Eyelid Lift Surgery in Santa Barbara

Eyes are often the first thing people notice. They convey so much without a word being spoken.

Unfortunately, aging, stress, smoking, excess drinking and/or sun damage can dramatically affect the delicate skin around the eye area resulting in sagging skin, fat bulges, hooded eyelids, fine lines, wrinkles, and/or bags. When any (or many) of these symptoms arise, a person may appear tired, unhappy or unapproachable when they are not.

Fortunately we can restore the appearance around the eyes with blepharoplasty – the medical term for eyelid enhancement surgery.

Here are your options for eyelid surgery in Santa Barbara.

Upper Eyelid Surgery addresses:

  • Excess or overhanging upper eyelid skin
  • Inner corner fat bulges

Facts About Upper Eyelid Surgery:

  • Incisions are made in the natural creases of the eye and are well hidden when healed.
  • A conservative approach is generally better to avoid looking “operated”. Especially for men, too much visible lid gives a feminine appearance.

Lower Eyelid Surgery addresses:

  • Dark circles
  • Fat bulges
  • Skin laxity under the eyes

Facts About Lower Eyelid Surgery:

  • For those who have fat bulges but little excess skin, incisions are made on the inside of the lower lid. Fat is removed and sutures are usually not required.

General Facts About Eyelid Surgery

  • General anesthesia is not need for eyelid surgery.
  • We 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 Tylenol or Ibuprofen.
  • Most people take one week off work for recovery.

At the Cosmetic Surgery Center in Santa Barbara, our goal is to give you  natural looking rejuvenation so other people will notice that you look well-rested but will most likely not guess that you have had something done.

View some of our before and after eyelid surgery photos here.

Call our Santa Barbara cosmetic surgery office (805-563-0000) to schedule a consultation for eyelid surgery or another cosmetic procedure

Forehead Lift Plastic Surgery Renews Your Look

At the Cosmetic Surgery Center in Santa Barbara many of our patients come to see us because they feel their appearance has changed. The patients describe their look as “tired”, “sad” or “angry” when that is not how they feel. In many of these cases, relaxation of the forehead is the culprit. The heaviness in the forehead causes the eyebrows to lower and the eyes become crowded. When this happens, a person can appear tired, sad, or angry. If this is the case, a Forehead Lift – also known as a “Brow Lift” – can be done to renew their look.

The benefits of a forehead lift are multiple:

  1. The eyebrows are raised to their normal position which opens the eyes and “removes” excess upper lid skin. (Try this in the mirror and see the difference!)
  2. The horizontal forehead lines are smoothed.
  3. The frown lines between your eyebrows are removed / softened.
  4. Crow’s feet are improved by tightening the temporal area.
A forehead lift surgery is done through three small incisions in the hair (the hair does not need to be shaved). The muscles that cause frowning are partially removed which causes permanent weakening of the muscle while retaining some normal function for expression. The forehead tissues are shifted upward and held in place with dissolvable sutures for the healing process.
Patients are surprised that general anesthesia is not needed. A combination of local anesthesia and oral sedation alone, or in combination with intravenous solution, provides relaxation and amnesia. Pain is controlled with Tylenol or Ibuprofen and is usually minimal. Most people take 5 to 7 days off work after the surgery.

The forehead lift plastic surgery will leave you looking natural, rested, and “non-operated”. Pictured below are before and after pictures of a forehead lift patient of Dr. Perkins.

santa barbara plastic surgery forehead lift dr perkins
View more before and after forehead lift pictures here.

If you are tired of looking tired, call our Santa Barbara cosmetic surgery office at (805) 563-0000 to schedule a consultation appointment to renew your appearance. 

Eyelid Lift in Santa Barbara

The delicate skin around the eyes can be one of the first places to show age. Preventative care (such as daily use of eye cream, sunscreen, and large sunglasses) can help to a certain degree but there comes a day when serums and creams are not enough.

