What To Expect From Your Initial Visit

Your initial visit is the beginning of a beautiful relationship. It is where we lay the groundwork for creating and maintaining Your Perfect Face. You’ll meet with Dr. Mabrie, who will listen to your goals and educate you about your options. Together you will:

  • Go through a comprehensive facial assessment in multiple lighting scenarios (directional lighting, light and shadow, revealing lighting)
  • Take clinical photographs for use in tracking your improvements
  • Identify and clarify your goals
  • Develop and document your personal treatment plan

In some cases, treatment can begin right away. In other cases, we will schedule an appointment for your injections at a time that is convenient for you.

What To Expect During Treatment

Makeup: Dr. Mabrie will clean the injection site before your treatment. Bring your cosmetics with you (such as cover-up) if you wish to camouflage any discoloration after your procedure.

Discomfort: An initial “pinch” is usually felt from the needle, which feels similar to a toothpick on the skin. However, most individuals experience very little discomfort during their procedure since dermal fillers contain a numbing anesthetic that takes effect immediately upon injection. Numbness from the anesthesia may occur around the eyes, nose, and lips for 1 – 3 hours.

Discoloration: Immediately after treatment, you may notice small injection marks or redness, which typically lasts a few hours.

What To Expect After Treatment

Pain: Most people are quite comfortable after their procedure, and discomfort (if any) is usually very mild. You may take Tylenol® to help with pain (avoid aspirin, Motrin, and fish oil for 1 week). A cool compress may be used for additional comfort. Dr. Mabrie does not recommend ice after treatment, as it may irritate the skin.

Swelling: Swelling around the injection site may occur immediately or up to 24-hours later. Sleeping with your head elevated can help minimize swelling and reduce facial puffiness.

Bruising: Bruising may include a black eye and can occur immediately after your injection, or up to 4 days later.

I'm a top 25 Most Loved Injector

Out of 2,000 nominees in the U.S., Dr. Mabrie was voted one of the Top 25 Most Loved Injectors for 2017 by the RealSelf community. Thanks to all our amazing patients for making him the only injector in the Bay Area to receive this honor.

Exercise: Patients are allowed to participate in light activities but should avoid strenuous exercise during the first 24 hours following treatment. Activities that raise the heart rate may increase your chances of bruising.

Follow-Up Care: After your initial treatment, your 1-2 month refinement appointment is very important. During your follow-up appointment, Dr. Mabrie will evaluate your results and may choose to further mold, or add additional filler for a more polished effect. Fillers typically do not migrate from one location to another, however, if there is fullness in a concentrated area, gentle pressure will redistribute the filler more evenly. It is usually best to allow Dr. Mabrie to perform this technique during your refinement appointment.

Maintenance Treatments: Dr. Mabrie’s treatment plans include periodic touch-ups every 6 to 9 months to ensure you get results that last. His comprehensive, step-by-step approach to nonsurgical facial rejuvenation, which Dr. Mabrie calls Illumination 360°, keeps you looking refreshed through maintenance treatments.

Dr. David Mabrie

For more than a decade, Dr. David Mabrie has been perfecting his technique for optimizing facial beauty with dermal fillers. He is the only facial plastic surgeon in San Francisco whose practice is focused entirely on injectables.