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 Surgery in Santa Barbara

When a person’s forehead has relaxed, causing the eyebrows to lower and the eyes to be crowded, they may appear angry, tired, or sad (when they are not). Many people think that it is their eyes that need to be done and are surprised to hear that it is the forehead area that needs to be addressed.

At Cosmetic Surgery Center in Santa Barbara, we offer Forehead lift surgery – also referred to as a “brow lift” – to reposition the forehead and brow upward. This one procedure gives multiple benefits:

  1. Raises the eyebrows to their normal position which opens the eyes and “removes” excess upper lid skin – try it yourself in the mirror.
  2. Smooths the horizontal forehead lines.
  3. Improves crow’s feet by tightening the temporal area.
  4. Removes/softens the frown lines between your eyebrows.

Forehead lift surgery is done through three small incisions in the hair (hair does not need to be shaved). This allows access to the muscles that cause frowning. Partial removal of these muscles causes permanent weakening of the muscle while retaining some function for normal expression. The forehead tissues are shifted upward and held in place with dissolvable sutures for the healing process.

As with all of our cosmetic surgeries, general anesthesia is not needed. Local anesthesia and oral sedation alone, or in combination with intravenous sedation, provides relaxation and amnesia. Pain is usually minimal and easily controlled with Tylenol or Ibuprofen. Most people return to work in 5 to 7 days after surgery.

We do not overdo the tissue lift because that can leave a person looking surprised and “operated”. Instead we take a more conservative approach so the result will be a natural, rested appearance.

View our Forehead Lift Before-and-After Photos Here

If you are interested in restoring your youthful appearance, call us today at (805) 563-0000 to schedule a consultation. 

Facelift Surgery in Santa Barbara by Dr. Perkins

Facelift surgery (cheek/neck lift) restores a youthful, natural appearance. When a person has a facelift, the results include:

  • Returning fullness to the cheeks
  • Lifting of the jowls
  • Smoothing the neck

Mid-facial implants or fat grafting might be suggested to further enhance the procedure if indicated.

What is done during Facelift Surgery?
Some surgeons simply pull the facial skin tighter which can result in an “operated” or “wind tunnel” appearance. Dr. Perkins feels it is important to lift and support the deep tissues so the skin tightening doesn’t need to be the main component of lift. By doing this patients should never have a stretched appearance and the deeper support will add longevity to the result. Incisions are hidden in the natural creases around the ears and in the hair (the hair does not need to be shaved).

Does Facelift Surgery Require General Anesthesia?
No, it does not. Many people are surprised to hear that general anesthesia is not needed for facelift surgery. Instead, we use a combination of oral, IV and local anesthesia to provide relaxation and control any discomfort. And with this technique patients usually have little or no pain, so Tylenol or ibuprofen is all that is needed during recovery. A light elastic dressing is used for the first 4-5 days and most patients return to work in 8-10 days.

Facelift in Santa Barbara by Dr. Perkins

These Before and After Facelift Photos are of an actual patient of Dr. Terry J. Perkins, performed at the Cosmetic Surgery Center in Santa Barbara, CA. 

Click here to view more of our Facelift before and after photos.

Interested in restoring your youthful appearance?
Schedule a Facelift consultation with Dr. Perkins at the Cosmetic Surgery Center in Santa Barbara, CA, by calling (805) 563-0000. 

Santa Barbara Cosmetic Surgery: Facial Augmentation with Implants

If a person feels that one of their facial features is “weak” and thereby creating an imbalance in their appearance then facial augmentation with implants may be a good choice for them. Facial implants are popular because they are a more permanent option for aesthetic improvement (as opposed to dermal fillers) and because they come in many shapes and sizes or can be customizable to individually suit the person’s face.

At our Santa Barbara Cosmetic Surgery Center, we can use facial implants for all areas of the face.

Cheek Implants add volume and contouring to the cheek area that may have lost the curvature due to genetics, age or extreme weight loss. When fat is lost in the cheek area, the hollows in the under eye area and the nasolabial folds may become more pronounced, making a person appear tired or unhappy. Cheek implants restore the volume and give the overall face a “lift”.

Chin Implants are used to strengthen a chin that has a noticeably weak definition. An under-projected chin can make the nose and/or neck appear larger than they are. The proper size and shaped chin implant will re-create definition. As an extra bonus, we often hear patients say the newly defined chin makes them look like they have lost weight!

Nasal Implants can be used to elevate the nasal bridge and/or improve the tip. The implant can be custom-sized to best fit the person’s face and compliment the other features.

Mandibular Angle Implants are used to create a stronger and more defined jaw. This surgery is more common for men because a wider lower face is seen as desirable.

