Eyelid Lift Surgery in Santa Barbara

Eyes are often the first thing a person notices about another person. Unfortunately the eyes are also one of the first facial features to show age. The delicate skin of the eye area makes it more susceptible to sun and environmental damage. In addition to that, the loss of collagen – an unavoidable part of aging – results in skin that is less elastic, and prone to sagging and wrinkles. Sagging skin naturally succumbs to gravity. When the eyelids sag, the eyes suddenly become hidden under hooded lids and are surrounded by fine lines and wrinkles, which may make a person appear angry, tired, or older than they are. Fortunately, eyelid lift surgery is an excellent way to restore a rested, youthful appearance.

When is the right time for an eyelid lift?
Some people have eyelid lift surgery in their late 30s while others may do it in well into their 70s or 80s. Most people do the procedure in their 40s and 50s. Some signs that may make you consider surgery include heavy or hooded lids, difficulty applying eyeshadow, and/or when the lids start to obstruct your vision.

Most people do not know that eyelid surgery can address eye issues on the upper lid or under the eye. We refer to the procedures as Upper Eyelid Surgery and Lower Eyelid Surgery, respectively.

Upper Eyelid Surgery 
This procedure addresses the excess/overhanging upper eyelid skin and the inner corner fat bulges. Incisions are made in the natural creases of the eye and are well hidden when healed. A conservative approach is taken to avoid looking “done” and, especially for men, to avoid too much lid show (which gives a feminine appearance to the face).

Lower Eyelid Surgery
Treatment of this area addresses dark circles, fat bulges, and skin laxity under the eyes. Incisions are hidden in the lower edge of the lashes. For those people who have fat bulges, but little excess skin, incisions are made in the inner (eyeball) side of the lower lid. Fat is then able to be removed and sutures are usually not required.

About Eyelid Surgery
Either 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 Tylenol or Ibuprofen. Use of cool compresses and head elevation will help any bruising or swelling subside.

Recovery from Eyelid Surgery
Sutures are in place for 7 days. Returning to make-up and contact lenses usually occurs at 10 days post-op. We recommend purchasing new eye make-up as to not introduce bacteria from old products into the healing incisions. Walking may be resumed the day after the surgery. Most people take one week off from work to rest and recover. Aerobic exercise can usually be resumed at 3 weeks post-op Sunglasses and wide-brimmed hat should be used for all outdoor activities.

See before-and-after eyelid lift surgery pictures on our website.

To schedule a consultation for eyelid lift surgery in Santa Barbara by Dr. Perkins call (805-563-0000).

Social Media Selfies Related to Rise in Plastic Surgery

Are you happy with your “selfie”? Apparently these close-up photos (taken only as far as your own arm’s length) with a mobile phone are spurring an increase in facial plastic surgery. According to a very recent survey by the American Academy of Facial Plastic and Reconstructive Surgery (AAFPRS), “one in three facial plastic surgeons saw an increase in requests for procedures due to patients being more self aware of looks in social media”. As a result, the survey noted increases in rhinoplasty (10%), hair transplants (7%) and eyelid surgery (6%) in 2013 over 2012.

Most people who take selfies do so in the interest of immediately sharing them with their friends on popular social media platforms like Instagram, Twitter, Snapchat and such. With so many of our interactions being “virtual”, a selfie may be seen by prospective romantic interests, friends and even employers before actually meeting the person in the flesh. That is probably why people want to get their selfie just “right”.

Pictures taken at that close proximity can be like looking at yourself in a magnifying mirror where it is easy to pick at imperfections from acne to large pores to wrinkles to crooked noses and double chins. Some of these issues can be easily corrected – forehead wrinkles can be smoothed with Botox, while other wrinkles can be filled with dermal fillers; acne and large pores can be addressed with proper skin care in combination with professional aesthetic medical treatments (like chemical peels and laser facials).

Structural facial concerns can be addressed with cosmetic plastic surgery such as Rhinoplasty (Nose Job surgery), Chin Surgery with an implant to make the chin/jawline more prominent, or Neck Lift surgery to fix sagging muscle, skin, and fat that may be contributing to a “double” chin. Eyelid surgery can remove sagging skin and bulges under the eye area that may make a person look tired or unhappy while a Facelift can redefine and reposition one’s face, giving them a rested and rejuvenated look.

It is important to note that electing to have plastic surgery should not be made on a whim. Santa Barbara cosmetic surgeon Dr. Terry J. Perkins likes to educate his patients to help them understand their cosmetic surgery procedure, the recovery time involved, and the realistic outcome of their surgery.

Once the decision has been made to enhance your look through plastic surgery or cosmetic aesthetic services, you will most likely be thrilled with the outcome. As Dr. Perkins has said, “When a person feels they look good, that comes across to everybody they interact with.” Whether it be in real life or in the virtual world, it will surely be a boost to your “selfie”-esteem.

