Mabrie Facial Institute 166 Geary Street Floor 1300 San Francisco, CA 94108 Phone: (415) 445-9513 Text/SMS: (866) 618-9459 Monday–Friday 8 a.m.–5:30 p.m.
If you thought you knew all about BOTOX and what it can do, keep reading—we might just surprise you.
You know BOTOX smooths frown lines, crow’s feet, and forehead furrows, but the best injectors take it to the next
level. Our team uses BOTOX and its sister products (Daxxify®, Dysport®, XEOMIN®) to treat much more than wrinkles.
That’s why Mabrie Facial Institute in San Francisco was voted BEST BOTOX IN THE BAY AREA by
SFGATE readers.
As a facial plastic surgeon, Dr. Mabrie was among the first to embrace injectables and has dedicated his practice
to the masterful use of fillers and BOTOX. He has spent thousands of hours training his PA-C Injectors and
creating an elite team of experts.
Quick Facts About BOTOX
Action:1. Smooths wrinkles 2. Reduces tension
Pain Level:Minimal
Safety:FDA Approved
Appointments Needed: 1
Duration:Results Last 3 to 4 Months
Visible Results:Lines, 5 to 10 days; Muscles, 3 to 4 weeks
Downtime:None
Our Favorite BOTOX® Cosmetic Before AND After Photos
ABOUT OUR PATIENT This female in her 40’s wanted to soften the wrinkles to her upperface. MFI TREATMENT PLAN Dr. Mabrie customized a plan, expertly administering BOTOX to address the forehead lines, frown lines, and crow's feet. By skillfully anchoring facial muscles, a harmonious result was achieved, allowing... Read More
MFI TREATMENT PLAN Wrinkles along the eyes, also known as, 'crow's feet'. These wrinkles occur with smiling or squinting. By placing Botox or Dysport wrinkles can be reduced. Read More
ABOUT OUR PATIENT This woman in her mid-40s wished to achieve a more defined, V-shaped chin. Her primary concerns centered around the bumpiness of her chin and the presence of dimples caused by an overactive mentalis muscle.MFI TREATMENT PLAN Dr. Mabrie created a personalized treatment plan to address the patient’s conc... Read More
MFI TREATMENT PLAN If you have a dimpled chin that doesn't project quite enough, BOTOX can help. A hyperactive mentalis muscle creates visible tension, causing the chin to appear less projected than desired.Even though Dr. Mabrie uses fillers for nonsurgical chin augmentation in some cases, they don't adequately addre... Read More
ABOUT OUR PATIENT Our patient, a woman in her 30s, was bothered by her square face, which was primarily due to tense masseter muscles. This condition not only affected the appearance of her jawline but also caused discomfort due to muscle tension. She was looking for a non-surgical solution to achieve a thinner, more contoured facial sha... Read More
ABOUT OUR PATIENT Nasolabial folds (NLFs), aka “smile lines” or “laugh lines,” can be especially bothersome to patients as they tend to be noticeable even at rest and deepen over time as the face naturally loses collagen.This female patient in her 60s was particularly troubled by these lines that gave her an aged appearance. Moreove... Read More
ABOUT OUT PATIENT This patient in her mid 30’s, noticed the shape of her face looked very athletic and boxy. She wanted to soften her features to have a more heart-shaped face and create a subtle contour to compliment the project of her cheeks. MFI TREATMENT PLAN Our injector used BOTOX to the masseter muscles, whi... Read More
BOTOX is in a class of medications called neuromodulators, which includes Dysport®, XEOMIN®, Jeuveau®, and Daxxify®. Neuromodulators are made with a purified protein that, when
injected into a targeted facial muscle, blocks the nerve impulses to that muscle. As a result, the muscle relaxes,
and the skin lies smooth, reducing the appearance of wrinkles or, in the case of chin BOTOX, dimples. Relaxing
certain overdeveloped muscles with BOTOX can shrink them, as is the case with the masseter (jaw) and the trapezius
(neck).
The most experienced injectors have learned to use the muscle-relaxing powers of BOTOX in truly remarkable ways.
By manipulating the delicate interplay of the facial muscles, a skilled BOTOX injector can
Gently lift the brows
Add upper lip height
Soften marionette lines
Reduce nasolabial folds
Smooth under eye bulges
Flatten neck bands
These applications should only be performed by injectors with a high degree of medical training and extensive
knowledge of facial anatomy, like those at MFI. Incorrect injection techniques can cause cosmetic or even
functional complications.
Forehead Wrinkles
A lot of our younger patients come in asking us to erase the horizontal lines on their foreheads, sometimes
called worry lines. We take a conservative approach to treating this area, because too much BOTOX here can
over-relax the frontalis muscle and leave you with drooping brows—something our patients never have to worry
about.
