Anti-Aging Cosmetic Surgery Options in Santa Barbara

The aging process happens every day and nothing can stop it but with the help of cosmetic procedures we can turn back the clock on your appearance a few years or more.

For Moderate Wrinkles and Sagging
Face Lift surgery is the best option for those who have moderate wrinkles and sagging skin on the face and neck. This surgery will reposition, redefine, tighten skin, and support deep tissues with the end result looking natural and rejuvenated.

For Mild Wrinkles
Some people may be experiencing signs of aging but are not quite ready for a full face lift. At our Santa Barbara Cosmetic Surgery Center, we offer minimally-invasive surgery options for the forehead, cheeks, eyes, neck, and hands that will give noticeable improvement with less cost and lower downtime.

For Early Signs of Aging
If you’re not ready for surgery, there are medical spa treatment options. Dr. Perkins is the founder and owner of Evolutions Medical in Spa Santa Barbara where clients can have non-invasive skin tightening treatments done including Total Tightening and Ultherapy. Both are skin tightening and collagen-boosting treatments that result in a firmer, “fresher” look.

Let us help you look your best! Call Cosmetic Surgery Center at 805.563.0000 to schedule a cosmetic surgery consultation.

Skin Care Tips by a Santa Barbara Cosmetic Surgeon

The new year is almost here and most of us will commit to starting (or continuing) healthy habits such as eating more veggies, going to the gym, and so on.  In my Santa Barbara cosmetic surgery practice I get a lot of inquiries about skin care and how to keep skin looking young and healthy. With New Year’s resolutions upon us, I thought this would be a great opportunity to suggest some skin care tips to incorporate into your list of resolutions. These skin care recommendations will help prevent accelerated aging and will encourage healthier skin in the coming year.

Use Sunscreen Daily
One of the top causes of premature aging that leads to wrinkles, fine lines, and “sun spots”  (hyperpigmentation) is the damage caused by UV rays. Use sunscreen daily – year round – with an SPF 30+ to help prevent sun damage. Reapply often if you are outdoors, sweating excessively, or swimming.

Avoid Trendy Products
Skin care products that promise you the moon usually don’t deliver. Do your research and buy your skin care products from a reputable place – such as a physician’s office or a medical spa. Physician-grade products contain higher quantities of potent ingredients that are often clinically proven to deliver results.

Encourage Exfoliation
As we age, cell turnover decreases and the “build up” of cells can leave your complexion dull. Exfoliate two times per week to encourage faster cell turnover.

Clean and Replace Skin Care Tools
If you’re using a Clarisonic as part of your cleansing routine, that is great! Allow the brush head to dry after every use (patting it dry immediately after each use helps) and replace the brush head every 2 to 3 months. Make-up brushes can cause more harm than good if they are not washed regularly. Use a brush cleaner solution or mild baby shampoo and commit to cleaning your brushes weekly.

Moisturizing hydrates and protects the skin. It also can improve tone and texture and can often mask imperfections. Moisturizing is good for all skin types even those with oily or acne-prone skin. For oily skin, choose a non-comedogenic and oil-free moisturizer.

Be Hands-Free
Commit to keeping your hands off your face. Dirty hands and nails can contaminate the skin you are working so hard to keep clear and clean.

“You Are What You Eat”
Consume lots of colorful vegetables and fruits. These are packed with antioxidants and will help your skin from the inside out. Fatty and greasy foods can upset the natural balance of your body and can cause your overall health – and your skin – to deteriorate.

Get Your ZZZ’s
While you “rest”, so does your skin. Sleeping lowers your metabolic rate so you’re not producing as many skin damaging free radicals. It also gives your skin a chance to focus on skin repair (instead of protection, as it does when it is being exposed to the sun or environmental pollution during the day).

Don’t Smoke 
One of the fastest ways to prematurely age you skin is through smoking. Nicotine causes narrowing of blood vessels and impairs blood flow to the outermost layers of the skin. Less blood flow means less nutrients and oxygen to your skin. The result is wrinkles and sagging of the skin.

Conduct Self-Screening
Before putting on make-up, take a close look at your skin and note any changes, discoloration, funny looking moles, or abnormal looking skin. Follow up with a dermatologist to further assess the condition. It’s a good idea to see a dermatologist annually for an overall skin check.

A New Year is the time to make changes and improvements. Following these skin care recommendations will give your skin the opportunity to be healthier and more youthful-looking in 2015 and years beyond.

All of us at Cosmetic Surgery Center in Santa Barbara wish you (and your skin) a happy, healthy new year! 

