Minimally Invasive Cosmetic Surgery in Your 40s

Cosmetic surgery is becoming more prevalent among 40-somethings than ever before. The upward trend amongst this age group may stem from our culture’s obsession of staying “forever young” coupled with the pressure to look good in social media pictures. But most importantly, the 40-somethings that we see at our Santa Barbara Cosmetic Surgery Center simply say that they don’t “feel in their 40s” even though their face may say otherwise. 

Aging is always happening, but the decade of the 40s is usually the time when visible signs start to appear. Collagen and elastin production in the skin slows down while sun and environmental damage start to show up, and the result is fine lines, wrinkles, age spots, skin laxity and sagging. 

While there are many “non-invasive” options such as Botox / Dysport, dermal fillers, and lasers, more 40-somethings are turning toward more permanent options such as cosmetic surgery because they aren’t interested in multiple med spa visits to keep up with Botox or fillers and/or they are no longer getting the optimum results from those treatments.

The good news is that for most people in their 40th decade, there are more options than if they waited two more decades to rewind the clock. The essential foundation of the face is still present in the 40s and often minimally invasive (MI) cosmetic surgery procedures can be used to achieve the desired result. (We must add that MI procedures can be a good option for those who want to “maintain” the benefits of a previous plastic surgery.)

MI cosmetic procedures give noticeable improvement, cost less, and have less recovery “downtime”. In addition, they have smaller or no visible incisions. MI treatments can address all areas of the face – the forehead, eyebrows and temporal region, lower eyelids, cheeks and mid-face, and the area under the chin (submentum) – and the hands.

Read descriptions about our minimally invasive cosmetic procedures here.

If you want to discuss which cosmetic surgery options are right for you, call us today (805-563-0000) to schedule a consultation. 

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. 

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. 

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. 

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. 

Cosmetic Surgery on the Rise Worldwide

At the annual IMCAS Aesthetic Surgery & Cosmetic Dermatology World Congress it was reported that the cosmetic surgery market worldwide grew by 8.3% in 2016 with about $8.9 billion spent on cosmetic surgery procedures and non-invasive aesthetic treatments. The prediction for 2017 and beyond is that the number will keep growing.

The trend towards people wanting to “look their best” is due to many factors, but what we commonly hear in our Santa Barbara cosmetic surgery office is:

  • I want to look the age that I feel.
  • My face reflects a look that says sad/tired/upset/unhappy when I’m not.
  • I need to look younger because the job market is competitive.

Cosmetic surgery is also on the rise because techniques have far advanced since surgeries of a few decades ago which means less downtime and better results. Also, there are many minimally-invasive plastic surgery options available that are less expensive with a shorter recovery time that give a nice, natural result. In addition to better surgery procedures, many patients are surprised that all of our cosmetic surgeries can be performed without going under general anesthesia. We use a combination of local anesthesia and oral sedation alone, or in combination with intravenous sedation that provides relaxation and amnesia.

If you are interested in turning back the clock and desire a natural, rested, “non-operated” look, call our office (805-563-0000) to schedule a consultation today. We specialize in facial rejuvenation and liposuction body contouring.

Cosmetic Surgery, Dermal Fillers, and Botox for Men

Recently Yahoo! News published an article about Brazilian men and cosmetic surgery. The article stated that a study by the Brazilian Society of Plastic Surgery reports, “Plastic surgery quadrupled among men from 72,000 to 276,000 operations annually from 2009 to 2014.” According to the news article, that is approximately one cosmetic surgery every two minutes for Brazilian men.

Before and After Photo via

The number of US men having cosmetic surgery has not risen as dramatically as in Brazil, but it is certainly not uncommon for men to have a procedure done. At our Santa Barbara Cosmetic Surgery Center practice, we have quite a few male patients, some of whom are repeat clients. However, we have seen a lot of growth in men seeking minimally-invasive procedures such as Botox and fillers. This goes hand-in-hand with the 2014 Plastic Surgery Statistics published by the American Society of Plastic Surgeons that reported over 410,000 men had Botox or Dysport treatments in 2014 (up 337% from the year 2000).

Why are Botox and dermal fillers becoming more popular amongst men? There may be many different reasons why a person decides to use Botox and/or fillers but I will speak only from my experience as a Santa Barbara cosmetic surgeon who regularly treats both men and women with Botox, Dysport, and dermal fillers. While many women seek out these aesthetic treatments to look more youthful, men seem to be less concerned with looking young and more interested in looking “refreshed” or not looking tired or angry. Botox and Dysport will temporarily soften forehead frown lines and the “crow’s feet” around the eyes and the result will be a more approachable look. Dermal fillers can subtly add volume to areas where volume has been lost (cheekbones, eyebrows, under eyes, jawline). The result is a more defined appearance. There is a difference between how and where fillers are used in men and women so it is important to see a person who is experienced and educated in using fillers in men’s faces.

Botox and/or fillers are also easy to have done. Treatment time can take between half an hour to an hour and does not require any down time. Men and women can return to their normal routines right after their appointment. Men tend to share less about these treatments (and cosmetic surgery procedures) amongst friends, family, and colleagues, so having a Botox or dermal filler treatment can be easily be done without anyone else knowing about it.