ABOUT OUR PATIENT Softening the upper face wrinkles while preserving some natural movement was important to this busy Nurse. The ability to show expression while eliminating wrinkles was her goal. MFI TREATMENT PLAN Treatment included BOTOX to the forehead, frown, the crows feet, as well as a slight brow lift helped bala... Read More
ABOUT THIS TREATMENT Allow us to introduce our patient, a vibrant 40-year-old man who, like many of us, was troubled by the presence of deep horizontal indentations on his forehead, commonly referred to as "frownies." Despite his youthful spirit, these pronounced lines were starting to affect his confidence and how he perceived... Read More
ABOUT OUR PATIENT This male patient in his 40's wanted to soften the frown line between his brows. MFI TREATMENT PLAN Dr. Mabrie used a combination of BOTOX and filler to address a deep vertical wrinkle. First he strategically used BOTOX for a subtle brow lift that halted the formation of the line. To enhance the tra... Read More
ABOUT OUR PATIENT This early 50’s patient was looking to enhance her appearance by relaxing specific facial muscles to reduce the appearance of wrinkles and lines in the forehead and frown lines.MFI TREATMENT PLAN Botox was injected to create a subtle lifting effect on the eyebrows, providing a more open an... Read More
ABOUT OUR PATIENT Our patient, a vibrant woman in her 30s, came to us with concerns about her forehead wrinkles and frown lines. She noticed that her strong facial movements had led to deep vertical glabella lines and horizontal forehead wrinkles, making her skin look aged and her expression heavy. She wanted to smooth out these wrinkles... Read More
MFI TREATMENT PLANWe treated her horizontal forehead lines, frown lines, and crow's feet with Botox and Dysport to give her a refreshed but natural looking result.THE OUTCOMEThe patient is shown 2 weeks after her treatment. Read More
ABOUT OUR PATIENT This male patient was bothered by the deep frown line between his eyebrows, especially when he saw photos of himself. He reportedly had this crease since high school and had considered treatment for a while but was not sure if this was a problem we could fix for him. MFI TREATMENT PLAN This amazin... Read More
ABOUT OUR PATIENT Our patient, a lovely woman in her 50s, came to Mabrie Facial Institute to explore Botox for the first time. Having always been highly expressive, she was beginning to notice that her facial creases—particularly on her forehead and between her brows—were becoming more pronounced. While intrigued by the potenti... Read More
Sometimes called elevens, these vertical frown lines between the eyebrows helped make BOTOX a household name.
For many of our long-time patients at MFI, frown line BOTOX was their “gateway” treatment, leading them into the
beautiful world of injectables. And now it’s popular with our younger patients, who get frown line BOTOX before
the elevens have a chance set in.
ABOUT OUR PATIENT Softening the upper face wrinkles while preserving some natural movement was important to this busy Nurse. The ability to show expression while eliminating wrinkles was her goal. MFI TREATMENT PLAN Treatment included BOTOX to the forehead, frown, the crows feet, as well as a slight brow lift helped bala... Read More
ABOUT THIS TREATMENT Allow us to introduce our patient, a vibrant 40-year-old man who, like many of us, was troubled by the presence of deep horizontal indentations on his forehead, commonly referred to as "frownies." Despite his youthful spirit, these pronounced lines were starting to affect his confidence and how he perceived... Read More
ABOUT OUR PATIENT This male patient in his 40's wanted to soften the frown line between his brows. MFI TREATMENT PLAN Dr. Mabrie used a combination of BOTOX and filler to address a deep vertical wrinkle. First he strategically used BOTOX for a subtle brow lift that halted the formation of the line. To enhance the tra... Read More
ABOUT OUR PATIENT This early 50’s patient was looking to enhance her appearance by relaxing specific facial muscles to reduce the appearance of wrinkles and lines in the forehead and frown lines.MFI TREATMENT PLAN Botox was injected to create a subtle lifting effect on the eyebrows, providing a more open an... Read More
ABOUT OUR PATIENT Our patient, a vibrant woman in her 30s, came to us with concerns about her forehead wrinkles and frown lines. She noticed that her strong facial movements had led to deep vertical glabella lines and horizontal forehead wrinkles, making her skin look aged and her expression heavy. She wanted to smooth out these wrinkles... Read More
MFI TREATMENT PLANWe treated her horizontal forehead lines, frown lines, and crow's feet with Botox and Dysport to give her a refreshed but natural looking result.THE OUTCOMEThe patient is shown 2 weeks after her treatment. Read More
ABOUT OUR PATIENT This male patient was bothered by the deep frown line between his eyebrows, especially when he saw photos of himself. He reportedly had this crease since high school and had considered treatment for a while but was not sure if this was a problem we could fix for him. MFI TREATMENT PLAN This amazin... Read More
ABOUT OUR PATIENT Our patient, a lovely woman in her 50s, came to Mabrie Facial Institute to explore Botox for the first time. Having always been highly expressive, she was beginning to notice that her facial creases—particularly on her forehead and between her brows—were becoming more pronounced. While intrigued by the potenti... Read More
At MFI, we use BOTOX to create a subtle yet noticeable nonsurgical brow lift. This specialized treatment can
also improve hooded eyes and open up the eye area for our patients with heavy, sagging brows.
ABOUT OUR PATIENT This late 20’s beauty was looking for a way to give her eyes some vibrance of brightness and openness. MFI TREATMENT PLAN Botox was used near the eyebrows to elevate making this patient's eyes appear more open.THE OUTCOME The focal point has shifted from the heavy eyelid skin to sc... Read More
ABOUT OUR PATIENT Our patient, a woman in her 30s, was concerned about her slightly downturned and asymmetric brows, which contributed to her hooded and droopy eyelids. She felt that this gave her a tired appearance and was seeking a solution to lift and open up her eyes without resorting to eyelid surgery.MFI TREATMENT PLAN ... Read More
ABOUT OUR PATIENT This amazing woman is not only a grandmother of 12, she is a competition bodybuilder! She hoped for some direction on how to rejuvenate her appearance, focusing on specific areas of her face that she believed were contributing to an aged look, with a particular emphasis on addressing her heavy brows and eyelids.M... Read More
ABOUT OUR PATIENT Wanting a refreshed and rejuvenated look, this dedicated mother of two sought a solution to alleviate the constant effort required to keep her eyes open. MFI TREATMENT PLAN PA-C Tiffany used Botox to the forehead and around the eyes to rejuvenate the upper eyelids, alleviating visible heavines... Read More
See her Full Face dermal filler Case here!ABOUT OUR PATIENT This California woman in her 50's came to San Francisco to see me about taking care of the shadows that were beginning to appear underneath her eyes. I found her to be an excellent candidate for non-surgical facial fillers.MFI TREATMENT PLAN In additi... Read More
Don’t let fear of crow’s feet stop you from smiling. At MFI, we use BOTOX injections to quickly smooth out this
area, and increasingly people are starting treatment in their late 20s or early 30s before crow’s feet get too
deeply etched into the skin around the corners of the eyes.