How do you know when it is time to start thinking about eyelid lift surgery? 
Generally speaking, most patients start looking into eyelid lift surgery when:

  • The eyelids start to look heavy or are overhanging
  • A person’s vision is becoming occluded 
  • Bags and/or dark circles under the eyes do not go away
  • Applying eyeshadow makeup is difficult to do
What is the right age to have eyelid surgery? 
It depends on the person, their genetics, and their skin type (thinner skin tends to age faster). I have performed eyelid lift surgery in Santa Barbara on people in their 30s and beyond. While most patients tend to be in their 40s and 50s, eyelid lift surgery can be done well into the 80s (provided the person’s health is in good order) with a nice result. 
Eyelid surgery – also known as blepharoplasty – can be done on the upper or lower lids or both, if necessary. 
  • Upper eyelid surgery addresses the excess/overhanging upper eyelid skin as well as the inner corner fat bulges. 
  • Lower eyelid surgery addresses under eye dark circles, fat bulges, and skin laxity.
Either surgery can be performed under local anesthesia combined with oral sedation alone or together with IV sedation. Pain is usually minimal and easily controlled with Tylenol or Ibuprofen. Bruising and swelling will subside quickly with the use of cool compresses and head elevation.
Most people take one week off from work. Sutures are in place for 7 days and returning to make-up and contact lenses usually occurs at 10 days post-op. Aerobic exercise can usually be resumed at 3 weeks post-op. 
Eyelid lift surgery is an excellent way to restore a rested, youthful appearance. Click here to view before-and-after eyelid lift surgery pictures on my website. 
To schedule an eyelid lift consultation, call my Cosmetic Surgery Center office at (805) 563-0000. 

Santa Barbara Cosmetic Surgery by Dr. Perkins

At Cosmetic Surgery Center in Santa Barbara, we don’t have a “one size fits most” plan for our patients. I have been working as a Santa Barbara cosmetic surgeon for more than three decades and I know firsthand that each patient is unique and treat them accordingly.
When a patient comes in for a consultation, one of my first questions is, “What bothers you?” While I can often spot what they are concerned about, I wait to hear what bothers them the most. I listen, review and clarify (if necessary) what they have told me, and then educate them on their best treatment options.
My speciality is facial rejuvenation through surgery (such as Face Lifts, Forehead Lifts, Eyelid Lifts, Neck Lifts) and through non-invasive procedures (such as dermal fillers and Botox). This allows me to give most patients several treatment choices and we help them formulate the best plan based on their time and budget.
To schedule a consultation, contact my Santa Barbara cosmetic surgery office at (805) 563-0000. 


Ear Pinning Surgery in Santa Barbara

Patient of Dr. Terry J. Perkins – Ear Pinning Surgery

Otoplasty – ear pinning or ear tuck surgery – is done to improve the proportion, shape or position of the ears. Often people choose to have this surgery done because their ears stick out and it makes them feel self-conscious and/or they have been teased relentlessly about their big, “Dumbo” ears. Parents can elect to have this surgery done on children, as this particular cosmetic surgery can be done when the child is as young as 6 years. By that age, a child’s ears are 90% of the size that they will be as adults, which is why the procedure is okay for young children.

Ear pinning surgery in Santa Barbara involves re-shaping and/or re-positioning the ears so that they have a more normal relationship between the side of the ear and the head. Recovery time is one to two weeks for children and adults.

Patients who have had this surgery are pleased with the results and often no longer feel self-conscious about their ears.

If you are interested in ear pinning surgery in Santa Barbara, call our Cosmetic Surgery Center practice at (805) 563-0000. 

Santa Barbara Cosmetic Surgery Keeps You Looking Good

Many of my Santa Barbara cosmetic surgery clients who are in their “golden years” have the same goal for the outcome of their surgery. They want to “look good”, which does not necessarily mean that they want to look like they are 25 again. They simply want to look naturally refreshed and well-rested, which is a very realistic goal.

