Top Minimally-Invasive Procedures of 2017

In 2017 there were 15.7 million minimally-invasive procedures, according to a recent report published by the American Society of Plastic Surgeons.

Here are the top 10:

At our Santa Barbara medical spa, we offer new and innovative treatments to cover all skin types and a wide variety of problems. We know that clients go to a medical spa to see results! Dr. Perkins is constantly researching and evaluating the best and latest technology so that you can receive treatments that make a positive difference.

If you have skin concerns – including wrinkles, hyperpigmentation, aging skin, acne, or something else – we will work with you to find the solution that best meets your needs. (We also have wonderful day spa services – massage, facials, body treatments – to help you unwind and relax.)

Call us today (805-695-2160) to book a complimentary consultation or an appointment. 

Evolutions Medical Spa Event – The Anatomy of Aging

Our next Medical Spa event addresses The Anatomy of Aging
And how Injectables Can Work Together to Combat it!

Wednesday, November 1st, 2017
6:30 pm – 8:30 pm


Learn about how and why the facial aging process happens and how advanced techniques using three types of injectables (Dysport, Restylane/Lyft, and Sculptra) can work together to take years off with no downtime.

  • See the “instant gratification” of dermal fillers with a live demonstration of a Lyft injection (A rare opportunity!)
  • Pre-purchase syringes and Dysport units at a great price!  (May be used anytime)
  • We will be raffling a FREE syringe of Restylane (a $525 value!)

– – – – –

Discounts* for attendees will be:

$100 off the regular price of filler syringes and/or
$1 off each unit of Dysport

* Discounts may not be combined with other offers.

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Event includes refreshments, raffles, and exclusive specials just for attendees.

– Attendance is Limited – Please Call Today to RSVP – 805-695-2160

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Santa Barbara Medical Spa Event: Fillers 101

Join us at one of our most popular events!  

Interested in the Fastest Way to look 10 Years Younger?

Wednesday, April 26th
6:30 – 8:30 pm


Restylane: Before (left) and After (right)

Come learn the basics of fillers and see if they are right for you.

  • Dermal fillers (i.e., Restylane) contain naturally-occurring substances in your body and are used to “fill” wrinkles (or any depression) in the skin.
  • They are also used to enhance other areas of the face (i.e., lips or cheeks).
  • Learn about the amazing Layered Liquid Lift. It is possible to take off 10 years in about 2 hours!
  • Learn about Sculptra, a unique product that stimulates your body to produce more collagen, with results that last two years or more.
  • See Dr. Perkins perform a live filler demonstration (a rare opportunity!)


Attendees will receive $100 off the each syringe purchased 
the opportunity to enter in a raffle to win a free syringe of Restylane (a $525 value).


Event includes refreshments, a raffle, and exclusive specials.

– Seating Limited –
Call Today to RSVP – 805-695-2160


Dermal Fillers in Santa Barbara

As we age, the natural volume and fullness in our face diminishes. While we can exercise to help maintain our body’s physique, there is not an at-home (or at-the-gym) remedy for facial aging. Over-the-counter creams and serums may give a “temporary” lift but they cannot provide the structure that is needed for longer-lasting results.

Fortunately, dermal fillers can replace the volume and fullness that has been lost. In addition to volume replacement, fillers can be used to correct skin imperfections like wrinkles, acne scars, fine lines, and can also be used to enhance the fullness of the lips. Many of the fillers are comprised of hyaluronic acid (HA) that is a naturally-occurring substance found in the skin. HA helps deliver nutrients, retain moisture and softness, and adds volume to the skin. Dermal filler results are instantaneous and can last 6 months to a year or more!

Here is information about some of our more popular dermal fillers at Evolutions:

Restylane and Restylane LyftThese FDA-approved fillers can be used for correction of mid-face contour deficiencies and for treating moderate to severe facial wrinkles. They are comprised mostly of hyaluronic acid. They can last from 6 months to a year or more. In a clinical trial, patient satisfaction rate was 95.2% two months post treatment and 73% 12 months post treatment.

This HA filler is also FDA-approved and used to treat deficiencies in the cheeks in addition to lines and wrinkles. With optimal treatment, Juvederm has been proven to last one year in wrinkles and folds. When treated again after 1 year, patients needed less product to achieve their results.

This filler differs from Juvederm and Perlane because it is primarily comprised of Calcium Hydroxyapatite (CaHA) microspheres suspended in a gel carrier. When injected, Radiesse provides immediate volume and correction. It continues to work by stimulating the body to produce its own natural collagen. Over time, as the gel is absorbed and the body metabolizes the CaHA, your own natural collagen will be left behind. Radiesse is also FDA-approved.

