Rhinoplasty in Santa Barbara at Cosmetic Surgery Center

Rhinoplasty – commonly referred to as a “Nose Job” – can be done to help with the appearance of a nose and can also address obstructive airway problems. A person’s nose is one of the most prominent features on the face – it should look good and function well.

Rhinoplasty can alter both the profile and frontal views. It can:

  • Refine a bulbous tip
  • Narrow a wide nose
  • Straighten a crooked nose
  • And/or remove an unwanted bump

Along with helping the appearance, nasal surgery can also address function (such as a deviated septum or bone spurs) if needed.

At Cosmetic Surgery Center, we perform the majority of nasal surgeries with a closed technique that hides the incisions inside the nose. The external shape can be corrected or changed by altering the bone, cartilage and soft tissue underneath the skin, allowing for a more ideal relationship among the parts.

Most people are relieved to hear that general anesthesia is not needed. A combination of local anesthesia, oral and intravenous sedation keeps the patient comfortable and unaware. After surgery pain in usually minimal and can easily be controlled with oral medications. An external dressing is in place for one week after surgery. Most patients return to work in 7 to 10 days and can resume exercise after 3 weeks. Swelling subsides within the first 2 months. Subtle refinement continues to appear as time passes and final results will be seen about 1 year after surgery.

Rhinoplasty is not usually performed until a person has reached the late teenage years when growth is nearly complete. It can be done in conjunction with a chin or cheek augmentation to improve overall balance.

View some of our nasal surgery before and after photos here.

Call the Cosmetic Surgery Center at 805-563-0000 to schedule a consultation for Rhinoplasty (nasal surgery) in Santa Barbara, CA.

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.

Rhinoplasty in Santa Barbara

The latest news in cosmetic surgery from around the world is the duty-free nose job that is now available in South Korea, Asia’s plastic surgery “capital”. Visitors from other countries who get rhinoplasty in South Korea will receive a refund on the value-added taxes (VAT) that are assessed to the foreigners who have the surgery. This is being done to help boost tourism in South Korea and to generate business for the more than 4,000 plastic surgery clinics there. While you could go to South Korea for a nose job, know that there are many other “destination” cities for plastic surgery and my hometown of Santa Barbara is one of the most popular.

As a cosmetic surgeon in Santa Barbara, I have many patients that come from the Los Angeles and San Francisco areas to have cosmetic procedures done such as facial rejuvenation (facelifts, neck lifts, and much more) and body contouring liposuction. Destination cosmetic surgeries are popular for two reasons: it allows people to use their recuperation time as a mini-vacation and, for those wishing to keep their surgery private, the chances of running into friends or family is slim. Since this post is about rhinoplasty (also known as nose surgery, nasal surgery, or a “nose job”), I will tell you a bit more about what you can expect from the surgery – and how you can plan for it if you are making it a destination surgery.

Most people have rhinoplasty to change the appearance of their nose. Nasal surgery can refine a bulbous tip, straighten a crooked nose, narrow a wide nose, and/or remove an unwanted bump. Noses can grow and change all the way through the teen years so the earliest time that I recommend to have surgery is the late teens and any time in adulthood.

General anesthesia is not needed for rhinoplasty. A combination of local anesthesia, oral and intravenous sedation will keep the patient comfortable and unaware. This eliminates the “hangover” of general anesthesia and makes the person feel more like themselves during the first few days post-op. Most people take about 2 weeks off for the recovery and are able to return to work between 7 and 10 days. The majority of the swelling subsides within the first two months, but it usually takes about 1 year for results to be fully realized.

If you would like to have rhinoplasty in Santa Barbara (or another facial rejuvenation cosmetic surgery procedure), it is important to factor in travel time including extra days for the consultation and post-op visits. There are many things to see and do in our seaside town, so you may also want to consider booking extra time to enjoy some of the festivals, museums, dining and wine tasting, and waterfront activities that Santa Barbara has to offer. More information is available on our Guide for Out-of-Town Patients.

All of my clients who have made Santa Barbara their “destination” surgery city have been extremely pleased with the easy-going vibe of our town, the close proximity of our surgical center and medical office to the hotels, and the beautiful surroundings. They have returned home feeling truly rejuvenated both inside and out!

If you are interested in cosmetic surgery in Santa Barbara, contact my Santa Barbara Cosmetic Surgery Center office – at 805.563.0000.

Rhinoplasty Nose Job Surgery in Santa Barbara

Last year Rhinoplasty ranked #2 in the list of Top 5 Cosmetic Surgery Procedures of 2014 (breast augmentation was #1). Changing the breathing function (correcting a deviated septum) or trauma from an injury can be reasons for rhinoplasty but the majority of people who have a “nose job” – as it is commonly referred to – are doing it to change the aesthetic appearance of their nose. Bumps, humps, wide nostrils, a droopy or bulbous tip, or asymmetry are among the reasons that my patients have elected to have nasal surgery.

