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Evolutions Medical Spa Event Recap: “Brighten Up” with FotoFacials, Laser Facials, Peels and More

Santa Barbara cosmetic surgeon Dr. Terry Perkins – and founder of Evolutions Medical Spa – never ceases to amaze us with the knowledge he holds about the skin and skin care. Last night he shared with a captive audience how to get on the path to clear, bright skin. Here is the recap from the “Brighten Up” educational event at Evolutions.

What stands in the way of luminous skin? For many of us, it is an issue of pigmentation. Pigmentation, also referred to as age spots, “liver” spots, freckles, is caused by melanin.  Melanin is produced as a protection to the skin in response to sun exposure (a sun “tan” is actually a skin injury), trauma, or inflammation. Melanin can also be influenced by hormones, birth control pills, and pregnancy. Appearance problems occur when melanocytes are over stimulated such as post-inflammatory hyperpigmentation (from pimples) or melasma, which is a broad patch of pigmentation that can occur in the epidermal or dermal layers of the skin.

How do we get rid of pigmentation? Below are the options that Dr. Perkins outlined for us:


While Evolutions offers a variety of services that are effective in the treatment of pigmentation problems, Dr. Perkins stressed that it is also important to practice diligent home care to prevent or lighten pigmentation. The #1 recommendation from Dr. Perkins is to wear your sunscreen daily! The fact is that more than half of UV exposure is “incidental” exposure such as sitting near a window, driving in your car, walking outside to chat with your neighbor, you get the picture! UVA actually goes through glass, so you aren’t protected in your car or at your window office.

Evolutions offers a variety of bleaching agents and hydroquinone (which stops the formation of pigment from being formed). Some product recommendations:

  • Obagi Clear and C-Rx Night: a product with hydroquinone as an active ingredient that helps to fade unwanted pigment
  • Revale Illuminating Serum: has the highest potency of antioxidants – good anti-oxidation helps skin repair
  • Nia24: helps skin repair at the DNA level which normalizes pigmentation
  • Retinoids (“Retin A”, “Tretinoin”): help normalize cell differentiation
  • Combination Prescription Products (“Firm and Fade”): offered exclusively at Evolutions that combines Retin-A, hydroquinone, and a low potency steroid (used to calm down inflammation)

In addition to using a brightening/lightening product, you may want to add in a product that encourages cell turnover. Products that contain alpha-hydroxy acids, amino fruit acids, and retinoids are all good choices.


Vibraderm is done using abrasive aluminum paddles that provide a gentle abrasion. It is faster than microdermabrasion and does not have a vacuum component (which can cause broken capillaries).  This physical exfoliation is used to treat superficial pigment problems with no downtime. It will improve the penetration of products / peels and is great as a stand alone service or in conjunction with a peel or facial.


This “Gold Standard” treatment of pigmentation uses Intense Pulsed Light / Radiofrequency to target pigment and “red” areas. A FotoFacial works deeper than most chemical peels and can significantly improve your skin texture by reducing redness, age spots, sun damage, spider veins, fine lines (although not a treatment for wrinkles) and large pores. We offer the FotoFacial in a series or in combination with other treatments (FotoPeel, FotoPeel Plus, and FotoFacial Genesis Packages), depending on an individual’s needs.


Chemical peels are a “controlled” injury to the skin that causes a deep, even exfoliation. At Evolutions we offer different depths of peels (from light to medium to deep).

  • AFA Peels: the alpha-hydroxy peel is a “light” peel for those who want the benefits of a peels without a large amount of actual peeling. This peel can be done alone or in a series of five (recommended).
  • Alpha Beta Peel: this is the most popular peel at Evolutions. It is a medium-depth physical exfoliation and works well to get rid of superficial sun damage and is a great choice for clients who want to see results in 4-5 days.
  • Obagi Blue Peel: this is the deepest peel offered. It will significantly improve your complexion. You will have firmer, clearer, smoother, healthier skin.


This newest laser is used for our newest service – tattoo removal. It delivers laser energy so rapidly that it breaks up pigment without excessive heating of the surrounding tissue.  Currently we are testing how effectively it can treat stubborn brown pigmentation. Stay tuned at a later date for more information on the Q-Switched Laser!


This unique fractional resurfacing device uses radiofrequency energy instead of light to safely treat all skin types. Sublative Rejuvenation is used to treat wrinkles, pigment, acne scarring, skin laxity, tone and texture. There is less downtime and discomfort than older fractional laser devises (i.e. the Fraxel) and it can be combined with other light-based treatments (such as the FotoFacial RF or Total Tightening) for customizable treatment options.


