Nissan Pilest, Award Winning Board Certified Dermatologist Serving Orange County since 1979
"I sailed through my interview - looking refreshed after my treatments. The interviewer said he liked hiring younger people. As it turns out, I'm older than he is! Thank you! " Rebecca H, age 52, Fraxel and Dysport
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What's New at Total Dermatology
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Thermage Total Tip®The new Thermage Total Tip
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Stem Cell Extract
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Life Line Stem Cell Skin Renewal
Stem Cell Extract
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Pellevé™ Wrinkle Wand
Skin Tightening / Wrinkle Reducer
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Vampire Face Lift™
Vampire Face Lift and PRP Skin Rejuvenation TherapyHarness the power or your own healing platelets with injections and application of your own body's plasma serum. Called "liquid gold", platelet rich plasma brings a new tool to biologic skin rejuvenation. Vampire Face Lift / PRP |
eMatrix™ Sublative Rejuvenation
Skin Resurfacing
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CoolSculpting by Zeltiq
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Isolaz Acne Therapy & Pore PurificationIsolaz, 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
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High Dose PDT for Severe Acne
New Treatment for
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Fraxel Dual
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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. A serious improvement in both comfort and results, don't settle for previous technology. |
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Soothing Healing Post Procedure Foundation Breathable Oxygenating Full-cover Whisper light Makeup New in our office! Ask for your free color match. The only oxygen treatment, air-permeable makeup on the market. Ideal for immediate for post-treatment and sensitive skins. Non pore-clogging, weightless, blendable. |
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Lumiquin™ Anti-Aging Hand Treatment
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Allergan's New Loyalty Program Brilliant Distinctions |
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.
Fraxel Re:pair - Fractional CO2 Laser
Deep Level Skin Resurfacing, Tightening and Repair
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 $4 per unit.
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New Cosmelan MDPrescription 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 |
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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. |
Available Now - $120 |
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| Prevelle Dermal Filler $400 per syringe! A perfect "starter" filler for lips. | As much as we loved Evolence, it was a casualty of the economy. We're hoping for a comeback!. |
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 Pain free Photo Therapy
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Artefill Permanent Wrinkle Filler
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 |
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Clarisonic Pro Ultrasonic Skin Cleansing. Clarisonic Pro |
Fraxel 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 Restore Fraxel Restore offers the benefits of IPL plus the benefits of "light" laser resurfacing.
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. |
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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. |
| Restylane "heavy duty" - Perlane Perlane is a mid-to-deep level instant filler used for moderate facial folds and lip augmentation |
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Non Surgical Nose Reshaping |
| SilkPeel Dermal Infusion SilkPeel™ can be used on all skin types including skin with hyperpigmentation, acne, photo damage, dehydration and fine line wrinkles. |
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Eyes by Thermage - Info and Photos Smooths 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 De Pigmentation Program for resistant pigmentation of chloasma and melasma
Skin Rejuvenation Treatments such as Obagi or Chemical Peels
Photofacial (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 or Juvederm
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Total Dermatology
16100 Sand Canyon Avenue, Suite 190 Irvine, Ca 92618 877-377-4537 or 949-769-2562 Map and Location  |
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