It hasn't been officially determined, but texting while driving was part of it.
Ryan was sending a Twitter message about his border collie just before his fatal car accident.
The California Highway Patrol confirms Ryan was texting before the crash, but investigators have not officially determined the cause of the accident.
His last tweet was a pic of his dog with the caption, "Border collie Jill surveying the view from atop the sand dune."
Dr. Ryan was one of the first surgeons to perform a plastic surgery makeover on television in 1995.
The doctor was just 50.
His car landed on rocks and lifeguards initially tried to help Ryan, to no avail. He was trapped in the vehicle and had major, ultimately catastrophic head injuries.
Heidi Montag took to Twitter to share her feelings. "I am devastated to hear the news of Dr. Frank Ryan's death. He was the most amazing person I have ever known. He was an angel and changed my life and the lives of everyone he met. He was the most brilliant talented surgeon who will ever exist. Dr. Frank Ryan changed the world.
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