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

Popular Facial Rejuvenation Procedures

Facial rejuvenation – surgical and non-invasive – is on the rise, according to 2016 Plastic Surgery Statistics from the American Society of Plastic Surgeons.

It is not surprising that many people are seeking facial rejuvenation as most of us are living longer, healthier lives and more of our lives are being captured on camera at any given time (and posted on social media for all to see). Here are several popular facial rejuvenation options that are on the rise (and that are done at our Santa Barbara Cosmetic Surgery Center practice).

Eyelid Surgery (Blepharoplasty)

In 2016 over 209,000 people had eyelid surgery. Eyes are often the first thing people notice and they can convey so much. When sagging skin or fat bulges appear, they can dramatically affect a person’s overall appearance, making them look tired, unhappy, or unapproachable when they are not. Eyelid surgery – which can be done on the upper eyelid, lower eyelid (or both) – will restore the appearance around the eyes to give you a well-rested (but not “done”) look.

Forehead Lift Surgery

Forehead lift surgery went up by 6% in 2016. The Forehead Lift – also known as a “Brow Lift” – repositions the forehead and brow upward. Relaxation fo the forehead can cause a heaviness on the eyebrows that crowds the eyes. When this happens, many people think their eyes need to be done and are surprised to hear that it is the forehead area that needs to be addressed. Putting the forehead area back into a more youthful position will alter a person’s appearance – in a very positive way.

Rhinoplasty (Nose Reshaping)
People do not normally get nose reshaping surgery to turn back the clock but it is a procedure that provides rejuvenation in the sense that it can create a more balanced relationship in a person’s facial features. Rhinoplasty can refine a bulbous tip, narrow a wide nose, straighten a crooked nose and/or remove an unwanted bump. At Cosmetic Surgery Center we believe that the end result of a rhinoplasty should not have an “operated” look and, in fact, the best work is usually not detected.

Botox and Dysport

Over 7 million people had Botox or Dysport treatments last year. The number of treatments for Botox and Dysport has risen 797% since 2000! The popularity of the treatment is due to the low cost, no downtime, and the end result. A half hour (to one hour) appointment can smooth forehead lines and crow’s feet, which can take years off a person’s appearance. This anti-wrinkle treatment is quick, virtually painless, and works.

Dermal Fillers (such as Restylane, Sculptra, Juvederm, Radiesse)

Injectable fillers are used to restore or enhance an appearance and can last from 6 months to 5 years depending on the type of filler used. The most common fillers are made of hyaluronic acid (Restylane, Juvederm, Voluma), a naturally-occurring complex carbohydrate that binds water molecules to add volume and keep tissues soft. Fillers can be used to “fill” wrinkles, fine lines, some scars and also can be used to add volume to areas that are “deflated”. Most dermal filler appointments only take 1 to 2 hours and the results are instantaneous. Over 2.6 million Americans had a filler treatment in 2016.

Facial rejuvenation is a wonderful way to restore your youthful look!

If you are interested in surgical or non-invasive facial rejuvenation options, call our Santa Barbara plastic surgery office to schedule a consultation – (805) 563-0000.

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. 

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).

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

Eyelid Lift Surgery: Santa Barbara Cosmetic Surgery Highlight

Eyes are often the first thing a person notices about another person. They are sometimes referred to as the “window to our soul” because they can convey so many messages without a word being spoken. Sagging skin or fat bulges can make a person’s eyes smaller and can alter a person’s overall appearance making them look tired or unhappy, or both. Eyelid surgery, also known as blepharoplasty, is an excellent way to restore a youthful and rested appearance.

Both the upper and lower eyelids can be treated, depending on where the issue is. When treating the upper eyelid, excess/overhanging upper eyelid skin is removed and the inner corner fat bulges are treated. Incisions are made in the natural creases of the eye and hide well when healed. A conservative approach needs to be used for males to avoid too much lid show which gives a feminine appearance to the face.

Treatment of the lower eyelid area addresses dark circles, fat bulges, and skin laxity. Incisions are hidden at the lower edge of the lashes and conservative skin removal will avoid problems such as a round eye look.

If a person has fat bulges but little to no excess skin, a transconjunctival approach is used. Incisions are made in the inner (eyeball) side of the lower lid. Fat is then able to be removed through these small openings. Sutures are usually not required.

General anesthesia is not needed for eyelid lift surgery. Either surgery can be performed under local anesthesia combined with oral sedation alone or together with IV sedation.

Pain is usually minimal and is easily controlled with over-the-counter Tylenol or Ibuprofen. Use of cool compresses and keeping your head elevated with help subside bruising and swelling. Sutures are in place for 7 days and most patients take one week off from work. Returning to contact lenses and eye make-up usually occurs at 10 days post-op and it is advisable to purchase new eye make-up to avoid introducing any bacteria from old products into the healing incisions.

Most patients can resume walking the day after surgery, gradually working up to aerobic exercises at 3 weeks post-op. Sunglasses and a wide-brimmed hat should be used during all outdoor activities.

Schedule an eyelid 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: Cosmetic Surgery Highlight

Eyelid surgery (Blepharoplasty) is Dr. Perkins‘ and Cosmetic Surgery Center’s surgical highlight for this month. The eyes are often referred to as the “window to our soul” and can give people an impression of who you are without a word being spoken. As we age, sagging skin or fat bulges can make a person appear unhappy or tired, which is not the first impression a person would want to convey.

Blepharoplasty (eyelid) surgery can correct sagging skin and fat bulges around the eyes. Removing the excess skin and fat gives a person a more rested, and pleasant, appearance. No need to worry about scars! Incisions are hidden in the natural curves of the eyes, under the eyelashes or even internally, in some instances.
Both men and women can benefit from eyelid surgery and the benefits are not just cosmetic. According to a report published in the December 2011 issue of Opthalmology, blepharoplasty “provides significant improvement in vision, peripheral vision, and quality of life activities”. Droopy eyelids can cause a “superior visual field loss of at least 12 degrees or 24%”.
Open up your eyes to the world, again, and let everyone see them sparkle through eyelid lift surgery!
For questions or a consultation with Dr. Perkins, please call 805.563.0000.