Patient of Dr. Terry J. Perkins, Rhinoplasty Before & After

When I perform rhinoplasty in Santa Barbara, I find that it is very important to consider the nose in relation to the rest of the facial features. My goal is to create a balanced profile that looks natural. An overcorrected nose can draw just as much (unwanted) attention as a nose that is too big for a person’s face. Nasal surgery can be performed on a younger person but I recommend that the person wait until their late teens as that is when the nose has likely finished its growing phase and the surgical result can be more predictable.

The majority of nasal surgeries done at Cosmetic Surgery Center in Santa Barbara are with a closed technique that allow incisions to be hidden inside the nose. We use a combination of local anesthesia, oral and intravenous sedation to keep the patient comfortable and unaware. General anesthesia is not needed. Most patients experience minimal pain and some stuffiness (similar to a mild cold) for about a week after surgery and return to work 7 to 10 days after the surgery.

A temporary option for smaller corrections to the nose can be done with injectable dermal fillers (such as Perlane or Restylane). Fillers can be used to smooth out irregularities and/or fix asymmetry issues on the bridge or the sides of the nose but not the tip. If there is an issue with the tip, it is much better addressed surgically. Using fillers can give a person an idea of how their nose would look if they wanted permanent correction through surgery. Dermal fillers can last 6 months or more and the results are instantaneous.

Schedule a consultation for rhinoplasty in Santa Barbara by calling my office at (805) 563-0000. 

Rhinoplasty in Santa Barbara by Dr. Terry Perkins

Rhinoplasty – commonly referred to as a “nose job” – is a cosmetic surgery procedure that is usually done to improve the appearance of the nose. A rhinoplasty nasal surgery involves reshaping the nose by reducing it in size or shape or enhancing it. Last year, rhinoplasty was the second most popular cosmetic surgery* with over 221,000 surgeries performed (breast augmentation was the first, with over 290,000 done).

Is rhinoplasty nasal surgery the only way to reshape a nose? A few decades ago the answer would have been yes, but nowadays we can use dermal fillers to slightly alter the nose without undergoing surgery. Dermal fillers (such as Restylane/Perlane, Juvederm, and Radiesse) are used to replace volume, and fill wrinkles and folds in the face. Using a bit of filler in the nose area can make a bump or hump in the nose disappear. The results are immediate and can last up to a year or more (depending on the type of filler used). This is a great way for people to “preview” what can be if they do elect to have rhinoplasty done.

Rhinoplasty Patient of Dr. Perkins

Rhinoplasty cosmetic surgery can be done to fix small to large nasal irregularities. For some people, rhinoplasty is also done to help breathing function. Dr. Perkins can change the shape of a nose by altering bone, cartilage, and soft tissue. A crooked nose can be straightened, a bulbous tip can be refined, and a widened nose can be narrowed. Dr. Perkins pays close attention to the nose/chin connection so facial proportion is balanced and the result looks “natural”.

Whether you are having rhinoplasty to bring balance to your features, improve your look and confidence, or alleviate breathing problems, it is important that you speak candidly about your expectations with your doctor. Dr. Perkins takes the time to listen to his patients, educate them on their options, and help them make a decision that best suits their needs. When the doctor and patient have this sort of understanding, the patient is usually very pleased with the outcome.

Santa Barbara cosmetic surgeon Dr. Terry Perkins is an expert in facial cosmetic surgeries, including Rhinoplasty Nasal Surgery. Call Cosmetic Surgery Center at 805-563-0000 to schedule a consultation with him. 

* Cosmetic surgery statistics from the American Society of Plastic Surgeons “2013 Plastic Surgery Statistics Report“.

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.

Reasons for Rhinoplasty – Nose Job Surgery by Dr. Perkins in Santa Barbara

Rhinoplasty, or “nose job” surgery, is one of the most common plastic surgery procedures. There are many reasons why people seek rhinoplasty and the most popular are:

