DERMAL fillers.
Restore the volume that softens with time — cheeks, jawline, lips, undereye. Modern hyaluronic-acid and collagen-stimulating fillers, placed by trained medical injectors.
Volume placed beneath the skin.
Dermal fillers are injectable gels placed beneath the skin to restore volume, smooth folds, and refine facial contours. Most modern fillers use hyaluronic acid (HA) — a sugar molecule your body already produces that holds water and creates lift. A few use other materials: calcium hydroxylapatite (Radiesse) for deeper structure, or poly-L-lactic acid (Sculptra) to stimulate your own collagen production over time.
Fillers and Botox solve different problems. Botox softens muscle motion that creates dynamic wrinkles. Fillers add volume to areas that have lost it — like cheeks that have flattened, jowls that have descended, or lips that have thinned with age. The two often work together as part of a comprehensive treatment plan.
Filler treatments take 30 to 60 minutes. Results appear immediately and last six months to two years depending on the product, area treated, and individual metabolism.
Trained injection, conservative dosing.
At Reviv Med Spa in Millbrae, dermal fillers are administered by our Medical Director Dr. Gayle Misle, MD, and our Aesthetic Nurse Megan Sosnick, RN — both with extensive training in injectable filler technique. Filler is a precision craft — the difference between a result that looks refreshed and one that looks "done" comes down to product selection, placement depth, and respect for natural facial proportion.
We carry the major filler product lines so we can match the right product to each area:
- Juvederm collection by Allergan Aesthetics
- Voluma XC, Vollure XC, Volbella XC, Skinvive — the broadest HA range, with products tuned for cheeks, midface, lips, and skin quality.
- Restylane collection by Galderma
- Lyft, Kysse, Defyne, Contour, Silk — a flexible HA family covering volume, contour, and lip work.
- RHA collection by Revance
- RHA 2, 3, and 4 — designed for facial movement and dynamic wrinkles.
- Belotero Balance by Merz Aesthetics
- Soft, integrative filler for fine lines and superficial placement.
- Radiesse by Merz Aesthetics
- Calcium hydroxylapatite for jaw, chin, and structural support.
- Sculptra Aesthetic by Galderma
- Poly-L-lactic acid that stimulates your own collagen production over months.
- Evolysse Smooth & Form by Evolus
- The newest FDA-approved HA line in the U.S. (2025) — cold-flow gels for fine lines (Smooth) and deeper folds (Form). Dedicated Evolysse page →
Most fillers contain lidocaine for comfort; we may add a topical numbing cream beforehand. The injections are precise — small amounts placed strategically — and most patients describe the sensation as a 2 to 3 out of 10. The full treatment takes 30 to 60 minutes.
You will see immediate volume from HA fillers, with final placement settling as swelling resolves over two weeks. We schedule a complimentary 2-week touch-up assessment so we can fine-tune placement on follow-up.
Nine areas, one toolkit.
In your consultation we'll identify which areas would benefit most for your goals. Most first-treatments cover 1–2 areas with one or two syringes total.
Cheeks
Restore midface volume and lift that softens with time.
Undereye hollows
Tear-trough placement — precise work to soften shadow.
Nasolabial folds
The smile lines from nose to mouth — softened, not erased.
Marionette lines
The lines from mouth corner to jaw — addressed with structure.
Jawline contour
Definition along the jaw and chin — frames the face.
Temples
Hollow temples filled to round the upper face.
Lips
Subtle volume and border definition — see /lip-fillers/ for dedicated work.
Chin reshaping
Projection and proportion at the lower face.
Smile lines
Perioral softening for a refreshed lower-face look.
Anatomy first, then the needle.
Safe injecting starts under the skin — the muscles, fat pads, and vessels that make every face different. We map your anatomy before we treat, choose the right depth and plane for each product, and inject conservatively with vascular safety front of mind. It is the difference between a result that looks like you and one that does not.
Volume that's gone, contour that's drifted.
Volume loss
Cheeks that have flattened, midface descent, hollows that show with age — the primary indication for HA filler.
Contour and proportion
Jawline definition, chin projection, temple hollows — structural placement that frames the face.
Folds and creases
Nasolabial folds, marionette lines, perioral softening — softened, not erased.
Collagen stimulation
Sculptra works differently — poly-L-lactic acid that triggers your own collagen production over months.
Skin quality
Skinvive and similar HA boosters address surface hydration and skin texture rather than adding volume.
Jawline Chin Lips Nasolabial Marionette Temples Undereye Cheek Jawline Chin Lips Nasolabial Marionette Temples Undereye Cheek Jawline Chin Lips Nasolabial Marionette Temples Undereye What to know, in four lines.