If you are looking to replace lost collagen, Scupltra is a great option. The main ingredient of Sculptra is poly-L-lactic acid, a biocompatible, biodegradable synthetic material that has been used by physicians for decades. Unlike Radiesse, Perlane, and Juvederm, results are not instantaneous. You will see results gradually over 3 to 6 months and they typically last 2 years. An excellent option for those that don’t need immediate correction and are looking for longer lasting results.

Interested in Dermal Fillers and Want to Learn More?
Join us on Wednesday, June 8th, at 6:30 pm for our Fillers 101 event to learn the basics of fillers and see if they are right for you. Dr. Perkins will be doing a live filler demonstration! There will be a raffle, refreshments, and exclusive specials for attendees. Fillers 101 is one of our most popular events of the year! Call us today to reserve your spot: (805) 695-2160.

Rewards Program for Dysport in Santa Barbara

If you use Dysport (to relax frown lines and wrinkles) or dermal fillers than we recommend that you sign up for the ASPIRE Galderma Rewards program today! Similar to Allergan’s Brilliant Distinctions program, ASPIRE offers consumers exclusive rewards and discounts for Galderma services such as Dysport, Restylane, Perlane, and Sculptra.

santa-barbara-dysport-reward-programGift certificates can be redeemed for future discounts on Galderma treatments or for rewards cards for retailers such as Amazon, Nordstrom, and Target.

Signing up is easy and free and you get an instant $20 treatment certificate that can be used toward your next Dysport or dermal fillers treatment at Evolutions. Click here to join today!

RADIESSE Dermal Filler at Santa Barbara Medical Spa’s “Injectable Week”

Evolutions Medical Spa‘s most popular event of the year is just around the corner! Injectable Week features “once a year” specials on all our injectables including Botox, Dysport, Perlane, Restylane, Juvederm, and Radiesse. Botox and Dysport relax muscles in the forehead region to smooth wrinkles while dermal fillers “fill” crevices, wrinkles, fine lines, and folds.  A common place to use a filler is in the nasolabial lines that are present from the nose to the corners of the mouth (see the before and after picture below) however fillers can be used anywhere that your face is lacking volume.

RADIESSE Before-and-After

RADIESSE used to fill the nasolabial lines.

There are dermal fillers made with hyaluronic acid molecules that attract water to the area filled which results in a restoration of facial volume. These fillers are Perlane, Restylane, and Juvederm and they commonly last six months or more (depending on the person). Our clients who have used these fillers before have been very satisfied with their results.  There is another filler, RADIESSE, that we wanted to highlight because it has an added benefit that hyaluronic acid fillers do not have – Radiesse can stimulate the production of your own collagen (and has been clinically proven to do so)!

RADIESSE is an FDA-approved injectable filler that is composed of calcium-based microspheres. It acts as a scaffolding under the skin to provide instantaneous lift and fullness while stimulating your body’s own collagen production so that your skin looks better over time. In addition to the collagen production, Radiesse has been clinically proven to last a year or more in clients. Radiesse can be a very affordable wrinkle correction option because the time between touch-ups is longer and you may need less product on subsequent treatments. For instance, if you need 2 syringes of Radiesse at the initial treatment for full correction, you may need only 1 syringe on a follow-up treatment, which could take place one or one and half years later.

A Radiesse treatment is relatively short and comfortable. Radiesse is FDA approved to be mixed with an anesthetic (lidocaine) to significantly improve your comfort level during the procedure. There is no downtime after a Radiesse treatment although exercising after the treatment is not recommended (normal exercise can be resumed the next day). Swelling or bruising may occur and can be treated with an ice pack. Some people do not experience any swelling or bruising.

Popular treatment areas are shown below but Radiesse can be used in many other places, as determined by you and your clinician:

A great time to try Radiesse is during our Injectable Week where there will be savings and chances to win great raffle prizes during the entire week.

Injectable Week starts on Monday, November 26th and ends on Saturday, December 1st. Appointments book fast during this popular week so call today to get a spot – 805-687-0212!


Evolutions Event Recap: Dermal Fillers in Santa Barbara

Yesterday’s event at Evolutions Medical Spa in Santa Barbara was a treat for everyone. Our rep from Medicis (the company who makes Restylane, Perlane, and Dysport) delivered a thorough overview on dermal fillers and answered many questions from the audience.  After the presentation, guests were invited to watch Dr. Perkins perform a dermal filler treatment so that they could witness the immediate effects that fillers have!

