Are You Bothered By Your Ears?

Many of our patients have felt a dissatisfaction with their ears from a very young age. The most common concern related to ear appearance is that they “stick out” too much. Otoplasty – often referred to as “ear pinning” surgery – can change the relationship of the ear to the face and the side of the head.

Here are a few facts about Otoplasty:

  • It can be performed on a child as young as 6 or 7 years old (unlike most other plastic surgeries) because at that age the ears are 90% of the size they will be as an adult.
  • This surgery is not just for ears that stick out.
  • It can address the shape and symmetry of the ears, including reducing the size of the earlobes if they are too large.
  • The surgery does not require general anesthesia. It can be performed under local anesthesia combined with oral sedation alone or together with an IV sedation.
  • Pain is usually minimal and easily controlled with Ibuprofen or Tylenol.
  • The recovery time for an adult or a child is about 1 to 2 weeks.

View some of our Otoplasty before and after photos.

A successful Otoplasty can be a dramatic transformation for a child, a teen, or an adult.

Call our Santa Barbara Cosmetic Surgery Center office today – 805-563-0000 – to schedule an Otoplasty consultation for you or your child.

Eyelid Lift Surgery in Santa Barbara

Eyes are often the first thing people notice. They convey so much without a word being spoken.

Unfortunately, aging, stress, smoking, excess drinking and/or sun damage can dramatically affect the delicate skin around the eye area resulting in sagging skin, fat bulges, hooded eyelids, fine lines, wrinkles, and/or bags. When any (or many) of these symptoms arise, a person may appear tired, unhappy or unapproachable when they are not.

Fortunately we can restore the appearance around the eyes with blepharoplasty – the medical term for eyelid enhancement surgery.

Here are your options for eyelid surgery in Santa Barbara.

Upper Eyelid Surgery addresses:

  • Excess or overhanging upper eyelid skin
  • Inner corner fat bulges

Facts About Upper Eyelid Surgery:

  • Incisions are made in the natural creases of the eye and are well hidden when healed.
  • A conservative approach is generally better to avoid looking “operated”. Especially for men, too much visible lid gives a feminine appearance.

Lower Eyelid Surgery addresses:

  • Dark circles
  • Fat bulges
  • Skin laxity under the eyes

Facts About Lower Eyelid Surgery:

  • For those who have fat bulges but little excess skin, incisions are made on the inside of the lower lid. Fat is removed and sutures are usually not required.

General Facts About Eyelid Surgery

  • General anesthesia is not need for eyelid surgery.
  • We can perform the surgery under local anesthesia combined with oral sedation alone or together with IV sedation.
  • Pain is usually minimal and easily controlled with Tylenol or Ibuprofen.
  • Most people take one week off work for recovery.

At the Cosmetic Surgery Center in Santa Barbara, our goal is to give you  natural looking rejuvenation so other people will notice that you look well-rested but will most likely not guess that you have had something done.

View some of our before and after eyelid surgery photos here.

Call our Santa Barbara cosmetic surgery office (805-563-0000) to schedule a consultation for eyelid surgery or another cosmetic procedure

Neck Rejuvenation in Santa Barbara

Is your neck giving away your “true” age? 

The neck area is comprised of delicate skin and as we age it becomes susceptible to wrinkles, pigmentation, and a “hanging” appearance. The reasons for this include sun damage, gravity, fat accumulation and heredity. Neck rejuvenation is a wonderful way to restore youthful contours and make a positive difference in your appearance. As the Cosmetic Surgery Center in Santa Barbara, we offer various surgical neck rejuvenation options (all done without general anesthesia) and a surprising non-invasive option for a younger-looking neck.

Neck Lift. If your neck has sagging skin with excess wrinkling, neck lift surgery is a good option.

  • The skin is tightened and muscles are often tied together in the midline to help create a “sling effect” for better support.
  • Excess fat is removed and a suspension suture is often placed to give more long-lasting support to the neck.
  • The surgery is usually done hiding incisions behind the ears and a small one under the chin.

