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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 orginally concered 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 decide...

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 302

Background: This 30 year old man from Chicago discovered Dr. Mabrie's website after considering chin augmentation for some time. Encouraged by the website's helpful and detailed information and impressed by the before and after results in the website photo gallery, he flew to the San Francisco Bay Area for consultation. Dr. Mabrie's Assessment: "The upper facial features of this young...

Case 296

Background: This young man had considered treatment for the shadows under his eyes for quite some time. He felt he looked tired and older, and wanted to correct the dark circles. He consulted with Dr. Mabrie about Dermafillers at his San Francisco office. Dr. Mabrie's Assessment: "This patient had moderately severe dark circles under his eyes. These shadows can be especially difficult for men bec...

Case 278

Background: This San Francisco woman had considered getting cosmetic surgery for a while but thought she was being selfish. She later realized that there were other people her age who looked great and thought "Why cant I look great too!" She saw an article on Dr. Mabrie and his father, and knew immediately he was the doctor for her. She consulted with Dr. Mabrie in his San Francisco office about f...

Case 275

Background: This Bay Area woman had been concerned about maintaining facial fullness and skin elasticity. She received a referral for Dr. Mabrie and knew at once from his welcoming presence and friendly demeanor that she would be comfortable working with him. After a successful consultation, she has continued visiting Dr. Mabrie at his Pinole office over the last five years for ongoing facial rej...

Case 269

Background: This young South Bay woman was not happy with her profile, or the dark circles under her eyes. She consulted with Dr. Mabrie at his San Francisco Office about Dermafillers. Dr. Mabrie's Assessment: "I was very excited about this case. The first thing I noticed during the examination was that she had very attractive brown eyes that were competing with the shadows under her eyes. Next, ...

Case 234

Background:  This woman, in her 60's had already had a facelift over 20 years ago and didn't want to have surgery again. She was told by her surgeon that she had less bone on the left side of her face, which caused that part of her face to sag more. She was impressed with the before and after photographs she saw on Dr. Mabrie's website and decided to have a consultation with him in his San...

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 199

Background: This gentleman was starting to notice signs of aging on his face, making him look more tired and older than he was. He consulted with Dr. Mabrie, at his San Francisco office, about fillers for his under eyes. He and Dr. Mabrie spoke in detail about his goals and the options available to him, to reach those goals. Dr. Mabrie's Assessment: "This man was a perfect candidate for facial fi...

Case 191

Background: This San Francisco woman had received an upper lid blepharoplsty surgery several years earlier. Unfortunately, she had excessive fat removed and developed a post-operative complication of a skeletonized appearance. She was very discouraged because her eyed looked too arched and she didn't look like herself anymore. She approached our office about the possibility of treating this prob...

Case 185

Background: This San Francisco woman was becoming more physically active in her daily life. With weight loss, the patient began to notice more prominent bags under her eyes, one sign of aging. She consulted with Dr. Mabrie about her concerns. Dr. Mabrie's Assessment: "She has developed a moderate amount of volume loss to her face. This volume loss under the skin leads to lack of support under the...

Case 171

Background: San Francisco hair stylist visited Dr. Mabrie about persistent dark circles under her eyes making her look tired regardless of the amount of sleep she got.  Dr. Mabrie's Assessment: "The dark circles were caused by shadowing due to indentations under the eyes. Instead of relying on concealer we were able to fill this in with Dermafillers. In addition we discussed augmenting her c...

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 134

Background: This 35 year old postal carrier from the Northern California area traveled to see Dr Mabrie in his San Francisco office to discuss Chin Augmentation surgery. She had long considered having the procedure, but was discouraged by her family because her aunt had severe complications from a similar surgery 30 years ago. She began to notice that she was pushing her jaw forwa...

Case 119

Background: This 32 year old San Francisco Account Coordinator consulted with Dr Mabrie for non-surgical options to treat her wrinkles and to add definition to her cheek bones. She had tried Sculptra in the past but was not happy with her results. She was looking for something that could be applied quickly, with no down-time, and results evident from just one application, unlike Sculptra...

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