Dr. Gayle Misle, MD
Anesthesiologist trained at U Nebraska College of Medicine + UC Davis. Former Chief of Anesthesia at San Leandro Hospital. Lead provider for protocol design across face, body, and wellness.
A medical spa in Millbrae, CA — Botox, dermal fillers, and laser treatments for the Peninsula and greater Bay Area. Skin, structure, and whole-body wellness, tended as one continuous ritual; cutting-edge technology, applied with restraint.


CoolSculpting Elite
Sylfirm X
MOXI
BBL Hero
Renewal Rituals
Dermal Fillers
PRP Hair
IV Drips
Skinvive
Botox
CoolSculpting Elite
Sylfirm X
MOXI
BBL Hero
Renewal Rituals
Our mission is to provide patients with the safest cutting-edge technology for skin rejuvenation and aesthetic improvement. We believe ultimate health requires treating the individual from the inside out.
Our Millbrae practice was designed around a single idea: that medical care can feel restorative the moment you step inside. Tuscan arches, hand-troweled plaster, sage and lavender — a room to slow down in.



Lavender chairs, Tuscan archways, and orchids in bloom — the room you wait in is part of the treatment.
Cross-vaulted ceilings and travertine columns. Light filters in slowly, the way time should move here.
Floor-to-ceiling arched windows on El Camino — the threshold between street and ritual.
Sage-leather seating and warm stone. A place to settle before, and decompress after.
One-of-its-kind radiofrequency microneedling for tone, texture, and pigment. Twelve benefits across a single protocol, customized to your skin.
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Pre-juvenation for early pigment and texture concerns. Low downtime, visible luminosity — ideal for patients in their late 30s and 40s.
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Non-invasive fat reduction that freezes treated cells so the body clears them naturally. Refinement, not transformation.
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The fastest, most versatile BBL device for skin quality, pigment, and redness. Cumulative results; kinder to the biological clock.
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Our elevated lymphatic line — Glow Release, Sculpt & Detox, Total Renewal. For every stage of your wellness journey.
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An injectable hydrator that improves smoothness and glow from within. Not a filler — a skin-quality treatment.
Learn MoreWellness as a lifelong ritual. Whether you're looking to glow, sculpt, detox, or restore, our Renewal Rituals are designed to support you at every stage — gentle, non-invasive lymphatic drainage that leaves you lighter, refreshed, and visibly revitalized.
Red Light Therapy + HA Mask. Supports collagen, hydration, and skin rejuvenation.
Lymphatic Facial Cupping. Enhances contour, circulation, and natural lift.
NuEra Tight Radio Frequency. Firms and smooths while stimulating collagen.
For monthly maintenance as a sustained practice:
Discover The Reviv Ritual Club · Or explore the full Renewal Rituals page
Our treatment menu, grouped by what it addresses — face, body, and whole-body wellness. Tap a section heading to see the full collection. Every page covers what the treatment is, how it works at Reviv, what to expect, and who shouldn't get it. We give honest answers; you decide.
Wrinkle softening with all four major neurotoxin brands.
Volume + contour for cheeks, jaw, chin, under-eye.
Subtle lip enhancement with lip-specific HA fillers.
Autologous platelet-rich plasma for skin texture and tone.
Sciton fractional laser for sun damage, fine lines, texture.
BroadBand Light for pigment, redness, vascular concerns.
FDA-approved injection for permanent submental fat reduction.
Custom hydration and nutrient drips under medical oversight.
GLP-1 program with screening, dosing, and follow-up.
Sylfirm X RF + PRP + Benev exosomes combination protocol.
Mild HBOT as a wellness adjunct for recovery.
Three signature lymphatic rituals — Glow / Sculpt / Total Renewal.
Or browse the full Featured Treatments hub, and join The Reviv Ritual Club for monthly maintenance.
Book a ConsultationReviv Med Spa & Laser Treatment is at 31 S El Camino Real in Millbrae, CA — minutes from SFO and central to the Peninsula. We care for patients from Burlingame, San Bruno, and Hillsborough next door, and welcome those who travel from across the mid-Peninsula and the greater Bay Area:
A multidisciplinary team of physicians, nurses, aestheticians, and wellness specialists. Every treatment plan is built by the practitioners who will deliver it — considered, collaborative, and adjusted over time.
Anesthesiologist trained at U Nebraska College of Medicine + UC Davis. Former Chief of Anesthesia at San Leandro Hospital. Lead provider for protocol design across face, body, and wellness.
12 years at Reviv. MS in Entrepreneurial Leadership from Babson College. Oversees business development, marketing, and patient operations.
Licensed Esthetician focused on personalized skin care. Tailors treatments to individual goals, with deep expertise in pre- and post-treatment recovery protocols.
Trained at Gurnick Academy of Medical Arts. Came to aesthetics in 2018 from Sephora Senior Education. Specializes in non-surgical beauty treatments and body contouring.
I have been coming to Dr. Misle for several years now and she is the best! I get botox treatments in my jaw for TMJ and it works wonders. I highly recommend Dr. Misle for Botox treatments.
I had a wonderful experience at Reviv. Megan was amazing, kind professional and very knowledgeable. She took the time to listen to my concerns and I am so happy with the results. Highly recommend the whole team.
Dr. Misle and staff are wonderful! My treatments have always been amazing. I am always made comfortable and truly cared for. Highly recommend Reviv Med Spa for a top-quality service.
I’ve had Botox and filler done in the past and this was one of the best experiences I’ve had. You can definitely tell (and feel) the difference with someone who has had years of experience - like Dr. Misle. My face looks great! I will 100% return 👏🏼👏🏼👏🏼 to Reviv.
I love Dr.Gayle Misle. I’ve been coming to her for years! Quality service! Definitely recommend! Best service in town!
A high-volume, trusted provider of Allergan products — Botox, Juvederm, and SkinMedica — in the San Francisco Bay Area.
See our credentials →Two annual memberships — Renew and Reviv — that pay for themselves on the second visit. Member pricing on neurotoxin, filler, lasers, body contouring, and the products you already buy.