total dermatology

Cosmetic, Corrective & Surgical

877-DrPilest or 877-377-4537
Map & Directions
Search this Site
Click-to-Call
Acne
Brown Spots
Fillers & Injectables
Skin Laxity
Sun Damage
Chemical Peel
Tissue Contouring
Veins and Redness
Hair Laser
Excess Sweating
Tattoo Removal
Stretch Marks
Skin Care
Patient Services

Would you like a call back from our Information Specialist about these or other procedures?

Request your Information Callback

What's New at Total Dermatology

Total Dermatology ENews
Join more than 9,900 subscribers who regularly receive the latest-breaking dermatology news, events and educational articles. Sample

Email:

Zeltiq - Freeze Away Fat

Zeltiq is an innovative procedure for fat removal from specific areas on the body. The process is based on Cryolipolysis™-  the destruction of fat cells through prolonged controlled super cooling.

This is a non-invasive treatment designed to improve body contours and has been successfully used for reducing specific fat-prone areas of the body. More on Zeltiq

Isolaz Acne Therapy & Pore Purification

Isolaz, a new laser based acne treatment from Solta (makers of Fraxel and Thermage), gives excellent results in clearing up acne and leaving skin clearer, cleaner and with impeccably clean pores. The treatment is performed in our office with no need for needles or excisions or numbing. Isolaz Acne Therapy

Fraxel Thulium
Pigmentation Laser

Fraxel's latest technology for obliterating superficial pigmentation. Kinder than CO2 with specific effects on superficial Melasma, sun induced pigmentation and post inflammatory hyperpigmentation. $850 per session. Available December 2009 Fraxel Dual Thulium

Thermage CPT

More coverage, more comfort = more energy to tighten even better. Thermage now incorporates elevated scientific functions that allow more precise energy delivery with a "t.e.n.s. - like vibrational handpiece to alleviate discomfort. Available December 2009
Learn about the new Thermage CPT

New ViPeel - Serious Results in Only 7 Days

 

Allergan's New Loyalty Program  Brilliant Distinctions
Details on this program - Earn points for all your Allergan products with a sign up bonus (Upgrade from Botox Benefits) - DETAILS

Sculptra Gains FDA Approval for Volume Restoration

Aging takes it's toll in many ways. One of the most obvious age-related issues is loss of natural volume (fat, muscle and bone) which contribute to an overall generalized sagging. Until now, most people felt the only solution was surgery. With Sculptra, the slow, gradual process of collagen stimulation within your own skin restores much of the lost volume. Read more about Sculptra's unique de-aging capabilities here. Current pricing for Sculptra to celebrate this FDA approval is now $850 per vial (reg $1200)

Fraxel Re:pair - Fractional CO2 Laser

Deep Level Skin Resurfacing, Tightening and Repair

If your browser does not display the video player,
Click this Link - Mini Medical Miracles - Today Show

Dysport - Botulinum Type A

Dysport has entered the market as a competitor to Botox. Used in Europe since 1992, Dysport was also known under the name Reloxin. The primary differences?
* Smaller molecule results in faster action - sometimes the same day
* Potential to last longer, but our jury is still out on that claim
* Better spread so may be a preferable treatment in forehead lines

Read more about wrinkle relaxers at www.InjectableSafety.org

Dysport dosing is different so you'll require more "units" per area. Our current pricing is $5 per unit, $4 per unit when combined with a filler treatment.

More info on Cosmelan MD

New Cosmelan MD

Prescription ONLY Depigmentation program formulated with "step-levels" of hydroquinone of u to 8%. Includes retinoic acid to prompt fast cell turnover of and pigmented skin and increased cell renewal. This new multi-ingredient program shows rapid results but will cause several days of redness and peeling initially.

" Physicians now have a formidable new weapon against resistant hyperpigmentation with Cosmelan M.D. Depigmentation Treatment by Mesoestetic USA, Encino, CA. The recently-released formula advances the science of pigment correction to its most effective capabilities ever with a fast-acting combination of retinoic acid and prescription-strength hydroquinone." from Entrepreneur.com

FDA-approved Latisse Eyelash Growth Solution by Allergan

Allergan's new Eyelash Growth Solution requires a single daily application to make your eyelashes grow longer, thicker and darker. Latisse from Allergan Safety-proven bimatoprost. Latisse gives highly visible results in just a few weeks.

We expect a rush once this product is on released nationally. Prescription only. Our current patients may pre-order by phone. New patients will need to schedule a complimentary consultation. Latisse is ONLY available by prescription through a physician.

