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

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.

The Difference Between Plastic Surgery and Cosmetic Surgery

The term “plastic surgery” is the most commonly used phrase to describe elective surgical aesthetic procedures such as rhinoplasty (nose jobs), breast augmentation, tummy tucks and liposuction. The term “cosmetic surgery” is less commonly used and some people think that “plastic surgery” and “cosmetic surgery” are interchangeable terms when, in actuality, they are refer to two different categories of surgery.


Plastic surgery is a surgical specialty dedicated to reconstruction of facial and body defects due to birth
disorders, trauma, burns, and disease. Plastic surgery is intended to correct dysfunctional areas of the
body and is reconstructive in nature.
Cosmetic surgery is dedicated to enhancing appearance through surgical and medical techniques. Cosmetic surgery can be performed on all areas of the head, neck and body. Cosmetic surgery is elective, whereas, for some, plastic surgery (that is reconstructive) is done out of necessity.
Dr. Terry Perkins is a double board certified cosmetic surgeon in Santa Barbara. Dr. Perkins has been performing cosmetic surgeries for over 30 years and specializes in giving patients an end result that looks natural and rested and not “over done”.
Dr. Perkins performs facial rejuvenation surgeries at Cosmetic Surgery Center in Santa Barbara such as face lifts, forehead lifts, eyelid surgery, chin surgery, and neck lift surgery to address aging face issues. He also performs nose surgery (rhinoplasty) and ear pinning surgery (otoplasty) to help appearance or function (in regards to the nasal surgery).
Body contouring through liposuction and, if needed, surgery can also be done by Dr. Perkins. Liposuction can be performed on the arms, abdomen and flanks, hips and legs (most commonly the inner and outer thigh areas).
For some patients, the hardest part about cosmetic surgery is scheduling the first consultation. Dr. Perkins makes it a priority to educate his clients on their options so that they will feel confident in the cosmetic surgery choices they make. Dr. Perkins shares with you how a consultation may go in his office:
Dr. Perkins can help you look your best – naturally! Schedule an appointment with Dr. Perkins by calling 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.