Here is a recap of the evening’s presentation:

What is Restylane?
Restylane is a dermal filler that is made from hyaluronic acid. Hyaluronic acid is a naturally-occurring substance in your skin that provides fullness and elasticity.  As we age, hyaluronic acid diminishes and the skin loses volume.  Hyaluronic acid recruits water to the skin to encourage fullness. Restylane, and Perlane (another dermal filler), are made from cross-linked hyaluronic acid so that it is not metabolized as fast as the hyaluronic acid that naturally occurs in the body and this gives clients a result that can last six months or more.

What can dermal fillers – Restylane and Perlane – do for me?
Restylane and Perlane can be used to to add volume and fullness to the skin to correct moderate to severe facial wrinkles and folds.  Restylane can also be used for lip enhancement (for patients 21+ years). Restylane is a thinner product that is typically used for wrinkles, fine lines, and delicate areas. Perlane provides more structure and lift.  It is possible to use both products together. Which product you use is best determined by your clinician.  

Where can dermal fillers be used?
The areas treated by Restylane or Perlane are:

  • laugh lines
  • marionette lines
  • lipstick lines
  • corners of mouth
  • lips (Restylane only)
Restylane Filler Santa Barbara


How long do dermal fillers last for?
When you get a filler treatment, there is little to no downtime, and you will see results immediately.  Effects of the filler will last at least  six months. In a clinical study, 95% of patients who returned for a second treatment 4.5 to 9 months after initial treatment continued to see results for up to 18 months. For some patients, receiving a second treatment before the first treatment completely wears off is a better value because they may achieve the same results with less product. For instance, a patient who had 2 syringes done in the first treatment, may only need 1 syringe in the follow up. Of course this may vary by individual.

How safe are dermal fillers?
Restylane was approved by the FDA for cosmetic use in 2005. It is composed of non-animal stabilized hyaluronic acid which means there is limited risk of animal-based disease transmission or development of allergic reactions to the proteins.  No allergy testing is required before use.  It is fully biocompatible.  Restylane is used in over 70 countries worldwide.

Are there side effects to Restylane or Perlane?
Some people may experience swelling at the injection site, redness, pain, tenderness or bruising up to about seven days after treatment.  Side effects vary depending on the individual. Some people will have no side effects. Any bruising is usually easily able to be covered by make-up.

How do I prepare for my filler treatment?
It is suggested that you stop the following medications and supplements one week prior to treatment: St. John’s Wart, high doses of Vitamin E, aspirin, or non-steroidal anti-inflammatory medicines (ibuprofen) as these may increase bruising or bleeding at the injection site.

Are there people that should not have a dermal filler treatment?
Treatment is not recommended for people who are pregnant, breastfeeding, under 18 years of age, or have a bleeding disorder. If you suffer from cold sores, discuss this with the clinician before treatment.

I’d like to discuss this further before scheduling a treatment …
At Evolutions we always offer a complimentary consultation so that you may have your questions answered and feel confident in your decision.  Schedule a consultation by calling 805.687.0212 or completing our online consultation form.

Dermal Fillers Provide Facial Volume and Facial Volume Matters!

Perlane Before and AfterWe often get asked what the difference is between “fillers” and Botox. Botox is a purified protein that is used to treat overactive muscles, temporarily relaxing them to smooth out the wrinkles. Botox is used in the upper face to most commonly treat (in order) the frown lines, crow’s feet, and the forehead. It can be used  in other areas of the face and in the neck, as well. Botox also effectively treats hyperhidrosis – excessive sweating – in the hands, feet, and armpits.

Dermal fillers are used to restore volume that is lost in the face as the aging process occurs. Dermal fillers are more commonly used in the lower face – in the cheeks, nasolabial folds, the nose, lips, pre and post-jowl, and the corners of the mouth. Fillers are also used in the brows, temporal and central forehead as well as around the eyes. Dermal fillers are temporary and last between six and twelve (or more) months depending on the brand of filler used. Prevelle Silk lasts the shortest amount of time and Radiesse generally lasts the longest.

Recently we ran across an article in that speaks about why facial volume matters and what can be done to restore fullness, either temporarily or permanently, to achieve smoother, younger-looking skin. The article states that we begin to lose facial fat “as early as our 20s, and it’s a downhill slide” from there. It goes on to say that “facial fat deteriorates with age, but weight loss and hormonal changes can speed up the process” as well. When this happens, we are left with sunken cheeks, a down-turned mouth, hallow eyes and a soft jaw. Dermal fillers, such as Radiesse, Juvederm, Perlane, Restylane, or Prevelle Silk can help “fix” these problem areas by plumping the skin, creating more firmness and definition in the face.

