Santa Barbara Plastic Surgeon on How a Simple Neck Lift Will Say Goodbye to Your Double Chin

One popular cosmetic surgery procedure that Dr. Terry Perkins performs in his Santa Barbara Cosmetic Surgery Center practice is minimally invasive, with long lasting effects and often can dramatically change a person’s face. It happens to be a neck lift.


The neck lift is a procedure that can help correct sagging skin and fat accumulation in the neck area – often referred to as a “double chin”. The neck lift is usually done using incisions behind the ears and a small one under the chin. Muscles are often tied to help create a “sling effect” for better support. A suspension suture is often used to give more long-lasting support to the neck. A neck lift has minimal downtown and satisfying results.
A neck lift not only redefines the chin area, it often gives a whole new look to a person’s face. Now that the excess skin is removed, their face no longer appears bottom heavy and Dr. Perkins reports that his patients who have undergone a neck lift often hear from people that they look like they have lost weight!
Many people believe that a neck lift may be something they will have to do “later” in life. Not at all true – Dr. Perkins sees patients, women and men, young and old for this procedure. People who have a “double chin” are not necessarily older and overweight. Many younger people have acquired it simply from genetics. The good news is that you can have a neck lift at any age.

Call 805-563-0000 to schedule your neck lift

Ask Santa Barbara Plastic Surgeon Dr. Perkins – Tried & True vs. New Cosmetic Procedures

Do you have questions about a cosmetic procedure? Dr. Terry J. Perkins of Cosmetic Surgery Center in Santa Barbara is happy to address any of your questions or concerns. Send us an email and we’ll be sure to feature your question soon!

Q. Dr. Perkins, I am always hearing about “new” procedures or things to re-shape a women’s body and/or remove cellulite such as specific exercises, fat-burning pills, special massages etc., How much credence do you give these and what are your recommendations to re-shape and, specifically, tighten my body after having children?
A. As a cosmetic surgeon who has been in the practice for more than 30 years, in Santa Barbara and Ventura counties, I have seen lots of these fads come and go. I have also seen lots of women who are interested in re-claiming the body they had before having children. While I believe cosmetic surgery can achieve great results, I don’t want people to think that it is the only solution. I encourage women who are trying to shed extra weight after having a child to maintain a healthy, active lifestyle – make good food choices and try to exercise (always hard to do with a new baby, but walking with a stroller can be a very effective workout!). Sometimes, however, doing all of that will not tighten the belly or shrink the thighs sufficiently and that is when I can help out. Bulges is such areas can be treated with liposuction and often a mini tummy tuck can complete the procedure. The excision is done at the upper edge of the pubic hair so as to leave a minimal scar that is easily hidden with a bathing suit bottom.

I treat every patient on a case-by-case basis. If you would like a consultation in-person with me, please call our Cosmetic Surgery Center Santa Barbara office to set up an appointment at 805-563-0000.

Santa Barbara Plastic Surgeon Sees Clients Continuing to Invest in Plastic Surgery in Tough Economy

In a slow economy, people are cutting back on expenditures such as mid-morning lattes, personal trainers or housekeepers. Interestingly enough, however, plastic surgery or cosmetic surgery may not be getting hit as hard as other businesses.

“People live to a ripe old age these days and want to look as young as they feel,” said Dr. Terry J. Perkins, a Santa Barbara, CA cosmetic surgeon and owner of Cosmetic Surgery Center Medical Group based in Santa Barbara, California. “In addition, the slim job market encourages people of retirement age (who cannot afford to retire) to compete with younger professionals and put their best face forward – literally.”

“I have met many people that are confident at what they do, but not at how they look,” continues Dr. Perkins. “And this lack of confidence can show through in an interview or in the workplace. I have seen firsthand how making someone feel more comfortable with their aesthetic appearance has greatly improved their confidence and upped their self-esteem.”