MFI TREATMENT PLAN Wrinkles along the eyes, also known as, 'crow's feet'. These wrinkles occur with smiling or squinting. By placing Botox or Dysport wrinkles can be reduced. Read More
ABOUT OUR PATIENT This female wanted to decrease the wrinkles on her forehead and “crow’s feet” around her eyes with smiling. She was looking for a rejuvenated and refreshed look to minimize the signs of aging. It was important to her to obtain subtle results to maintain a natural appearance.TREATMENT PLAN H... Read More
ABOUT OUR PATIENT A patient in his late 30s wanted our help to reduce the crow's feet wrinkles around his eyes. His goal was a more youthful look while retaining natural facial movement and expression.MFI TREATMENT PLAN BOTOX was administered specifically to the crow's feet around the eyes. This treatm... Read More
ABOUT OUR PATIENTThis good looking guy was volunteered for treatment by his wife, who felt that the wrinkles between his eyebrows made him look more serious than his upbeat, likable personality. MFI TREATMENT PLANWe treated his horizontal forehead lines, frown lines, and crow's feet with Botox to give him a refre... Read More
MFI TREATMENT PLAN Woman shown with, "crow's feet" wrinkles by the eyes, exacerbated with squinting and smiling. San Francisco facial plastic surgeon Dr. David Mabrie treats these wrinkles with Botox or Dysport. Read More
ABOUT OUR PATIENT This is a beautiful, long-time patient of ours who came in for a maintenance visit to address the wrinkles around her eyes and nasolabial folds when smiling. She felt she looked tired and the increased lines with facial expressions bothered her. She wanted to look more rested and refresh her overal... Read More
ABOUT OUR PATIENT Meet our vibrant 37-year-old female patient who believes in staying ahead of the game. She wanted to keep those crows' feet from making an appearance when she smiles. She noticed them more often when flashing those pearly whites and wanted to soften their impact.MFI TREATMENT PLAN At the Mabrie Facial In... Read More
Bunny lines form at the top of the bridge of the nose from “scrunching” or wrinkling your nose, or from
smiling. We treat them with a quick shot of BOTOX for a smoother, more refined appearance. And like crow’s feet
and frown lines, many younger patients are starting to hop on their bunny lines early before they get too deep.
ABOUT OUR PATIENT This female in her 40’s wanted to soften the wrinkles to her upperface. MFI TREATMENT PLAN Dr. Mabrie customized a plan, expertly administering BOTOX to address the forehead lines, frown lines, and crow's feet. By skillfully anchoring facial muscles, a harmonious result was achieved, allowing... Read More
ABOUT OUR PATIENT We all recognize this beautiful face! Our PA-C Kimberly always disliked the pesky tiny creases around her nose, aka “Bunny Lines”, that appeared more pronounced when she smiled or laughed.MFI TREATMENT PLAN Botox was used to smooth creases around the nose and frown lines. THE OUT... Read More
For most of our BOTOX patients, our BOTOX for Forehead & Brow package is the best solution and the best
value. In one appointment, we treat forehead furrows, frowning wrinkles, drooping eyebrows, crow’s feet, and
bunny lines. It’s our all-in-one solution for your upper face BOTOX needs.
ABOUT OUR PATIENT Softening the upper face wrinkles while preserving some natural movement was important to this busy Nurse. The ability to show expression while eliminating wrinkles was her goal. MFI TREATMENT PLAN Treatment included BOTOX to the forehead, frown, the crows feet, as well as a slight brow lift helped bala... Read More
ABOUT THIS TREATMENT Allow us to introduce our patient, a vibrant 40-year-old man who, like many of us, was troubled by the presence of deep horizontal indentations on his forehead, commonly referred to as "frownies." Despite his youthful spirit, these pronounced lines were starting to affect his confidence and how he perceived... Read More
ABOUT OUR PATIENT This male patient in his 40's wanted to soften the frown line between his brows. MFI TREATMENT PLAN Dr. Mabrie used a combination of BOTOX and filler to address a deep vertical wrinkle. First he strategically used BOTOX for a subtle brow lift that halted the formation of the line. To enhance the tra... Read More
ABOUT OUR PATIENT This early 50’s patient was looking to enhance her appearance by relaxing specific facial muscles to reduce the appearance of wrinkles and lines in the forehead and frown lines.MFI TREATMENT PLAN Botox was injected to create a subtle lifting effect on the eyebrows, providing a more open an... Read More
ABOUT OUR PATIENT Our patient, a vibrant woman in her 30s, came to us with concerns about her forehead wrinkles and frown lines. She noticed that her strong facial movements had led to deep vertical glabella lines and horizontal forehead wrinkles, making her skin look aged and her expression heavy. She wanted to smooth out these wrinkles... Read More
MFI TREATMENT PLANWe treated her horizontal forehead lines, frown lines, and crow's feet with Botox and Dysport to give her a refreshed but natural looking result.THE OUTCOMEThe patient is shown 2 weeks after her treatment. Read More
ABOUT OUR PATIENT This male patient was bothered by the deep frown line between his eyebrows, especially when he saw photos of himself. He reportedly had this crease since high school and had considered treatment for a while but was not sure if this was a problem we could fix for him. MFI TREATMENT PLAN This amazin... Read More
ABOUT OUR PATIENT Our patient, a lovely woman in her 50s, came to Mabrie Facial Institute to explore Botox for the first time. Having always been highly expressive, she was beginning to notice that her facial creases—particularly on her forehead and between her brows—were becoming more pronounced. While intrigued by the potenti... Read More
“Jelly roll BOTOX” isn’t on the menu at most medical spas. That’s because this delicate treatment is best left
in the hands of experts like the Injectors at MFI. Some people have bulges (not eye bags) beneath the lower lash
line that get more pronounced when they smile. These “jelly rolls” are caused by an overactive muscle, and can
make the eyes look smaller. Neuromodulators like BOTOX relax this muscle, making the eyes look more open and
rested. It’s not a common treatment, but for our patients who need it, it’s a game changer.