This surgical procedure done by Dr. Perkins at Cosmetic Surgery Center in Santa Barbara (near Cottage Hospital) combines a deep peel with dermabrasion (not microdermabrasion). It treats wrinkles, sun damage, and pigment. You will be very impressed with the results. For more information, contact Cosmetic Surgery Center at 805.563.0000.


The best way to treat sun damage is to prevent it by using your sunscreen daily (on your face, neck, and decolletage). When pigment issues arise, there are a number of treatment options available at Evolutions and “at home”. Pigmentation can be treated on all areas of the body.

At Evolutions we always offer a complimentary consultation. If you are interested in one of our medical spa services, or simply looking for a new home care routine, call us at 805.687.0212 to make an appointment (or book online).


Santa Barbara Medical Spa Product Focus: Revale Skin Care

Antioxidant-rich foods, such as colorful fruits and veggies, are considered super-food because they help strengthen the immune system, staving off a cold, the flu or infections, and some people even believe they play a big part in warding off chronic diseases (such as cancer, arthritis and more) because they contain high sources of vitamins, minerals and nutrients that protect and repair cells from free radical damage. These foods can really make a big impact inside your body.


What about fighting free radical damage on the outside of your body? Free radical damage shows up on our skin as sun damage (hyperpigmentation), fine lines and wrinkles and skin cancer. Are you thinking that if only there was a way to apply antioxidants to the skin to lessen and/or prevent free radical damage . . . Well, there is a way to do that! Santa Barbara cosmetic surgeon, and founder of Evolutions, Dr. Terry Perkins, recommends Revale skin care products as the “top of the line” antioxidants-for-your-skin products on the market today.
Revale products are formulated with CoffeeBerry® extract derived from the coffee plant (Coffea arabica) and has one of the highest antioxidant scores ever recorded. Topical application of this “active” antioxidant will help repair prior environmental damage as well as decrease future damage.
An easy 3-step system that is gentle and suitable for all skin types (and won’t clog pores) is available at Evolutions Medical Spa Santa Barbara:
  • RevaleSkin Facial Cleanser: Purifies and clarifies.
  • RevaleSkin Day Cream with SPF 15: Smooths and softens.
  • RevaleSkin Night Cream: Revitalizes.
We can all benefit from a good dose of antioxidants daily on the inside and the outside!

Evolutions Medical Spa’s 5th Anniversary Event is a Success!

Evolutions Medical Spa, Santa Barbara’s largest medical spa, happily celebrated five years in Santa Barbara on Wednesday with image150 clients and friends! Owner and Medical Director, Santa Barbara cosmetic surgeon Dr. Terry Perkins, and the staff of Evolutions welcomed guests at 4:00pm and were surprised to find a line down the street of people waiting before that! The first 50 guests received gift bags full of medical grade skin care products carried at the spa.


Guests enthusiastically participated in complimentary mini-treatments such as a Clarisonic Skin Care Treatment (Dr. Perkins IMG_0074#1 recommendation to boost your skin care routine at home), Vibraderm Exfoliation (a superior exfoliation system to microdermabrasion that leaves skin glowing), and mineral make up applications by Colorescience Pro

(high performance mineral make up that protects the skin from the sun and creates a flawless face). Refreshments, wine and beer were enjoyed while guests mingled with representatives from companies such as Obagi Medical Products, AFA and Neova skin care lines and VitaMedica nutraceuticals (products from these companies are all available at Evolutions). Representatives from Medicis, Cutera/Syneron, Radiesse and our newest service, hair restoration, were on hand to discuss the benefits of laser treatments, dermal filler injectables and hair re-growth.

Many people purchased medical spa services and skin care products at promotional prices, exclusive to this event only, and image-00were given chances to spin a Prize Wheel. Prizes included a laser facial, teeth whitening treatment, $100 in product credit and more! Over $5000 in raffle prizes were given away too! Lucky winners walked away with dermal filler treatments (Radiesse, Perlane, Juvederm), gift packages from skin care lines DNA, Revale, AFA, Obagi, Nia, Clarisonic and gift sets from Revitalash, Latisse and VitaMedica.
For those who were curious about Botox / Dysport, the most popular Santa Barbara anti-wrinkle treatments, Dr. Perkins did two live demonstrations of Dysport injections. He also mingled with guests, offering information and answering (many!) questions about services and products.