New Day Spa in Santa Barbara at Evolutions

Santa Barbara cosmetic surgeon, Dr. Terry J. Perkins, is the founder and Medical Director at Evolutions Medical Spa. He is directly involved in the operations at the facility, treats clients there a few days per week, trains new nurses and clinicians extensively, and provides on-going education and training to the staff about treatments and skin care. So when the opportunity arose to open up a day spa side to complement the medical spa services at Evolutions, Dr. Perkins, who also has an active Santa Barbara cosmetic surgery practice, was enthusiastic, despite his busy schedule. He felt that the addition of day spa services – such as massage, waxing, rejuvenating facials, and body treatments – would allow Evolutions to serve even more of the community as well as visitors of our beautiful city.

The Day Spa business, which officially opened last month, came on the heels of the relocation of Evolutions Medical Spa to a larger location on Chapala and Gutierrez Streets in downtown Santa Barbara. Evolutions Day Spa is conveniently located next door to the medical spa and is accessible through the medical spa. The combined businesses offer 15 treatment rooms in a 6,000 square foot space and is known as Evolutions Medical and Day Spa.

Evolutions Day Spa Tea Lounge

If you haven’t seen the new medical and day spa yet, it’s worth a trip (and a treatment!). The medical spa side offers state-of-the art services in more spacious treatment rooms. Step into the adjacent day spa side and you will be enveloped in a serene atmosphere that relaxes your mind and soothes your soul. Guests who have scheduled appointments are invited to arrive early (or stay after their treatment) to enjoy a cup of tea in the tea lounge or use the dry eucalyptus saunas. Full shower and locker facilities are also available for men and women.

Vichy Shower Treatment Room

The Day Spa menu offers something for everyone including Body Treatments – wraps and scrubs – that are exfoliating, hydrating, and blissful. The Vichy Shower treatment – seven treatment shower heads located over the treatment bed that jet soothing warm water is a wonderful complement to any of the body wraps and scrubs.

Various types of Massage Treatments are also available in 60, 75, or 90 minute increments in private massage huts. There is an extra large room dedicated to Duet Massage where a couple, friends, or family members can receive massages next to each other.

The Facials menu has expanded to include an organic facial and an age-defying oxygen facial that delivers a pure oxygen infusion to minimize fine lines, restore resiliency and suppleness. Waxing is also available for women and men.

Evolutions is offering a Special Introductory Offer of 20% off all Day Spa services during the month of April 2013. Contact Evolutions Medical and Day Spa at 805-687-0212 to book your appointment today! 

Santa Barbara Skin Care Home Regimen by Dr. Perkins

Santa Barbara cosmetic surgeon Dr. Terry Perkins believes that an effective at-home skin care regimen is an essential part of maintaining younger-looking, beautiful skin. We hope that this home care skin regimen by Dr. Perkins will inspire you to renew (or start) your dedication to healthy skin.

If you are a person who routinely has facials and does a chemical peel every few months, you are not exempt from participating in good skin care practices! Did you know that how you care for your skin at home can account for 50% of the end result? An effective at-home skin care strategy can both enhance the power of your facial / chemical peel / laser facial treatment and can prolong the results. Truly a “win-win” situation.

The home care regimen that I recommend is not something I learned in medical school or from a beauty magazine. The idea came to me one piece at a time as I reflected upon what products the skin benefits from on an ongoing basis. As the founder of Evolutions Medical Spa, and being an active Medical Director there, I have had the benefit of being introduced to and studying many different medical-grade skin care products that have higher active ingredient levels and, thus, have a greater effect on the skin than products purchased at a department store. This is why I recommend using physician grade products for a notable result.

An easy way to remember my universal skin care regimen is by the acronym CHEARS. CHEARS stands for:

  • Cleanser: use a cleanser that is suitable for your skin type; I recommend using the Clarisonic brush to give your skin a deep clean below the surface. Cleanse in the morning and evening.
  • Hydration: hydrate your skin daily using a moisturizer that works with your skin type (dry, oily, combination). Keeping your skin hydrated will keep your skin plump for a fresh complexion. Moisturize once per day.
  • Exfoliant: the use of an exfoliant helps to break down the dead cells on the outermost layer of the skin and promote cell turnover. Exfoliate your skin 2 times per week.
  • Antioxidant: a high quality antioxidant cream helps to combat the signs of aging. Use 3 times per week.
  • Retinoids: use of a topical retinoid cream (commonly known as the brand name, Retin-A) has been proven to be a great wrinkle fighter. Use 2 times per week.
  • Sun protection: use sun protection on your face, neck, decolletage, and hands to ward off fine lines, wrinkles, and excessive pigmentation (age and “liver” spots). Sun protection should be used daily, year round and I recommend products that provide a “physical block” such as those that contain zinc oxide. 