ABOUT OUR PATIENT This San Francisco woman noticed wrinkles under her eyes, especially when she smiled. She consulted with Dr. David Mabrie about using Botox around her eyes.
MFI TREATMENT PLAN One of the great pleasures of my job is working with attractive people and polishing their... Read More
ABOUT OUR PATIENT Meet our late 30s patient who wanted to look fresh and rejuvenated. He had a simple goal: get rid of those under-eye bulges that made him look tired. MFI TREATMENT PLAN We took a dynamic multi-step approach for our patient. First, we used hyaluronic filler to restore volume loss under his eyes, g... Read More
ABOUT OUR PATIENT This young woman wanted to reduce the appearance of her “jelly rolls,” the bulge of muscle under her eyes. She also hoped that minimizing the rolls would help her eyes open up more.MFI TREATMENT PLAN Kimberly - PAC injected a low dose of Botox under the eyes to relax the muscles causing the bulgi... Read More
ABOUT OUR PATIENTAll of us want a beautiful smile, and we all know that half of it comes from the eyes. For many of our patients, smiling causes the bottom eyelid to bulge up and obscure part of the eyes. But did you know that there’s an easy solution to make your eyes look bigger and brighter when smiling? Thi... Read More
We occasionally see patients with an overactive “snarl” muscle that contributes to more prominent nasolabial
folds. While most providers treat nasolabial folds exclusively with filler, it’s important to treat the muscle
if it is part of the problem. When the snarl muscle is to blame, we can relax it and soften the nasolabial folds
with BOTOX or another neuromodulator.
ABOUT OUR PATIENT This handsome gentleman in his 50s wanted to refresh his appearance. He felt he was looking a little worn-down even after a full rest. His main goal? Revitalize his appearance. One of his main concerns was volume loss in his nasolabial folds that made him appear to have a permanent frown.&n... Read More
ABOUT OUR PATIENT This 50-year-old patient of ours came to us with a concern we hear quite often: nasolabial folds casting shadows and adding years to her appearance. Her goal was straightforward – she wanted a smoother look and to get rid of those shadows.MFI TREATMENT PLAN We used hyaluronic filler, strategically inje... Read More
ABOUT OUR PATIENT Nasolabial folds (NLFs), aka “smile lines” or “laugh lines,” can be especially bothersome to patients as they tend to be noticeable even at rest and deepen over time as the face naturally loses collagen.This female patient in her 60s was particularly troubled by these lines that gave her an aged appearance. Moreove... Read More
ABOUT OUR PATIENT This patient in his late 50s disliked how prominent his nasolabial folds were, even at rest. He flew all the way from Texas just for Dr. Mabrie’s expert non-surgical anti-aging treatment.MFI TREATMENT PLAN After a careful examination, Dr. Mabire used dermal filler to the cheeks and midface to restore v... Read More
This patient had deep nasolabial folds intensified by strong LLSAN (levator labii superioris alaque nasi) muscles. A small amount of BOTOX was injected into this muscle on both sides of the nose, helping to relax the muscle and soften the nasolabial folds. Read More
ABOUT OUR PATIENT This patient had just turned 40 and despite already being beautiful, wanted to look absolutely perfect to celebrate her exciting milestone. She was bothered by nasolabial folds that made her cheeks appear puffier.MFI TREATMENT PLAN Dr. Mabrie skillfully injected a thin, delicate dermal filler along the nasol... Read More
ABOUT OUR PATIENT Our 30-something patient's main goal? To look and feel younger, of course! She had been bothered by the signs of nasolabial folds, that were weighing down her appearance and aging her appearance.MFI TREATMENT PLAN Nasolabial Fold Rejuvenation with fillers. Working with this patient's anatomy in... Read More
Not everyone needs fillers to enhance their lips, and at MFI, we’re all about recommending the best solution.
Some people get the results they’re looking for from upper lip BOTOX. This releases the treated muscles,
allowing the upper lip to roll outward and come down a bit. This is a good option for people who want to add a
little height to their upper lip or reduce a gummy smile.
ABOUT OUR PATIENT This 50 year old male wanted subtle fullness added to his lips that would compliment his facial structure without looking overly feminine or filled. MFI TREATMENT PLAN Over 2 treatments, Juvederm Ultra was used to increase volume, soften wrinkles and gain overall symmetry of the lips. THE OU... Read More
ABOUT THIS PATIENT This 30-something patient was unhappy with the size of her lips. She felt that they were too thin and wanted to add natural-looking volume. With a background in Dermatology, she researched many aesthetic practices to find the right Injector for her first time filler treatment. We're so pleased that she chose MFI fo... Read More
ABOUT OUR PATIENT This patient in her early 40s was dissatisfied with the results of her previous lip filler performed at another office. She wanted her lips to be full while still looking natural.MFI TREATMENT PLAN First, Dr. Mabrie dissolved her previous filler to create a fresh canvas. He then chose silky s... Read More
ABOUT OUR PATIENT Concerned about maintaining facial fullness and skin elasticity, this Bay Area woman was looking for non-invasive cosmetic surgery procedures. She noticed some early sagging and shadowing under her eyes, as well as a decrease in the fullness of her lips. After receiving a referral to my practice, she came into my o... Read More
See her i360 Full Face results here!ABOUT OUR PATIENTThis patient is in her 30's and originally from Indonesia; now calling the Bay Area home. She was unhappy about her under eyes and felt they made her look older and tired. A friend referred her to Dr. Mabrie and she scheduled an i360 Full Face Initial Evaluation with... Read More
ABOUT OUR PATIENT This patient came to our office in preparation for her upcoming 40th birthday! She received multiple lip treatments from an outside injector and while she preferred a more plump and rounded lip aesthetic, she felt her latest results left her overfilled with filler outside the natural lip line. She turned to MFI to revam... Read More
ABOUT OUR PATIENT Being one of our nurses at Mabrie Facial Institute, Lindsey was more than happy to share her personal experience with our patients. Living in San Francisco, she is our go to person for all of the trendiest bars and restaurants. She felt like her appearance needed a recharge to match her upbeat personality and how y... Read More
This young professional woman had just moved to Northern California with her daughter when she found me online. She was worried that her face was looking too tired, thanks to shadows that were appearing under her eyes. We talked about... Read More
If you have marionette lines, it’s possible that overactive depressor muscles (anguli oris) are pulling down
the corners of your mouth and making them worse. Although we treat marionette lines with filler, we have the
skill and training to perform BOTOX injections in this delicate area to help lift the corners of the mouth and
soften your marionette lines when it’s appropriate.
