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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 Event Featuring FotoFacials and Chemical Peels

Evolutions Medical Spa will be highlighting chemical peels and FotoFacials at our event on Wednesday, March 23rd. If you are concerned with sun damage, age spots, or any type of FotoFacialpigmentation, this informational event is for you!


Learn about new and innovative medical treatments that can brighten the skin and reduce unwanted pigmentation from Santa Barbara cosmetic surgeon Dr. Terry Perkins. Therapeutic home care that can brighten the skin every day will also be discussed.


Attendees will receive exclusive specials on chemical peels, FotoFacials, FotoPeels and FotoGenesis and on skin lightening products including Obagi. The event is complimentary and includes a raffle and refreshments.


The event will be held at Evolutions Medical Spa Santa Barbara located at 1309 State Street.
Wednesday, March 23, 2011
6:30 pm – 8:30 pm


Seating is limited, please RSVP to Evolutions at 805-687-0212.



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Evolutions Medical Spa’s October Event: Tightening and Lightening (and Sublative Skin Rejuvenation!)

Special Evolutions Spa Event Tonight!
Santa Barbara’s Evolutions Medical Spa October Event is one of the most popular so RSVP as soon as possible to Evolutions at 805.687.0212.

Wednesday, October 20, 2010
6:30 pm – 8:30 pm
1309 State Street, Santa Barbara

Learn how you can tighten your skin without surgery! Evolutions Medical Spa and cosmetic surgeon Dr. Terry Perkins use advance technology to offer innovative skin solutions including a unique protocol developed by Dr. Perkins combining two top non-invasive skin tightening technologies, ReFirme and Titan, to create Total Tightening (available exclusively at Evolutions).

Evolutions also has the newest fractional skin resurfacing treatment – Sublative Rejuvenation – that offers results with little to no pain. We will also discuss a number of options to lighten excess pigmentation or effectively control excess pigmentation with a variety of products and professional treatments.

Enjoy refreshments, enter in a raffle and take part in exclusive specials for attendees only.


Managing Your Skin’s Hyperpigmentation, Sun Damage and Age Spots at Home with Obagi Medical Products

As we age, some of us develop more sun damage and age spots (often referred to as “liver spots”) on our faces. This hyperpigmentation can make us look older than we are. Evolutions Medical Spa Santa Barbara offers many aesthetic medical services that can rejuvenate the skin – such as chemical peels, FotoFacials, vibradermabrasion and more.


obagi_protectyourskinHowever, if you are looking for home care skin products to start the process of reducing unwanted pigmentation or if you have had medical spa treatments and are looking for products to continually improve the quality of your skin, Santa Barbara cosmetic surgeon Dr. Terry Perkins, recommends Obagi Medical Products.


Obagi’s Nu-Derm System addresses signs of photodamage and aging including age spots, skin laxity, hyperpigmentation and more. The Obagi Nu-Derm system was recently featured in MedEsthetics Magazine in an article titled “Lighten Up” about hyperpigmentation.


Another Obagi product recommended to treat sun damage is the C-Clarifying Serum. In the April issue of Elle Magazine, Obagi’s C-Clarifying Serum was touted as one of the best products for reducing the appearance of brown spots and sun spots.


Obagi is popular among dermatologists, cosmetic surgeons, aesthetic medical facilities and medical spas because their products yield results.

If you have concerns about your skin’s pigmentation, sun damage, age spots (or more!), you can purchase Obagi Medical Products in Santa Barbara, book a consultation at Evolutions Medical Spa Santa Barbara today! 805.687.0212.

Evolutions Medical Spa October Event: Tightening and Lightening

On Wednesday, October 28th, Evolutions Medical Spa Santa Barbara is hosting another educational event! For those interested in Total Skin Tightening and Skin Lightening, without surgery, this is the event for you!

Evolutions carries the top two non-invasive skin tightening technologies on the market today, ReFirme and Titan.

skin tighteningReFirme™ Skin Tightening combines safe levels of infrared light and bipolar radiofrequency to remodel the dermal layer by stimulating new collagen growth. ReFirme is made by Syneron, a leading laser company, and offers skin tightening without surgery. Ideal for those who have signs of aging including loose skin in the jowl and neck, under eye sagging, brow line sagging and nasolabial folds.

Titan utilizes a safe infrared light source to heat the dermis and can be used for tightening skin over various ares of the body including forehead, lower face along the chin line, under the eyes, hands, abdomen, and around the knees.

Skin Lighteningdiscover how to effectively control excess pigmentation with recommended skin care products that are hand-picked by Dr. Perkins and learn which professional treatments are best for skin lightening.

Education at Evolutions Medical Spa
1309 State Street, Santa Barbara
Wednesday, October 28th, 2009
6:30 – 8:30 pm
Includes refreshments, raffles and special specials for attendees!
Please RSVP to Evolutions at 805.687.0212