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Premier Plastic Surgery & Med Spa in Jacksonville, FL
First Coast Plastic Surgery has established itself as a premier destination for plastic surgery and aesthetic treatments in Northeast Florida. With over 30 years of surgical expertise, Dr. David N. Csikai delivers personalized care tailored to each patient's unique goals, ensuring natural-looking, long-lasting results. Our practice combines advanced surgical techniques with innovative non-surgical options, including HydraFacial treatments, Restylane fillers, and laser skin resurfacing. As a board-certified plastic surgeon certified by the American Board of Plastic Surgery, Dr. Csikai prioritizes patient safety, education, and satisfaction throughout every stage of care. Our fully accredited ambulatory surgical center and on-site med spa provide a seamless experience for those seeking facial rejuvenation, body contouring, or breast enhancement.

We maintain active involvement in continuing medical education to stay at the forefront of emerging technologies and surgical advancements. Patients from Jacksonville, St. Augustine, and surrounding areas trust our commitment to compassionate, patient-centered care that emphasizes transparency and ethical standards. Our team of licensed aestheticians and registered nurses ensures every treatment aligns with individual skin needs and aesthetic preferences. With flexible financing options through CareCredit and ALPHAEON Credit, we strive to make transformative procedures accessible while maintaining the highest standards of care and personalized attention.
Services
Breast Augmentation Liposuction Facelift HydraFacial Restylane Fillers Tummy Tuck Brow Lift Microneedling Chemical Peels Breast Lift
Highlights and features
  • We offer over 30 years of surgical expertise from a board-certified plastic surgeon
  • Our treatment plans are fully customized to individual anatomy and aesthetic goals
  • We maintain an on-site accredited ambulatory surgical center for patient convenience
  • Our med spa features advanced technologies like HydraFacial and Rejuvapen microneedling
  • We provide flexible financing options through CareCredit and ALPHAEON Credit
Associations and certifications
  • American Board of Plastic Surgery
  • American Society of Plastic Surgeons
  • American Society for Aesthetic Plastic Surgery
What people say
Exceptional results Personalized care Professional staff Natural-looking outcomes Thorough consultations
Services
Breast Augmentation
Breast augmentation enhances breast size and shape through implant placement. This procedure addresses volume loss, asymmetry, or desire for proportionate curves. Our personalized approach considers tissue characteristics, implant types (saline, silicone, or shaped cohesive gel), and placement techniques to achieve natural results. Patients receive comprehensive pre-operative education about options and recovery expectations.
HydraFacial
HydraFacial provides multi-step skin resurfacing through cleansing, exfoliation, extraction, and hydration. This non-invasive treatment addresses fine lines, uneven texture, and congested pores using vortex technology. Customizable serums target specific concerns like hyperpigmentation or dehydration, delivering immediate visible improvements with no downtime for all skin types.
Facelift
Facelift surgery addresses visible signs of aging in the face and neck. Through precise tissue repositioning and skin tightening, we restore youthful contours while maintaining natural expressions. The procedure can be combined with eyelid surgery or brow lifts for comprehensive rejuvenation, with personalized techniques ensuring long-lasting, balanced results.
Liposuction
Liposuction removes localized fat deposits to improve body proportions. Using advanced tumescent techniques, we target areas like the abdomen, thighs, or arms with minimal trauma. The procedure enhances natural contours rather than serving as weight loss, requiring stable weight maintenance for optimal, enduring outcomes through healthy lifestyle habits.
Restylane Fillers
Restylane fillers restore facial volume and smooth wrinkles through hyaluronic acid formulations. Treatments address nasolabial folds, cheek hollows, and lip enhancement with immediate results lasting 6-18 months. The addition of lidocaine in Restylane-L ensures comfort during injection while maintaining natural facial movement and expression.
People
David N. Csikai
Board Certified Plastic Surgeon
Dr. Csikai has over 30 years of surgical experience, completing his medical degree at Temple University and plastic surgery certification at the University of Kansas. A U.S. Navy veteran, he maintains active membership in the American Society of Plastic Surgeons while specializing in facial rejuvenation, breast surgery, and body contouring.
Questions
What plastic surgery procedures do you specialize in?
We specialize in facial rejuvenation (facelifts, eyelid surgery), breast procedures (augmentation, lifts, reductions), and body contouring (liposuction, tummy tucks). Our med spa also offers non-surgical treatments like HydraFacial and Restylane fillers.
Are financing options available for surgical procedures?
Yes, we offer CareCredit and ALPHAEON Credit financing programs with flexible payment plans to make procedures more accessible while maintaining quality care standards.
How experienced is your surgical team?
Dr. Csikai has over 30 years of surgical experience, board-certified by the American Board of Plastic Surgery with additional fellowship training in aesthetic surgery techniques and laser procedures.
What areas do you serve?
We serve Northeast Florida including Jacksonville, St. Augustine, and Fernandina Beach, as well as South Georgia locations like Valdosta and Waycross from our accredited Jacksonville surgical center.
What non-surgical options are available?
Our med spa offers HydraFacial treatments, Rejuvapen microneedling, laser skin resurfacing, chemical peels, and Restylane dermal fillers with Dysport injections for comprehensive facial rejuvenation.
What are your office hours?
Our Jacksonville office operates Monday-Thursday 9:00 AM-4:30 PM and Friday 9:00 AM-12:00 PM, with after-hours consultations available through our virtual consultation platform.
Reviews (4)
Hillda Vic
Jun 21, 2022 Report
Their medical staff and systems are perfect. It is systematic and everyone does their best on their part. I think I met about 10 people from the time I first visited until the surgery was completed, but I haven't met a single person who doesn't work hard. And now, after I fully recovered, I gained confidence. Very good and best doctors, but very humble doctors are quite impressive. Thank you for giving me a new life!
Michelle Harris
Jun 19, 2022 Report
I love this place! I love Dr. Csikai because he listened to my concerns! I am so glad I chose him! I am so happy with the outcome of my surgery that I can't stop staring at myself! I am still in the process of healing but I am enjoying my transformation right before my eyes. I love all the nurses and office staff that work for him. My surgery went smooth, Other than the outstanding talented doctor, I Think it had a lot to do with everyone being on the same page from the start of surgery till the end!

I was so comfortable and trusted Dr. Csikai and his operating team! Trust is hard to earn and he definitely earned mine and I wouldn't go anywhere else but right here @ first coast plastic surgery! They were all so loving and friendly to me and my husband. Everyone in that office was so supportive to me, if I had to do it all over again I would. Thank you first Coast plastic surgery! You are more than a five star!
Kim Pierce
Jun 15, 2022 Report
I went in for a tummy tuck and lipo. From the start was all a very new experience for me. The staff was very helpful in answering all the questions I had. I was even surprised when Dr. Csaiki called the same night to check in on my. I have never had a Dr. to do that. It's still early to check results, I'm on day after surgery. I will update it later.
Sherina Smith
Apr 09, 2022 Report
I had liposuction a few days ago and everyone at this office was absolutely wonderful and professional. I was nervous going in but Lori was amazing and reassured me throughout the entire process. Dr. Csikai also called me the evening following my surgery (yes HE called; not someone from his staff) to check on me and see how I was feeling. Overall, I would recommend anyone wanting any type of cosmetic surgery to check out this office.