Welcome to our skin care blog!

Filler “Blending”

Dr. Pilest is using a new filler injection technique utilizing a “homogenized” blend of Juvederm or Restylane filler, saline and additional lidocaine. By altering the consistency and adding more carrier, the filler can be easily manipulated to smooth the skin in a way that standard “line” filler injections cannot.  Translated, that means you get a… Read more

Naked Frown Remover

XEOMIN -The “Naked” Frown Remover We’re all used to Botox and it’s been one of those blockbuster treatments that have completely changed the face of aesthetics. In the last couple of years we’ve been given some alternatives and from a medical perspective, that’s always a good thing. Not every product is perfect for every single… Read more

My spider veins make my legs look like a roadmap!

Spider veins and varicose veins are a cosmetic concern to many women (and men). The red and blue “spidery” veins are actually broken capillaries. They do not go away without treatment and generally become worse with time. The darker blue veins seen under the skin and those which bulge on the skin surface are true… Read more

Why Volumizing Matters

Facelifts have been the “gold standard” for turning back the years for decades. It is only recently, though, that doctors have come to realize the ultimate impact of proper volumizing – either as a complement to surgery or as a stand alone solution. The youthful face has plenty of volume – rounded cheeks, a single… Read more

Love Handles – Freeze ‘Em Goodbye

Love Handles – How come no one loves having them? Listen up guys – if the woman in your life refers to your love handles, it’s NOT because she loves them on you. It’s because she’s hoping you’ll do something about them. Love handles are the precursors to the “spare tire” which is the precursor… Read more

When to say “no”

It can be hard to say no to a medical provider when they suggest a treatment that you aren’t sure about. But taking the time to understand your options and the risks is vitally important. We recently had a young woman come to our office asking for help after a highly problematic outcome of what… Read more

How can PDT get rid of my cystic acne?

What can be done about severe cystic acne? First, understand that acne is NEVER your fault! Acne is a hormonally-driven chronic skin disease that has been a battlefield for decades. Medical science is always seeking control measures that work better, faster and with the least disruptive side effects. Photo Dynamic Therapy – or PDT –… Read more

PDT for Cystic Acne – Why is it preferred?

PDT Cystic Acne Dr. Pilest has always held a close interest in teenage and early adult acne.  The prescribed solutions over the years have changed – often for very compelling reasons. Antibiotic resistance resulting from long course use is  now known to be particularly problematic. Accutane, though useful for severe cystic and nodular acne, came with… Read more

Congratulations Top Docs 2014

Each year Orange County doctors are chosen by the OC Medical Association as the “Top Docs” for the year. I want to congratulate my colleagues who have been chosen. Many I know personally and I admire their dedication to their professions. We all strive to be our best in  rapidly changing fields and there are… Read more

What does off-label mean and should I worry about it?

When you hear the term “off-label”, should you be worried? When it comes to cosmetic dermatology, usually not. Because so many of the most popular applications are “off-label”, staying on-label would mean you would have some serious constrictions in the use of things like fillers and Botox. 

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