ABOUT OUR PATIENTThis patient, a woman in her early 50s, was completely new to fillers and wanted to see what it could do for her face. She was bothered by the jowls at her jawline and her prominent marionette lines, which contributed to a tired, older look. MFI TREATMENT PLANDr. Mabrie used dermal fille... Read More
MFI TREATMENT PLANShadows and lines around the mouth, called marionette lines occur with age as we lose fat in our face. We used Juvederm Ultra to soften these signs of aging. THE OUTCOMEThe patient is shown right after her treatment. Read More
ABOUT THIS PATIENT Meet our 49-year-old patient who was on a mission to get rid of those marionette lines and jowls. MFI TREATMENT PLAN We brought in hyaluronic filler to save the day. He couldn't be happier – his face is now smooth, defined, and full of symmetry!THE OUTCOME Those marionette lines a... Read More
ABOUT OUR PATIENT This vibrant Grandmother of 12 (yes - 12!) and former fitness model wanted a non-surgical approach to rejuvenate her appearance and recapture her youthful glow. Over time, the natural aging process became more apparent, accentuating the loss of facial fat and skin elasticity around her lower face, especially her jowls and... Read More
ABOUT OUR PATIENT Our patient in her 60s wanted to smooth out jowls and marionette lines that had crept in over the years. Her concerns were mainly centered around the shadowing and lines that were aging her face.MFI TREATMENT PLAN To address her concerns Dr. Mabrie used filler to restore youthful volume and smooth out the jo... Read More
ABOUT OUR PATIENT Over time, this early 60’s patient noticed her skin started to lose elasticity and volume, which led to the development of marionette lines and sagging in the jowl area. She felt these changes contributed to a more aged or tired appearance, and hoped that fillers could help smooth out these lines and lift the jowls, givin... Read More
ABOUT OUR PATIENT Our patient in her 40s came to us looking for a refreshed, more youthful appearance. She was noticing heaviness in her lower face, which was creating marionette lines and early jowling. Those pesky lines around the mouth and chin crease were becoming more noticeable, and she wanted to smooth them out while lifting and con... Read More
A very popular treatment at MFI, this procedure helps people achieve a V-shaped face by reducing fullness in
the lower face caused by enlarged (hypertrophic) masseter muscles and/or parotid glands. BOTOX is injected into
masseter muscles, parotid glands, or both to reduce the jawline and create a slimmer, more defined lower face,
either with or without dermal fillers. This is often performed as part of our BOTOX &
Fillers for the Round Face package.
ABOUT OUR PATIENT Many of our patients come in bothered by frequent grinding of the teeth and clenching of the jaw. This can be caused by overdeveloped masseter muscles, the large facial muscles towards the back of each side of the jaw. BOTOX is an easy, non-surgical method to reduce the size of one’s masseters and bring relief.Read More
ABOUT OUR PATIENT This beautiful patient in her early 30’s, experienced continuous jaw tension from grinding her teeth. This led to sleep disruption and created bulky masseter muscle bulk creating a boxy/square facial shape.MFI TREATMENT PLAN BOTOX was used to treat her masseter muscles (our Facial Slimming treatment).... Read More
ABOUT OUR PATIENT Let me introduce you to our delightful 35-year-old patient, who exudes vibrancy and charm. She grappled with the frustration of a square-shaped face, a feature she felt was exacerbated by the persistent tension she held in her jaw. Years of clenching and grinding her teeth had inadvertently sculpted her masseter muscles... Read More
ABOUT OUR PATIENT This busy mom wanted to contour/slim her face and keep looking fresh and vibrant.
MFI TREATMENT PLAN Our Facial Slimming with BOTOX was a perfect procedure to get started. To amplify her results, we added fillers to her cheeks, chin, and nose. BOTOX to the upper face (forehead, glabella, and c... Read More
ABOUT OUR PATIENT Our patient, a woman in her 30s, was bothered by her square face, which was primarily due to tense masseter muscles. This condition not only affected the appearance of her jawline but also caused discomfort due to muscle tension. She was looking for a non-surgical solution to achieve a thinner, more contoured facial sha... Read More
ABOUT OUR PATIENT Many of our patients come in with complaints of TMJ disorders, which appear as jaw pain and frequent clenching and grinding. These symptoms are caused by overactive jaw muscles, or masseters. Strong masseters can also make the lower face appear overly wide, which is another reason why masseter BOTOX to relax these muscl... Read More
ABOUT OUR PATIENT Our patient is a 40-year-old man who felt his face lacked structure and appeared rounder than he desired. He wanted a more masculine, defined look with visible contours, particularly along his jawline and chin. The goal was to achieve a slimmer, more sculpted appearance that would enhance his overall facial structure and... Read More
Not to be mistaken with a cleft chin, which is a genetic feature, chin dimpling is an orange peel or golf
ball-like texture caused by an overactive mentalis muscle. We strategically place BOTOX injections to relax the
muscle and smooth the overlying skin, and in some cases allow the chin to project farther. Chin dimpling or
retraction is something most people don’t notice until they see the difference chin BOTOX makes.