Embarking on my home care regimen will enable you to have more control of your skin’s natural aging process. I hope that the above information persuades you to start, or re-dedicate, yourself to renewing your skin health in the years to come. CHEARS to healthy, glowing skin!

Cosmetic Procedures Shift to Facial Focus in 2012

The tides are changing! The American Society of Plastic Surgeons released their 2012 Plastic Surgery Statistics detailing the number of plastic and cosmetic procedures performed last year and, for the first time in six years, there was a decline in breast enhancement and buttocks augmentation. Cosmetic enhancement has shifted upward – to the face – with an increase in facelifts, injections (Botox, Dysport, and dermal fillers), and facial laser services in 2012.

Almost 1.6 million cosmetic surgeries were performed, a 2% drop from 2011, but still a staggering amount (if you really stop to think about it). Here is a review of cosmetic surgeries in 2012:

  • Breast augmentation saw a 7% decline from the year before, but remained the number one cosmetic procedure with just over 286,000 breast enhancements performed.
  • Buttocks enhancement (including implants and lifts) grew in popularity over the last decade, but declined last year by 36%, with just under 3,800 procedures done.
  • Eyelid surgery (blepharoplasty) shot up to over 204,000 in 2012, roughly 9,000 more procedures than were done in 2011, making it the 3rd most popular surgical procedure overall.
  • Facelift surgery also rose to over 126,000 procedures, almost 7,000 more than 2011.
  • Rhinoplasty remained consistent and was the number two cosmetic surgery procedure performed overall with just over 242,000 people opting for a re-shaped nose.
More than 13 million minimally-invasive procedures were done in 2012, with botulinum injections at the top of the list:
  • More than 6 million treatments of Botox or Dysport injections were given in 2012, an 8% rise from the previous year. 
  • Dermal filler procedures, including Radiesse, Juvederm, Restylane (and others), rose to just under 2 million treatments, making it the second most popular minimally-invasive procedure of 2012.
  • Chemical peels (1,133,821 treatments) and Laser Hair Removal (1,118,254 treatments) took 3rd and 4th places.
  • Intense Pulsed Light (IPL) treatments increased by 10% to 553,000.
  • Just over 509,000 laser skin resurfacing procedures were performed, a 9% increase from 2011. 
The popularity of minimally-invasive procedures has grown over the years for many reasons. Most of the procedures are instantly gratifying with little or no downtime. While they are readily affordable for most budgets, they do not provide long term results (such as cosmetic surgery can), but they do provide people with an opportunity to see how they would look with a renewed, more youthful appearance (such as erasing wrinkles and fines lines, plumping cheeks or lips). The ability to see this temporary change in appearance helps people envision how they may look when it is done by cosmetic surgery and thus makes a person’s decision to have facial cosmetic surgery an easier one. 
Santa Barbara cosmetic surgeon Dr. Terry Perkins expertly performs many cosmetic surgeries including facelifts, eyelid lift surgery, and rhinoplasty. He also does minimally-invasive procedures such as Botox, Dysport, and dermal fillers at his Cosmetic Surgery Center practice or at his medical spa – Evolutions. Evolutions Medical Spa in Santa Barbara provides a wide array of skin care services, including Botox, Dysport, chemical peels, laser facials, and laser hair removal. View a complete list of medical and aesthetic treatments on the Evolutions website

Santa Barbara Cosmetic Surgeon Talks About Getting Rid of Unwanted Pigmentation

With summer winding down, we’ve had a lot of our Santa Barbara Cosmetic Surgery Center clients inquiring about how to get rid of excess pigmentation (often referred to as sun spots, “liver” spots, or hyperpigmentation) that have resulted from sun overexposure and/or the fluctuation of hormones that happen as we age. Clients want to know how they can combat unwanted pigmentation on their own, using at home skin care products, and also how we can help them in the medical office.

The good news is that there are lots of options! The better news is that you can learn about these options at the educational event, Brightening and Tightening, this Wednesday, September 26th, that is hosted by Evolutions Medical Spa, where Santa Barbara cosmetic surgeon Dr. Terry Perkins (the founder and Medical Director of Evolutions) will be speaking about skin rejuvenation options that are non-surgical and have a great success rate.

