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.

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:

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.

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.”

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.”

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.

Santa Barbara Cosmetic Surgeon on Plastic Surgery Trends

As a Santa Barbara cosmetic surgeon I am often asked, “At what age should I get a facelift or a nose job or a necklift?” The answer is that it is different for everyone. Lots of factors play into the decision to get plastic surgery so I treat each patient on a case-by-case basis. However, there are plastic surgery trends that I have observed amongst different age groups and what they tend to gravitate towards. The procedures could either be surgical or non-invasive aesthetic treatments that can be done at a medical spa like Evolutions Medical & Day Spa in Santa Barbara.

20s to early 30s: Popular Cosmetic Surgery and Medical Aesthetic Treatments

Nose Rhinoplasty by Dr. Terry J. Perkins

Mainly the cosmetic surgery and medical aesthetic treatments that are sought out by young women in their 20s to early 30s are those that address proportions. Young women are interested in having their nose fit nicely within their facial features or having a “womanly” figure. So it is probably no surprise that many of these women seek out rhinoplasty nasal surgery to change the appearance of their nose or breast augmentation to create a fuller figure and/or make the breasts more symmetrical.

Young women also are interested in having clear skin (especially for those who may have suffered from acne in their teens) and the most popular non-invasive procedure is microdermabrasion because it refreshes the skin by improving texture, helps to fade acne scars and sun spots, and encourages growth of healthy, new skin.

Also very popular amongst this age group is Laser Hair Removal. Now that many advanced technologies are offered that very effective in reducing unwanted hair, Laser Hair Removal has grown in popularity to help get rid of unwanted hair and can be done almost anywhere on the body.

Late 30s to 50: Popular Cosmetic Surgery and Medical Aesthetic Treatments
Many women who have had children begin to seek out cosmetic surgery to help restore the body that they once had. This usually happens when the woman decides she is done having kids and she has had a chance to get back into her normal exercise routine. Unfortunately exercise alone often cannot bring back the body that a woman had before pregnancy and nursing but cosmetic surgery can tremendously help. Often a “Mommy Makeover” procedure is preferred because it addresses multiple issues. A typical Mommy Makeover includes abdominal liposuction and/or a tummy tuck, breast lift or augmentation, and liposuction of the hips and/or thighs.

Another concern for this group, especially those in the 40s, is slowing down the hands of time and that is why anti-wrinkle treatments like Botox or Dysport and dermal fillers are very popular. Botox and Dysport relax muscles in the forehead area and around the eyes to give a rested appearance while dermal fillers (such as Restylane and Juvederm) fill in crevices and wrinkles to add volume to the face to give a person a more youthful look. These treatments are easily done at a medical spa, yield nice results, have no downtime, and are affordable to most everyone. They can really turn back the clock without surgery.

Age spots and/or sun spots tend to make their appearance in the 40s too. This, coupled with slower cell turnover of the skin, fine lines, and wrinkles, can make a person look much older than they really are. That is why women in this group seek out procedures to improve their skin’s appearance and bring back the glow of their youth. Laser facial treatments, chemical peels, and skin resurfacing (such as Fractional CO2) are treatments that can help to reverse the signs of aging if done at a reputable medical spa or in a cosmetic surgeon’s office.

50s to mid 60s: Popular Cosmetic Surgery and Medical Aesthetic Treatments

Facelift Surgery by Dr. Terry J. Perkins

Many women in their 50s are still in the workforce and want to look their best both personally and professionally. This is the time when facial cosmetic surgeries are most popular. Eyelid Lift Surgery removes excess skin and repositions the brow to really open up the eyes. You would be surprised how much more alert and approachable a person can look after this surgery. Forehead Lift Surgery is another way to remove the heaviness of the upper eyelids. The forehead frown muscles are also partially removed so the forehead lines are lessened. Facelift Surgery addresses skin laxity in the cheek and neck and gives a person a rejuvenated look.

A non-invasive option that is popular in this age group is skin tightening treatments. These treatments tighten existing collagen, tone and lift the skin. They also can stimulate new collagen production so that the skin looks firmer and fresher.