- 01
Filler is precision work — product selection, depth, and placement matter more than syringe count. We treat conservatively and add at the touch-up.
- 02
HA fillers (Juvederm, Restylane, Belotero) are reversible with hyaluronidase. Sculptra and Radiesse are not — they metabolize naturally over time.
- 03
Filler adds volume; Botox softens motion. They solve different problems and often work together. We carry both.
- 04
Pricing is per syringe and quoted in writing at consultation. No surprise charges, no day-of upsells.
From day zero, to a year-plus.
Treatment day. 30–60 min appointment. HA fillers give immediate volume; you walk out with visible change. Most patients return to work the same day.
Mild swelling and occasional bruising peak at days 2–3 and resolve over a week. Cold compresses the first few hours help. Avoid heavy exercise, alcohol, and saunas for 24 hours.
The product fully integrates and final shape settles. Complimentary 2-week touch-up assessment — we fine-tune placement if anything reads asymmetric or under-volumized.
Gradual fade as the filler metabolizes. Cheek and jaw fillers like Voluma can carry up to 2 years; lips and high-mobility areas refresh sooner. We schedule a refresh visit when you start to notice the volume softening.
Before your visit, and the days after.
- Schedule a Consultation
- We will discuss your goals, medical history, and any concerns. Disclose any medications or supplements you are taking, as some can increase the risk of bruising.
- Avoid Blood-Thinning Agents
- Discontinue use of blood-thinning medications and supplements such as aspirin, ibuprofen, fish oil, vitamin E, garlic, ginseng, and ginkgo biloba at least one week before the procedure. Always consult with your primary care physician before stopping any prescribed medications.
- Refrain from Alcohol
- Avoid consuming alcohol for at least 24-48 hours prior to your appointment to minimize the risk of bruising and swelling.
- Stay Hydrated
- Drink plenty of water in the days leading up to your treatment to ensure your skin is well-hydrated, which can help with recovery and results.
- Avoid Certain Skincare Products
- Refrain from using retinoids, glycolic acid, and other exfoliating or irritating skincare products on the treatment area for at least 48 hours before your appointment.
- Schedule Appropriately
- Plan your treatment at least two weeks before any important events to allow time for any potential bruising or swelling to subside.
- Prepare Your Skin
- Arrive at your appointment with a clean face, free of makeup, lotions, or sunscreen.
- Stay Relaxed
- Try to remain calm and relaxed before your procedure to help your body respond positively to the treatment.
- Do Not Touch or Rub
- Avoid touching, pressing, or massaging the treated area for at least 24 hours to prevent the filler from migrating.
- Stay Upright
- Remain upright for at least 4-6 hours after the treatment. Avoid lying down or bending over during this period to ensure the filler settles correctly.
- Apply Cold Compresses
- Use a cold compress to the treated area to reduce swelling and bruising. Apply the compress intermittently for 15 minutes at a time.
- Avoid Alcohol and Blood Thinners
- Continue to avoid alcohol and blood-thinning medications for at least 24-48 hours post-treatment to minimize bruising and swelling.
- Gentle Cleansing
- Cleanse your face gently with a mild, non-abrasive cleanser. Avoid using any harsh skincare products for at least 24 hours.
- Avoid Heat Exposure
- Stay away from direct sunlight, tanning beds, saunas, and hot tubs for at least 48 hours to prevent increased swelling and bruising.
- Avoid Other Facial Treatments
- Postpone any other facial treatments such as facials, microdermabrasion, or chemical peels for at least two weeks to ensure optimal healing.
- Monitor for Side Effects
- Mild redness, swelling, or bruising at the injection site is normal. However, if you experience severe pain, allergic reactions, or other concerning symptoms, contact your medical provider immediately. Use a high-SPF Sunscreen to protect your skin from UV damage, as treated areas can be more sensitive to sunlight.
- Avoid Smoking
- Refrain from smoking as it can impair the healing process and affect the longevity of your results.
You'll receive these filler instructions in writing before your visit and we review them with you in person. Questions during recovery? Call (650) 697-3339 — we answer same-day. See the aftercare hub for the universal recovery principles and when to call us.
What it actually costs.
Dermal-filler pricing at Reviv is from $750 per syringe. Most first-treatments use one or two syringes total. Final cost depends on the product chosen, the areas treated, and the volume your face needs — and we quote that in writing at consultation, before any treatment begins.
Reviv membership members receive 10% off filler treatments.
Who it's for — and who it isn't.
- Adults with age-related volume loss in cheeks, midface, jawline, or temples
- Patients seeking subtle contour refinement for jaw, chin, or lip border
- Patients with nasolabial folds or marionette lines they want softened
- Patients open to a series of Sculptra sessions for collagen stimulation over months
- Pregnant or breastfeeding patients
- Patients with active skin infection at the planned injection site
- Patients with bleeding disorders or on anticoagulants their physician has not cleared
- Patients with certain autoimmune conditions affecting connective tissue
Your filler team.