Some of the evening’s event will be dedicated to skin tightening (through such revolutionary treatments as Total Tightening which combines the top two non-invasive skin tightening procedures into one highly effective treatment) the other part of the evening will be dedicated to skin lightening where Dr. Perkins will speak about a variety of medical grade products and professional treatments that can control excessive pigmentation and help create a more uniform tone to your skin. While not giving away Dr. Perkins’ entire presentation, we will give you a sneak peek on what you may hear about:

  • The FotoFacial RF™ is one of the safest and most effective intense pulsed light (IPL)-based treatments for excessive pigmentation that is available today. Don’t mistake it for a “PhotoFacial” offered by other doctors’ offices because the FotoFacial RF™ is a trademarked procedure that was co-developed by a dermatologist (Dr. Patrick Bitter, Jr.) and a plastic surgeon (Dr. R. Stephen Mulholland) that brings together the best of aesthetic dermatologic skin care and cosmetic plastic surgery into one non-invasive treatment. Clients love the FotoFacial RF™ because many achieve a noticeable and consistent degree of improvement after completing a series.
  • Obagi Medical Products are high quality medical products that are sold only to physicians. Obagi has multiple lines for many skin concerns such as acne and rosacea, but their signature Nu-Derm System is truly transformative. It is often advertised as “anti-aging” whereby it replaces old damaged skin cells (that cause premature aging) with healthy new cells and along the way it also corrects photodamage such as age spots, sallowness in the complexion, and discoloration (or hyperpigmentation). It is a system that takes dedication and time, but the end result is all worth it!
Sometimes clients like to start small before diving into a bigger commitment such as a FotoFacial series or the Obagi Nu-Derm system and they ask Dr. Perkins what he recommends. In this case, Dr. Perkins’ number one recommendation is to stay out of the sun and use sun protection year round, and his next recommendation, for those seeking some reprieve from sun damage or pigmentation issues, is consistent use of an AFA Exfoliating Gel.  
The AFA Exfoliating Gel is powered by acidified amino acid and is good for treating sun damaged skin, overly pigmented skin, and acne-prone skin. It stimulates new cell growth, which makes skin appear “younger”, by removing the outer layer of dead cells while restoring the natural moisture-retaining amino acid system of the epidermis. AFA’s break down to monocanic acid, a natural UV filter, that helps the skin better protect itself from harmful UV light. To top it off, AFA gel provides a stable antioxidation to establish a healthy skin environment.
AFA Exfoliating Gel comes in different strengths, making it suitable for all skin types and does not cause a great amount of dryness (if any) or irritation that can be associated with other exfoliating products. Use it daily, or three to five times per week, on freshly cleansed skin (underneath your sunscreen or make up) depending on your skin. Being on an AFA Exfoliating Gel will provide your skin with the immediate benefits of fresher, healthier skin cells and is also be a great way to prep the skin for more aggressive treatments such as the FotoFacial RF™. 
The FotoFacial RF™, Obagi skin care products, and AFA Exfoliating Gel products are all available at Evolutions Medical Spa in Santa Barbara
If you would like to attend the educational event at Evolutions Medical Spa on Wednesday, September 26th, please call Evolutions at 805-687-0212 to reserve your seat today. There is no charge to attend the event. Light refreshments, a raffle, and promotional pricing will be available to all attendees. 

Ask Santa Barbara Cosmetic Surgeon Dr. Perkins: Vitamin B Skin Care

Dr. Terry Perkins answers questions from clients about cosmetic surgery procedures and skin care. If you have a question for Dr. Perkins, please email him with “Ask the Cosmetic Surgeon” in the subject line. 

Q: Hi Dr. Perkins, I keep seeing skin care products that have Vitamin B in them and have recently read a few articles in beauty magazines that boast about the benefits that Vitamin B can have on skin. Is Vitamin B really that great for the skin? And if so, what products do you recommend? Thanks! Theresa, Santa Barbara

A: Hi Theresa, you have posed a great question. I agree that there has been a lot of press about vitamin B products lately. Vitamin B in skin care products is often referred to as niacin and that specifically refers to B3. To answer your question, yes, niacin does have the potential to rejuvenate your skin but there is a caveat. Most of the products on the market, that are not medical grade, probably do not contain enough vitamin B to be effective in changing your skin.

In my opinion, the best niacin skin care products on the market today are NIA24. These products contain a patented molecule called Pro-Niacin that penetrates the skin to deliver niacin directly to the cells, energizing them and encouraging normal cell turnover. It also protects and repairs the DNA in the skin cells that became de-normalized due to aging and UV sun damage. Also, Pro-niacin stimulates the release of the hormone leptin, a natural repair hormone, that improves skin tensile strength.