At Cosmetic Surgery Center in Santa Barbara, I have been performing cosmetic surgery, specializing in facial rejuvenation and liposuction body contouring, for more than three decades. My facial rejuvenation surgeries give a nice result with a “non-operated” look. As everyone ages differently, surgery options will vary from person to person. These are examples of surgical choices for facial rejuvenation that will enhance and refresh your appearance: 
Face Lift Surgery
If you feel like your face is “hanging” than a Facelift in Santa Barbara may be a good choice for you. The surgery targets skin laxity in the cheek and neck by repositioning, refining, and supporting deep tissue in the mid facial and jowl area. The skin is also tightened.
Eyelid Lift Surgery
Sagging skin or fat bulges under the eye area may make you look permanently tired or unhappy. Eyelid surgery is available for both the upper and lower lids, depending upon where your “trouble” areas are. People are always amazed at how this surgery “re-opens” their eye area and refreshes their look.
Forehead Surgery
For some people, the relaxation of the forehead tissue can cause a “heaviness” in the upper eyelid. Forehead lift surgery repositions the forehead and brow upward with a result that makes the person look more approachable and happy. The frown muscles are usually partially removed so the ability to frown is still there but the weakness will help to minimize frown lines in the future. 
Neck Surgery
If the neck contour is sagging or has accumulated fat, the neck area can look “old”. Neck Lift surgery in Santa Barbara will re-contour the neck to what it once was. Many patients have felt that their “new” neck actually makes their face look thinner, as if they have lost ten pounds. 
Patient of Dr. Terry J. Perkins: Neck Lift Before-and-After

I am always interested in helping people look their best, whether they are young or in their golden years. For cosmetic surgery with a natural result, contact my Santa Barbara cosmetic surgery office at 805-563-0000 to schedule a consultation. 

Neck Lift Cosmetic Surgery in Santa Barbara

Neck Lift cosmetic surgery in Santa Barbara is most commonly known for getting rid of the double chin or the “wobble” in the neck area but you would be surprised at how much it can truly change an appearance. Before we discuss the results, let’s look at why Neck Lift surgery may be needed in the first place.

Aging Neck 
Neck skin is delicate – more so than facial skin – and is exposed to the same elements as the face but often times it is neglected. I always like to remind people that their skin care routine should not stop at the jawline. I recommend cleansing, moisturizing, and (most importantly) using sun screen on the neck area. Due to the delicate skin (and possibly lack of sunscreen in that area), the neck may age prematurely causing the skin to become loose and crepe-y. The “double chin” may be due to a number of causes including genetics, weight gain, weight loss after weight gain, loss of muscle tone, and, of course, aging.

Neck Lift Surgery
The patients I see at Cosmetic Surgery Center in Santa Barbara are interested in Neck Lift surgery because they feel that their neck looks “old”. We can restore their neckline to what it once was by tying muscles to create a “sling effect” for better support and adding a suspension suture to give more long-lasting support to the neck. Incisions are hidden behind the ears and a small one under the chin.

Results of Neck Lift Surgery
Neck Lift surgery can get rid of the double chin and re-contour the face. With the “heaviness” gone from the neck and jawline, many of my patients report that their updated appearance not only makes them look younger but also makes them look like they have lost weight!

Santa Barbara Neck Lift Surgery Patient of Dr. Terry J. Perkins

I perform cosmetic surgeries that give a natural, rested, “non-operated” look. If you are interested in Neck Lift surgery in Santa Barbara call my office – Cosmetic Surgery Center – at 805-563-0000 to schedule a consultation appointment.

Cosmetic Surgery and Renee Zellweger

There has been a lot of buzz this past week about Renee Zellweger’s “appearance”. After years of not being regularly seen in the public eye, she showed up at an awards event last week and the tabloids have been having a field day speculating about what she had “done”. Plastic surgeons from all over the world are weighing in with their opinions: eye lift, forehead lift, Botox, fillers, and so on. At Cosmetic Surgery Center in Santa Barbara we don’t make it our business to speculate on what other people may or may not have had “done” but we will share with you why people may choose cosmetic surgery or aesthetic medical treatments such as Botox.

Most people who come to see us at Cosmetic Surgery Center are interested in rejuvenating their appearance. Age, genetics, and environmental factors (i.e. air pollution and sun exposure) all play a big role in how a person’s face may change as they enter into their “golden” years – or even before that. The onset of wrinkles, fine lines, and skin laxity can suddenly make a person appear much older than they really are (or feel). Foreheads may droop, causing the eyes to look heavily lidded and smaller, the chin can lose definition, neck skin can hang and become “wobbly” and high cheekbones may drop. All or some of this may cause a person to look unhappy or tired when that may be furthest from the truth.