ABOUT OUR PATIENT This woman in her mid-40s wished to achieve a more defined, V-shaped chin. Her primary concerns centered around the bumpiness of her chin and the presence of dimples caused by an overactive mentalis muscle.MFI TREATMENT PLAN Dr. Mabrie created a personalized treatment plan to address the patient’s conc... Read More
ABOUT OUR PATIENT Meet one of our lovely nurses at MFI! In her late 20s, she was eager to address a specific concern with her chin. Whenever she smiled, she noticed a noticeable inward tucking and pulling of her chin, giving it a "witchy" and pointy appearance. Despite her big, beautiful smile, this particular feature bothered... Read More
ABOUT OUR PATIENT Meet our lovely patient, a radiant woman in her 30s, who was eagerly preparing for her upcoming wedding. Like many brides-to-be, she had a vision of radiance and confidence for her special day. Entrusting her appearance to the expert hands of Dr. Mabrie, she wanted to enhance her natural beauty and achieve the perf... Read More
ABOUT OUR PATIENTSome people have a hyperactive mentalis muscle—the muscle responsible for lifting the skin on your chin. If this muscle works too hard, it can pull the chin back and cause bumps and dimpling. This was the concern of our patient, a woman in her early 50s. She was bothered by a distracting lump o... Read More
ABOUT OUR PATIENT When looking in the mirror, this mid 40’s female always felt her chin was weak in comparison to the rest of her facial features. She especially hated how her chin looked sunken in and wanted it to look less bumpy and dimpled. MFI TREATMENT PLAN Botox was administered to the mentalis muscles to red... Read More
ABOUT OUR PATIENT This busy professional in her late 30s was bothered by her chin’s bumps, asymmetry, and dimpling. She wanted a non-surgical solution that would be able to reshape her lower face.MFI TREATMENT PLAN Dr Mabrie formulated a comprehensive plan to address all of the patient’s concerns, starting with th... Read More
MFI TREATMENT PLAN If you have a dimpled chin that doesn't project quite enough, BOTOX can help. A hyperactive mentalis muscle creates visible tension, causing the chin to appear less projected than desired.Even though Dr. Mabrie uses fillers for nonsurgical chin augmentation in some cases, they don't adequately addre... Read More
If you have overdeveloped trapezius muscles and don’t like the bulk it adds to your neck, “Barbie BOTOX” or
“trap-tox” weakens and ultimately shrinks these muscles. This creates a sleeker, more elongated neck contour AND
can reduce tightness and tension in the neck and shoulders. Our trapezius BOTOX patients are some of the most
happy and grateful patients we see!
ABOUT OUR PATIENT Meet our powerhouse patient in her 40s, a dedicated bodybuilder who came to us with a very specific goal: relieve tension in her neck and shoulders and improve her posture. Even when she was in high school, she was embarrassed looking at her class photos because of her hunched over posture, saying that she did... Read More
ABOUT OUR PATIENT In her 20s, we welcomed a bright and vibrant woman to Mabrie Facial Institute with a unique goal in mind. She wanted relief from shoulder tension and desired a defined and slender neckline.MFI TREATMENT PLAN Trapezius Botox - YES - Botox can do that! Dr. Mabrie, our seasoned injector, used Botox to trea... Read More
Nefertiti was the Egyptian queen known for her long, sleek neck and elegant jawline, which is the look our
Injectors strive for with this treatment. We place BOTOX injections strategically along the lower face and neck,
reducing the downward pull of the platysma muscles. This softens prominent neck bands and lifts and contours the
jawline, leaving our patients looking their regal best.
ABOUT OUR PATIENT Meet our powerhouse patient in her 40s, a dedicated bodybuilder who came to us with a very specific goal: relieve tension in her neck and shoulders and improve her posture. Even when she was in high school, she was embarrassed looking at her class photos because of her hunched over posture, saying that she did... Read More
ABOUT OUR PATIENT In her 20s, we welcomed a bright and vibrant woman to Mabrie Facial Institute with a unique goal in mind. She wanted relief from shoulder tension and desired a defined and slender neckline.MFI TREATMENT PLAN Trapezius Botox - YES - Botox can do that! Dr. Mabrie, our seasoned injector, used Botox to trea... Read More
You could need as few as one unit or as many as hundreds of units; it all depends on the concern being treated, the
number of treatment areas, and other factors. Interestingly, men tend to require more BOTOX than women due to their
larger and stronger facial muscles. While we cannot precisely determine how much product each patient will need for
specific treatment concerns, we can provide a general estimate. Please refer to the graphic for the average units per
treatment area for both women and men.
Average botox units used per area
How Does BOTOX Compare to Dysport and Other Toxins?
Here is a very quick comparison of the four neuromodulators we offer at Mabrie Facial Institute in San Francisco.
BOTOX: Considered the “gold standard” by some due to its history; versatile for wrinkles and
medical uses. Onset: 3 to 7 days. Duration: ~3 to 4 months.
Dysport: Similar to BOTOX but spreads more; ideal for larger areas. Onset: 2 to 3 days. Duration:
~3 to 4 months.
XEOMIN: “Naked” formula (no additives), reducing the risk of resistance. Onset: 3 to 4 days.
Duration: ~3 to 4 months.
Daxxify: Newer option with peptide technology. Onset: 1 to 2 days. Duration: Up to 6 months.
Is BOTOX Safe?
When performed by an experienced medical professional (like all MFI Injectors), BOTOX is extremely safe. Botulinum
toxin has been used therapeutically for more than 35 years, and was approved by the FDA for cosmetic use in 2002.