Now is the time to try dermal fillers and see how they can change your look! Perlane and Restylane are both offering rebates on dermal filler treatments from now until March 31, 2012.

Rebate Offer: Save $40 per syringe of Restylane (2 syringe minimum) or $50 per syringe of Perlane. 

Schedule a complimentary consultation online or call Evolutions at 805.687.0212 to discuss which dermal filler would be best for your needs. Read the entire article here


Evolutions Medical Spa’s 6th Anniversary Event Recap

Thank you to all who attended our event last week to help us celebrate our 6th anniversary! The party was scheduled to begin at 4PM but we had guests lining up well before that so they could be one of the first 50 people to receive a gift bag which was filled with goodies from Revitalash and NuCelle skin care products in addition to loads of product samples from our preferred skin care companies!

Dr. Perkins and the staff at Evolutions mingled with guests throughout the evening and were delighted to watch guests win prizes on the prize wheel, receive complimentary mini-facial treatments and complimentary Colorescience make-up applications, and enjoy appetizers, cupcakes, and drinks. Many representatives from skin care lines were on-hand for interactive skin care education and took pleasure in seeing how their products or treatments have beautified our clientele!

The party continued the rest of the week as the Evolutions’ staff pulled names of winners for the many different gift baskets and called guests to notify them of their winnings on Friday and Saturday.

This year we had over $6,400 worth of items donated from our representatives, from gift sets to syringes of dermal fillers. We’d like to extend a heartfelt THANK YOU to the following companies for their support of the event and the support they give us all year long:

  • AFA Amino Acid Skin Care: comprehensive rejuvenation through powerful exfoliation and moisture retention.
  • Allergan: the maker of BOTOX Cosmetic, the wrinkle-relaxer that  makes a noticeable difference.
  • Clarisonic: Dr. Perkins #1 recommendation for your at-home skin care routine – the Clarisonic Facial Brush.
  • Colorescience: high performance mineral makeup that camouflages skin concerns and protects skin from sun and environmental damage.
  • DNA Health Institute: skin care products that are rich in plant nutrients, essential oils and are environmentally friendly.
  • elure: advanced lightening technology that reduces dark-colored pigment in just 28 days (for most people).
  • Medicis: the company that brings us the dermal fillers – Restylane and Perlane – and Dysport – the anti-wrinkle treatment.
  • Nectifirm: scientifically advanced technology to firm and tighten the neck along with reducing the appearance of fatty tissue and lessening fine lines and wrinkles.
  • Neova: breakthrough skin care that targets photodamaged skin to visibly repair it.
  • Nia24: Niacin-powered skin care therapy to reverse signs of sun damage, improve texture, tone and resilience against future damage.
  • NuCelle: almond-based Mandelic Acid skin care line gently peels away the effects of weather, time and the environment to reveal smooth, clean, radiant skin.
  • Obagi: medical-grade skin care products for all ages and every type of skin.
  • Radiesse: volumizing wrinkle filler that replenishes lost volume and stimulates your own collagen to grow.
  • Revale: skin care products made from CoffeeBerry extract – one of nature’s most potent antioxidants – to protect and nourish as well as restore and revitalize the skin.
  • Revitalash: revolutionary products utilizing the power of peptides and botanicals to help grow eyelashes and eyebrows.
  • VitaMedica: physician formulated nutraceuticals (vitamins and supplements) to support recovery and wellness.
  • White Science: the leading manufacturer of teeth whitening products and patented whitening delivery systems in the U.S.
We’d also like to extend a super, heartfelt THANK YOU to all of our clients and friends that have supported us over the years! We look forward to continuing our relationship with you in our new and bigger location (hope to move in late Spring 2012). 

Check out our event pictures on Facebook and while you are there, “Like” us to stay up to the minute on treatment specials, educational events, skin care tips and more! Connect with us on Twitter too!


Dysport Rebate, Restylane Rebate Available Through December 31, 2011

Want to start the New Year with a “new you” looking relaxed and rested? If you do, now is the time to make an appointment to relax your wrinkles with Dysport and/or to replace volume lost in your face with the dermal fillers Perlane or Restylane because all three of these treatments have rebates that are too good to pass up – but are only available through December 31st, 2011!

  • Receive a $50 rebate for all Dysport treatments of at least 35 units
  • Receive a $50 rebate for each syringe of Restylane used (minimum 2 syringes)
  • Receive a $65 rebate for each syringe of Perlane used
Call Evolutions Medical Spa today at 805.687.0212 to make an injectable appointment and invest in yourself this holiday season!