Dr. Perkins is the most effective cosmetic surgeon I have found in our town of Santa Barbara. I have lived in Santa Barbara over 25 years and I have to say I think Dr. Perkins is the most competent in the way he explains his process for the procedure that he is administering, and the results are tremendous. He has a very gentle touch and a terrific chair/table side manner. If you are looking for a reputable cosmetic surgeon, who is highly known for major restructuring to minor skin correction/repairs, Dr. Perkins is the man!