What’s New at Total Dermatology

IFine for UnderEye Wrinkles

Gently heating undereye tissue to smooth wrinkles at their source. Read more about IFine

NovaThreads Lift and Smooth

Absorbable sutures for lifting and smoothing the brow, jowl, neck and eye area. Used in conjunction with Silhouette InstaLift for full face lifting without surgery. Read more about NovaThreads, a remarkable method for repositioning skin in mere minutes!

  • Makes the skin look firmer
  • Creates a more defined contour
  • Provides a lifting effect where desired
  • Improves appearance without scar lines
  • Very affordable
  • Quick treatment with excellent safety record

CoolSculpting Petite

Bare those arms again!


Vaginal rejuvenation for external aesthetics and internal function. No surgery, no needles, no cutting, no downtime and no recovery. 3 sessions provide a “makeover” for your lady bits. Learn about ThermiVa

The “O-Shot”

Increase arousal with this very safe, unique injection into the clitoral and surrounding tissues. Platelet rich plasma (derived from your own blood) is used to expand sensitive areas for increased pleasure and sensitivity. Read about the O-Shot and see a patient testimonial.


Micro needling intensified with radio frequency. Get all the benefits of micro needling with the added collagen production from radio frequency. A new “go to” for acne scarring. Intensif RF Micro Needling.

Juvederm Vollure

A new hyaluronic gel filler from Juvederm (Allergan). Vollure lasted up to 18 months in clinical studies. Used in moderate to severe lines around the mouth and nose.

Restylane Refyne and Defyne

More elasticity AND soft lift? Yes! The new Restylane Refyne and Defyne formulas are designed with flexibility in mind. Fill in those folds, laugh lines and marionette lines and keep your expressions “expressive”.  Both products last up to 12 months when appropriate treatment is applied. Enjoy the benefits of fillers that not only look natural but feel like skin.

Silhouette InstaLift

Silhouette InstaLift™ is the breakthrough facial rejuvenation procedure you have read about in Town & Country and seen on THE DOCTORS TV Show that lifts sagging facial skin without the need for major surgery, scars or general anesthesia.

This in-office procedure re-contours your mid-face and cheeks by gently lifting the deeper layers of your skin with resorbable sutures. The treatment is comfortable, requires no general anesthesia and typically takes 45 minutes. You will see results right away and the recovery time is minimal. See the InstaLift procedure videos and results.

Volbella for Lip Lines

Lip lines are nothing to laugh at. Referred to as perioral lines or “smoker’s lines”, these vexing detractors are a big problem for many baby-boomers. Juvederm’s new Volbella XC is a lidocaine-included line smoother (and plumper if you need) that is ultra-soft with staying power. About Volbella and what it can do for your lips


Medical-grade exfoliation built into a luxurious treatment for smooth, radiant, and refreshed skin. Dermaplaning explained and live treatment video

AquaGold Finetouch

Watch a video of this very unique delivery system to place almost any product into the skin without pain or side effects. Botox for tighter pores and redness reduction, hyaluronic gels for smoother skin, and deep delivery of active facial serums. About Aquagold Finetouch

CoolSculpting Advantage & ZWave

CoolSculpting in high gear! Treatment time reduced to a mere 35 minutes. Better results, faster results and more comfortable treatment process. ZWave “massages” your treated areas with sound waves. Speeds up fat dispersion more quickly than manual massage. CoolSculpting Advantage and ZWave

Bellafill for Acne Scars

A new way to quickly smooth acne scars LONG TERM. BellaFill is newly FDA approved for the treatment of acne scars – and the only filler with that distinction. Discover Bellafill and its powerful ability to change even severe facial scars.

CoolSculpting Mini

Fat Freezing for under the chin. Zeltiq’s CoolSculpting moves to the double chin. With the introduction of the CoolMini, you can now freeze your double chin and see appreciable reduction of fat under the chin. FDA approved in September for small areas and beneath the chin. Find out about CoolSculpting’s new CoolMini

Restylane Lyft

Approved Summer of 2015 for mid-face volume replacement. Previously under the name Perlane, Restylane Lyft is used for instant cheek augmentation, mid face folds, chin and cheekbone area lift. How Restylane Lyft is used

Aspire Rewards

Earn rewards points for all Galderma products – That includes Restylane, Restylane Silk, Dysport and Sculptra. Get a Sign Up Bonus worth $20 just for becoming a member. Aspire Rewards Sign Up

Kybella – Chin Fat Reduction

First of its kind approved by the FDA in April 2015. Injections that reduce chin fat? Yes! Submental fat – the fat directly under the chin referred to as the “double” chin – can now be destroyed without surgery. Learn about KYBELLA here

Restylane Silk

Thin lips and lipstick lines have met their match. Newly approved Restylane Silk is specifically formulated to plump even the thinnest of lips and help smooth the aggravating lines that radiate above and below the lip (referred to as smoker’s lines, lipstick lines or perioral lines). Restylane Silk for lips and fine lines

Micro Needling

It’s what they’ve been doing in Europe for over 10 years. A simple and affordable and non-laser way to stimulate collagen for smoother and simply better-looking skin. Learn about Micro Needling and how it can play into your skin maintenance or correction program.

Immediate Correction for Under Eye Hollows

Hollows and dark circles are very common and until recently, were a real problem to treat. Precision placement of gel filler can  lift and fill these hollows. Learn more about the treatment of under eye hollows and view our treatment gallery

PelleFirm – Skin tightening for the body

Skin tightening for the body with a side benefit of skin smoothing. Based on the same successful technology of Pelleve, this multi-seesion treatment is a pain-free method of treating sagging and crepey skin on the abdomen, arms, thighs and buttocks. Learn about PelleFirm

The new 2 year filler – Voluma

Voluma, a Juvederm product by Allergan, offers the instant volumization with a gel filler that’s not been available before. Dr. Pilest has been chosen by Allergan as a National Voluma training physician. This new filler can give you cheekbones you never thought you’d have! Learn about Voluma here.

AccuVein Bruise Buster

No one likes to take a bruise home with them after an injection. Dr. Pilest recently incorporated the AccuVein as part of every injection procedure. AccuVein allows him to see exactly where facial veins are so they are avoided…The best guarantee against bruising. Read about how AccuVein helps prevent the bruising common with facial injections.

Biafine RX Topical

Laser resurfacing and microneedling can sometimes require post procedure dressing. Biafine protects fragile skin from contaminates, speeds healing and makes the healing more comfortable. Now available directly in our office following your procedure.


One of the best things you can do for your skin is to promote cell turnover. Renova is an active retinoid that helps prevent and reduce fine wrinkling, overcome photo damage and keep the skin clear and more youthful. Available in our office.

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