Ranch & Coast Med Spa
Del Mar, California
Health & Wellness
A strategic second-story expansion designed to extend a trusted surgical brand into a hospitality-driven Med Spa experience.
Located in Del Mar, California, Ranch & Coast Med Spa represents the next evolution of the established Ranch & Coast Plastic Surgery practice led by Dr. Paul Chasan.
Irwin Raymond was engaged to design a second-story addition to the existing building—expanding the practice’s footprint to accommodate a growing demand for Med Spa services and additional physician offices. The goal was to create an elevated, hospitality-forward environment that complements the reputation and clinical excellence of the existing surgical practice.
The goal was to increase square footage through a second-story addition, enabling the expansion of Med Spa services while maintaining alignment with the established brand identity.
The project required the creation of a refined, experience-driven environment that would seamlessly extend the credibility and trust already associated with Dr. Chasan’s practice.
The Challenge
The success of this project required careful coordination between operational continuity, infrastructure protection, and long-term brand vision.
Key challenges included:
Keeping the existing Plastic Surgery practice fully operational during construction
Avoiding disruption to existing building infrastructure
Maintaining strict budget and schedule alignment
Aligning multiple stakeholders around a clear and cohesive vision for the expansion
Designing a Med Spa environment that feels distinct yet connected to the core surgical brand
The addition needed to function as a natural extension of the practice—both operationally and experientially.
Our Strategy
We approached the project through our healthcare-as-hospitality framework, ensuring that brand trust, patient comfort, and operational performance were aligned from the outset.
Our strategy focused on:
Creating a clear spatial hierarchy that supports both openness and discretion
Designing a hospitality-inspired arrival experience that elevates first impressions
Integrating new program requirements without disrupting existing infrastructure
Developing a layout that supports both patient flow and clinical efficiency
Establishing a cohesive design language that reinforces the practice’s reputation
Every decision was guided by the goal of extending an already respected medical brand into a refined Med Spa environment.
The Design Solution
The proposed design introduces an open lobby concept that establishes a welcoming, hospitality-forward atmosphere upon arrival.
From this central gathering space, the layout transitions into two discreet corridors dedicated to treatment and consultation rooms—balancing transparency with privacy. The spatial flow was intentionally designed to provide clarity, comfort, and intuitive navigation while maintaining the discretion expected in a medical setting.
The result is an environment that feels open yet controlled, refined yet approachable—supporting both patient relaxation and clinical precision.
The Result
A hospitality-driven Med Spa environment that enhances patient trust and comfort.
Upon completion, the project is positioned to deliver:
Expanded service capacity through increased square footage
A seamless extension of Dr. Paul Chasan’s established brand reputation
Strengthened market positioning within the competitive Del Mar aesthetic healthcare landscape
The new Med Spa will leverage the credibility of the existing surgical practice while introducing an elevated experience tailored to aesthetic wellness.
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Space Planning
Interior Design
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Ranch & Coast Med Spa represents a strategic growth initiative—expanding an already trusted surgical brand into a hospitality-informed wellness environment.
By aligning spatial planning, patient experience, and brand credibility, the project establishes a foundation for long-term expansion and continued market leadership.

