Because your skin and body are unique, you need personalized solutions to effectively address your problems and concerns. At Evolutions Medical Spa, we offer new and innovative treatments to cover all skin types and a wide variety of problems. Our highly trained medical staff will work with you to select the best way to achieve the result you desire, whether it is healthy, youthful skin or a smoother, more contoured body. At Evolutions, you can be assured of safely receiving superior results in a comfortable, welcoming atmosphere.

The Evolutions Advantage

Though all spas claim to be the “best”, at Evolutions we feel we have a few key advantages over other medical spas (and doctors’ offices) — our

  • Technology
  • Training
  • Experience


Evolutions Medical Spa Technology

Clients typically go to a medical spa to achieve a result, whether it is to remove unwanted hair, to rejuvenate their skin, or to reduce wrinkles, acne, cellulite, etc. The aesthetic field is rapidly advancing and the technology is constantly changing and improving. To achieve the best results, it is important to receive treatments with the best technology available. Dr. Perkins constantly evaluates technological advances and has invested well over a half a million dollars to bring the latest and very best technology to the Santa Barbara area. No location from LA to San Francisco has better technology than Evolutions. Additionally, Dr. Perkins has developed a number of exclusive protocols (such as Total Tightening) that synergistically combine multiple technologies in order to maximize the benefits for our clients.


The best technology is useless without a highly skilled clinician. Dr. Perkins has 30 years of experience in aesthetics and is a nationally recognized expert in the industry. He personally and extensively trains all of the nurses at Evolutions so that you can be assured of receiving the best care at all times.


Evolutions Medical Spa with highest level of medical care

At Evolutions, we work hard to make your experience with us a pleasant one. We strive to give you the highest level of medical care in an atmosphere similar to a luxury day spa. In addition to a beautiful and relaxing environment, all of our staff members were specifically selected for their caring nature and high level of professionalism and skill.

Frequently Asked Questions about Evolutions

Evolutions Medical & Day Spa is Santa Barbara’s premier spa, where the perfect fusion between clinical and the luxurious spa services is offered. Our day spa primarily focuses on relaxation and pampering, offering services such as massages, facials, and body treatments. Medical spa, on the other hand, offers a combination of traditional spa services and medical procedures, with a focus on improving the overall health and appearance of the skin, for a youthful and more attractive result.

Treatments are performed by trained and experienced therapists as well as licensed healthcare professionals including physician’s assistants and aestheticians.

Dr. Terry J. Perkins, M.D, a nationally-respected specialist in facial cosmetic surgery, skin rejuvenation, and body contouring, has been serving Santa Barbara and the Tri-Counties for over 30 years. Our cosmetic surgeon and onsite physician oversees the treatments.

Underarm sweat. For some, it’s a nuisance. For others, a huge bother. For all, now there is a solution – miraDry. MiraDry is a safe, clinically proven, FDA-cleared solution for significantly reducing underarm sweat and odor.

Unwanted hair. Evolutions Medical Spa is pleased to offer clients in the Santa Barbara area the most effective and comprehensive hair removal treatments anywhere.

Skin Tightening. Would you like to tone, tighten, and lift your skin without surgery? Evolutions feature two of the top non-invasive skin tightening procedures on the market today, Sublime Skin Tightening (formerly ReFirme) and Ultherapy.

Skin Rejuvenation. Over time, our skin’s youthful appearance and texture is affected by cumulative effects of collagen and moisture loss, sun exposure, acne, and more. Imagine a treatment that can treat fine lines and wrinkles, improve the appearance of acne scars, improve textural irregularities, and tighten skin–all in one sitting.

Vein Removal. Now men and women alike are making unsightly facial veins a thing of the past, thanks to the CoolGlide. With the most advanced technology, a unique design, and a longer wavelength, the CoolGlide can safely and effectively treat veins on men and women of all skin tones.

Wrinkles. Unfortunately, wrinkles are something that everyone has to deal with at some time. As we age, the natural substances that provide the skin with structure and volume decrease. The skin loses its ability to retain moisture and elasticity; therefore it sags and forms wrinkles.