Santa Barbara Eyelid Cosmetic Surgery

Eyelid rejuvenation surgery is one of the most popular facial cosmetic surgeries done today. In the 2013 statistics on cosmetic procedures (published by the American Society of Plastic Surgeons) eyelid surgery (blepharoplasty) ranked third (behind breast augmentation and rhinoplasty) with over 215,000 surgeries performed in the United States.

Patient of Dr. Terry J. Perkins
Some people equate eyelid surgery with cat eyes or “surprised” (overly rounded) eyes. That type of surgery is a thing of the past. Most surgeons, including Santa Barbara cosmetic surgeon Dr. Terry J. Perkins, opt to give patients a much more natural look. Eyelid surgery can be done on the upper lids, lower lids, or both. This blog post will concentrate on the upper eyelids. Our blog post from July offers more information on lower eyelid surgery
Most people who are interested in eyelid surgery are interested in making their eyes look more youthful. As age sets in eyelids can become heavy, droopy, or saggy which can make a person look permanently tired, unhappy, or unapproachable. Upper eyelid surgery can correct these problems to restore a rested, youthful appearance. 
Blepharoplasty of the upper eyelids addresses the overhanging/excess eyelid skin as well as the inner corner fat bulges. Incisions are nicely hidden in the natural creases of the eye. General anesthesia is not needed for this surgery. Upper eyelid surgery can be performed under local anesthesia combined with oral sedation alone or together with IV sedation. Most people take one week off from work to rest and recuperate. Contacts and make-up may be used after 10 days and it is advisable to purchase new eye make-up so as to not introduce any bacteria into the healing incisions. For most patients, aerobic exercise can be resumed at three weeks post surgery. Sun glasses and a wide-brimmed hat should be worn for all outdoor activities. 
A successful upper eyelid surgery can make a positive difference in a person’s overall appearance. 
For more information on upper eyelid surgery in Santa Barbara, contact our Cosmetic Surgery Center practice at 805-563-0000.

Improve the Appearance of Lower Eyelids in Santa Barbara

Often your eyes are the first thing another person notices about you. Eyes can convey so many emotions – happiness, sadness, anger, tiredness – without a word being spoken. As we age, the eye area ages too. Whether it’s lack of sleep or irregular sleep patterns, stress, sun damage or collagen and elastin decline, our eyes that were once bright and alert may make us look permanently exhausted, unhappy or angry. There are different ways to address eye concerns. This article is dedicated to help for the lower eyelids but there are options for the upper eyelids as well and you can find out more about upper eyelid surgery in our past blog post.

People who want to address the lower eyelid area have usually developed fat bulges, hollows, wrinkles, or dark circles under the eyes. What are the options to rejuvenate this area? Depending upon a person’s situation, they may address under eye issues with Lower Eyelid Surgery or with nonsurgical options such as dermal fillers.

Lower Eyelid Surgery
Persistent under eye bags are best treated with Lower Eyelid Surgery (blepharoplasty). This surgery will address fat bulges, dark circles, and skin laxity. When a person has excess skin along with fat bulges, a conservative skin removal can be done with the incisions hidden at the lower edge of the lashes. When fat bulges are present with little or no excess skin, the fat is removed through small openings in the inner side of the lower lid. For the right candidate, fat transposition may be done during the surgery which will reposition fat from one area – the “baggy” area – into the “hollow” area under the eye to rebalance the appearance.

General anesthesia is not needed for lower eyelid surgery. Dr. Perkins 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 over-the-counter Ibuprofen or Tylenol. People usually take one week off work for rest and recovery.

Lower Eyelid Nonsurgical Options
Dermal fillers (such as Juvederm, Restylane, or Perlane) may be used to temporarily fill under-eye hollow areas or depressions creating a smooth contour from the lower eyelid to the cheek. Fillers can last from 6 months to a year or more (depending on the brand used).

Under eye bags may be addressed with Fractional CO2 resurfacing treatment to help smooth the area while encouraging collagen and elastin production.

Whether you are addressing your lower eyelid issues by surgical or nonsurgical means, most people report to Dr. Perkins that they are happy with the end result – a happier, brighter, and more alert appearance that makes others see them in a different light!

