Procedure Options

Non-Surgical Treatment for Under Eye Dark Circles & Bags

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Look Younger & More Rested With Fillers

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: dermal fillers. With dermal fillers such as RADIESSE®, JUVÉDERM® and Restylane®, San Francisco facial plastic surgeon Dr. David Mabrie can reduce the appearance of dark circles and bags.

Featured Cases

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...

Case 343

ABOUT OUR PATIENT   Ever since she could remember, this patient had laugh lines that distracted from her graceful good looks. Last year, after searching around for non-surgical laugh line reduction in San Francisco, she was referred to our practice by one of her good friends. Soon after, she stopped by my office for an in-depth consultation.    DR. MABRIE’S TREATMENT PLAN&...

Case 392

ABOUT OUR PATIENT What's one of the most common complaints that patients come to me with? "I have bags under my eyes. I'm getting older!" Yes, that's true. We all are. It's all right, though: we've now got the power of non-surgical rejuvenation using dermal fillers, that helps us age even more gracefully and preserve our youthful spark. This woman from Hercules came into my office in the San F...

Case 375

ABOUT OUR PATIENT Doesn't it bug you when you're going about your day, feeling fresh and ready to take on the world, and someone come up to ask you, "What's wrong? You look tired." I know. It bothers me too. And for the longest time, it also bothered this patient (especially since she works at a beauty salon.) That's why she stepped into my San Francisco office for a consultation. After tac...

Case 170

ABOUT OUR PATIENT "How can I get fuller lips?" As you can probably guess, I hear that question a lot. The answer is different each time, since each patient I help has a unique facial structure. This woman from the Bay Area, in particular, asked me about her lips when she came in for a consultation at my office in downtown San Francisco. We discussed the many benefits and options for Lip Augmentat...

Case 314

ABOUT OUR PATIENT This patient of mine is an African American man in his 20's. He started becoming interested in non-surgical cosmetic procedures after deciding that he wanted a more defined nose and enhanced facial appearance. After seeing some of my YouTube videos online, he came into our San Francisco office for a consultation to find out how using facial dermal fillers could significantly tra...

Case 317

ABOUT OUR PATIENT This young Bay Area woman had previously received a non-surgical Juvederm treatment to address the circles that were appearing under her eyes, but she wasn't exactly satisfied with the results. After reading some of my patient reviews online and noting my unique approach and focus on non-surgical facial sculpting, she decided to come in for a consultation at my downtown San Fran...

Case 382

Full case description to come!  (Temporary description below:) This stylist in San Francisco came to see Dr. Mabrie for an evaluation and treatment of his face.  He felt he didn't look as, "fresh" as he felt.  In particular he was noticing bags under his eyes, no matter how much sleep he got. Dr. Mabrie: It was a pleasure meeting this man, he was brought in by another patient of m...

Case 363

ABOUT OUR PATIENT The bags develop under your eyes are one of the most problematic effects of aging. What's worse, they can start looking saggy and puffy even if you're still young. Our patient for this case, a young woman living in San Francisco, is only in her 20's and was already experiencing under eye problems After Googling options around the Bay Area, she found my practice, which specializ...

Case 389

ABOUT OUR PATIENT This young woman from Oakland had been feeling self-conscious of her own lips. When she came into my San Francisco office for a consultation, she asked me if it was possible for her lips to look just like how she always wanted them to. I told her that by using dermal filler injections, we could help her lips look fuller without compromising her facial structure's harmony. After...

Case 397

ABOUT OUR PATIENT This San Francisco man had been researching for information about CoolSculpting on RealSelf when he came across my profile. He looked through my site and was impressed by our before and after photo gallery. He wanted to find a way to get rid of the bags that were forming under his eyes. Yet I saw a lot of potential in this patient's face, and that his features would be significa...

Case 230

ABOUT OUR PATIENT Developing bags under your eyes is a common sign of aging that can be easily remedied with the use of facial Dermal Fillers. This particular patient of mine, from Northern California, approached me about the bags she started seeing beneath her eyes. She visited my office located in the heart of the San Francisco Bay Area, and we discussed non-invasive, non-surgical cosmetic so...

Case 280

Background: This woman, from Modesto, was now in her 50's and wanted to rejuvenate her looks. She spent time researching cosmetic surgeons and procedures, and decided to consult with Dr. Mabrie after reviewing his website. They discussed options for giving her a younger and more attractive looking face. She had never received Dermafillers before and was concerned about bruising, as she did not kno...

Case 348

ABOUT OUR PATIENT This particular case is one that I'm very excited to share with you. This patient had been seeking help around San Francisco for non-surgical rejuvenation when he found our practice online. He knew he wanted to look more refreshed to reflect his charismatic personality, but he wasn't sure what kind of treatment would help him accomplish this. DR. MABRIE'S TREATMENT PLAN During...

Case 377

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 v...

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See All Before & After Photos

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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 Dermal Fillers 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 dermal fillers in San Francisco, including Restylane, RADIESSE, and JUVÉDERM Injectable Gel.

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Dermal Fillers 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 dermal filler 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 dermal fillers 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.

Treating Dark Circles with Dermal Fillers

January 2013

Dr. Mabrie believes that it is very important for patients to have realistic expectations of what dermal fillers can achieve. The truth is: everyone is different. No two people will have the exact same results from an eye dermal filler procedure. Because dermal fillers 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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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.

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Mabrie Facial Cosmetic: David C. Mabrie, MD
166 Geary Street #1502
San Francisco, CA 94108
Phone: (415) 445-9513
Monday–Friday 8:30 a.m.–6 p.m.
Mabrie Facial Cosmetic: David C. Mabrie, MD
1700 San Pablo Avenue Suite F
Pinole, CA 94564
(510) 724-3200
Monday–Friday 8:30 a.m.–6 p.m.