He made his film debut in the Lifetime movie No One Would Tell in 1996, followed by the drama Shattered Image (1998), followed by roles in What Women Want (2000), Rise of the Gargoyles (2009) and The Texas Chainsaw Massacre (2003).

[5] He described his household growing up as "creative" and said that his family often made trips to the Esalen Institute in Big Sur, California.

In March 2006, Balfour debuted as Brian Peluso on producer Dick Wolf's crime drama Conviction, which lasted one season.

Balfour was also a guest star on the hit show Dawson's Creek in the ninth episode of the first season.

Balfour co-starred with Missy Peregrym and Jeff Roop in the survival film Backcountry,[9] and he appeared as Spiro Dalon in an episode of Chicago P.D.

After five years of dating, Balfour married fashion designer Erin Chiamulon on May 30, 2015, in Pacific Palisades, California.