Actual Patient of Dr. Perkins
FaceLift Surgery Before & After

There are cosmetic surgery options for any and all of the above that can help to restore what was once there. An Eyelid Lift Surgery can re-open the eyes or a Forehead Lift can address the heavy lids and smooth wrinkles. A Neck Lift can redefine the chin and remove excess skin in the neck area. A Face Lift can reposition and create extra support for the midfacial area and the jowls. Nonsurgical options include Botox or Dysport to relax forehead wrinkles and/or dermal fillers (i.e. Restylane, Juvederm, Radiesse) to replenish volume in areas of the face (lips, cheekbones) or plump up deep folds or wrinkles. Dr Perkins performs cosmetic surgery so that his patients look naturally refreshed, rested, and restored, not “done”. Patients of Cosmetic Surgery Center tell us that they love their “new” look and often feel it gives them a refreshed sense of self that is reflected in their outlook and demeanor.

Renee Zellweger looked happy and confident last week on the red carpet. And she has taken all of this discussion about her appearance in the same cool and calm stride. Her response is simply that she feels this conversation is “silly” and, as she told People magazine, she is glad that “folks think I look different! I’m living a different, happy, more fulfilling life, and I’m thrilled that perhaps it shows”. Good for her and whatever she may have “done” to get to this healthy time of her life … that’s only her business and we’re fine with that.

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 With Aging Hands: How To Turn Back The Clock

What’s the key to keeping up a youthful appearance? Santa Barbara cosmetic surgeon Dr. Terry Perkins suggests proper skin care with medical grade skin care products, using sunscreen daily, regular aesthetic medical treatments (such as facials, chemical peels, laser treatments) and wrinkle treatments (Botox, dermal fillers) along with routinely exercising and eating well. If you’re already doing all of the above, wonderful! Are you taking the same care of your hands too? 
Hands can be a dead give away to what your “real” age is! In fact, hands tend to age faster than your face because the skin is thinner and they are usually subjected to more sun exposure over the years. So when the collagen and elastin start to break down on the back of your hands – due to a combination of aging and environmental exposure – the aging process happens rapidly. Aged hands lack plumpness and instead appear sunken with tendons and veins showing through the thin skin. Often “liver” spots (brown spots) appear too. If this has already happened to you, don’t fret, there are ways to reverse this aging. 
Dr. Perkins would treat pigment changes with the Q-switched 532 laser. The Q-switched laser works quickly and effectively to address brown spots.  Lost volume in the hands can be treated with fat grafting or through the use of a dermal filler like Radiesse (this will last for a year or more). Fat grafting is preferred over fillers as the results are more long-lasting (in terms of many years) and there is usually plenty of grafting material (the fat) to work with. Visit the Cosmetic Surgery Santa Barbara website for before-and-after pictures of hand rejuvenation
If your hands look good, and you want them to slow the aging process, here are a few tips:
  • Start your regimen now, even if your hands show no sign of aging! Once the signs of aging starts, it will happen fast, and you may be too late. 
  • Protect them from the sun. Apply a broad spectrum sunscreen daily and don’t forget to reapply. Hand washing and hand sanitizers will make the sunscreen less effective. Choose a sunscreen that provides a physical block – look for ingredients such as titanium dioxide and zinc oxide. Wear gloves when driving, especially if going long distances and/or in intense sun.
  • Keep your mitts moisturized! Use a thick hand cream at night to replace lost moisture. Minimize contact with water by using gloves when washing dishes and replace some hand washing with hand sanitizer. For extra dry skin, treat yourself to a paraffin wax treatment (often accompanied with a manicure or with an Evolutions’ Signature Facial!). 
  • Ask for advice. If you see the beginning of thinning skin or hyper pigmentation, ask a professional about special creams such as tretinoin (also known as Retin-A) that may help boost collagen production and address brown spots. There are also physician grade products for the face that could be used on the hands as well. 
Taking charge of your hand treatment now will help their appearance for many years to come! 
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If you are interested in hand rejuvenation using fat grafting or dermal fillers, call Cosmetic Surgery Center in Santa Barbara (805-563-0000) to schedule an appointment with Dr. Perkins

If you are interested in learning more about physician grade skin care products, stop by Evolutions Medical & Day Spa in Santa Barbara (805-687-0212).