Dr. Perkins and the staff of Evolutions Medical Spa Santa Barbara wish to extend a Thank You to all of our clients and friends who have supported Evolutions throughout the years! We hope that you enjoyed celebrating our Anniversary Event as much as we did!

Revaleskin Products with CoffeeBerry Extract Reviewed by Evolutions Spa Client

revale logoLast month Evolutions hosted a “Crazy Gorgeous Skin Event” (read the recap about it here) and one lucky client won the Revaleskin products basket! After using the products for four weeks, she has volunteered to blog her experience of Revale with us!

Revaleskin products are powerful anti-aging skin care products that are exclusively formulated withcoffee berry CoffeeBerry® extract (coffee berries pictured to the right), a natural super-antioxident. CoffeeBerry® extract boasts one of the highest antioxidant scores ever recorded – rich in polyphenol antioxidants that help fend off the free radicals that cause cell damage and play a part in the aging process.

Evolutions Client’s Review of Revaleskin:

“I was thrilled to win such a valuable basket of products at Evolutions! After winning the basket, I had a consultation with the Revaleskin representative whose knowledge of the product was impressive, and even more so was his belief in the product’s possibilities. We looked at before-and-after pictures of people (some who were smokers) who had used Revaleskin and I was impressed with what I saw. One person’s crows feet (“laugh lines” around the eyes) seemed to have just disappeared from the “before” picture. I was eager to try the product, especially around my tired eyes that always seem a bit puffy and on my “age” or “sun” spots that I have accumulated rather rapidly in the past few years. In my basket I received the Day Cream, Night Cream and Eye Replenishing cream. The products had a very mild fragrance that is not flowery or coffee-smelling. All the creams go on smoothly and soak in without leaving my skin looking slick or oily. The Replenishing Eye cream is impressive – the representative told me I only need to use a very small amount (less than a pea-size) for both eyes. I use the eye cream first thing in the morning and before bed and I have noticed that it absorbs rapidly and I have never had any eye irritation from it. After four weeks, I definitely feel like I see a great difference in my eye area – I feel that they are not puffy and I think that the CoffeeBerry extract is helping to prevent any further wrinkles. I also feel like my skin, in general, looks less blotchy and healthier. Some of my sun spots seem to have faded and I feel like overall they look less prominent. Prone to breaking out with acne from time to time, I was curious to see if the product would have an effect on that. I have to say that I have not broken out in the last four weeks and my theory is that the CoffeeBerry extract – full of antioxidants -promotes a more rapid turnover of my skin cells and that keeps my skin fresh and renewed which means less of a breeding ground for any acne bacteria. Over all, I am really happy with the products and plan to continue using them after my supply runs out! Although I don’t have too many wrinkles – I am interested in keeping my skin as wrinkle-free as possible and I truly believe that Revaleskin products are great to have in my arsenal.

Revaleskin products are a simple 3-step system and contain a daily facial cleanser, a Day Cream with SPF 15 sunscreen and a Night Cream to rejuvenate. Also available are the Intense Recovery Treatment and Replenishing Eye Therapy.

Revaleskin Night Cream was featured in InStyle Magazines “Best Beauty Buys 2009” highlighting that the “silky formula tackles fine lines and age spots … (and) it sinks in twice as fast as most other night creams”.

Revaleskin is a skin care line available at Evolutions Medical Spa.


Evolutions Medical Spa Crazy Gorgeous Skin Event Recap and Learn the Basics of a Great Home Care Skin Regimen

On Wedneday Evolutions Medical Spa in Santa Barbara hosted an event called Crazy Gorgeous Skin which was dedicated to home care regimens for your skin. We had several representatives on hand for some of the skin care products that we carry such as Revaleskin, DNA, Colorescience and Clarisonic. We had a great turn out and several of our guests won generous raffle prizes! One client won the Revaleskin basket with the Day Cream SPF 15, Night Cream and Replenishing Eye Therapy cream. Revaleskin products are made with the potent CoffeeBerry® extract that is rich in antioxidants to fend off aging and cell damage. Our client was so pleased that she promised us that she would review the product after a few weeks use. Stay tuned for a guest blog post soon!

