At Total Dermatology as our patient you will have access to the highest quality and most innovative technologies available. Whether your concern is acne, wrinkles, sun damage or skin laxity, Dr. Pilest has both the latest technology and the most up-to-date expertise to address virtually every issue.

  • 15 laser, radio frequency and light systems
  • 5 body shaping technologies
  • 15 injectables for filling, relaxing, fat melting and vein removal
  • A full range of “every-skin” chemical peels
  • Clinically proven skin-transforming professional products
  • THE most experienced Board Certified Dermatologist in the entire area



Since 1979, Dr. Pilest has been serving the greater Orange County area as a Board Certified Dermatologist, treating a wide variety of patient concerns. For over three decades he has built upon a deep understanding of both the intricate science of medical dermatology, as well as the aesthetic artistry of cosmetic dermatology.

In addition to his practice, he has been an active Associate Clinical Professor at the UCI Department of Dermatology, and is an in-demand injectable and laser trainer for fellow physicians.

Total Dermatology Practitioners and Staff

Paired with the experience of Dr. Pilest, we are fortunate to integrate the expertise of our Registered Nurses.

Our staff is fully-trained for their respective positions, using their experience, education, and certifications. You can relax knowing that each staff member has a full understanding of all that Total Dermatology offers, but also can provide excellent care and customer service.

Professional Cosmetic Consultations

We understand your need to thoroughly explore your options, and know it can be difficult to connect the dots on your own. As a new patient, you will meet with Dr. Pilest himself upon you initial visit. Here you may discuss your concerns, get a comprehensive professional assessment, and build your own personal treatment plan along with Dr. Pilest.

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