Latisse for Longer Lashes

Available Now - $120
Prevelle Silk for Lips and Lines :Evolence
Prevelle Dermal Filler $400 per syringe! A perfect "starter" filler for lips. New Evolence Collagen Filler. No post injection swelling.

Fraxel Re:pair Laser

Fraxel Re:pair CO2 is the long-awaited intensive resurfacing and tightening laser from Reliant Technologies. Available in our office now, the Fraxel Re:pair will treats surface wrinkling, rough texture, pigmentation and provides collagen tightening. Fraxel Repair Photo Gallery

Dr. Pilest was one of the first physicians in the United States to use the Fraxel Laser beginning with its debut in 2004. Since then we have performed over 2,100 Fraxel treatments in our office.

Dr. Pilest is the first Dermatologist in Orange County to have the new Fraxel Re:pair Laser. He has been invited by Reliant Technologies, makers of the Fraxel Lasers, to act as a Clinical Training Physician. (Physicians wishing to attend trainings should contact Reliant Technologies for schedules and openings.)

Omnilux Irvine
Omnilux Painfree Photo Therapy


Artefill Permanent Wrinkle Filler

Artefill Irvine

Artefill is the only FDA approved filler/implant to provide permanent correction of nasolabial folds and smile lines. Available in our office now.

 

Thermage Treatment for Cellulite
Thermage has developed a special single treatment procedure for the improvement of cellulite.

 Thermage for Cellulite

Clarisonic Cleansing Brush

Clarisonic Pro

Ultrasonic Skin Cleansing. Clarisonic Pro
Study - At the end of 8 weeks, 83% of participants reported that their skin appeared healthier. Participants also perceived a deep cleansing to unclog pores as well as maintain pores from becoming clogged. Source Pacific Bioscience
Studies and Research
Video Demo

Fraxel Refine for Surface Pigmentation & Texture Irregularities

Fraxel is a successful treatment for deep melasma and acne scars as well as an adjustable resurfacing laser.  Surface pigmentation has historically been treated by IPL Photofacial but we have had remarkable response with Fraxel Refine - a "lighter" version of Fraxel. Fraxel Refine offers the benefits of IPL plus the benefits of "light" laser resurfacing.
Fraxel Lite treatments are priced at $600 - A 5-Series Package is $2500


Hand Rejuvenation
The hands can be an unwelcome age "give-away" -  Thermage plus Radiesse (and Alex Lazr when needed) can dramatically change skin texture, skin thickness, tone, color and eliminate the "bony" appearance that comes with age. 		Aging Hands

Radiesse Intra-oral Injections - No Bruise
Intra-Oral Radiesse
Radiesse Intra-oral Injections avoid external tell-tale bruising. Used for cheek augmentation and nasolabial folds. Dr. Pilest is one of the very few physicians in California who is trained in this specialized technique.
New FDA-approved Perlane
Perlane is a mid-to-deep level instant filler used for moderate facial folds and lip augmentation 		Perlane for lips
Radiesse and Botox for Deep Frown Lines


Botox & Radiesse for Deep Glabellar Grooves
Radiesse provides long-term corrective filling for pronounced lines and grooves between the brow. Botox plus Radiesse offers extended correction.


Fraxel II (SR1500)
The latest and most advanced fractional laser available. Greater depth of penetration, greater response in acne scar reduction, deep wrinkles and surgical cars.

FRAXEL
Nonsurgical Nose Job

 

NonSurgical Nose Reshaping
A quick 15 minute injection procedure to visually correct nose alignment, build up the nose bridge, fill and hide deformities or scars.

SilkPeel Dermal Infusion
SilkPeel™ Dermalinfusion™ is the only treatment of its kind to deliver topical skin care products while exfoliating the skin. More about SilkPeel

SilkPeel™ can be used on all skin types including skin with hyperpigmentation, acne, photodamage, dehydration and fine line wrinkles.


Silk Peel Video

Eyes by Thermage

Eyes by Thermage - Info and Photos

Smoothes skin texture and decreases wrinkles and hooding in the intraorbital and eyelid region without surgery, injections or downtime - all in less than an hour.
Fraxel for Skin Resurfacing, Melasma, Acne Scars and Sun Damage
Thermage for tightening and firming skin and reducing wrinkles
Botox for relaxing furrows, frown lines and crows' feet wrinkles
Cosmelan DePigmentation Program for resistant pigmentation of chloasma and melasma
Skin Rejuvenation Treatments such as Obagi or Chemical Peels
Fotofacial (IPL) for diffuse sun-induced hyper-pigmentation
Photo Dynamic Therapy for actinic keratoses and resistant acne and scarring
Vbeam Laser for veins and redness
Dermal Fillers such as Restylane, Cosmoplast & Cosmoderm,  Juvederm