Under-eye circles, hollows, and bags; nasolabial folds; and sagging cheeks all top the list of concerns that bring people to our San Francisco Bay Area practice for dermal fillers. Many of us have these problem areas that can make you look tired and add years to your face. It’s natural to want to “fix” them by injecting filler to the area (bad idea—we’ll get to that later). But these conditions are actually just symptoms of an underlying issue that’s not as visible. The real culprit is volume loss in the midface, which must be addressed as a zone to restore a smooth under eye area and reduce the prominence of nasolabial folds. That’s where our Under Eye – Midface Rejuvenation procedure comes in.

Do You Need Midface Rejuvenation?

Midface volume loss causes both dark circles and nasolabial folds.

The idea of treating the midface as 1 zone often causes an “Aha!” moment for our patients.

What exactly is the midface? This zone or area consists of several facial areas starting at the tear trough, extending outwards to the cheek then continues downward encompassing the mid-cheek to the corner of the mouth. Treating this area as 1 zone is key for the most natural and refreshed results versus applying filler directly to the singular areas. Why?

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 its volume. The bordering areas (under eyes, cheeks, and nasolabial folds) are impacted by the loss of support in the midface (the center). When this volume loss occurs, the secondary effects can be more noticeable than the underlying cause.

WHAT YOU SEE

  • Under eye shadows and bags
  • Nasolabial folds (smile lines)
  • Sagging cheeks

WHAT WE SEE

The midface is starting to sink, causing all of these other symptoms that are drawing your attention. You may also see a combination of them, causing an overall tired, aged appearance.

3 Problem Areas, 1 Solution – Getting In the Zone

The Midface Zone

  • Problem 1: Dark Circles / Bags
  • Problem 2: Nasolabial Folds (Smile Lines)
  • Problem 3: Flat or Sagging Cheeks (Aging Face)

Our Under Eye – Midface Rejuvenation procedure approaches treatment differently, by treating the area as 1 zone, the entire midface is refreshed while providing an effective solution to the 3 biggest problems created by volume loss: under eye bags, nasolabial folds, and sagging cheeks.
Let’s take a closer look at a few of our real patients’ before/after results to see midface rejuvenation in action!

Problem 1: Under-Eye Bags, Dark Circles, Hollowness

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

With adequate support, a little filler under the eyes can go a long way.

Learn more about her treatment plan and journey to rockstar results in our photo gallery.

Problem 2: Nasolabial Folds

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

The nasolabial folds—the crease of skin from the nose to the corner of the mouth—are a frequent concern for the still-young-but-starting-to-age population. Everyone has these lines, but when the cheek skin is not supported by midface and cheek volume, it falls downward and forward causing the nasolabial fold to become deeper and more pronounced.

Like the eyes, the nasolabial folds are commonly mistreated with a syringe of filler placed directly into the crease or groove that can actually make the fold more noticeable. The nasolabial folds are best corrected by treating the entire midface area with filler. Restoring volume to the midface lifts the skin, greatly diminishing the nasolabial fold.

Problem 3: Sagging Cheeks (Premature Aging)

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

The aging face usually starts with mild under eye bags and nasolabial folds caused by volume loss in the midface. As the volume continues to degenerate, the effects are more severe, causing the cheeks to sag or droop.

Restoring volume to the midface creates vertical lift to smooth sagging cheeks of the aged face. This also diminishes the nasolabial folds and under eye hollows/bags.

What’s Wrong With Just Treating the Single Area?

The simple answer is, treating a single area on its own is ineffective and could make the area look worse. Most patients and many providers, attempt to solve under eye and nasolabial fold concerns by placing filler where you see the line/shadow/bag. This is the wrong approach because it doesn’t address the root cause of the problem. When filler is placed incorrectly, it can cause a drooping/puddle-effect that can make your initial concern more exaggerated creating heavier under eye bags and nasolabial folds—the exact opposite of what you want. This leads to a high level of patient dissatisfaction and creates a belief that “fillers didn’t work on me.” Properly placed filler, in the right hands, can be an effective solution for both women and men of varying skin types and ages.

At Mabrie Facial Institute, we have learned through many years of dedicated experience and treating thousands of patients that to properly rejuvenate these areas, a “zone” approach is necessary for the most natural, refreshed results. When we create structural support in the midface, it allows the filler to remain precisely where we want it.

Your Midface Rejuvenation Procedure

We take a holistic approach to fixing dark circles, bags, smile lines, and sagging cheeks, and our patients love the results. Using several types of fillers, we focus on restoring volume to the midface and the adjacent areas, and we stage this process over 2 (or more) appointments.

Initial Appointment

Treatment begins by restoring volume to the larger anatomical areas—the midface and cheeks—to address primary volume loss and/or bone resorption. This serves to create the “foundation” that we’ll build upon at your refinement appointment.