Here’s a brief timeline of the development of BOTOX for clinical and cosmetic uses:
1970s Dr. Alan Scott develops
botulinum toxin for medical use, initially exploring it as a treatment for strabismus (crossed eyes).
1980s The FDA approves botulinum toxin
(under the name Oculinum) for treating strabismus and blepharospasm (uncontrollable eyelid twitching).
1989 Allergan acquires the rights to
botulinum toxin and rebrands it as BOTOX.
2004 Approved for treating severe
underarm sweating (hyperhidrosis).
2010s–Present Expanded indications
include chronic migraines, overactive bladder, neck spasms (cervical dystonia), and more. Cosmetic
applications also grow to include crow’s feet and forehead lines.
According to the American Society of Plastic Surgeons (ASPS), in 2023, their members performed 4,715,716 BOTOX injections, with only a relative handful of adverse
effects, most of which were related to underlying medical conditions. Research indicates the number of BOTOX
injections in the United States last year likely exceeded 9 million.
Preventative BOTOX
Millennials and Gen Z have embraced BOTOX as a “pre-juvenation” treatment. Starting neuromodulators in your 20s or
30s can postpone the formation of dynamic wrinkles such as the vertical lines between the brows, crow’s feet, and
forehead furrows. We have patients who are now in their late 30s and 40s who swear by preventative BOTOX—they still
don’t have lines in these areas. Due to the smaller quantities used, this is often referred to as “micro-BOTOX” or
“baby BOTOX,” and it’s becoming a routine self-care ritual for many young people.
YOUR BOTOX TREATMENT AT MFI
BOTOX at MFI starts with a visit to our amazing San Francisco office. These appointments are
why our patients tell us they will never go anywhere else. You’re here to meet your incredible Injector, but you’ll
be cared for by an entire team dedicated to making you feel welcome, comfortable, and relaxed. You can even choose
the music for your treatment room!
We take time to get to know you and to educate you about our process and your neuromodulator options, answering all
your questions during the process. We have you wash your face with an antiseptic cleanser to prevent infection, then
mark the injection sites. We then use a tiny needle to carefully inject BOTOX into the targeted muscles.
Although the injections take mere seconds, we go at your pace, ensuring that you are comfortable and relaxed the
entire time. If you need extra comfort measures, we can use numbing cream, vibration distraction, cooling, and
Pro-nox (laughing gas) to help keep you calm and anxiety-free.
Please plan to spend up to 90 minutes in the office for your first visit. This allows us to get to know you and
take our time with your BOTOX injections. It also allows for consultation, prep, photography, aftercare education,
scheduling your next appointment, and refreshments in our lounge.
The beauty of BOTOX is that it’s truly a “lunchtime treatment.” The process is quick, and you can return to your
typical daily activities right away. You may have some redness and swelling at the injection sites, but we’ll help you
soothe these with a cold pack. You can apply concealer after about 30 minutes which should hide any redness.
Things to avoid for the first 24 hours after BOTOX injections:
Facials or other skin treatments, touching or rubbing the area Manipulating the skin may
interfere with product placement and increase the risk of migration or irritation.
Alcohol, aspirin, or anti-inflammatories These increase the risk of bruising by thinning the
blood.
Hot showers, saunas, steam rooms, strenuous exercise Heat, sweating, and elevated heart rate
can increase blood flow, potentially affecting the product’s settling process and increasing the risk of bruising.
Once the treated muscles relax (in about 5 to 7 days), the skin smooths and lines and wrinkles fade. It can take up
to a month to see a reduction in muscles like the trapezius or the masseter.
BOTOX
Risks & Complications
While BOTOX is generally considered safe when administered by a qualified professional, some risks and complications
can occur. These include:
Common Side Effects
Redness, swelling, or bruising
Temporary at the injection site.
Pain or discomfort
Mild and short-lived during or after treatment.
Headache
Typically resolves within 24 to 48 hours.
Less Common Side Effects
Asymmetry
Uneven results if BOTOX affects one side more than the other.
Eyelid or brow drooping (ptosis)
Caused by diffusion or injection of BOTOX into unintended muscles.
Frozen appearance
Over-injection can lead to unnatural or stiff expressions.
Rare Complications
Allergic reactions
Symptoms may include rash, itching, or difficulty breathing.
Dry eyes or excessive tearing
Particularly if injections are near the eyes.
Flu-like symptoms
Fatigue or mild fever post-treatment.
Double vision or blurred vision
If BOTOX migrates near the eye muscles.
Difficulty swallowing or speaking
Extremely rare, usually from injections around the neck.
Muscle weakness in unintended areas
If the toxin spreads away from the injection site.
Minimizing Risks
Aside from the very common and expected side effects of redness, swelling, and sometimes bruising, the most likely
risk with BOTOX is an unsatisfactory outcome such as asymmetry, drooping brows, or a frozen appearance. These, as well
as some of the more serious yet rare medical risks, are more likely with a less experienced injector.
The key to avoiding these unwanted consequences is to choose a highly qualified injector. Look for a dedicated
physician or PA-C injector with extensive training and experience with neuromodulator injections.
Here are some other things you can do to ensure a positive outcome.
Avoid specific medications: Blood thinners, NSAIDs, and supplements like fish oil can increase
bruising risks.
Disclose your medical history: Mention any neuromuscular conditions (e.g., ALS, myasthenia
gravis) or previous adverse reactions to BOTOX.
Most complications are mild and temporary, with serious risks being extremely rare when BOTOX is administered
correctly. Always follow your provider’s pre- and post-treatment care instructions to reduce potential risks.
Combining BOTOX With Dermal Fillers
While BOTOX improves wrinkles or contour irregularities caused by muscle contractions, dermal fillers can improve a
wide variety of concerns caused by volume loss, such as nasolabial folds (parentheses), smile lines, and under eye
circles and bags. We also use filler to sculpt features such as the nose, cheeks, lips, and jawline. At MFI, we
combine BOTOX and fillers in our Complete Facial Rejuvenation or Contouring package, often
called a “liquid facelift.”