Submentoplasty. The area under your chin is also known as the submentum and will often develop bands of excess and “stringy” muscles as we age. A submentoplasty is less extensive than a neck lift procedure:

  • The muscle bands are sewn together and extra fat is trimmed.
  • Sagging skin is removed to re-contour the neck.
  • A short zig-zag incision is hidden behind the chin.
  • Especially good for men who are starting to see a “turkey neck”.

Submental Liposuction. Improving your double chin can often be done with liposuction. This procedure will remove excess subcutaneous fat and is best done on patients with good skin tone.

  • Liposuction can address the submentum, anterior neck and even some of the jowls.
  • It can be done through a tiny incision hidden behind the chin.
  • When properly done it will “sculpt” the tissues so the youthful contour of your neck will be restored.

Platysma Plication. The platysma muscle stretches from the clavicle (collar bone) to the lower face. As we age the skin elasticity of the neck decreases and contraction of the platysma starts to cause banding of the overlying skin creating a “turkey neck” appearance.

  • Plication means sewing the right and left platysma muscles together in the midline to allow them to return to their normal position.
  • This is accomplished through a small incision hidden in the crease behind the chin.

Minimally-Invasive Neck Suture Lift. This surgery is designed to lift and support the neck skin with special sutures that encourage scar tissue in-growth to “attach” the skin to the suture.

  • Sometimes referred to as a “thread lift”.
  • Less invasive than a traditional neck lift with a shorter healing time.
  • Ideal for a person who’s aging neck issues are in the earlier stages.

Non-Surgical Neck Rejuvenation. Many people are surprised to find out that Botox and Dysport an be used for non-surgical neck rejuvenation.

  • Botox or Dysport is injected into the platysma muscle causing relaxation of the muscle.
  • When the muscle is relaxed, the appearance of the neck banding or “turkey neck” is reduced.
  • Results last about 3 to 4 months.

Neck rejuvenation can truly turn back the clock on your appearance and there are many options for different stages of the aging neck.

Call our office – 805-563-0000 – to schedule a neck rejuvenation consultation today.

Rhinoplasty in Santa Barbara at Cosmetic Surgery Center

Rhinoplasty – commonly referred to as a “Nose Job” – can be done to help with the appearance of a nose and can also address obstructive airway problems. A person’s nose is one of the most prominent features on the face – it should look good and function well.

Rhinoplasty can alter both the profile and frontal views. It can:

  • Refine a bulbous tip
  • Narrow a wide nose
  • Straighten a crooked nose
  • And/or remove an unwanted bump

Along with helping the appearance, nasal surgery can also address function (such as a deviated septum or bone spurs) if needed.

At Cosmetic Surgery Center, we perform the majority of nasal surgeries with a closed technique that hides the incisions inside the nose. The external shape can be corrected or changed by altering the bone, cartilage and soft tissue underneath the skin, allowing for a more ideal relationship among the parts.

Most people are relieved to hear that general anesthesia is not needed. A combination of local anesthesia, oral and intravenous sedation keeps the patient comfortable and unaware. After surgery pain in usually minimal and can easily be controlled with oral medications. An external dressing is in place for one week after surgery. Most patients return to work in 7 to 10 days and can resume exercise after 3 weeks. Swelling subsides within the first 2 months. Subtle refinement continues to appear as time passes and final results will be seen about 1 year after surgery.

Rhinoplasty is not usually performed until a person has reached the late teenage years when growth is nearly complete. It can be done in conjunction with a chin or cheek augmentation to improve overall balance.

View some of our nasal surgery before and after photos here.

Call the Cosmetic Surgery Center at 805-563-0000 to schedule a consultation for Rhinoplasty (nasal surgery) in Santa Barbara, CA.

Forehead Lift Surgery in Santa Barbara

When a person’s forehead has relaxed, causing the eyebrows to lower and the eyes to be crowded, they may appear angry, tired, or sad (when they are not). Many people think that it is their eyes that need to be done and are surprised to hear that it is the forehead area that needs to be addressed.

At Cosmetic Surgery Center in Santa Barbara, we offer Forehead lift surgery – also referred to as a “brow lift” – to reposition the forehead and brow upward. This one procedure gives multiple benefits:

  1. Raises the eyebrows to their normal position which opens the eyes and “removes” excess upper lid skin – try it yourself in the mirror.
  2. Smooths the horizontal forehead lines.
  3. Improves crow’s feet by tightening the temporal area.
  4. Removes/softens the frown lines between your eyebrows.