Dr. Perkins has been practicing aesthetic cosmetic surgery in the tri-counties of Santa Barbara, Ventura and San Luis Obispo for over 30 years. For people looking for aesthetic enhancements with less downtime, Dr. Perkins provides a number of non-invasive options for skin rejuvenation. He was part of a group of select doctors picked to conduct a study leading to the approval of Botox Cosmetic.

“With such an unpredictable stock market these days, people are finding that an investment in themselves provides unlimited, almost immediate, returns,” said Dr. Perkins. People can make their own coffee, exercise without a personal trainer and clean their own house, but removing bags under their eyes or erasing wrinkles is not so easy to accomplish without the help of a medical professional, which is exactly why Dr. Perkins, and other cosmetic and plastic surgeons, are still feeling secure in this economy.

Professionals never have a second chance to make a first impression and in tough economic times, aesthetic enhancements can boost appearance, confidence and for some, a competitive professional edge.

Ask Dr. Perkins – Non-surgical Cosmetic Procedures Reviewed: Botox & Fillers

Q. Hi Dr. Perkins! I have a wedding that I am going to be in next month and I want to know if there are any options that provide fast results for me to look “refreshed” and more youthful? And if so, how permanent are they?


A. There are! While next month is too soon for any surgical options, we offer alternatives such as Botox and fillers for your lines and wrinkles. Often people think Botox and fillers (such as Restylane) are interchangeable and I want to clarify that they are different.


Botox treats the muscle and the effect that the muscle has on the skin. It is usually used on moderate to severe frown lines and works by reducing the contractions of the muscles that cause persistent frown lines. It is injectable by a physician and you results can be seen within a few days after treatment. Botox lasts up to four months and if use is discontinued the frown lines will gradually look as they appeared before.


A filler, Restylane – one that we use – is an injectable gel used to restore your skin’s volume, revitalizing your appearance and creating softness. The most common areas treated with a filler are the nasolabial folds (from the nose to the angle of the mouth), lips for enhancement, cheeks and chins, back of the hands, décolletage, and between the eyebrows (the glabellar lines). Depending on skin type, lifestyle and age, the filler may last up to six months.


It is recommended that a medically qualified practitioner inject these.


Schedule a consultation appointment to discuss all your options. Perhaps Botox or Restylane is what we can do for you in the short term and in the long term we offer more permanent solutions such as facial cosmetic surgery. Contact us for more information!

Ask Dr. Perkins – Santa Barbara Cosmetic Surgeon

Q. Dear Dr. Perkins, I thought I was ready for plastic surgery, but the more I read, the more doubts I have. My friends think that I’m not quite ready for surgery. Should I wait to come in for a consultation until I am sure that I am ready?

A. Great question. Plastic surgery, whether you live in Santa Barbara, Palm Desert, Arizona or anywhere is a very personal choice and a life decision. It is best to make decisions based on options, so I suggest you come in for a consultation to address your specific concerns so they can be evaluated and a overall plan discussed with you. These days, there are so many non-surgical options that can be used to postpone the need for surgery that I like to talk to patients about too.

I perform cosmetic surgery in Santa Barbara, Ca, and I founded Evolutions Medical Spa Santa Barbara to offer the latest surgical alternatives, technology and innovative cosmetic surgery choices to women and men wanting to improve their personal appearance. There are a lot of options when it comes to enhancement – a consultation is a great way to help facilitate your cosmetic choices.

Keep posting questions and remember, the more you know, the better decisions you will make about plastic surgery.

Terry J. Perkins, M.D., is a specialist in facial cosmetic surgery, skin rejuvenation, and body contouring. He has been serving Santa Barbara and the Tri-Counties since 1978. Dr. Perkins is constantly looking for new ways to better serve his patients and has a long history of being on the cutting edge of aesthetic technology. He was the first specialist in the Santa Barbara-Ventura area to offer the liposuction surgical procedure as well as the first to make use of fat injection techniques for correcting body contour deficiencies. In 1999, Dr. Perkins was selected to be one of only 16 doctors in the United States to conduct a study leading to the FDA approval of Botox for cosmetic uses.