Book a Santa Barbara cosmetic surgery consultation with Dr. Perkins by calling 805-563-0000.

Eye Lift Cosmetic Surgery Helps Most People Look Younger

If you are looking to rejuvenate your appearance – and look younger – through one cosmetic surgical procedure, experts are saying that your best bet may be an eye lift surgery.

A study recently published by the Archives of Facial Plastic Surgery suggested that patients who had multiple plastic surgeries on their face were perceived to be younger (up to 8 and a half years less than their actual ages).
The study included 60 patients (male and female) between the ages of 45 and 72. These patients were divided into specific groups that had received the same procedures:
Medical students were asked to estimate the patients’ ages by studying photographs of them. The overall results were:
  • Group 1 looked (on average) 5.7 years younger
  • Group 2 looked (on average) 7.5 years younger
  • Group 3 looked (on average) 8.4 years younger
Aside from having multiple procedures, group 2 and group 3 both had upper and lower eyelid surgery performed. This may be a key factor in why groups 2 and 3 looked younger than those in the first group.
At Cosmetic Surgery Center we have always felt that the eyes are one of the first features that people notice. Eyes can give others an impression of who you are without a word being spoken. If eyes look tired or unhappy – through sagging or fat bulges – the impression a person gives may not be truly how they feel or who they are. Cosmetic surgery expert Arthur Perry, M.D., agrees and has observed that “eyes are part of the body that begin to show age first, and they’re certainly the most apparent” while “necks and jowls can be hidden a little more easily”.
Eyelid surgery by Dr. Perkins entails removing excess skin and fat to give the patient a more rested, pleasant appearance. Incisions are hidden in the natural curves of the eyes, under the lashes or made internally where excess skin is not an issue.
Although every patient’s needs are different, eye lift surgery may give some a bigger bang for their buck and may be a good option instead of opting for a face or neck lift. Of course, this is on a case by case basis and we always recommend getting educated on all your options before making a decision.
Cosmetic Surgery Center is located in Santa Barbara. Reach us at 805.563.0000.

Eyelid Surgery in Santa Barbara by Dr. Terry Perkins

Santa Barbara cosmetic surgeon Dr. Terry Perkins is highlighting eyelid surgery this month.

As the “window to our soul” your eyes often give other people an impression of who you are without a word being spoken. If there is sagging skin or fat bulges that make you look tired or unhappy, your first impression may not be a good one.

Blepharoplasty (eyelid) surgery can correct both of these problems. By removing excess skin and fat we give you a more rested and pleasant appearance. Incisions are hidden in the natural curves of the eyes, under the eyelashes or even made “internally” in some instances where excess skin is not an issue. Particularly in men, it is important not to “overdo”.

Dr. Perkins is an expert in facial rejuvenation including eyelid surgery and eyelid lifts. View before-and-after eyelid surgery pictures of Dr. Perkins’ clients. Call Dr. Perkins’ office at 805.563.0000 for a cosmetic surgery consultation appointment.

Face Lifts by Santa Barbara Cosmetic Surgeon Dr. Perkins Look “Moore” Natural, Less Operated

Dr. Terry Perkins of Santa Barbara Cosmetic Surgery Center believes in the importance of natural beauty. His cosmetic surgery procedures enhance facial appearance without looking like a cosmetic surgery procedure has been done . Dr. Perkins is an expert in facial rejuvenation face lifts leaving the patient with a rested, non-operated look.


It is cosmetic surgeons like Dr. Perkins, whose expertise allow him to perform face lift surgeries that look natural, that celebrities seek out to keep all of us wondering.
For instance, in a recent Fox News article titled Plastic Surgeons Weigh in on Demi Moore’s Pretty Face, Hollywood plastic surgeons contemplate the actress’s rumored cosmetic surgeries. Although they are left guessing whether or not the star has had a face lift, one thing they agree upon is that “As a 47-year-old, she would be defying all laws of nature by looking so good without true surgery, but she certainly could have a perfect combination of good genes, good fillers (such as Restylane or Juvederm), good skin care and Botox.”


Demi knows good skincare and most likely, a good cosmetic surgeon. If she has had cosmetic surgery it’s gone undetected from tabloids and paparazzi for decades due to her natural look—the same non-operated appearance that Dr. Perkins has perfected with his own patients through facial cosmetic surgery or through non-operated procedures such as Dr. Perkins’ Layered Liquid Lift – a non-surgical face lift.


The Fox News article speculates that Demi underwent eyelid surgery, perhaps an eyelid lift in order to revive her look. Cosmetic Surgery Center Santa Barbara offers eyelid lift procedures that result in a re-energized, more youthful look. There is a range of Santa Barbara eyelid surgeries available, depending on a patient’s needs, and Dr. Perkins treats each patient on a case-by-case basis. He goes more in depth about various eyelid surgeries in a past blog post.