Did you know that the product lines Evolutions carries are all carefully selected by Dr. Perkins for their excellent reputations, therapeutic value, and high level of client satisfaction? Many of these lines utilize patented technologies and are only able to be sold by physicians. Furthermore, rather than carry entire lines, Dr. Perkins has hand-picked the “best of the best” of each line!
We’d like to share with you the basic building blocks of a great home care regimen:



skin-careCLEANSERS are the first step in any skin care program. It is necessary to clean make-up, dirt, and oil from your skin in order to allow the therapeutic products to have a maximum effect. Poor cleansing can also result in clogged pores.
EXFOLIANTS work by increasing cell turnover. As we age, cell turnover decreases, which can give the skin a “dull” look and/or a rough, uneven color and feel. By helping to remove the outer skin layers, exfoliants “freshen” the skin, as well as allow other therapeutic products to penetrate more effectively. Furthermore, with proper use, exfoliants help the skin to become more hydrated.
ANTIOXIDANTS fight against the free radical injury (environmental chemical compounds that cause skin DNA damage) that is associated with sun damage, skin aging, and skin cancer. Topical application of “active” antioxidants is far more effective than oral ingestion. Consistent use of antioxidant skin care helps repair prior environmental damage as well as decreases future damage.

RETINOIDS help to normalize skin cell growth. They decrease the development of abnormal cells (such as cancer), pigment clumping (brown spots), and the activity of some enzymes that cause skin degradation. They also work to increase collagen and elastic production, which makes the skin look healthier and more youthful.

SUN PROTECTION (UV Protection) is the most basic and important thing you can do for your skin. It is critical to wear a broadband (UVA and UVB) sunscreen every day as the damage UV radiation causes leads to premature aging, abnormal pigmentation, spider veins, and skin cancer. UVB rays cause sunburns and directly damage DNA. UVA rays penetrate more deeply, creating oxidative damage that causes aging and skin sagging. Please note that UVA rays are present even on cloudy days and the majority of sun damage is caused by incidental exposure (not “laying out”). If you do nothing else for your skin, wear a good sunscreen daily!

Depending on your skin type and condition, these might also be important:


MOISTURIZERS help skin appear smoother and younger by hydrating cells. This reduces the appearance of fine wrinkles, makes the skin recover faster from environmental stressors, and decreases water loss through the skin.
SKIN TYPE SPECIFIC PRODUCTS. Depending on your skin type and condition (i.e., acne prone, mature, dry, etc), specific products may provide additional benefit.



Building a great home care regimen can be confusing and intimidating! Evolutions is happy to help you! Call us (687.0212) to schedule a complimentary consultation!

THIS WEDNESDAY: “Crazy Gorgeous Skin” Event at Evolutions Medical Spa

Reminder from Evolutions Medical Spa in Santa Barbarathis Wednesday, June 17th – is our “Crazy Gorgeous Skin” Event!

Please join Dr. Perkins and representatives from top skin care lines such as Clarisonic, Revaleskin, Colorescience and Nia24, for an open house event, to learn the importance of a comprehensive home care regimen.

Mini treatments & make-up application available complimentary. Raffles and Exclusive gorgeous skindiscounts just for attendees.

Evolutions Medical Spa. 1309 State Street, Santa Barbara.
Wednesday, June 17th, from 6:30 – 8:30
This is a free event. Refreshments will be served. Please call to RSVP 687.0212.

Santa Barbara Evolutions Medical Spa “Crazy Gorgeous Skin” Event: Featured Product Revaleskin

On Wednesday, June 17th, Evolutions Medical Spa in Santa Barbara is hosting a “Crazy Gorgeous Skin” event. Representatives from top skin care lines will be on hand to discuss a comprehensive home care regimen. Over the next few days, the Evolutions blog will be highlighting products that can become part of your home care skin regimen.

Revaleskin Skin Care Products

revaleskinFormulated with CoffeeBerry®a natural super-antioxidant ingredient – is what gives Revaleskin products a natural boost in coffeeberryanti-aging products. CoffeeBerry® is rich in polyphenol antioxidants that help fend off free radicals which cause cell damage and lead to signs of aging. Revaleskin night cream was recenlty featured in InStyle magazine’s Best Beauty Buys of 2009 as a formula that “tackles fine lines and age spots” plus “sinks in twice as fast as most other night creams”.

Review Revaleskin at the Crazy Gorgeous Skin event – available for purchase at Evolutions Medical Spa in Santa Barbara or online at Evolutions’ eStore.

>> Read more about the Crazy Gorgeous Skin Care event here <<>