We wait 1 to 3 months between treatments to allow for swelling to subside before placement of the next layer of filler, only where it is needed.

Refinement Appointment

At this appointment, we evaluate the results of your initial treatment, then build upon that initial foundation. We can now directly place filler in the smaller areas—such as the tear trough or nasolabial folds—knowing that we have the support in place to keep it there. This is where you’ll really see your results take shape, however, you may still require a third appointment for optimal results.

For more detailed procedure information, visit Your Treatment Timeline.

Midface Rejuvenation Pricing

MIDFACE REJUVENATIONPRICE
Injector | Dr. Mabrie, MD
$4,500
Injector | Kimberly, PA-C / Tiffany, PA-C
$3,500
Refinement Syringes
$600/$500

To learn more, visit our Fees & Financing page.

The Team at
Mabrie Facial Institute

Our team is made up of experienced medical professionals with a shared passion for facial rejuvenation and contouring with injectables. Hand-picked and trained by Dr. Mabrie in the Illumination 360° approach, they work with you to create a treatment experience that exceeds your expectations.

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 with one of the specialists at Mabrie Facial  Institute 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. 

Midface Rejuvenation FAQs

How much does midface rejuvenation cost?

The midface rejuvenation package price is $3,500-$4,500 (depending on Injector). This includes your first appointment and the products used, as well as your second appointment and one additional syringe of filler. 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 after care, 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® for the tear trough and JUVÉDERM VOLUMA® for the cheeks and midface. 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.

A Reputation Built on Results

You deserve the highest caliber of service, care, and results, and at Mabrie Facial Institute, we're committed to providing all that and more. But don't take our word for it—see for yourself what our actual patients have to say about their experiences with us.