There are many surgical and non-invasive augmentation options and combinations that can be done to improve one’s appearance.

Contact us at 805-563-0000 to schedule a consultation to discuss what options would be best for you.

Top Cosmetic Surgery Procedures in 2017

According to the annual report from the American Society of Plastic Surgeons, there were almost 1.8 million cosmetic surgery procedures last year (a 1% increase from 2016) done in the United States.

Here are the top 10 cosmetic surgery procedures in 2017:

Any of the procedures listed above with a clickable link are those that we perform at the Cosmetic Surgery Center in Santa Barbara.

Contact us today (online or at 805-563-0000) to schedule consultation. 

Chin Augmentation Surgery by Dr. Perkins

Chin augmentation surgery at Cosmetic Surgery Center can be a wonderful anti-aging solution.

When the face ages, elasticity decreases and the soft tissue loses volume. For some, due to genetics or just because, the chin definition becomes noticeably softer. A “weak” – or under-projected – chin can make the nose and/or neck appear larger than they are and can make the overall facial features appear unbalanced. To solve this problem, a small implant can be used to re-create the definition that was once there.

The implant that we use is made from a soft silastic material that can be custom cut and shaped, without leakage, for each individual. The implant is placed in a pocket under the muscle so it is stable and can be removed, at a later date, if desired. The implant is well-tolerated and most patients say they forget that the implant is there.

Not all chins are “weak”. If the chin is too big, augmentation can be done by removing soft tissue or bone to reduce the chin.

Our chin augmentation patients are amazed at the change in their profile and the new relationship between their facial features. Many patients have also expressed that their newly defined chin makes them look like they have lost 10 pounds!

View our before and after chin surgery photos here.

If you are interested in chin augmentation by Dr. Perkins at Santa Barbara Cosmetic Surgery Center, call (805) 563-0000 to schedule a consultation today. 

Santa Barbara Cosmetic Surgery Slang

At our Santa Barbara Cosmetic Surgery Center we believe in educating our patients so they are be able to make an informed decision about their surgery options. Occasionally, this education includes teaching them the proper terminology for slang or common terms that refer to cosmetic surgery or problem areas on the body. We take any cosmetic procedure very seriously and when we speak with a patient we want to make sure that everyone is on the same page.

Here is a list of cosmetic surgery procedures and their slang or common terms associated with them:

Rhinoplasty
Slang term: Nose Job
Rhinoplasty is nasal surgery that can be done to help the appearance or breathing function of the nose. It is very often referred to as a “nose job.”

Neck Lift Surgery
Slang terms: Turkey Neck or Waddle
Skin laxity in the neck may be referred to as “turkey neck” or “waddle.” Neck Lift Surgery addresses sagging skin, muscle banding, and fat accumulation in the neck area. The goal of the surgery is to make the neck contour what it once was.

Abdominoplasty
Slang terms: Tummy Tuck, Muffin Top, Roll
Abdominoplasty involves getting rid of extra fat and excess skin in the abdominal area. Extra fat in the abdomen is often referred to as a “muffin top” or “roll” as it protrudes out of the waistband of pants. Abdominoplasty is commonly referred to as a “Tummy Tuck.”

Blepharoplasty
Common term: Eye Lift, Eyelid Lift
Blepharoplasty is done to correct under eye issues (such as bags or sagging skin) and upper eye issues. It is commonly referred to as an “Eye Lift” or “Eyelid Lift.”

Brachioplasty
Slang terms: Bat Wings, Wings, Kimono Arms
A brachioplasty procedure addresses excess skin in the upper arm area that is referred to as a “bat wing”, “wing”, or “kimono arm”. Liposuction and, if necessary, skin removal can re-shape the arm’s appearance.

Leg Liposuction
Slang term: Saddlebags
Leg liposuction re-contours the upper and inner leg area. Excess fat on the hip and outer thigh is often referred to as “saddlebags.”

If you would like to schedule an appointment to talk about any of the cosmetic procedures named above, contact our Santa Barbara cosmetic surgery office at (805) 563-0000.

Ear Pinning Surgery in Santa Barbara

Ear Pinning Surgery Patient of Dr. Perkins

Ear pinning surgery – Otoplasty – can improve the shape, position, or proportion of the ears. Many people choose to have their ears “pinned” because they have been teased about how their ears “stick out” prominently or because their ears are overly large. Children, especially, who have ears that protrude or are too big can be subjected to quite a bit of ridicule from their peers. The exciting news about Otoplasty is that you do not have to wait until you are an adult to have the ear pinning surgery done. By the age of 6, ears are about 90% of the size that they will be as an adult which is why this procedure can be done on younger children.