What sets NIA24 apart from the other niacin containing products is that they have developed a MicroNutrient Delivery system that allows the beneficial ingredients to penetrate the epidermis in a slow, continuous release, allowing the molecule to bio-convert to its working form and providing your skin with its protective powers 24 hours a day.  I’ve added an image in from the NIA24 website to better illustrate this concept:

NIA24 is good for sun-damaged, rosacea, hyper-pigmented, and allergic skin. It is fragrance, color-free, dye-free, and non-comedogenic. While we carry select NIA24 products at Cosmetic Surgery CenterEvolutions Medical Spa Santa Barbara has a more robust selection. Call them at 805-687-0212 or visit them downtown to purchase your NIA24 products. 

Cosmetic Surgery in Santa Barbara with Dr. Terry Perkins

Santa Barbara cosmetic surgeon Dr. Terry Perkins has always made education a priority for himself and his patients.  Throughout his practice, Dr. Perkins is continuously researching and implementing the latest surgical techniques and using the most advanced technology.  Along the same lines, he believes in educating his patients so that they feel comfortable and confident in their decision to have plastic surgery and/or non-invasive treatments like Botox or fillers.

During a cosmetic surgery consultation with Dr. Perkins he will ask you what your main concerns are. Dr. Perkins will then offer his opinion about what may best correct the issue. He firmly believes that there is always more than one way to solve a problem, so he will most likely offer a few options and will help you make an educated decision on what would give you the best result.  Dr. Perkins may also offer solutions that extend beyond the operating room. As the founder and Medical Director of a Santa Barbara medical spa, Evolutions, Dr. Perkins may refer a patient to Evolutions for pre-operative care to prepare the skin for surgery and post-operative care to help expedite the healing process.

Dr. Perkins is a specialist in facial rejuvenation cosmetic surgery such as facelifts, rhinoplasty nasal surgery, forehead lifts, eye lift surgery and more.  He also specializes in body sculpting through liposuction and was the first specialist in the Santa Barbara-Ventura area to offer the liposuction surgical procedure.

“Meet” Dr. Perkins in this informative video:

Schedule a cosmetic surgery consultation with Dr. Perkins by calling 805-563-0000.

Santa Barbara Medical Spa – Evolutions – Open House Event

Evolutions Medical Spa is celebrating six successful years with an Open House event! Dr. Perkins and Evolutions would like to invite their loyal clients and the community to celebrate this milestone event on Wednesday, January 25th, from 4:00 pm to 8:00 pm.

Guests will enjoy:
  • Complimentary Mini-Treatments
  • Free Coloresciene Mineral Make-up application
  • Games and raffles (with over $5000 worth of prizes)
  • Gift bags (for the first 50 guests)
  • Interactive skin care education
  • A *live demo* of Dr. Perkins doing Dysport injections on a client.
  • Products and services will be discounted too!
Thank you to the following companies for their generous contributions to make this event fun and fabulous: Revitalash, Neova Skin Care, AFA Amino Acid Skin Care, NuCelle Skin Care, Radiesse, Elure, VitaMedica, NanoPro Superfood, and many more!

Evolutions is located at 1309 State Street, the same block as the Arlington Theater, in downtown Santa Barbara.
We look forward to seeing you there!

Non-Surgical Skin Tightening in Santa Barbara: Special Event

Santa Barbara cosmetic surgeon Dr. Terry Perkins has formulated a unique protocol that utilizes the top two technologies in skin tightening – without surgery – to effectively tone, tighten and lift your skin! Are you thinking that you would like to know more . . . see before-and-after pictures or that you have questions for Dr. Perkins about anti-aging treatments?
On October 26th you will have the opportunity to address all of the above! Mark your calendars for a special evening dedicated to Tightening and Lightening at Evolutions Medical Spa with Dr. Perkins on Wednesday, October 26th, from 6:30 pm to 8:30 pm.

The evening will include information on:
  • Dr. Perkins’ Total Tightening: a treatment that utilizes the ReFirme and Titan technologies to achieve the maximum result.
  • The FotoFacial RF: a great treatment that significantly improves brightness and luminescence of the skin while removing unwanted pigmentation.
  • Sublative Rejuvenation: one of the most popular fraction skin resurfacing treatments that improves fine lines, pigmentation issues and acne scarring.
  • SpaWhite Express Teeth Whitening: remove stains and whiten several shades in under 30 minutes.
Attendees will be able to purchase these treatments at special promotion pricing! We also will have a raffle, refreshments and other exclusive specials.
RSVP to Evolutions Medical Spa at 805.687.0212.