I have been doing Botox and dermal filler injections for men and women for many years. I strive to have my patients look “naturally” rejuvenated so no one suspects they had anything “done”.

If you are a man or woman interested in having Botox, Dysport, or dermal fillers done, please call my Cosmetic Surgery Center office in Santa Barbara at (805) 563-0000 to schedule an appointment. 

Cosmetic Surgery in Santa Barbara

At our Santa Barbara Cosmetic Surgery Center we are dedicated to helping you look your best. We believe in educating our clients so that they may make informed decisions about their surgical procedure. Face Lifts, Forehead Lifts, Rhinoplasty, and Liposuction are some of the cosmetic surgery procedures that we offer. Non-surgical options such as Botox and dermal fillers are also available. Call our office at (805) 563-0000 to schedule a consultation.

Researchers Determine Wrinkle Risk by State

Today I read an article in Cosmetic Surgery Times that stated a person’s propensity to have wrinkles may be determined by where they live. A research firm by the name of Sperling’s Best Places assessed the 50 states and the District of Columbia for circumstances that could increase wrinkle risk. They examined factors that included environment and ethnicity and correlated it with existing research on skin damage and disease from the states. The study determined that the following influences play a role in the development of wrinkles:

  • UV exposure (determined by cloud cover, elevation and latitude) 
  • Extreme temperatures (high and low) 
  • Commute time 
  • Racial and ethnic demographics
  • Smoking incidence
We have known for a long time that genetics play a role in wrinkle formation and, in the last few decades, we have discovered that sun damage (UV rays) and environmental pollutants (car smog, factory smoke, cigarette smoke, etc.,) also play a role in skin damage and skin disease. Stress, as well, takes a toll on the entire body, and can accelerate the aging process which includes developing wrinkles, turning hair grey, and loss of eyesight and loss of hearing. Commute time was explained as both being stressful and being exposed to UV rays through the car’s windows. 
The research resulted in a Wrinkle Index, a measure of “each state’s vulnerability to skin damage and premature aging” (#1 being highest risk and #50 being lowest). View the complete list of state rankings here. Findings included:

  • Ethnicity/race is a key factor associated with skin damage with some racial groups (Northern European) being far more at risk.
  • A high percentage of smokers and unhealthy eating pushed some states towards the top of the list.
  • A state with less sunny days does not mean that a person is at less risk for wrinkles or skin disease. For instance, Oregon has one of the highest melanoma rates in the US.
  • Hawaii, known for almost endless sunny days, ranked surprisingly low at #47, and has one of the lowest rates of skin cancer (which may be a combination of the ethnicity of the people and the laid back, or low stress, lifestyle).
This article was interesting and it was fun to see where our state ranked (California was #36). 
My takeaway message is that regardless of where your state ranked, skin health should be taken seriously:
  • Use sun protection on a daily basis, year round. 
  • See your dermatologist for annual skin check-ups. 
  • Invest in skin care products that are effective. Medical grade skin care products have more potency and are usually backed by clinical research and thus, have a greater ability to protect, heal, and restore than skin care products from a department store. 
  • Have your skin regularly treated (facials, chemical peels, and so on) at a reputable medical spa

Doing all this may not entirely prevent wrinkles, but it may keep them at bay or lessen their severity. Should you feel that your wrinkles could be “relaxed” or erased, there are non-surgical options such as Botox or dermal fillers, and, for those who have more severe wrinkling and skin issues, there are cosmetic surgery options as well.

If you would like to discuss wrinkle treatment options, both surgical and non-surgical, contact my Santa Barbara Cosmetic Surgery Center office at (805) 563-0000 to make an appointment. 

Thigh Liposuction in Santa Barbara at Cosmetic Surgery Center

As a cosmetic surgeon in Santa Barbara, I see many patients who dislike the appearance of their thighs. It is especially frustrating for those who are in good shape and lead healthy lifestyles, yet the fat on the thighs does not budge.

The proportion of fat in the inner and outer thigh area is known to be stubborn and, sometimes, resistant to any type of diet and exercising. For some women, this is a genetic predisposition while for others it may be linked to hormonal changes (such as menopause). Whatever the case, Thigh Liposuction is really a great option for exercise-resistant thighs.

At Cosmetic Surgery Center in Santa Barbara we treat fat accumulation on the outer and inner thighs with liposuction and skin removal (if necessary). Our goal is to decrease bulk and create a thin, fatty layer that is similar to other body regions. We do a crisscross pattern of fat removal to assure a smoother end result.  Incisions are hidden in the pubic hair and the buttock creases. If skin is removed, it is done in the inner thigh area where the incision line will lie in the groin and upper thigh area which can easily be hidden by underwear or a bathing suit.

In our experience, most thighs respond well to liposuction. Our patients are pleased with their thighs that are now more in proportion to the rest of their body.

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Set up a thigh liposuction consultation with Santa Barbara cosmetic surgeon Dr. Terry J. Perkins by calling 805-563-0000.