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Dark circles and bags are common cosmetic concerns - yet, until recently, effective treatment proved elusive. Now, new advances in aesthetic medicine offer patients a minimally invasive solution: dermafillers. With dermafillers such as RADIESSE®, JUVÉDERM® and Restylane®, San Francisco facial plastic surgeon Dr. David Mabrie can reduce the appearance of dark circles and bags.

Dr. Mabrie works with men and women throughout the Bay Area, including San Francisco, Oakland, Walnut Creek and Pinole. Request a consultation online or call us at (415) 445-9513 for more information.

Featured Cases

Case 320

Background: This young woman, in her 20's, was originally concerned with her nose. While she had long felt the tip was a little bulbous, she was certain she didn't want to have surgery.  She found Dr. Mabrie's website and after watching the videos and reviewing the before and after photos, she decided to visit San Francisco for a consultation. During her consultation Dr. Mabrie and her deci...

Case 319

Background: This Bay Area woman, in her 30's, felt she was looking older and wanted to freshen up her look. She consulted with Dr. Mabrie about Dermafillers for her under eyes. Dr. Mabrie's Assessment: "I am really excited about this case. Pretty often I see some moderate sagging of the cheek skin. I also noticed that her nose had some asymmetry to it and I felt it would really make her face look...

Case 317

Background: Woman with Eastern European background, living in the San Francisco Bay Area, had received Juvederm previously for under eye circles but wasn't happy with the outcome. She found Dr. Mabrie online and was impressed with the patient reviews. She was also impressed with Dr. Mabrie's approach and focus on non-surgical facial sculpting. She consulted with Dr. Mabrie for treatment of her und...

Case 314

Background: This African American man, in his 20's, was interested in a more defined nose and overall enhanced facial appearance. He liked Dr. Mabrie's YouTube videos and decided to consult with him about Facial Dermafillers. Dr. Mabrie's Assessment: "I'm very excided about this case! It demonstrates how definition of the cheekbones and the nasal bridge and tip can positively effect the facial ap...

Case 296

ABOUT OUR PATIENT After considering under eye treatment for quite some time, this young man from California felt he looked tired and older than her felt, and wanted to get rid of his dark under eye circles. I was happy to consult with him when he stopped into my San Francisco Bay Area office. DR. MABRIE'S TREATMENT PLAN This patient had moderately severe dark circles under his eyes. These shado...

Case 275

ABOUT OUR PATIENT Concerned about maintaining facial fullness and skin elasticity, this Bay Area woman was looking for non-invasive cosmetic surgery procedures. She started noticing some early sagging and shadowing under the eyes, as well as a decrease in the fullness of her lips. After receiving a referral to my practice, she came into my Pinole office for a consultation. She stated that because...

Case 269

ABOUT OUR PATIENT This patient of mine, a young woman from the South Bay in California, wasn't feeling too happy with her profile, or the dark circles that were creeping up beneath her eyes. She came to my San Francisco office for a consultation, specifically asking about the possibilities that Dermal Fillers could provide. The first thing I noticed during our examination was that she had very a...

Case 234

ABOUT OUR PATIENT After having a facelift over 20 years ago, this California woman in her 60's told herself she wasn't going to have surgery again. Her previous surgeon told her that she didn't have enough bone on the left side of her face, so the sagging she was experiencing was "permanent". After browsing through the before and after photographs she saw on my website, and checking out the amazi...

Case 230

Background: This Bay Area woman, in her 30's, consulted with Dr. Mabrie at his San Francisco Office about bags under her eyes. Dr. Mabrie's Assessment: "This is a good example of how important the cheeks are in treating the eyes. Augmenting her cheeks supports her eyes. In this woman's case we needed to treat both her cheeks and under her eyes, it makes her face much more youthful." Procedure:...

Case 191

ABOUT OUR PATIENT Several years ago, this patient of mine from Northern California underwent an upper lid blepharoplasty surgery. Unfortunately, she developed a post-operative complication of a skeletonized appearance because of the excessive amount of fat that was removed. Feeling discouraged because she felt her eyes looked to arched, the patient stopped into my San Francisco office for a con...

Case 185

ABOUT OUR PATIENT This woman from San Francisco had become more physically active in her daily life. As she achieved a higher level of fitness, she began to notice more prominent bags under her eyes. As you know, that's one of the telltale signs of aging. She made the decision to come in and talk with me about how to make them less apparent, so her facial features would be in harmony with how she...

