Also known as
Mid Face Lift, Tear Trough Filler, Eye Bag Filler, Dark Circle Filler, Cheek Fillers, Under-Eye Rejuvenation 


Do you have under-eye circles and/or deepening nasolabial folds that keep you from looking as youthful and vibrant as you feel inside? Are you looking for a non surgical solution that erases that fatigued look and awakens your beauty? Ask for Midface Rejuvenation.

Dark circles and eye bags, nasolabial folds, and sagging cheeks are among the most common concerns our San Francisco patients have. But the real solution isn’t common knowledge.

These traits are symptoms of an underlying issue: a sunken midface. When the midface “sinks” from age-related volume loss, we see:

  • Bags, dark circles, and hollowness under the eyes
  • Sagging/undefined cheekbones
  • Nasolabial folds

The real solution: Restoring structure to the midface. A structured midface is composed of a single, visually smooth aesthetic zone that starts at the cheekbone and seamlessly curves from under the eye to the corners of the mouth.

Dark Circles & Nasolabial Folds Are Caused by
a Sunken Midface

Sunken Midface
Sunken Midface
Structured Midface
Structured Midface
Before midface rejuvenation
After midface rejuvenation

Before midface rejuvenation profile view
After midface rejuvenation profile view

From Sunken Midface to Structured Midface

How a sunken midface can turn into a structured midface

To understand the difference between a sunken midface and a structured midface, think of your midface like a soufflé or cake: When the middle sinks, the cake deflates down and inward, pulling on the edges causing them to flatten and buckle. The same occurs when the midface loses volume. The bordering areas (under-eyes, cheeks, and nasolabial folds) are impacted by the loss of support in the midface (the center).

At MFI, we create a structured midface—one that is supported by just the right amount, type, and placement of fillers. We restore the continuity and smooth contours from the cheekbones to the under-eye to the corners of the mouth, treating it as one seamless zone.


Our Full Face 360° package is perfectly designed to help you look your absolute best. From the top of your forehead to your chin and jawline, your Wow-worthy results will help you feel confidently ready for anything (from any angle).

Illumination 360°

Real Midface Rejuvenation Transformations

Volume loss in the midface is responsible for 3 big problems that bring people to MFI: under-eye bags/dark circles, nasolabial folds, and sagging cheeks. When we add structure to the sunken midface, treating it as one continuous zone, the results are truly remarkable. Midface Rejuvenation can take years off your appearance, giving you a refreshed, rested appearance. Take a look for yourself, and see the kind of results you can expect from your treatment at MFI. If you see your own concerns in these examples, ask for Midface Rejuvenation.

Under-Eye Bags, Dark Circles, Hollowness Treated with Midface Rejuvenation

Before under-eye treatment with dermal fillers.
After under-eye treatment with dermal fillers.

This San Francisco Bay Area patient in her 20s had under-eye bags successfully treated with Midface Rejuvenation.

Before Juvederm Voluma to patients midface and cheeks with Restylane under eyes and RADIESSE on his cheek bones.
After Juvederm Voluma to patients midface and cheeks with Restylane under eyes and RADIESSE on his cheek bones.

This patient received JUVÉDERM VOLUMA to his midface and cheeks and Restylane under his eyes to fill in shadows. At his refinement visit, Kimberly layered on more of both for optimal results, along with some RADIESSE to chisel his cheekbones.

Before Illumination 360˚  Midface Rejuvenation for under-eye circles and nonsurgical rhinoplasty
After Illumination 360˚  Midface Rejuvenation for under-eye circles and nonsurgical rhinoplasty

This patient had Illumination 360˚ Midface Rejuvenation for under-eye circles and Non Surgical Rhinoplasty Enhancer add-on. Her Injector applied Restylane to her nose and tear trough and JUVÉDERM VOLUMA to her cheeks and midface.

Before Restylane treatment for dark under eye circles
After Restylane treatment for dark under eye circles

This young man had significant dark circles that disappeared after 2 applications of Restylane, followed by 1 more 6 months later.

Sagging, Undefined Cheekbones Treated With Midface Rejuvenation

Midface rejuvenation Problem Area - Sagging Cheeks - Before
Midface rejuvenation Problem Area - Sagging Cheeks - After

This professional male in his 50s had sagging cheeks, skin laxity, and premature aging. Midface Rejuvenation provided the underlying structure and vertical lift to smooth his sagging cheeks and revitalize his appearance.

Before cheek restoration through Juvederm Voluma and Restylane
After cheek restoration through Juvederm Voluma and Restylane

This woman’s treatment began with tear trough filler (Restylane). The results inspired the addition of cheek fillers (JUVÉDERM VOLUMA), followed soon after by chin and nose enhancements.

Nasolabial Folds Treated With Midface Rejuvenation

Before nasolabial folds treatment with dermal fillers.
After nasolabial folds treatment with dermal fillers.

This bubbly patient in her mid-30s had deep nasolabial folds and under-eye bags from a sunken midface. Midface Rejuvenation significantly refreshed her look, which now reflects her youth and vitality.

Before nasolabial folds treatment with dermal fillers.
After nasolabial folds treatment with dermal fillers.

This patient had midface sagging that distracted from her natural beauty. Dr. Mabrie added structure to her cheekbones, midface, and chin with JUVÉDERM VOLUMA. He applied Restylane to her tear troughs, lips, nasal bridge and tip. Ultimately, he sculpted her jawline with a syringe of RADIESSE. Her results are the product of 3 treatment sessions.