Dr. Gayle Misle, MD
Founder of Reviv Med Spa & Laser Treatment. Leads our injectable program with extensive training in filler technique and a conservative-first dosing philosophy.
Megan Sosnick, RN
Aesthetic Nurse and Practice Manager. Runs your initial consultation, places injections alongside Dr. Misle, and manages your 2-week touch-up assessment.
Real Reviv patients. No retouching.
Two weeks post-treatment. Same lighting, same pose, same camera. Tap any pair to read the case study — areas treated, syringes placed, product used.
Individual results vary. All photos are real Reviv patients, shared with consent. Lighting and pose are matched, no retouching.
The names you know.
We carry the FDA-approved filler families you can research yourself — Juvéderm, Radiesse, Belotero, and Skinvive among them — and choose the right one for your anatomy and goal at consultation. Every appointment starts face-to-face, with conservative dosing as our default.
What people say about Reviv.
…I went in for filler and laser treatments and couldn't be happier with the results. Dr. Misle took the time to listen to my goals, and make sure I was comfortable throughout the process. A concern I had in using fillers was whether it would look natural.…
…This was my first time getting filler and Dr. Gayle and everyone at Reviv Med Spa made me feel right at home.…
Yesterday was my first appointment at Reviv for Jeuveau and lip filler. I had a great experience with Dr. Misle and the entire team.…
Frequently asked.
How long do dermal fillers last at Reviv?
HA fillers typically last 6 to 24 months depending on the product and the area. Lip fillers metabolize faster (6–12 months) because the lips are highly mobile. Cheek and jaw fillers like Voluma or Lyft can last up to 2 years. Sculptra (collagen stimulator) builds results over 3–6 months and lasts 18–24 months.
Will I look "done" or overfilled?
Not when it is done well. The "filler face" look comes from over-volumization or chasing trends rather than respecting individual proportion. At Reviv we treat conservatively — we would rather under-fill at the first appointment and add at your 2-week touch-up than over-correct on day one. HA filler is reversible (with hyaluronidase), but the better practice is precision from the start.
How much do dermal fillers cost?
Pricing starts at $750 per syringe. Most first-treatments use one or two syringes; products vary in price. Final cost depends on product, area, and volume needed — book a consultation for an exact quote. Reviv membership members receive 10% off.
Do dermal fillers hurt?
Most patients describe it as a 2–3 out of 10. Topical numbing is applied beforehand, and most fillers contain lidocaine which numbs as the product is placed. Lips are the most sensitive area and benefit most from numbing.
Is there downtime?
Minimal. You can return to work the same day. Bruising and swelling peak at days 2–3 and resolve over a week. Avoid heavy exercise, alcohol, and saunas for 24 hours.
What is the difference between fillers and Botox?
Botox softens muscle movement to reduce dynamic wrinkles (lines that appear with expression). Fillers add volume to areas that have lost it. They solve different problems and often work together. We carry both at Reviv and will recommend what is right for your goals.
Are fillers reversible?
Hyaluronic-acid fillers (most modern fillers) are reversible — an enzyme called hyaluronidase dissolves them. Non-HA fillers (Radiesse calcium hydroxylapatite, Sculptra poly-L-lactic acid) are not directly reversible but metabolize naturally over time.
How soon will I see results?
HA fillers show immediate results that improve as swelling resolves over the first 2 weeks. Sculptra is different — the collagen-stimulating effect builds over 3 to 6 months across a series of treatments.
Are there side effects?
The most common side effects are bruising and swelling at injection sites that resolve in 1–2 weeks. Less common side effects include lumps (usually massage-correctable) or vascular complications (rare with experienced injectors who aspirate before placement). We screen carefully and use techniques designed to reduce risk.
Who should not get dermal fillers?
Patients who are pregnant or breastfeeding, who have bleeding disorders, who have an active infection at the injection site, or who have certain autoimmune conditions affecting connective tissue. We screen at consultation. If you have questions about whether filler is right for you, ask us.
Patients come to us from across the peninsula.
Reviv Med Spa is at 31 S El Camino Real in Millbrae, California — easy to reach from across the Bay Area peninsula. Patients come to us from Burlingame, San Mateo, Hillsborough, San Bruno, Foster City, and the broader peninsula including Atherton, Belmont, Brisbane, Daly City, Half Moon Bay, Menlo Park, Pacifica, Palo Alto, Portola Valley, Redwood City, San Carlos, and South San Francisco. Off the 101, just south of SFO. Free parking on site.