  • Fixing a deviated septum that is deformed and may block air passage and potentially cause snoring and/or impact quality of sleep.
  • Fixing a nose that has been broken, whether it is through a car accident, a fall, or a fistfight – the nose seems to be most vulnerable in situations like that.
  • Reshaping a nose that looks too big for a face or has a large bump on the bridge.
  • Giving the nose more structure because it is too flat on the face.
Whatever the reason, it is important to realize that no two noses are alike and no two nose jobs should be alike either. Santa Barbara cosmetic surgeon Dr. Terry Perkins is an expert in facial rejuvenation and pays special attention to the nose/chin connection so as to not over correct the nose, which could result in an unnatural appearance. 
Rhinoplasty by Dr. Perkins can provide a dramatic change in the appearance and function of the nose. Front facial views and profiles can be improved through a nose job surgery. Nasal surgery can narrow a nose, straighten a crooked nose, refine a bulbous tip, and remove an unwanted bump. A deviated septum or bone spurs can be corrected at the same time, if needed. 
Dr. Perkins does the majority of rhinoplasty surgery with the closed technique that allows incisions to hide inside the nose. A combination of local anesthesia, oral and intravenous sedation will keep the patient comfortable and unaware – general anesthesia is not needed. Minimal pain can be expected after surgery and is controlled with oral medication. Patients may experience some stuffiness, similar to a mild cold. An external dressing is in place for the first week. Most people return to work at 7 to 10 days.
If you are interested in rhinoplasty in Santa Barbara by Dr. Perkins, please contact his office to schedule a consultation appointment. Cosmetic Surgery Center Santa Barbara – 805-563-0000. 

Santa Barbara Cosmetic Surgery Highlight: Chin Augmentation with Rhinoplasty

When people think of facial cosmetic surgery, they are usually envisioning face lifts and nose jobs (rhinoplasty), not chin augmentation. Perhaps it is because most people believe that a face lift or nose job surgery has the most impact in improving an appearance. While we agree that having a face lift or rhinoplasty can enhance a face, chin augmentation should not be dismissed.

People who are looking to balance their profile by refining their nose (whether it is reducing a bump, defining a bridge, or narrowing the tip) should also consider their chin and it’s overall affect on their profile. In fact, it is the neck, chin, and nose that work together to make an “aesthetically proportionate” face. So if a person has a nose job to reduce a bump and straighten a nose, but they still have a “weak” chin, then the likelihood of reaching the best aesthetic result is less than if they had augmented the chin as well.  Likewise, if the chin is too big, a person’s profile can also be disproportionate. 
How can a chin be augmented? For a “weak” chin, a small implant can be added that fits the point of the jaw. Dr. Perkins will use a soft-solid alloplastic implant so that it can be customized to distinctly fit the person it is being used on. The soft silastic material of the implant is well-tolerated, will not leak, and, if desired, can be removed. For a prominent chin, bone or soft tissue can be removed to make it proportionate with the nose and the neck. 
If you decide to have both a chin augmentation and rhinoplasty, it can be done simultaneously. You may save money (one procedure instead of two) and will only have one recovery time.
Schedule an appointment with Santa Barbara cosmetic surgeon Dr. Terry Perkins by calling 805-563-0000. 

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.

Rhinoplasty Nose Surgery in Santa Barbara: Cosmetic Surgery Highlight

Rhinoplasty (nasal surgery) is one of the most popular cosmetic surgeries done.  Rhinoplasty can dramatically change the appearance of the face (from a frontal view as well as the profile) and can change the function of the nose. People seek rhinoplasty for various reasons: to refine a bulbous tip, narrow a wide now, straighten a crooked nose, and/or remove an unwanted bump. If necessary, Dr. Perkins can also correct obstructive airway problems, such as a deviated septum or bone spurs, at the same time.

How is rhinoplasty done?
Nasal surgery can be performed as an open or closed procedure.  The open procedure will leave a small external scar.  At Cosmetic Surgery Center, the majority of surgeries that Dr. Perkins performs are the closed technique which allow incisions to be hidden inside the nose.

What is a good age for rhinoplasty?
Surgery on the nose is best when a person is in their late teens (or older) as the nose has likely finished its growing phase by then.  This leads to a more desirable result.

Is rhinoplasty done under general anesthesia?
A combination of local anesthesia, oral, and intravenous sedation keeps the patient comfortable and unaware.  General anesthesia is not needed.

What happens after a rhinoplasty surgery?
Immediately after surgery there will be minimal pain that is controlled with oral medication.  Some stuffiness is also experienced, similar to a mild cold. There is seldom a need for nasal packing, but an external dressing is in place for the first week.

How much recovery time is there after the nose surgery?
Patients of Dr. Perkins usually return to work at 7 to 10 days post surgery.  Light walking, stationary bicycle and treadmill are allowed after a few days.  Aerobic exercising may be gradually resumed after three weeks.  The majority of the swelling subsides within the first two months, but the final results will take about a year to be fully realized.

See more before-and-after pictures of rhinoplasty nasal surgery patients by on the Cosmetic Surgery Center website.  All pictures are actual patients of Dr. Perkins.


Santa Barbara cosmetic surgeon Terry J. Perkins, MD, specializes in facial cosmetic surgery and liposuction. Contact his office at 805-563-0000.