Our Favorite Complete Facial Rejuvenation or Contouring Before AND After Photos
ABOUT OUR PATIENT This patient in his 40s sought out a non surgical facelift in San Francisco to rejuvenate his appearance and achieve a more athletic look. He came in with several concerns, including a round lower face with an undefined chin and jawline, volume loss in the under eye and midface area, flat cheekbones, and an indente... Read More
ABOUT OUR PATIENT The first time our staff met this patient was through Skype since he lives in a different country! Our wonderful patient flew from Israel to come to visit our office based on his research and admiration of our website of various before and after photos. His goals were to fix the asymmetry in his facial structure and to... Read More
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 s... Read More
ABOUT OUR PATIENT Being one of our nurses at Mabrie Facial Institute, Lindsey was more than happy to share her personal experience with our patients. Living in San Francisco, she is our go to person for all of the trendiest bars and restaurants. She felt like her appearance needed a recharge to match her upbeat personality and how y... Read More
ABOUT OUR PATIENT This lovely patient in her early 40's consulted with Dr. Mabrie with the hopes of rejuvenating her appearance. She felt that she looked tired/sleepy overall, with her under eyes and nasolabial folds was her biggest concerns. Additionally, she wanted to slim and contour her face that she felt la... Read More
ABOUT OUR PATIENT Our patient from Texas, flew to the West Coast to receive a full face treatment with us. He previously had a mini surgical face lift but was still interested in a procedure that would enhance his anti-aging goals without going under the knife twice. He also wanted to correct the volume loss and loose skin in his face af... Read More
ABOUT OUR PATIENT This amazing patient, in her late 30s, traveled from out-of-state seeking a rejuvenated appearance. She wanted a brighter, fresher look as she felt her facial features made her look tired. She also wanted to address facial asymmetry.MFI TREATMENT PLAN Our comprehensive approach involved... Read More
The price of your BOTOX treatment is dependent on the amount of product used, the number of treatment areas, and
the Injector. Prices are subject to change, so please call or check our Procedure Pricing page for current pricing.
Are there alternative BOTOX uses?
In addition to its cosmetic applications, BOTOX injections are also used to treat medical conditions including:
Migraines
Hyperhidrosis (excessive sweating)
Muscle spasms
Strabismus (lazy eye)
Overactive bladder
Does BOTOX hurt?
While BOTOX injections aren’t entirely pain-free, our patients find them very tolerable. The needle we use is
very fine, and injections are shallow. Most people describe the sensation as comparable to an insect bite.
How long does BOTOX Last?
Results appear in several days and will last about 3 to 4 months.
You can maintain and improve upon the longevity of your results with regularly scheduled maintenance treatments.
How can I make my BOTOX results last longer?
If regularly scheduled BOTOX treatments aren’t providing you with the longevity you’re looking for, you might
consider Daxxify, an advanced neuromodulator designed to extend the effects of treatment. While BOTOX typically
lasts about 3 to 4 months, we are seeing Daxxify results last up to 6 months or more in many patients. It works
similarly to BOTOX but contains a unique peptide stabilizer that helps prolong its effects. If you’re looking for
fewer maintenance treatments while still achieving smooth, natural-looking results, Daxxify could be a great
option to explore!
Can you get BOTOX while pregnant?
Researchers haven’t done studies on BOTOX in pregnant women, but out of an abundance of caution, it is not
recommended that you get BOTOX while you are pregnant or breastfeeding. The primary concern would be the
possibility of the drug entering your bloodstream and affecting the baby’s health, and there simply isn’t enough
research to say conclusively that there is no risk of this.
When can you lay down after BOTOX?
Out of an abundance of caution, we recommend that you don’t lie down for the first 4-5 hours after you get your
BOTOX injections. This isn’t because BOTOX “migrates” or shifts location when you lay down. It’s to prevent you
from putting pressure or inadvertently rubbing on the treatment sites, which can cause the product to spread.
How do you know when to start BOTOX?
That is a very personal decision, but one we’re happy to discuss at MFI. Some people wait until they are bothered
by lines and wrinkles that won’t go away. This is commonly anytime from your late 30s to your 50s. Other
individuals take a preventative approach and choose to start treatment in their 20s or early 30s.
Will anyone be able to tell I’ve had BOTOX?
Ideal BOTOX results are detectable, but not obvious. You should look relaxed and refreshed, as if you’ve had a
restful vacation. At MFI, we specialize in BOTOX treatments that produce natural-looking results. We like to say
that people will notice, but no one will know.
BOTOX isn’t working for me anymore. What can I do?
You may have developed antibody resistance, where the immune system neutralizes the botulinum toxin, or
tachyphylaxis, where the body becomes less responsive over time. Daxxify might be a good option for you. It uses a
peptide-enhanced formula that may reduce the likelihood of antibody formation and it lasts significantly longer—up
to 6 months compared to BOTOX’s 3 to 4 months. This makes it a great option if you’re experiencing diminished
results with BOTOX.
We’d Love To See You
Find out why so many women and men choose Mabrie Facial Institute for BOTOX treatment in the San Francisco Bay
Area. Request a consultation online with one of our Injectors, or call us at
(415) 445-9513 to
schedule your initial appointment. If you’ll be visiting us from outside the area, our Fly in for Your Procedure page was created just for you to help make planning your
trip as smooth as possible.
The MFI Advantage
MFI focuses exclusively on injectables and has set the bar in the art and science of fillers for more than 15 years. Dr. Mabrie, trained as a facial plastic surgeon, has dedicated thousands of hours to refining the most innovative, effective, and safe techniques for injectables. There is no other practice in the Bay Area with the level of experience, education, and passion for injectables you’ll find at MFI.