Forehead lift surgery is done through three small incisions in the hair (hair does not need to be shaved). This allows access to the muscles that cause frowning. Partial removal of these muscles causes permanent weakening of the muscle while retaining some function for normal expression. The forehead tissues are shifted upward and held in place with dissolvable sutures for the healing process.

As with all of our cosmetic surgeries, general anesthesia is not needed. Local anesthesia and oral sedation alone, or in combination with intravenous sedation, provides relaxation and amnesia. Pain is usually minimal and easily controlled with Tylenol or Ibuprofen. Most people return to work in 5 to 7 days after surgery.

We do not overdo the tissue lift because that can leave a person looking surprised and “operated”. Instead we take a more conservative approach so the result will be a natural, rested appearance.

View our Forehead Lift Before-and-After Photos Here

If you are interested in restoring your youthful appearance, call us today at (805) 563-0000 to schedule a consultation. 

Facelift Surgery in Santa Barbara by Dr. Perkins

Facelift surgery (cheek/neck lift) restores a youthful, natural appearance. When a person has a facelift, the results include:

  • Returning fullness to the cheeks
  • Lifting of the jowls
  • Smoothing the neck

Mid-facial implants or fat grafting might be suggested to further enhance the procedure if indicated.

What is done during Facelift Surgery?
Some surgeons simply pull the facial skin tighter which can result in an “operated” or “wind tunnel” appearance. Dr. Perkins feels it is important to lift and support the deep tissues so the skin tightening doesn’t need to be the main component of lift. By doing this patients should never have a stretched appearance and the deeper support will add longevity to the result. Incisions are hidden in the natural creases around the ears and in the hair (the hair does not need to be shaved).

Does Facelift Surgery Require General Anesthesia?
No, it does not. Many people are surprised to hear that general anesthesia is not needed for facelift surgery. Instead, we use a combination of oral, IV and local anesthesia to provide relaxation and control any discomfort. And with this technique patients usually have little or no pain, so Tylenol or ibuprofen is all that is needed during recovery. A light elastic dressing is used for the first 4-5 days and most patients return to work in 8-10 days.

Facelift in Santa Barbara by Dr. Perkins

These Before and After Facelift Photos are of an actual patient of Dr. Terry J. Perkins, performed at the Cosmetic Surgery Center in Santa Barbara, CA. 

Click here to view more of our Facelift before and after photos.

Interested in restoring your youthful appearance?
Schedule a Facelift consultation with Dr. Perkins at the Cosmetic Surgery Center in Santa Barbara, CA, by calling (805) 563-0000. 

Chemabrasion Skin Resurfacing in Santa Barbara

Do you feel self-conscious about your skin’s textural irregularities from scarring (acne or otherwise), wrinkles, fine lines, and/or unwanted pigmentation? While there are many options – medical spa treatments and pharmaceutical grade products – can bring you closer to smooth skin, there is one option that can dramatically improve a person’s skin in just one procedurechemabrasion. Most people will see a 70-80% decrease in wrinkles and a 50% (or greater) improvement in scars.

At the Cosmetic Surgery Center in Santa Barbara, we combine a medium depth chemical peel with a light to moderate depth dermabrasion (note: dermabrasion is not the same as microdermabrasion) in our chemabrasion procedure. Together they remove and smooth the top layers of the skin.

Chemabrasion is often done on the entire face, although in can be performed in areas such as around the eyes (to address crow’s feet), the mouth (to address smoker’s lines), or the cheeks. Most people are relieved to find out that general anesthesia is not necessary for the procedure. Local anesthesia in addition to oral sedation alone (or in combination with intravenous sedation) is sufficient to make a person feel comfortable, relaxed, and unaware.

We stress that post-procedure wound care is essential to get the maximum benefit. The skin must be kept clean and well hydrated to prevent crust formation. The skin will initially be pink, but will gradually less in 1 to 2 months. Mineral make-up and physical sunblock (such as TiZo) may be starts when the new skin has regrown, usually 5 to 10 days after the procedure.