The Stages of Your Midface Rejuvenation

To get the best filler results for our Bay Area patients, dark circles, bags, smile lines, and sagging cheeks are corrected with layers of filler applied over the course of at least 2 appointments. Using fillers like Restylane®, JUVÉDERM®, and RADIESSE®, we restore structure in the midface in carefully executed stages. This approach is key to achieving the caliber of results we want for our patients. We strongly encourage all our patients to book at least the first 2 appointments in their initial call.

man with undereye fillers

Planning Your Midface Rejuvenation Treatment

Your Midface Rejuvenation procedure requires a minimum of 2 appointments for results.  Please plan to spend about 3 hours in the office for your first visit. This staged approach allows us to create structure, support, and truly remarkable yet natural-looking, healthy results.  While we can accomplish a lot during one appointment, we have learned over the years that too much filler too soon can create obvious results, and a “layered” approach works best. 

Our Injectors use a variety of injectable fillers for your Midface Rejuvenation procedure. Filler selection is customized for each patient’s needs based on anatomy, skin thickness and laxity, and degree of volume loss.

After treatment, tenderness and swelling are common.  Be sure to check out our After Treatment video for helpful tips during your recovery.  Most patients return to normal activities the same day.  All of our treatments are performed by licensed, medical professionals for your safety, comfort, and best results.   

For more information about your treatment, visit Your Treatment Timeline

Mini Under Eye Procedure

While most people need the full Midface Rejuvenation Package to treat their under eyes, occasionally there are patients with minimal symptoms who can get by with a scaled-down treatment. For these individuals, we offer a mini version of our Midface Rejuvenation procedure.

This procedure may be ideal for patients who:

  • Have minimal volume loss
  • Have existing filler to the area from an outside injector
  • Do not wish to address their cheekbones and nasolabial folds

The Mini Under Eye procedure is a one-appointment treatment that uses 1 syringe of Voluma to the midface and 1 syringe of Restylane-L to the under eyes. The Midface Rejuvenation package uses 2 Voluma and 2 Restylane-L syringes divided into 2 treatments. The mini procedure targets bags and dark circles under the eyes, whereas our Midface Rejuvenation package targets cheeks and nasolabial folds in addition to the under eyes.  

Midface Rejuvenation & Mini Under Eye Pricing

Under Eye Filler/Midface Rejuvenation (for under eye, nasolabial folds, and cheeks)
Includes up to 4 syringes of filler.
Refinement Syringes
Mini Under Eye procedure (minimal under eye volume loss)
Includes 2 syringes of filler.
Additional Syringes PHYSICIAN

*Discounted syringe pricing applies only during the active (initial) treatment phase

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 carefully selecting and training our talented Injectors in 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.

Schedule Me

We’d Love To See You

If you are interested in learning more about improving the look of your under eyes, nasolabial folds, and cheeks, request a consultation online and ask for Midface Rejuvenation. Or you can call us at (415) 445-9513 to schedule your first two appointments with one of our highly trained specialists. 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.

Midface Rejuvenation FAQs

How much does midface rejuvenation cost?

The midface rejuvenation package price is $4,200-$5,300 (depending on Injector). This includes your first appointment and up to 4 syringes of filler, as well as your second appointment. If additional syringes are needed, those are priced at a reduced rate.

0% financing for 6 to 12 months is available for qualified borrowers through CareCredit  and  Alphaeon  medical financing.

How long do dermal filler results last?

Depending on which fillers are used and which areas are treated, your results can last from 6 to 18 months or longer. Dermal fillers are temporary products that require touch-ups to maintain results.   We recommend maintenance appointments at 9- to 12-month intervals to keep your results looking fresh. For more in-depth information about the longevity of fillers, visit our page on How to Make Your Results Last.

What is recovery like after dermal filler injections?

Immediately after treatment, you may experience swelling, tenderness, redness, and bruising.  These are normal side effects and are most apparent 24 to 48 hours after treatment. They can last up to 2 weeks, but typically subside within 2 to 5 days. Because we know you have questions about aftercare, we created an entire page dedicated to Understanding Your Recovery Process. Most patients return to work same-day.

Which fillers do you use for midface rejuvenation?

Generally, for under-eye rejuvenation, we use Restylane® as our go-to tear trough filler and JUVÉDERM VOLUMA® is our favorite of the cheek fillers. Both of these are hyaluronic acid fillers, which means they are reversible and there is virtually no risk of allergic reaction. Learn all about the fillers we use by visiting Dermal Fillers 101.

Can I get a single-area treatment, like under my eyes or in my nasolabial folds?

Sometimes a person can benefit from a single-area treatment, but rarely. For certain individuals, we offer a Mini Under Eye procedure. In our many years of dedicated experience and treating thousands of patients, we’ve learned that treating a single area on its own is ineffective and could make the area look worse. Without addressing the midface, you can get a drooping/puddle effect that creates heavier under-eye bags and nasolabial folds—the exact opposite of what you want. When we add structural support in the midface, it allows the filler to remain precisely where we want it.

What if I have very minimal dark circles?

Our Mini Under Eye procedure might be just right for you! If you have minimal circles and/or bags, we offer this scaled-down procedure which uses less filler and comes at a lower price point.

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