Articles and News

Radiesse and Belotero Mature Woman Age 85

Double Down on Dermal Fillers

Fillers can make remarkable changes – Just take a look at 74 year old Lorraine! You might have guessed her age on the left before her fillers, but who would ever guess her age on the right afterward? As dermal fillers advance, do so the ways they can be used together. This particular case of… Read more

Belotero for Lip Lines

Belotero for “Etched-in” Wrinkles and Lines

Dr. Pilest uses all the available FDA-approved fillers at Total Dermatology, simply because they all have one or more unique properties that fit certain needs. Belotero is lesser-known than fillers like Juvederm or Restylane, but it’s satisfactions levels are very similar.   An Excellent Finish BELOTERO BALANCE is an ideal choice to soften and smooth… Read more

Juvederm Video

Juvederm Patient Stories

Juvederm Families Talk The father and son and mother and daughter in this video talk about what they notice in each other. Genes often dictate how our faces will age. And those same genes can almost predict how a child will experience aging. So if you see your like-gender parent change over the years, chances… Read more

Is this Rosacea?

Rosacea – The Rosy Face Predicament

Rosacea – The “Rosy Face” Predicament You aren’t embarrassed, but you look it. You don’t have typical acne, but you do have breakouts. You don’t want stares, but you get them. Redness and Acne = Rosacea? The redness that marks this condition is a perpetual problem requiring control – since there is no “cure all” for Rosacea…. Read more

Kybella for Man Age 47

How to Get Rid of Neck Fat

If you’ve got it, you know the thousands of wishes you didn’t. Neck fat is not always caused by excess weight. Many people are well within their ideal weight range and yet still suffer because their genetic makeup deposits fat beneath the chin. Kybella treatments: 4  Weight Gain: 4 lbs Age: 47 Photos courtesy Allergan. Additional Images… Read more

treatment for enlarged pores

Enlarged Pores – Treatment Options

  Why Are My Pores So Big? Typically, large pore size is related to overactive sebaceous gland activity, so those with oily skin or acne tend to experience more visible pores. When these oily skin pores become clogged with sebum, the pore wall becomes stretched. Age and “tired” skin function can also contribute to enlarged pores,… Read more


We Don’t Expect You to Connect the Dots Alone Cosmetic dermatology can be confusing – We don’t expect you to know everything Your skin is one-of-a-kind Everyone has a different budget A physician consultation saves time, prevents bad choices and “connects the dots” Your consultation at Total Dermatology is with Dr. Pilest Committed to Exceptional… Read more

Aesthetic BluePrint Certification

Nissan Pilest, MD, FAAD, SUCCESSFULLY COMPLETES ADVANCED AESTHETIC TRAINING CERTIFICATION July, 2016 Irvine, California – Nissan Pilest, MD, has successfully completed certification of The Aesthetic BluePrint™, an elite training course for advanced aesthetic practitioners. The Aesthetic BluePrint is an intense 2.5-day training seminar focusing on the advanced use of injectable products for facial rejuvenation and… Read more

Fraxel Results Solta

Fraxel Story with 50 Year Old Laura

Laura’s Fraxel Story As an avid soccer player and referee, Laura Matkin spent a lot of time in the hot Texas sun. After turning 50, she wanted a way to reverse the sun damage and restore a more youthful appearance. Laura had Fraxel to erase her skin damage and, she says, build up her self-esteem. Customized… Read more

Juvederm – Queen of the Lip Pout

Loving the lips! For a sexier pout, Juvederm is the queen of fillers. Juvederm Favored by Patients and Doctors Alike Juvederm is a favorite for both patients and Dr. Pilest, prized for its easy injectability and soft, natural feel. Hyaluronic gels draw water into the tissues to add plumpness and form. Because Juvederm has such… Read more

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