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. 

Happy Thanksgiving from Dr. Perkins and the Cosmetic Surgery Center

Our Santa Barbara cosmetic surgery office is closed in observance of the Thanksgiving holiday. We will re-open on Monday, November 27th. We are thankful for all of our loyal clients and we wish you and your families a wonderful Thanksgiving.

dr perkins santa barbara cosmetic surgery center

Chin Augmentation Surgery by Dr. Perkins

Chin augmentation surgery at Cosmetic Surgery Center can be a wonderful anti-aging solution.

When the face ages, elasticity decreases and the soft tissue loses volume. For some, due to genetics or just because, the chin definition becomes noticeably softer. A “weak” – or under-projected – chin can make the nose and/or neck appear larger than they are and can make the overall facial features appear unbalanced. To solve this problem, a small implant can be used to re-create the definition that was once there.

The implant that we use is made from a soft silastic material that can be custom cut and shaped, without leakage, for each individual. The implant is placed in a pocket under the muscle so it is stable and can be removed, at a later date, if desired. The implant is well-tolerated and most patients say they forget that the implant is there.

Not all chins are “weak”. If the chin is too big, augmentation can be done by removing soft tissue or bone to reduce the chin.

Our chin augmentation patients are amazed at the change in their profile and the new relationship between their facial features. Many patients have also expressed that their newly defined chin makes them look like they have lost 10 pounds!

View our before and after chin surgery photos here.

If you are interested in chin augmentation by Dr. Perkins at Santa Barbara Cosmetic Surgery Center, call (805) 563-0000 to schedule a consultation today. 

Santa Barbara Cosmetic Surgeon Addresses Liposuction Myths

Liposuction was the 2nd most popular cosmetic surgical procedure in 2016 (breast augmentation was the 1st). Everyone has heard of liposuction but there are still myths that we get asked about at our Santa Barbara cosmetic surgery practice. Here we address some of the most common preconceptions:

Liposuction is a great procedure for weight loss. Not true! Liposuction is a body contouring procedure, not a weight loss procedure. Most of the patients we treat are near, or at, their ideal weight and want to get rid of stubborn areas of fat that are resistant to exercise and a healthy diet such as the abdomen, flanks, inner and outer thighs, or upper arms.

Liposuction is only for women. Again, not true. While most of the people seeking liposuction are women, men also have the procedure done. In 2016, 11% of liposuction procedures done were on men. Popular treatment areas include the “love handles”, abdomen, and neck for men.

Liposuction gets rid of cellulite. Liposuction removes deep fat just beneath the skin but it may not necessarily remove the cellulite. At my Santa Barbara medical spa, Evolutions, there is a one-time cellulite treatment called Cellfina that is clinically proven to treat the primary structural cause of cellulite and offers long term results (3+ years).

Abdominal liposuction and tummy tucks are the same thing. Liposuction and tummy tucks are not the same thing. A tummy tuck (abdominoplasty) is done to address excess abdominal skin and tightening of the abdominal muscles. Liposuction simply removes the fat. Liposuction is often used in a tummy tuck procedure.

Liposuction is much more expensive than CoolSculpting or SculpSure. This may not necessarily be true. The price difference may be much less than you think. Non-invasive body contouring procedures (such as CoolSculpting and SculpSure) take multiple treatments. CoolSculpting.com states that cost “typically ranges between $2,000 to $4,000” for a personalized treatment plan.

Is Liposuction right for you?
Liposuction can quickly and permanently contour your body with just one treatment.  We are able to perform all of our liposuction procedures comfortably and safely using local anesthesia plus sedation – no general anesthesia needed. Our patients feel that liposuction was an easy and effective way to improve their contours.

If you are interested in a liposuction treatment in Santa Barbara, call my office – 805-563-0000 – to schedule a consultation.