Reviv Med Spa & Laser Treatment
Millbrae, CA Book Consult
Now accepting new patients · Millbrae, CA
Skin health,
reframed as
Recover. Reviv. Rejuvenate.

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.

Book a Consultation Meet the practice
No. 01 · The Space
Tuscan light,
Bay Area care.
No. 02 · The Mark
rev v
Med Spa
Since 2014
Botox 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 Practice · Est. 2014

A leading medical spa
in Millbrae, CA.

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.

01
Inside out
Skin, structure, and the body that supports both are one system.
02
Plan, then adjust
A protocol is a starting point — we calibrate to how you respond.
03
Restraint
The measure of a treatment is that you still look like yourself.
04
Time
The best outcomes unfold across months and years, not minutes.
The Reviv Philosophy
Recover.Reviv.Rejuvenate. Recover.Reviv.Rejuvenate. Recover.Reviv.Rejuvenate.
See Our Practice · Millbrae

The space,
built like a sanctuary.

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.

The LoungeThe AtriumThe ReceptionThe Foyer
01 · The Lounge

Lavender chairs, Tuscan archways, and orchids in bloom — the room you wait in is part of the treatment.

02 · The Atrium

Cross-vaulted ceilings and travertine columns. Light filters in slowly, the way time should move here.

03 · The Reception

Floor-to-ceiling arched windows on El Camino — the threshold between street and ritual.

04 · The Foyer

Sage-leather seating and warm stone. A place to settle before, and decompress after.

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Sheet 02 / 04
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Sheet 04 / 04
Visit in person
31 S. El Camino Real
Millbrae, California 94030
(650) 697-3339 Tue–Fri 10–6 · Sat 10–3
The Reviv Practice — Photographed in natural light
Plan Your Visit →
Treatment Spotlight

Advanced technology, restrained in how we use it.

All Treatments →
Sylfirm X first-treatment result
Sylfirm X
RF Microneedling

Sylfirm X

One-of-its-kind radiofrequency microneedling for tone, texture, and pigment. Twelve benefits across a single protocol, customized to your skin.

45 min
Series of 3–4
Minimal downtime
Learn More
Moxi Halo three-week result
MOXI
Gentle Laser Resurfacing

MOXI

Pre-juvenation for early pigment and texture concerns. Low downtime, visible luminosity — ideal for patients in their late 30s and 40s.

30 min
Series of 3
Low downtime
Learn More
CoolSculpting Elite abdomen result
CoolSculpting Elite
Body Contouring

CoolSculpting Elite

Non-invasive fat reduction that freezes treated cells so the body clears them naturally. Refinement, not transformation.

35–70 min
1–3 cycles
No downtime
Learn More
BBL Hero series result
BBL Hero / Heroic
BroadBand Light

BBL Hero / Heroic

The fastest, most versatile BBL device for skin quality, pigment, and redness. Cumulative results; kinder to the biological clock.

20–45 min
Series of 3
Minimal downtime
Learn More
Reviv Ritual Club interior
Renewal Rituals
Lymphatic Drainage

Renewal Rituals

Our elevated lymphatic line — Glow Release, Sculpt & Detox, Total Renewal. For every stage of your wellness journey.

45 / 60 / 90 min
Single or series
Restorative
Learn More
Skinvive microdroplet hydrator result
Skinvive
Microdroplet Hydrator

Skinvive

An injectable hydrator that improves smoothness and glow from within. Not a filler — a skin-quality treatment.

20 min
Every 6 months
No downtime
Learn More
New Service Line

The Reviv
Renewal Rituals

Wellness 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.

01 · Face · 45 min

The Glow Release Ritual

Depuff · Lift · Illuminate
Single
$225
Series of 4
$860
$215/session
Series of 8
$1,640
$205/session
Book Ritual
02 · Body · 60 min

The Sculpt & Detox Ritual

Drain · Contour · Refine
Single
$275
Series of 4
$1,040
$260/session
Series of 8
$2,000
$250/session
Book Ritual
03 · Face + Body · 90 min

The Total Renewal Ritual

Full Reset · Deep Detox · Ultimate Sculpt
Single
$395
Series of 4
$1,520
$380/session
Series of 8
Book Ritual
Enhance Your Ritual

Radiance Infusion

+$85

Red Light Therapy + HA Mask. Supports collagen, hydration, and skin rejuvenation.

Sculpting Lift

+$60

Lymphatic Facial Cupping. Enhances contour, circulation, and natural lift.

Tightening Energy

+$125

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

The Full Menu

Treatments

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.

Or browse the full Featured Treatments hub, and join The Reviv Ritual Club for monthly maintenance.

Book a Consultation
Serving the Peninsula

A Millbrae medical spa
for the Peninsula & Bay Area.

Reviv 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:

Our Team

Meet our staff

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.

Dr. Gayle Misle, MD
01

Dr. Gayle Misle, MD

Founder & Medical Director

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.

Megan Sosnick, MSEL, MSN, RN, PHN, CNL
02

Megan Sosnick, MSEL, MSN, RN, PHN, CNL

Practice Manager & Aesthetic Nurse

12 years at Reviv. MS in Entrepreneurial Leadership from Babson College. Oversees business development, marketing, and patient operations.

03

Hanadi Al Ramahi

Medical Aesthetician

Licensed Esthetician focused on personalized skin care. Tailors treatments to individual goals, with deep expertise in pre- and post-treatment recovery protocols.

04

Kelly Guevarra, LVN

Aesthetic Technician

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.

What patients say

Reviewed, again and again,
for Dr. Misle and the team.

4.6 148 Google reviews
★★★★★
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.
Google review · Dec 2025
★★★★★
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.
Google review · Oct 2025
★★★★★
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.
Google review · Feb 2026
★★★★★
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.
Google review · Jan 2025
★★★★★
I love Dr.Gayle Misle. I’ve been coming to her for years! Quality service! Definitely recommend! Best service in town!
Google review · Feb 2024
Recognized by

Allergan Platinum Plus Partner 2023

ALLERGAN
PLATINUM+
2023

A high-volume, trusted provider of Allergan products — Botox, Juvederm, and SkinMedica — in the San Francisco Bay Area.

See our credentials →
Annual Membership · Two Tiers

The cost of
looking like yourself,
reduced.

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.

Renew
$99 /year
5 core benefits
Reviv · Recommended
$299 /year
All 12 benefits
A preview of member benefits
Renew Reviv
Neurotoxin
Botox & Dysport
20–30%
20–30%
Filler
Juvederm · Radiesse
10%
CoolSculpting
Body contouring
20–25%
Sylfirm X RF Microneedling
Skin tightening
NuEra Tight RF
Skin tightening
28%
Reviv Skincare
Medical-grade product
25%
25%
+ 6 additional treatment categories See full list →
Members typically recoup their annual fee within two visits. Discounts shown apply to standard service pricing; additional perks include priority booking and member-only event access.
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