Minimally Invasive Cosmetic Surgery Options in Santa Barbara

Do you want to improve your appearance with lower cost and less downtime? 

Minimally invasive (MI) surgery is intended to give you noticeable improvement with less cost, less “downtime”, as well as smaller or no visible incisions.

Ideal candidates for MI surgery include:

  • People with early changes
  • People who want to “maintain” the benefit of a previous surgery
  • Medical spa clients who want to delay a larger surgery

Our Santa Barbara cosmetic surgery practice offers a variety of MI surgery procedures:

Temporal (Brow) Lift: Open up the eye area so you look more approachable (instead of tired, unhappy, or angry) through a brow lift that elevates the outer half of the brows and improves crow’s feet. A 1/4″ incision is hidden in the hair.

MI Lower Eyelid Surgery: Improve the lower eye area for a more youthful, rested appearance by removing a small “pinch” of extra skin that will tighten lower lid wrinkles or by removing fat from inside the lower lid (leaving no visible scar).

MI Cheek Lift: Lift and restore the cheek area (with the option of adding volume) by tightening the deep supporting tissue with a small amount of skin removal. During the procedure, you may choose to add volume to the mid-face, nasolabial folds, and/or pre-jowel area through injections of your own fat to further enhance your results.

Fat Transplantation (or Fat Grafting): Improve age-related volume loss almost anywhere in the face or body though fat grafting. A small of fat is taken from an unwanted bulge using a small cannula and the fat is redistributed.

  • Fat Transplantation for the Face: Restore youthful contours. Fat can be place in the brows, temporal hollows, under frown lines, deep circles around the eyes, apples of the cheeks, high cheekbone region, nasolabial folds (groove between the nose and corner of the mouth), lips, pre-jowel area (marinate lines), and the angle of the jaw.
  • Fat Transplantation for Hands: Fat is used to fill the back of hands to obscure prominent veins and tendons that show as we age. Lasers or peels can be done to address brown (“liver”) spots for an even more desirable result.

MI Neck (Submentum): This is a good option for those who are starting to see a “turkey neck”. The MI Neck procedure involves sewing the muscle bands together and removal of extra skin to re-contour the neck area. Another contouring option is submental liposuction to “sculpt” the tissues so the neck looks like it did many years ago.

We have many options to improve your appearance. Schedule a consultation by calling 805-563-0000 to discuss if an MI procedure (versus more extensive surgical treatments) may be right for you. 

Are You Bothered By Your Ears?

Many of our patients have felt a dissatisfaction with their ears from a very young age. The most common concern related to ear appearance is that they “stick out” too much. Otoplasty – often referred to as “ear pinning” surgery – can change the relationship of the ear to the face and the side of the head.

Here are a few facts about Otoplasty:

  • It can be performed on a child as young as 6 or 7 years old (unlike most other plastic surgeries) because at that age the ears are 90% of the size they will be as an adult.
  • This surgery is not just for ears that stick out.
  • It can address the shape and symmetry of the ears, including reducing the size of the earlobes if they are too large.
  • The surgery does not require general anesthesia. It can be performed under local anesthesia combined with oral sedation alone or together with an IV sedation.
  • Pain is usually minimal and easily controlled with Ibuprofen or Tylenol.
  • The recovery time for an adult or a child is about 1 to 2 weeks.

View some of our Otoplasty before and after photos.

A successful Otoplasty can be a dramatic transformation for a child, a teen, or an adult.

Call our Santa Barbara Cosmetic Surgery Center office today – 805-563-0000 – to schedule an Otoplasty consultation for you or your child.

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

Holiday Greetings 2017

The Cosmetic Surgery Center will be closed for the holidays from December 25th through January 1st. We will re-open on Tuesday, January 2nd, and look forward to seeing you in the New Year!

Arm Liposuction in Santa Barbara

Saggy upper arms can be caused by decreased collagen and elastin levels (which happens naturally as we age) or from weight gain. When the upper arms are flabby, they may have a “batwing” or “kimono” appearance that may make someone self conscious. Unfortunately, the localized fat and loose skin of the upper arm can be one of the most stubborn areas to shed or tone, even with proper diet and exercise. When this is the case, arm liposuction can make a big difference in the appearance of the arm.

Arm liposuction can be done with or without skin excision. When fat is the main issue, it can usually be treated with liposuction alone and the skin will contract without the need for skin removal. When there is too much excess skin, commonly this happens after weight loss, skin removal can be done along with the liposuction. The skin removal scar is placed on the inside of the arm (against the body), above the elbow, and is not visible from the front or back. If only a small amount of skin is removed, the skin removal can often be confined to or near the armpit.

View photos of before and after arm liposuction by Dr. Perkins here.

If you are interested in arm liposuction or other cosmetic procedures by Dr. Perkins, request an online consultation or contact us at (805) 563-0000. 

Chemabrasion Skin Resurfacing: Santa Barbara Cosmetic Surgery Highlight

Chemabrasion Patient of Terry J. Perkins, M.D.

Unwanted pigmentation, wrinkles, fine lines, textural irregularities, and acne scarring can be very distracting on your face. While many medical spa procedures (such as Sublative Rejuvenation, chemical peels, FotoFacials, and laser facials that are available at Evolutions Medical Spa in Santa Barbara) can bring you closer to smoother skin texture and more even skin tone, there is a more aggressive option that can dramatically improve the skin: Chemabrasion.

Chemabrasion combines a medium depth chemical peel with a light to moderate depth dermabrasion (important to note that it is not microdermabrasion). Dermabrasion is a controlled injury to the skin that removes the top to deeper layers of the skin. Chemabrasion is ideal for those who want to treat facial wrinkles, acne pits, skin irregularities, photo damage, facial scars, pre-cancerous legions, and early skin cancers. Most people will find a 70% to 80% decrease in wrinkles and a 50% or greater improvement to acne scars. Chemabrasion is often done on the entire face, although the area around the eyes (crow’s feet), mouth (smoker’s lines), or cheeks can be performed as independent procedures.

The Chemabrasion procedure is done at Cosmetic Surgery Center by Dr. Perkins in his fully-accredited surgical suite. General anesthesia is not required. Local anesthesia in addition to oral sedation alone (or in combination with intravenous sedation) is sufficient for comfort, relaxation, and unawareness.

The down time is approximately 7 to 10 days and work can be resumed after that depending upon how strenuous your job is. The skin will initially be pink but the pinkness will gradually lessen in 1 to 2 months. Mineral makeup, such as Colorescience and a physical sun block may be started 8 to 10 days after the procedure.

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See more Chemabrasion before and after pictures on the Cosmetic Surgery Center website. For a cosmetic surgery consultation with Dr. Perkins, please contact his office at 805-563-0000.