65+: Popular Cosmetic Surgery and Medical Aesthetic Treatments

Neck Lift Surgery by Dr. Terry J. Perkins

Mature women – in their mid-60s and up – gravitate towards Neck Lift surgery to reduce sagging and wrinkles in neck area and/or to enhance the cosmetic procedures they have done in the past.

As you can see, there is a cosmetic surgery procedure or aesthetic treatment for almost every decade in your life but this does not mean that you have to have each one done! Also, don’t let these trends dictate when to have procedures done.

As I stated in the beginning, cosmetic surgery and aesthetic medical treatments are best done on a case-by-case basis and if you feel strongly about an issue, it is recommended that you discuss your concerns and expectations with your cosmetic surgeon, regardless of what age you are.

If you are interested in discussing a Santa Barbara cosmetic surgery procedure, contact my office to schedule a consultation – 805-563-0000. If you are interested in a medical aesthetic procedure, please contact Evolutions Medical & Day Spa in Santa Barbara for a consultation – 805-687-0212. 

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“.

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. 

Cosmetic Procedures Shift to Facial Focus in 2012

The tides are changing! The American Society of Plastic Surgeons released their 2012 Plastic Surgery Statistics detailing the number of plastic and cosmetic procedures performed last year and, for the first time in six years, there was a decline in breast enhancement and buttocks augmentation. Cosmetic enhancement has shifted upward – to the face – with an increase in facelifts, injections (Botox, Dysport, and dermal fillers), and facial laser services in 2012.

Almost 1.6 million cosmetic surgeries were performed, a 2% drop from 2011, but still a staggering amount (if you really stop to think about it). Here is a review of cosmetic surgeries in 2012:

  • Breast augmentation saw a 7% decline from the year before, but remained the number one cosmetic procedure with just over 286,000 breast enhancements performed.
  • Buttocks enhancement (including implants and lifts) grew in popularity over the last decade, but declined last year by 36%, with just under 3,800 procedures done.
  • Eyelid surgery (blepharoplasty) shot up to over 204,000 in 2012, roughly 9,000 more procedures than were done in 2011, making it the 3rd most popular surgical procedure overall.
  • Facelift surgery also rose to over 126,000 procedures, almost 7,000 more than 2011.
  • Rhinoplasty remained consistent and was the number two cosmetic surgery procedure performed overall with just over 242,000 people opting for a re-shaped nose.
More than 13 million minimally-invasive procedures were done in 2012, with botulinum injections at the top of the list:
  • More than 6 million treatments of Botox or Dysport injections were given in 2012, an 8% rise from the previous year. 
  • Dermal filler procedures, including Radiesse, Juvederm, Restylane (and others), rose to just under 2 million treatments, making it the second most popular minimally-invasive procedure of 2012.
  • Chemical peels (1,133,821 treatments) and Laser Hair Removal (1,118,254 treatments) took 3rd and 4th places.
  • Intense Pulsed Light (IPL) treatments increased by 10% to 553,000.
  • Just over 509,000 laser skin resurfacing procedures were performed, a 9% increase from 2011. 
The popularity of minimally-invasive procedures has grown over the years for many reasons. Most of the procedures are instantly gratifying with little or no downtime. While they are readily affordable for most budgets, they do not provide long term results (such as cosmetic surgery can), but they do provide people with an opportunity to see how they would look with a renewed, more youthful appearance (such as erasing wrinkles and fines lines, plumping cheeks or lips). The ability to see this temporary change in appearance helps people envision how they may look when it is done by cosmetic surgery and thus makes a person’s decision to have facial cosmetic surgery an easier one. 
Santa Barbara cosmetic surgeon Dr. Terry Perkins expertly performs many cosmetic surgeries including facelifts, eyelid lift surgery, and rhinoplasty. He also does minimally-invasive procedures such as Botox, Dysport, and dermal fillers at his Cosmetic Surgery Center practice or at his medical spa – Evolutions. Evolutions Medical Spa in Santa Barbara provides a wide array of skin care services, including Botox, Dysport, chemical peels, laser facials, and laser hair removal. View a complete list of medical and aesthetic treatments on the Evolutions website