“When I first started out in my career as a Dermatologist, I had little idea it would progress to the levels it has. Thirty three years ago a dermatologist pretty much handled rashes and pimples and skin diseases only.

Now we find ourselves on the cutting edge of incredible non surgical technology that can – literally – change how you look without a scalpel. With injectables, lasers and advanced product formulations, most anyone can enjoy major skin improvements with no surgery.

“Now we find ourselves on the cutting edge of incredible non surgical technology that can – literally – change how you look without a scalpel!”

Fractional resurfacing replaced heavy-duty chemical peels and the risks associated with them. We have Fraxel for Acne Scarring, Fraxel Repair for significant resurfacing and eMatrix for skins of “color” and multiple ethnicities and Fraxel Dual for surface pigmentation and actinic keratosis.

Thermage began a non surgical skin tightening revolution that gave patients options other than surgical measures and the attendant major investment of time and funds.

Sculptra ushered in an absolutely phenomenal change in how we handle volume loss, whether from aging, weight loss or simple genetic deficiencies. By injecting a diluted inert solution, we’ve found a way to instruct the skin to make more collagen where it’s needed to return your face to a younger version of yourself.

In the past couple of years alone we’ve found a completely nonsurgical way to remove fat without liposuction, diet or injections – we simply “freeze” it away! (See CoolSculpting by Zeltiq)

Acne is up against a one-two power punch with Isolaz, a system that vacuums the pores to remove clogs which act as bacterial food source AND smacks down existing bacteria with broad band light.

Super-products act like an eraser to minimize hyperpigmentation regardless of the cause. Between the Cosmelan MD peel and support products and the non-hydroquinone alternative of Lumixyl, we can offer pigmentation sufferers a solution no matter what their skin tolerance levels are.

You can look better faster and keep looking better longer than ever before. It’s a thrill for me to wake up each morning and know that today, or tomorrow, something breathtaking will roll out. From longer lashes to age-defying volume restoration, we have tools that can help anyone begin enjoying that first look in the mirror every day.

I love what I do. I love being able to make a difference in how someone feels about herself or himself. So when you see that big grin on my face, it’s because of all the wonderful advances we dermatologists have at our fingertips to keep you looking as beautiful or as handsome as you want to.”

Irvine Dermatologist Nissan Pilest is a Fellow of the American Board of Dermatology and has practiced in Orange County since 1979.