View some of our before-and-after Chemabrasion photos.

Call (805) 563-0000 to schedule a consultation at Cosmetic Surgery Center for Chemabrasion skin resurfacing.

Liposuction in Santa Barbara by Dr. Perkins

Stubborn fat bulges that are resistant to diet and exercise are frustrating! Many women and men have this issue and – especially as summer beach days approach – they start to look for a solution. While there are many new non-invasive body contouring options on the market, liposuction still remains the most reliable and quickest way to significantly improve contour issues on any part of the body and it only takes one treatment!

We have gotten a lot of inquiries about CoolSculpting as people have seen advertisements around town. In light of this, I want to share with you information about CoolSculpting and Liposuction.

CoolSculpting is done without surgery or downtime for recovery. This is probably the biggest “draw” to the treatment. The procedure freezes the unwanted fat cells in areas that are resistant to diet and exercise. The cold that the cells are subjected to causes an “injury” to the fat cells and encourages apoptosis – death of the cells. Following the treatments, there maybe numbness, swelling, stinging, bruising, or pain. Over a period of weeks the cells die and they are eliminated from the body. The optimum result is a 20% reduction, but this is not a guarantee. Most likely more than 1 treatment will be necessary to see the full 20% reduction and the results may not be seen for 2 to 3 months post treatment.

Liposuction is not what it used to be in the past. We have refined our technique so that general anesthesia is not needed to perform the procedure. Oral and IV sedation plus dilute local anesthesia allows us to comfortably perform the procedure and patients do not have the post-operative general anesthesia “hangover”. One liposuction treatment guarantees noticeable results to the area being contoured. The extra bonus is that excess skin can be surgically removed at the same time to help with the result. I do feel that it is important to stress that liposuction is not a weight loss procedure but instead it is used to improve body contours.

One way to determine which procedure is right for you is to think about how much improvement you are looking for.

  • CoolSculpting will most likely take multiple treatments and may improve contours but the improvement may be minimal and not noticeable to others.
  • Liposuction is “one and done” and will give you a dramatic result.

View some of my before and after liposuction photos here.

If you are interested in liposuction in Santa Barbara, please call my office (805-563-0000) to schedule a consultation today.

Santa Barbara Cosmetic Surgery: Facial Augmentation with Implants

If a person feels that one of their facial features is “weak” and thereby creating an imbalance in their appearance then facial augmentation with implants may be a good choice for them. Facial implants are popular because they are a more permanent option for aesthetic improvement (as opposed to dermal fillers) and because they come in many shapes and sizes or can be customizable to individually suit the person’s face.

At our Santa Barbara Cosmetic Surgery Center, we can use facial implants for all areas of the face.

Cheek Implants add volume and contouring to the cheek area that may have lost the curvature due to genetics, age or extreme weight loss. When fat is lost in the cheek area, the hollows in the under eye area and the nasolabial folds may become more pronounced, making a person appear tired or unhappy. Cheek implants restore the volume and give the overall face a “lift”.

Chin Implants are used to strengthen a chin that has a noticeably weak definition. An under-projected chin can make the nose and/or neck appear larger than they are. The proper size and shaped chin implant will re-create definition. As an extra bonus, we often hear patients say the newly defined chin makes them look like they have lost weight!

Nasal Implants can be used to elevate the nasal bridge and/or improve the tip. The implant can be custom-sized to best fit the person’s face and compliment the other features.

Mandibular Angle Implants are used to create a stronger and more defined jaw. This surgery is more common for men because a wider lower face is seen as desirable.

There are many surgical and non-invasive augmentation options and combinations that can be done to improve one’s appearance.

Contact us at 805-563-0000 to schedule a consultation to discuss what options would be best for you.

Top Cosmetic Surgery Procedures in 2017

According to the annual report from the American Society of Plastic Surgeons, there were almost 1.8 million cosmetic surgery procedures last year (a 1% increase from 2016) done in the United States.

Here are the top 10 cosmetic surgery procedures in 2017:

Any of the procedures listed above with a clickable link are those that we perform at the Cosmetic Surgery Center in Santa Barbara.

Contact us today (online or at 805-563-0000) to schedule consultation.