A physician-led practice. Every neurotoxin, every filler, every laser pass placed personally by Dr. Briana Brown, D.O. — board-certified dermatologist, ranked among America's Top 100 Injectors.
Dr. Briana Brown is a board-certified dermatologist who performs every aesthetic procedure at Esvie personally. There is no nurse injector. There is no delegated laser pass. There is, only, the physician.
// Physician · Pittsburgh, PA Anatomy first. Always. Dr. Brown trained in dermatology to study the facial planes — the structures, the vasculature, the layered tissues that determine where a needle should and should not go. Aesthetic medicine, performed correctly, is anatomical medicine. The artistry is in the restraint.
Recognized among America's Top 100 Injectors, she now performs more than one thousand physician-placed treatments per month from a private practice in Pittsburgh. Every consultation, every unit, every laser pulse — by appointment, by the doctor.
In aesthetic medicine, the difference between a clean result and a corrected one lives at the depth of the needle, the choice of the product, the read of the patient's anatomy. We do not delegate those decisions.
A registered nurse or PA places the injection. The physician, if present, signs the chart.
Every needle is placed by a board-certified dermatologist. No exceptions.
An aesthetician or technician operates the laser. Settings are protocol-driven.
Lasers are calibrated and operated by the physician, tuned to skin type, depth, and indication.
Treatment plans are sold from a package menu. Upsell is standard.
Plans are drawn on facial anatomy. We decline procedures that do not suit your structure.
Consultations are conducted by a sales coordinator.
You speak with the doctor — at the first visit and at every one after.
Volume models. Different injector each visit.
The same physician sees you across years. Continuity is the treatment.
Six modalities. Each performed by Dr. Brown, each indicated by anatomy. We do not offer treatments outside the discipline of cosmetic dermatology.
Onabotulinum-A and equivalents placed in the muscles of facial expression to soften dynamic lines. Dosing is conservative and anatomic — 20–40 units typical to the glabellar complex, titrated to muscle mass and patient response.
Hyaluronic acid placed in the subdermal and supraperiosteal planes to restore midface volume, lip structure, and jawline definition. Product viscosity is matched to depth and indication. We will decline a vial that does not suit your anatomy.
Poly-L-lactic acid and calcium hydroxylapatite stimulate the patient's own collagen across the deep facial planes. A treatment of integration rather than placement — designed for gradual, structural change over a defined series.
Ablative and non-ablative laser passes to address pigmentation, texture, scarring, and photodamage. Settings are calibrated by the physician to Fitzpatrick type and depth. Candidacy is confirmed at consultation.
Radiofrequency energy delivered through insulated microneedles to the deep reticular dermis. Indicated for laxity, acne scarring, and pore architecture. Depth is selected per region — eyelid to jowl — and adjusted by the physician.
Prescription and physician-dispensed regimens built around the patient's barrier, pigment, and indication. Retinoids, tyrosinase inhibitors, and growth-factor protocols selected and titrated by the doctor.
The first visit is structural. We assess facial planes, skin quality, and patient goals — and we name what is, and is not, a candidate for treatment.
An aesthetic plan that disagrees with the underlying structure ages badly. Filler placed against poor projection collapses. Toxin placed against asymmetry exaggerates it. The first hour with Dr. Brown is anatomy: bone, fat compartments, vasculature, skin envelope.
From there, a treatment plan is drawn — sometimes one procedure, sometimes a sequence across a year, sometimes a redirection toward something else entirely. Restraint is the most reliable result we offer.
Medical history, current regimen, prior aesthetic work. Photos taken in standardized lighting for the chart.
// 15 minMapping of facial planes, skeletal projection, soft-tissue compartments. Skin type, vascular pattern, dynamic versus static rhythm.
// 20 minA written sequence, modality by modality, with units, products, intervals, and downtime. Conservative by default.
// 15 minPerformed the same day where indicated, by the physician. Or scheduled if integration with another procedure is preferred.
// VariableA single private suite on Freeport Road. Quiet rooms, considered materials. No waiting area television, no overhead announcements, no sales floor.
Esvie occupies a single suite on Freeport Road, on the river's eastern edge — minutes from downtown Pittsburgh. Parking is private. Every consultation is unhurried and with the physician.
Choose a time below. Every appointment — consultation, treatment, follow-up — is with Dr. Brown personally. The office confirms within one business day.
Bring what you know about your skin — what has worked, what hasn't, the products on your shelf, the procedures you have already had. Bring questions. Bring restraint.
Every consultation is with Dr. Brown personally — never with a coordinator or sales lead.
We will be honest about candidacy. Some patients leave with a written non-treatment plan.
Pricing is discussed in the room, against the plan, in writing.
By appointment only. (412) 659–0599
Select a service and a time. Bookings flow directly to Dr. Brown's calendar.