and videos. A mention is not an endorsement; ask the office what they currently offer.

InjectablesBotox

Patient Experience

Dr. Richard Gangnes Review Summary

4.33
Dr. Gangnes receives consistently high ratings, averaging 4.33 out of 5 stars. Patients praise his expertise and results, reflecting his decades of experience in facial plastic surgery.

Ratings from Other Platforms

healthgrades.com

5 out of 5

Based on 2 reviews

View on healthgrades.com

health.usnews.com

4 out of 5

Based on 46 reviews

View on health.usnews.com

realself.com

4 out of 5

Based on 2 reviews

View on realself.com

doctor.webmd.com

4 out of 5

Based on 40 reviews

View on doctor.webmd.com

care.healthline.com

5 out of 5

Based on 2 reviews

View on care.healthline.com

sharecare.com

5 out of 5

Based on 2 reviews

View on sharecare.com
Dr. Richard Gangnes, MD, FACS - Board Certified Facial Plastic Surgeon in San Clemente, California

Facial Aesthetic Concepts

665 Camino De Los Mares, Ste. 100, San Clemente, California

Book a Service Consultation

Consultation fee: $85

Each service is approximately 60 minutes.

Industry Payments

Federal law (the Physician Payments Sunshine Act) requires drug and medical-device companies to report anything of value they give to a physician — consulting and speaking fees, research funding, travel, royalties, and even meals. Medicare publishes all of it in a public database called Open Payments. We show it here so you don't have to go looking for it.

Total received (2024)

$827

Payments

13

Compared to peers

Modest

Dr. Richard Gangnes received $827 across 13 payments in 2024. That is higher than about 56% of the physicians here who received any industry payment. Most of it was categorised as compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program, and the largest single payer was ABBVIE INC..

What this means for your care

  • A disclosed payment is a business relationship, not evidence of wrongdoing, and it says nothing on its own about the quality of your care.
  • Most payments are small. Across the physicians listed on NavMDs, the single most common category is food and beverage at industry-sponsored talks.
  • Larger consulting, speaking or royalty payments mean an ongoing financial relationship with a company whose products your doctor may use or recommend. That is worth knowing about, and it is reasonable to ask about.
  • A fair question to ask: “Do you have a financial relationship with the maker of the implant, filler or device you're recommending — and what alternatives did you consider?”

Source: CMS Open Payments, the federal database created by the Sunshine Act. View the full record on CMS Open Payments ↗

Insurance Information

Please contact Dr. Richard Gangnes's office directly for information about accepted insurance plans.

Help us improve this profile

Do you know which insurance plans Dr. Richard Gangnes accepts? Share this information to help other patients.

Location & Contact Information

Facial Aesthetic Concepts

665 Camino De Los Mares, Ste. 100

San Clemente, California

Get Directions

Office Information

Where does Dr. Richard Gangnes practice?

Doctor's Office

Facial Aesthetic Concepts (Primary)

665 Camino De Los Mares, Ste. 100, San Clemente, California

(2 reviews)

Hospital Affiliations

MemorialCare Saddleback Medical Center

Help improve our data. Confirm if Dr. Richard Gangnes is affiliated with MemorialCare Saddleback Medical Center.

Mission Hospital Laguna Beach and Saddleback Medical Center

Help improve our data. Confirm if Dr. Richard Gangnes is affiliated with Mission Hospital Laguna Beach and Saddleback Medical Center.

Education & Experience

Education

Washington University

Certifications & Licenses

Board Certified Facial Plastic Surgeon
Facs

Frequently Asked Questions

Can you make an appointment with Dr. Richard Gangnes online?
Information on online appointment booking with Dr. Gangnes isn't available in the provided details. It's recommended to contact his office directly to inquire about appointment scheduling options.
Does Dr. Richard Gangnes offer telehealth?
Whether Dr. Gangnes offers telehealth services isn't specified in the provided information. Contacting his office directly is the best way to determine telehealth availability.
What do patients have to say about Dr. Richard Gangnes?
One patient, a 42-year-old from San Clemente, expressed immense satisfaction with Dr. Gangnes' work, stating they "can look in the mirror again!"
What areas of care does Dr. Richard Gangnes cater to?
Dr. Gangnes specializes in facial cosmetic surgery, including procedures like eyelid surgery and lower facelifts. His expertise lies in enhancing and rejuvenating facial features. He also has a background in Otolaryngology-Head & Neck Surgery and Neurological Surgery. His philosophy emphasizes helping patients feel more like themselves again, aiming for natural, refreshed, and slightly more polished results rather than dramatic transformations. He believes the biggest difference in results often comes from improving skin quality first, and recommends a medical-grade skincare routine to protect and maintain treatment results. Every treatment plan is customized to the patient's goals, lifestyle, and budget, focusing on choosing the right combination of treatments for the smartest investment. He provides guidance on seasonal topics related to skin, face, and overall appearance, including sun protection, summer skin changes, dryness, skincare adjustments, and preparation for Fall, emphasizing understanding future skin needs. For male patients undergoing lower eyelid surgery, he favors a conservative, anatomy-preserving approach to achieve subtle, natural-looking results that maintain masculinity.