Take a hint from Demi. Learn more about enhancing your natural beauty with one of Dr. Perkins rejuvenating face lifts, eye lifts, or even a non-invasive procedure, such as The Layered Liquid Lift.


Call Cosmetic Surgery Center today to book a consultation for a face lift, eye lift or to explore other facial rejuvenation options with Dr. Perkins at 805.563.0000. Cosmetic surgeon Dr. Perkins sees patients at his Cosmetic Surgery Center offices in Santa Barbara.

Santa Barbara Cosmetic Surgeon Dr. Perkins is an Expert in a “Non-Surgical” Look

Yesterday an interesting article in the New York Times “Fashion & Style” section appeared online. Titled “A Little Too Ready for Her Close-Up?” it addressed the slow, but sure movement of Hollywood casting directors looking for a more “natural” woman and, in fact, have said that some are recruiting actors and actresses from Britain and Australia “because the amply endowed, freakishly young-looking crowd that shows up for auditions in Los Angeles suffers from too much sameness.”

Dr. Terry Perkins, a Santa Barbara cosmetic surgeon who has been practicing plastic surgery for over 30 years, understands this concept all too well and prides himself in performing facial surgeries that give the patient a well-rested, non-operated, rejuvenated appearance. Dr. Perkins combines his years of patient experience and expertise in cosmetic surgery to assess each patient on a case by case basis. Dr. Perkins does not perform a “cookie-cutter” face lift. He addresses each patient individually and customizes a face lift surgery to meet their needs and match their facial structure.
Dr. Perkins also performs facial rejuvenation surgery that may only address a specific part of the face such as an eyelid lift, brow lift or chin lift for those who do not want, or do not need, a full face lift. Dr. Perkins also offers non-surgical alternatives, such as the Layered Liquid Lift or Total Tightening procedures that take years off the face and are non-surgical procedures.


Along the lines of natural-looking cosmetic surgery, Dr. Perkins also performs a natural breast augmentation – a procedure where he can transfer a patient’s fat from liposuction to the breast area, which can be strategically placed to fill in areas that may be lacking or look unbalanced. Natural breast augmentation can up the cup size by one, depending on the amount of fat retrieved from liposuction. Natural breast augmentation gives the patient a boost, without the use of implants.
Schedule a consultation for a cosmetic surgery with natural results by Dr. Terry Perkins today! Dr. Perkins sees patients in Santa Barbara at his Cosmetic Surgery Center offices. For an appointment, call 805.563.0000.

Ask Santa Barbara Cosmetic Surgeon Dr. Perkins – Eyelid Lift Surgery

Dr. Terry Perkins, a Santa Barbara cosmetic surgeon, answers your questions and addresses your concerns about body shaping through liposuction, facial rejuvenation including face lifts and non-surgical procedures such as wrinkle reduction through BOTOX Cosmetic or Dysport. Email your cosmetic surgery questions to Dr. Perkins and look for his reply soon!

Q. Hi Dr. Perkins. I am a 65 year old woman who has never had plastic surgery. I am very interested in an eye lift to make my face look more “refreshed” and would like to know more about the procedure and the anesthesia part of it.


A. Eyelid surgery – medically known as blepharoplasty – can significantly rejuvenate your appearance. Sagging skin above the eye or fat bulges (“bags”) under the eye can make one look tired or unhappy. To treat the fat bulges beneath the eye we usually make incisions in one of two locations: inside the eyelid or just below the lashes so the incision hides in the normal creases. Fat is removed and heavy muscle can be “thinned”. The fat can be transplanted into “hollows” or to the lid to be tightened.
For the upper eye, there are several options – and the first thing we do is determine if it is the brow or the eye that is sagging. Examining your brow in relation to your brow bone can help to determine if you will need an eye lift or brow lift. Upper eyelid lifts may involve removal of excess skin, muscle or fat bulges near the nose. However one must consider whether the problem is confined to the eyelid or if the forehead tissue is sagging and causing the false appearance of excess upper lid skin. By raising the brow to its normal position, one can see if the issue is primarily the upper eyelid, forehead relaxation or both.


Moving on to address your question about anesthesia – we can often do the surgeries discussed above using local sedation, which is a combination of local anesthesia and oral sedation. In my thirty years of practice, I have found using local sedation instead of general anesthesia makes a much easier recovery for the patient immediately after surgery and in the days following they tend to use less post-operative medication.

The down time for eyelid surgery is usually about one week.

I treat each patient on an individualized basis and will be able to know what option is best for you after discussing your concerns and an examination. Please call my office if you’d like to schedule an appointment.
Visit Cosmetic Surgery Center’s website to view Santa Barbara eyelid surgery “before” and “after” pictures. If you’d like to schedule a consultation with Dr. Perkins, please call Cosmetic Surgery Center at 805.563.0000 or 805.988.1000. Dr. Perkins is a cosmetic surgeon in Santa Barbara and has been serving the tri-counties of Santa Barbara, Ventura and San Luis Obispo for over thirty years.