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Cosmetic surgeon Dr. Terry J. Perkins performs eyelid surgery (and other facial rejuvenation surgeries) at Cosmetic Surgery Center in Santa Barbara. Call 805-563-0000 for an appointment. 

Nonsurgical treatments such as fillers and Fractional CO2 can be done at Evolutions Medical & Day Spa in Santa Barbara (805-687-0212). Dr. Perkins is the owner and Medical Director of Evolutions.

Help for Hollow Eyes by Santa Barbara Cosmetic Surgery Center

Your eyes can convey many messages without a word being spoken. If your eyes are sunken or hollow, people may think you are tired or overworked, even if you really aren’t. Hollow or sunken eyes may result from a genetic disposition or from the loss of soft tissue in the face which happens to some people as they age. Either way, sunken or hollow eyes may dramatically alter the appearance of a face, resulting in an “unhappy” look.

Fortunately, there are several ways to address hollow eyes. Santa Barbara cosmetic surgeon Dr. Terry Perkins, who is an expert in natural-looking facial augmentation, can help determine the severity of the issue and may suggest one or more of the following options:

  • Use medical grade skin care products to help the skin around the eyes. A vitamin C product (such as Obagi’s C-Serum) can boost collagen synthesis and slow down aging, resulting in firmer, plumper skin underneath the eye. If the skin is thin and delicate, using a retinol (such as Retin-A) can help the skin become stronger. Dark shadows, that often accompany under eye hollowness, can be lightened with hydroquinone.
  • Plump under the eyes with a dermal filler. Restylane and Juvederm, popular dermal fillers, contain hyaluronic acid to replace volume that is lost in the face as we age. A dermal filler can effectively fill the area temporarily (lasting 6 months or more depending on the filler used).
  • Permanently fix the under eye area with lower eyelid surgery (blepharoplasty). Removing a small amount of skin under the eye through lower eyelid surgery can rid the patient of hollow or sunken eyes and result in a smoother contour from the lower lash line to the mid-cheek. Patients of Dr. Perkins who have had this surgery are pleased with the positive difference this surgery makes.
Purchase medical grade products for the under eye area at Evolutions Medical & Day Spa. If you are interested in fillers or under eyelid surgery, contact Dr. Perkins at his Santa Barbara Cosmetic Surgery Office – 805-563-000 – for a consultation

Cosmetic Surgery Highlight: Lower Eyelid Surgery

Bags under the eyes (or sagging) affect many people. The use of eye creams can help restore the under eye area for some but for others no amount of eye cream will do. That is when it is time to seek out a cosmetic surgeon who can help restore the under eye area resulting in a more youthful and refreshed appearance.

Santa Barbara cosmetic surgeon Dr. Terry Perkins is very familiar with lower eyelid surgery (blepharoplasty). This surgery is ideal for patients who have fat bulges, dark circles, and skin laxity in the under eye area. Lower eyelid surgery can be more than just removing and tightening skin. For the right candidate, fat transposition may be done during the surgery. This is the process of repositioning fat from one area of under the eye – the “baggy” area – into the “hollow” area under the eye. A small amount of skin removal may also be done using a conservative approach to avoid giving the patient a round eye look.

Incisions for the surgery are usually made on the outside of the lid just below the lashes so when they heal there is little or no visible scar. The advantage is that some skin can be removed to “tighten” the lid with the external approach but not the internal one. The surgery can be performed under local anesthesia combined with oral sedation alone or together with IV sedation. General anesthesia is not needed. Pain is usually minimal and easily controlled with over-the-counter Ibuprofen or Tylenol. Sutures are usually removed in 5 to 7 days so most people take one week off from work to rest from the surgery. Contacts and make-up can usually be worn 10 days post-op. It is recommended that new make-up be used so as to not introduce any bacteria from old products into the healing incisions.

Patients of Dr. Perkins who have had lower eyelid surgery in Santa Barbara are pleased with the result of a smoother contour from the lower lash line to the mid-cheek. Eliminating under eye bags or sagging skin can positively make a difference in a person’s look.

Tired of looking tired? Schedule an appointment with Dr. Perkins at his Cosmetic Surgery Center in Santa Barbara for an eyelid lift consultation by calling 805-563-0000.