Read More Patient Reviews
Google
5.0/5
Apr 6, 2021
Google Mabrie Facial Institute
Loving my results so far! I can't wait to come back again! The staff was so friendly and made me feel welcomed and very safe. The office is beautiful and clean! I was immediately greeted and did a COVID screening with a temp check. They escorted me to my room with a beautiful view of SF. I felt pampered, and their customer service is excellent! The injector Tiffany answered all my questions and made me feel at ease, since this was my first time getting Botox. After she marked my face, she explained where and why she was placing the Botox in certain areas. My frown muscles were so bulky and I didn't like how it always looked like I was frowning even when my face was at rest. Now, I don't always look like I'm frowning! My frown muscles look less bulky, forehead looks smoother and I got a subtle brow lift -- I love it!
Facebook
5.0/5
Mar 29, 2021
Facebook Mabrie Facial Institute
Very comfortable coming here. Love the remodel they did in their new office. Of course Dr. Mabrie skills are becoming legendary.
Facebook
5.0/5
Feb 19, 2021
Facebook Mabrie Facial Institute
Dr. Mabrie and his staff are so welcoming, reassuring and most of all skilled at making you look your best. Great location and groovy vibe to the office overlooking Union Square. I got the Illuminate 360 because I deserve it!
Facebook
5.0/5
Jan 13, 2021
Facebook Mabrie Facial Institute
They are amazing here w/ customer service, amiable, listen fully to your desires, and work their hardest to bring them to fruition whether it’s the initial appointment or in my case, complementary touch up w/in set timeframe. Just for clarification, when I put “they” I mean everyone from whomever answers the phone/anyone greeting you when the elevator’s doors open and you arrive at your appointment to your departure via the elevator again. Side note: I would include the security/door men as they’ve always been pleasant to me, but they aren’t apart of this business🙂
Facebook
5.0/5
Nov 18, 2020
Facebook Mabrie Facial Institute
I've never had anything done before this. Everyone at Dr. Marbrie office made me feel right at home. I loveeee the work they did and Kim is the BEST! THANKS GUYS!!
Google
5.0/5
Nov 18, 2020
Google Mabrie Facial Institute
For my first time ever getting work done on my face, this was a great experience. They made me feel at home and comfortable which eased my fear. I got my mid-area done by Kimberly and it looks amazing. I can’t wait to fly back out there for my second session! If your looking to have work done I highly recommend them, you’ll be happy you did.
Facebook
5.0/5
Sep 29, 2020
Facebook Mabrie Facial Institute
I came in earlier today and got a 360 facial treatment done. Everyone in the office made me feel really comfortable. It’s a really lovely space and it’s chic but really homey. I definitely would go back and I feel safe with the results. I feel like Dr. Mabrie was very transparent about the pricing and what he would be using and where. I do still have some swelling in my chin mainly. But excited to see what it looks like when I’m healed!
Google
5.0/5
Aug 3, 2020
Google Mabrie Facial Institute
Dr. Mabrie is a wizard. After extensive research across California (SF to LA and everywhere in between) for who to consult for some of my skin concerns, I chose this clinic for Dr. Mabrie's multi-faceted expertise and reviews on meticulousness. I wasn't shorted, him and his team are incredible.
Google
5.0/5
Jul 8, 2020
Google Mabrie Facial Institute
I've visited Mabrie Facial Institute twice, and both visits were stellar. All staff members, from the font-line staff, to assistants, all the way up to Dr. Mabrie were kind, caring, thoughtful- I honestly just can't say enough. At no time did I feel pressured about anything. Honestly (and trust me, I'm skeptical of most people), everyone there made me feel appreciated and cared for. They were patient with my endless questions, did very careful work, and were just overall so lovely and personable. I've honestly never had such a great experience before.
Facebook
5.0/5
Mar 5, 2020
Facebook Mabrie Facial Institute
Dr David Mabrie He is amazing 😘
Facebook
5.0/5
Mar 2, 2020
Facebook Mabrie Facial Institute
Best face guy around. Full stop.
Google
5.0/5
Feb 13, 2020
Google Mabrie Facial Institute
I first came across Dr. Mabrie’s practice when I was reviewing the top 100 US aesthetic injectors list for 2019. While I had been to other offices in LA and NYC, I had been dying to go someplace in The Bay (where I live). Finally I had found a practice where I could draw up a beauty plan and see tangible, top of the line results. Fast forward to 2020 and I’m on my second visit with Kimberly for lower face enhancement and masseter slimming with Botox. The warmth, professionalism, and artistic vision of Kimberly and the Mabrie team is unparalleled — I highly recommend if you’ve been considering any type of cosmetic beautification, that you jump right into the chair at Mabrie Facial Cosmetics. Thanks again Mabrie team!! I love my results, and can’t wait to see you again in just a month’s time.
Google
5.0/5
Feb 5, 2020
Google Mabrie Facial Institute
Dr. Mabrie is the most skilled filler doc in the bay area! He's so skilled and transparent about pricing. Also, his office is beautiful and the staff are so friendly. Highly recommend!!
Google
5.0/5
Jan 30, 2020
Google Mabrie Facial Institute
Previously, I've used online coupons offers which slightly improved my sunken eye look, as well as the furrows on my brow and mouth. After receiving Dr. Mabrie's facial treatment, my husband who hadn't been too impressed with my coupon treatments, immediately said, "WowI Baby, you look so beautiful!" I cannot give a greater testimonial than that. And I too share my husband's sentiment - I do look damn amazing! 🙂
Google
5.0/5
Jan 29, 2020
Google Mabrie Facial Institute
I have been going to Dr. Mabrie for probably seven years and I look better than ever! I saw his online discussions of his techniques and decided, this is the doctor for me! I have not been disappointed and it's definitely worth my 2.5-3 hour drive to San Francisco to get my treatments. He and his entire staff are excellent!
Google
5.0/5
Jan 28, 2020
Google Mabrie Facial Institute
I’m so happy with my results! Excellent service, David Mabrie and his team are awesome. I’m certainly coming back for a refinement treatment and touch ups in 9-12 months time. Thank you !!!!
Facebook
5.0/5
Jan 22, 2020
Facebook Mabrie Facial Institute
If you’re interested in looking younger, or you feel self conscious about any particular part of your own face, GO SEE Dr. Mabrie! You won’t ever regret seeing this amazing, compassionate, incredibly talented and intelligent Doctor. He has changed so many lives, and he will make yours better too.
Google
5.0/5
Dec 3, 2019
Google Mabrie Facial Institute
Truly, the best practitioner in the Bay Area, and one who keeps up to date on new developments in the field. Since 2017, when I first went to see Dr Mabrie after noticeable loss of volume in my face, he's carefully restored me back to my younger appearance. He doesn't ever suggest unnecessary treatments or over-inject; he's not cheap (nothing in San Francisco is), but his expert approach to fillers guarantees very natural-looking results that will elicit "Oh, you're looking so great!" comments, rather than the dreaded "Got some work done, huh?" Highly recommend him!
Google
5.0/5
Nov 9, 2019
Google Mabrie Facial Institute
Dr Mabrie's office was in a convenient location in Union square. It is an elegant office, I was greeted warmly. I was nervous as I had other facial experiences that I did not want to repeat. Matt gave me details on the products and answered all my questions even ones I didn't know I had. When Kimberly can in I was ready. With a steady gentle touch she made such a difference in my appearance. I am excited to get back in and continue down the path of renewal. I look like me only refreshed. Comments like you look great, had some time off? I love it!
Google
5.0/5
Oct 22, 2019
Google Mabrie Facial Institute
I love seeing Dr. Mabrie and his lovely staff! They keep me looking fresh going on 5 years!
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