Home / California / Dr. Richard Gangnes
California
#56
Top 500
#268
Score
74/100
Plastic surgeon

Dr. Richard Gangnes, MD

Richard A. Gangnes, MD is a facial plastic surgeon at Facial Aesthetic Concepts (FAC Centers for Aesthetic Medicine), which he opened in San Clemente, California in 1980 and which now has offices in Aliso Viejo and Rancho Santa Margarita. The practice's two surgeons, Dr. Gangnes and Dr. Bryan Brandon, offer upper and lower eyelid surgery and brow or forehead lift, and the site publishes price ranges for each (facorangecounty.com).

Practice
665 Camino De Los Mares, #100A, San Clemente, CA 92673
Phone
(949) 276-4141
Website
facorangecounty.com
Plastic surgeonsFacial plastic surgeons

Dr. Richard Gangnes (large marker) and the top 25 eyelid surgeons in California, numbered by state rank. Markers sit at the center of the practice's ZIP code. Map data © OpenStreetMap contributors.

Training and board certification

Source for all rows: source

Stage Detail
College University of California, Santa Barbara; BS, June 1970; Summa Cum Laude, Phi Beta Kappa
Medical school Washington University School of Medicine, St. Louis; MD degree, June 1974
Residency University of California, Irvine School of Medicine; Otolaryngology Head Neck Surgery with emphasis on facial plastic surgery, 1974-1979
  • Board certification as printed: "Board Certified Otolaryngology, Head and Neck Surgery, 1980"; "Board Certified: American Board of Facial Plastic and Reconstructive Surgery, 1995."
  • The eyelid page adds that he is a member of the American College of Surgeons (FACS) (source).
  • Member, American Academy of Facial Plastic and Reconstructive Surgery and American Academy of Otolaryngology, Head and Neck Surgery.
  • Teaches at the University of California Irvine Division of Facial Plastic Surgery; listed as Assistant Clinical Professor of Surgery.
  • Nearly four decades in facial plastic surgery; did research in collagen synthesis and wound healing in medical school.

Eyelid surgery work

  • Upper eyelid surgery. Removes excess skin, fat and muscle; can improve vision when sagging skin blocks the line of sight. The incision follows the natural eyelid crease.
  • Lower eyelid surgery. Treats puffiness, dark circles and excess skin or fat. Incisions are placed below the lower lash line or inside the lower lid (transconjunctival).
  • Anesthesia: local anesthetic or sedation. Surgery takes 1 to 2 hours depending on whether both lids are treated; outpatient.
  • Candidates are typically at least 35 years old or have hereditary eyelid issues. Eyelid surgery can be combined with a facelift, brow lift or laser skin resurfacing.
  • Brow or forehead lift. Incisions along the hairline or in natural forehead creases; the muscles that cause forehead wrinkles are repositioned and excess skin may be removed. Sutures are removed at a follow-up visit (source).

Gallery: the eyelid surgery gallery shows 19 cases labeled by case number; cases do not name which of the two surgeons operated (source). The site has no brow lift gallery and no page for ptosis repair or double eyelid surgery.

Other procedures

The practice offers facelift, microlift, rhinoplasty and laser skin resurfacing, including fractional erbium laser, per the eyelid page and patient reviews on the bio page (source).

Insurance and cost

Prices as printed on the eyelid page (source):

Procedure Range
Eyelid surgery, Orange County average $3,000 to $6,000
Upper eyelid surgery $3,800 to $10,000
Lower eyelid surgery $5,900 to $10,000
Upper and lower eyelid surgery $9,000 to $18,000
Brow or forehead lift $5,000 to $10,000 (source)

A detailed quote is given at consultation. The site says nothing about insurance or Medicare coverage for eyelid surgery. Patient financing is offered (source).

Recovery

  • First few days: tightness and discomfort, managed with cold compresses and ointments (source).
  • After a week, most swelling and bruising subside and light activities resume.
  • Strenuous exercise avoided for two to three weeks.
  • Initial results show within a few weeks; final results take a few months.
  • Brow lift: light activities after 10 to 14 days; strenuous exercise avoided for a few weeks (source).

Prices and recovery, from the practice

From facorangecounty.com, read 2026-10-16, each with its source page.

Published prices

ProcedureAs publishedSource
Eyelid surgery (average, Orange County)On average, eyelid surgery typically ranges from $3,000 to $6,000.facorangecounty.com/facial-surgery/eyelid-surgery
Upper eyelid surgeryUpper Eyelid Surgery generally costs between $3,800 and $10,000.facorangecounty.com/facial-surgery/eyelid-surgery
Lower eyelid surgeryLower Eyelid Surgery can cost anywhere from $5,900 to $10,000.facorangecounty.com/facial-surgery/eyelid-surgery
Upper and lower eyelid surgeryUpper/Lower Eyelid Surgery can cost anywhere from $9,000 to $18,000.facorangecounty.com/facial-surgery/eyelid-surgery
Brow / forehead liftThe price can range from $5,000 to $10,000.facorangecounty.com/facial-surgery/brow-lift

Recovery, in the practice's words

TopicStatementDays
Swelling"After a week, most of the swelling and bruising will subside, and you can resume light activities." Source7
Exercise"Anything too difficult should be avoided for two to three weeks." Source21
Final result"Final results can take a few months to appear as the tissues settle fully." Source

Why #268: the score, line by line

Points come from sources read the same way for every surgeon. The method is on the methodology page.

SignalPointsOfSource
Before-and-after gallery4040an eyelid before-and-after gallery on the practice site, scored on how many eyelid cases it shows
Eyelid procedure pages910eyelid surgery pages on the practice site, more for each further eyelid operation
Cosmetic society1015cosmetic surgery society member
Training1515Plastic surgeon
Eyelid research015eyelid surgery papers in PubMed
Teaching05eyelid sessions taught at medical meetings, 2023 on
Score74100Rank 268 of 500

Before you book

The operations Dr. Richard Gangnes offers, what they cost, when insurance pays and the other surgeons nearby.