When to consider Otoplasty:

  • If you were born with ears that are too small or too large
  • If your ears protrude prominently 
  • If your ears are disproportionate or are placed oddly
Dr. Perkins at Cosmetic Surgery Center in Santa Barbara has performed many ear pinning surgeries. He is an expert in facial rejuvenation and his treatment will take into account the relationship between the ears to the face and the side of the head. For most people, the total downtime (including the surgery) is one to two weeks. Many clients, especially those who are younger, feel that taking the time to have ear pinning surgery done is worth it in lieu of years of teasing or feeling self-conscious. Otoplasty can offer a true emotional lift in addition to it’s cosmetic benefits. 
Schedule an Otoplasty (ear pinning surgery) consultation with Dr. Perkins by contacting his office at 805-563-0000.

Skin Resurfacing Chemabrasion at Cosmetic Surgery Center Santa Barbara

Are you interested in bringing back the youthful skin you once had? Many lotions and potions claim to be the next fountain of youth but realistically we know that their results may be temporary or that they simply don’t work at all. If you want to do something that can dramatically improve the appearance of your skin then consider having Chemabrasion done by Santa Barbara cosmetic surgeon Dr. Terry J. Perkins.

As we age, our skin loses collagen and elastin, leading to sagging and relaxation. Further breakdown of  collagen and elastin is accelerated by sun damage (UV exposure) causing the skin to weaken and wrinkle in the areas that are moved by muscles of facial expression. Smoking and genetics also play a role in the appearance of wrinkles. Chemabrasion, a skin resurfacing procedure, addresses wrinkles and a number of other skin issues including acne scarring and pits, skin irregularities, facial scars, pre-cancerous lesions and early skin cancers.

The unique procedure of Chemabrasion combines a light to moderate dermabrasion (not to be confused with microdermabrasion) with a medium depth chemical peel. General anesthesia is not required, but local anesthesia in addition to oral sedation alone or in combination with an IV sedation is sufficient for comfort and unawareness. Most people will see a 70 to 80 percent decrease in wrinkles and a 50 percent (or greater) improvement to acne scars. See before-and-after pictures of Chemabrasion done by Dr. Perkins on his website.

If you are interested in Chemabrasion, call Dr. Perkins’ office to schedule an appointment – 805-563-0000. 

Santa Barbara Facelift Surgery by Dr. Terry Perkins

“Sometimes I catch a glimpse of myself in the mirror and I am shocked at the old person looking back at me.” Does the above statement ring a bell? You’re not alone! Many of us feel young, lighthearted and content, yet our face tells a different story. Aging happens regardless of how much exercise you do or how many green foods you consume (although practicing a healthy lifestyle may help to slow the aging process). Inevitably wrinkles form and become deeper while skin becomes thinner and looks deflated. Your once sharp jawline starts to blend into your neck and your mouth may look permanently downturned when at rest. That is when you look in the mirror and realize that you don’t recognize the person who is looking back. What can be done to recapture your youth?

A Facelift may be the answer! Facelifts are the sixth most popular plastic surgery procedure according to the American Society of Plastic Surgeons (ASPS). A facelift restores a youthful, natural appearance by returning fullness to the cheeks, lifting the jowls, and smoothing the neck. A facelift in Santa Barbara by Dr. Perkins involves the cheek and neck area. Dr. Perkins will do deep tissue work that provides support, contouring, tightening and adds longevity to the procedure result. Mid-facial implants might be suggested for some people to add balance and fullness to the cheeks. The saggy, “turkey” neck bands will be sutured to provide a continuous sling of muscle support.

One question that Dr. Perkins gets asked often is “When is the right time to have a facelift?” Obviously this varies by how much a person ages and the condition their skin is in. In general, though, having a facelift earlier may really help delay the aging process later. If you are seeing wrinkles, sagging, and an overall “deflation” in your look, and you are in your 50s, you may want to consider having something done about it instead of waiting ten more years. There are benefits to having a facelift surgery earlier in life which includes faster healing (for most people, the younger they are when having surgery, the easier the recovery) and preserving the structure of your face before it really starts to fall. In addition to this, younger skin has more elasticity. The more elastic your skin is, the longer the results will hold up. Your face will age slower and you will, most likely, look ten or more years younger than you really are.

However, don’t be discouraged if you are in your 60s or older and are considering have a facelift for the first time. Many patients who have a facelift in their senior years are very happy with the result. It’s never too late to turn back the clock.

Dr. Terry J. Perkins is an expert in performing rejuvenating cosmetic surgeries that give a natural, “non-operated” result. For a facelift surgery consultation, call his office at 805-563-0000.