Case 171

ABOUT OUR PATIENT A successful hair stylist in San Francisco, this patient came in to see me about persistent dark circles under her eyes. These circles caused her to look tired no matter how much sleep she tried to get every night. This is a common concern for most patients who come to see me for a consultation, so I had plenty of non-surgical solutions to offer her. These dark circles were bei...

Case 170

Background: This 56 year old San Francisco woman came in and spoke with Dr. Mabrie about getting fuller lips. She consulted with Dr. Mabrie at his San Francisco office regarding lip augmentation. Dr. Mabrie's Assessment: Dr. Mabrie suggested not only injectable Dermafillers for her lips but also for the cheeks and under eye area. He expanded Dermafiller usage to other areas, so this patient retur...

Case 119

ABOUT OUR PATIENT When this particular patient, a San Francisco businesswoman, first came in to talk to me about the possibilities of plastic surgery, she wanted to know how to remove the wrinkles that were starting to show in different areas around her face using non-surgical methods. We also talked a little bit about adding more definition to her cheekbone area. This case interested me quite a...

See All Before & After Photos

What Causes Dark Circles & Bags?

Depending on the cause and each individual's anatomy, dark circles (indentations) and/or bags can appear. These can be caused by multiple factors. In most individuals, the skin directly under the eyes is so thin that the muscle and blood vessels can be seen more clearly. This is why almost all of us have some degree of darkness under the eyes.

As we age, the skin grows even thinner, and we lose the natural insulating layer of fat beneath our skin. This causes underlying structures, like fat, to become more pronounced. What looks like puffiness that has appeared beneath the eyes is actually the fat that has always been there, now more visible due to thinning and hollowing in the area. This can be worsened by inadequate cheekbone projection.

How Can Dermafillers Help?

The traditional approach to bags has been to remove the fat, however, this only increases the "skeletonized" appearance. The new approach is to restore the insulating layer with fillers, which add volume and hydration. This smooths out indentations and bags and the shadows that they create. Using fillers to improve cheek projection provides additional support to the area for an improved under-eye appearance.

For a better understanding of how they work, you can read more about facial dermafillers in San Francisco, including Restylane, RADIESSE, and JUVÉDERM Injectable Gel.

Dermafillers for Dark Circles & Bags

For a gentler injection procedure, Dr. Mabrie offers the innovative microcannula injection method. These blunt-ended microcannulas cut fewer arteries and veins than needles, resulting in significantly less after-treatment bruising and swelling. The microcannula allows Dr. Mabrie to restore volume to even the delicate under-eye area in a way that appears natural.

Using the microcannula, Dr. Mabrie injects a small amount of the dermafiller material below the eyes or along the cheek bone. The type of filler, the amount of filler, and the location of the injections will be determined based on each person's unique anatomy and the conditions being addressed.

Results appear immediately and will generally last anywhere from 6 months to a year, depending on the filler used. The treatment can be repeated regularly to maintain attractive results.

Side effects from dermafillers are similar to that of BOTOX® Cosmetic in San Francisco. Some common injection-related reactions such as edema, swelling, bruising, pain, itching, discoloration, and tenderness at the injection site may occur. For additional information, read what to expect during and after your treatment.

Featured Videos

Dr. Mabrie believes that it is very important for patients to have realistic expectations of what dermafillers can achieve. The truth is: everyone is different. No two people will have the exact same results from an eye dermafiller procedure. Because dermafillers are not permanent, Dr. Mabrie has the opportunity to work with each patient over time to fine-tune the procedure and accomplish the desired results. For men and women seeking permanent improvement, Dr. Mabrie also performs lower eyelid surgery (blepharoplasty).

San Francisco Facial Plastic Surgeon David C. Mabrie M.D., F.A.C.S.

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The Surgeon

Dr. David Mabrie offers:

  • Double board certification
  • Excellent training & experience
  • Specialization in the face and neck
  • A trainer's skill in injectable filler techniques
Why Dr. Mabrie
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David C. Mabrie, M.D.
166 Geary Street #1502
San Francisco, CA 94108
(415) 445-9513
Dr. David Mabrie
1700 San Pablo Avenue Suite F
Pinole, CA 94564
(510) 724-3200