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. 

New Year, New You! Santa Barbara Cosmetic Surgery Options

Can you believe another year has flown by? Each year we get the chance to meet and work with new patients, as well as those who have returned, and we enjoy helping every one of you to look and feel your best.

If plastic surgery in Santa Barbara is on your “to do” list for the New Year, there is no better time than now to start planning. Winter is when most people tend to stay indoors, travel less, and sleep more – all of which are ideal conditions to recuperate from a cosmetic surgery procedure. In our Santa Barbara Cosmetic Surgery Center practice, we specialize in facial cosmetic surgery, minimally-invasive (MI) cosmetic surgery, skin rejuvenation, and liposuction body contouring.

There are many options for facial cosmetic surgery, including:

  • Facelift: to address skin laxity in the cheek and neck
  • Forehead Lift: to reposition the forehead and brow upward
  • Eye Lift: to correct sagging skin or fat bulges in the eye area
  • Rhinoplasty (Nasal Surgery): to help either appearance or breathing function of the nose
  • Neck Lift: to address sagging skin and local fat accumulation in the neck area
  • Lip Enhancement: to add volume to lips (either with an implant, grafting your own fat, or with injectable fillers)
  • Chin Lift: to enhance a “weak” chin or modify one that is too prominent
  • Ear Tuck / Ear Pinning: to address ears that are too prominent or stick out from the side of the head
  • Chemabrasion Skin Resurfacing: to improve skin that has wrinkles, fine lines, scars, acne scars, and/or sagging

We also have minimally-invasive (MI) surgical options for patients with early changes or those who want to “maintain” the benefit of previous surgery. These give noticeable improvement with less cost and “downtime”. Learn more about MI surgery and options available here.

We also offer treatment options to tighten and contour your problem areas through liposuction for the abdomen, arms, legs, and hips/flanks. Learn more about liposuction here.

We practice cosmetic surgery in Santa Barbara that gives a natural, rejuvenated result.

If you are interested in cosmetic surgery by Dr. Perkins, schedule a consultation by calling (805) 563-0000 and we will work together with you to design a course of treatment to help you look your best.

Sign up for our newsletter to hear about the latest in cosmetic surgery and in our office and, as a bonus, receive special offers too!  Join our newsletter list here.

Holiday Greetings 2017

The Cosmetic Surgery Center will be closed for the holidays from December 25th through January 1st. We will re-open on Tuesday, January 2nd, and look forward to seeing you in the New Year!

Arm Liposuction in Santa Barbara

Saggy upper arms can be caused by decreased collagen and elastin levels (which happens naturally as we age) or from weight gain. When the upper arms are flabby, they may have a “batwing” or “kimono” appearance that may make someone self conscious. Unfortunately, the localized fat and loose skin of the upper arm can be one of the most stubborn areas to shed or tone, even with proper diet and exercise. When this is the case, arm liposuction can make a big difference in the appearance of the arm.

Arm liposuction can be done with or without skin excision. When fat is the main issue, it can usually be treated with liposuction alone and the skin will contract without the need for skin removal. When there is too much excess skin, commonly this happens after weight loss, skin removal can be done along with the liposuction. The skin removal scar is placed on the inside of the arm (against the body), above the elbow, and is not visible from the front or back. If only a small amount of skin is removed, the skin removal can often be confined to or near the armpit.

View photos of before and after arm liposuction by Dr. Perkins here.

If you are interested in arm liposuction or other cosmetic procedures by Dr. Perkins, request an online consultation or contact us at (805) 563-0000.