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american board dermatology logo American Society of Dermatologic Surgery logo expert injector logo hoag logo realself top doctor logo uci logo american board dermatology logo American Society of Dermatologic Surgery logo expert injector logo hoag logo realself top doctor logo uci logo american board dermatology logo American Society of Dermatologic Surgery logo expert injector logo hoag logo realself top doctor logo uci logo american board dermatology logo American Society of Dermatologic Surgery logo expert injector logo hoag logo realself top doctor logo uci logo

The Picture of Health

The Power of Total Dermatology

The state of your health is written all over your face. Truly healthy skin creates an incredible glow that no amount of makeup can match. That’s the power behind cosmetic dermatology. In Irvine, CA, Total Dermatology and board-certified cosmetic dermatologist Dr. Nissan Pilest deliver customized, advanced treatments that actually improve the health of your skin and body, rather than just masking symptoms of aging. We strive to be the best cosmetic dermatology med spa Irvine has to offer!

The ability to deliver healing beauty treatments that improve looks and lives has made Total Dermatology the destination for cosmetic dermatology in Irvine, Newport Beach, and Orange County over the past 30 years. Schedule an appointment with Dr. Pilest to experience the rejuvenating power of Total Dermatology for yourself today.

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Cosmetic Dermatology in Orange County

healing beauty

The Power to Treat You

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Over the decades, Total Dermatology has grown into one of the most versatile cosmetic dermatology treatment centers in the nation. Our state-of-the-art clinic offers you multiple treatment options, from our full range of “every skin” chemical peels to more than a dozen different injectables that relax wrinkles, fill lost volume, melt fat, and treat damaged or discolored veins.

Total Dermatology also provides 15 different laser, radiofrequency, and light systems, five different body sculpting technologies, and clinically proven professional skin products, all under the careful supervision of Orange County’s most experienced cosmetic dermatologist, Dr. Nissan Pilest. When you are ready to look and feel your best, come see Dr. Pilest.

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Experience. Excellence. Expertise.

Irvine Dermatologist Dr Nissan Pilest

Dr. Nissan Pilest MD, FAAD

Dr. Nissan Pilest is a Board Certified Dermatologist practicing in Orange County since 1979. He is a trainer for Allergan, a Diamond level injector for Juvederm and Botox, a Top Doc, and an assistant professor of Dermatology at the UCI School of Dermatology.

As Orange County’s most experienced cosmetic dermatologist, Dr. Pilest knows what it takes to deliver excellent results. He meets with every new patient to review their skin, listen to their concerns, and develop a personalized plan to maximize health and beauty.

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Total Dermatology Featured Procedures

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THERMAGE in Orange County

If you’re beginning to notice deepening wrinkles or sagging skin, radiofrequency skin tightening with Thermage can help you fight back. Thermage uses radiofrequency waves to tighten the skin and encourage collagen and elastin production for long-lasting results. Because Thermage uses energy waves to stimulate your body’s natural skin-tightening capabilities, the treatment is completely non-surgical and the results look gorgeous and completely natural.

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Intensif RF Microneedling in Orange County

Intensif RF microneedling combines the traditional healing powers of microneedling with advanced radiofrequency technology, all packaged into a series of tiny gold needles. The antimicrobial gold needles make near-microscopic channels in the treatment area, while the radiofrequency tips deliver powerful heating and skin tightening energy beneath the outer layer of skin. This makes Intensif a versatile and effective treatment for almost anyone looking to reduce wrinkles and improve skin tone and complexion.

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PRP Treatments in Irvine, CA

For millennia, humans have understood that our blood carries the basic ingredients of life through our bodies. However, it has only been within the last hundred years or so that we’ve been able to truly harness that power medicinally. Platelet-rich plasma (PRP) distills the regenerative properties of your blood into a powerful serum which can then be used to treat visible signs of aging, either topically or through injections.

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Emsculpt NEO in Orange County

Emsculpt NEO is one of the most exciting and powerful body contouring innovations to emerge in recent memory. The powerful HIFEM+ energy used in Emsculpt Neo triggers tens of thousands of muscle contractions in the treatment area per session… far more than the human body can perform consciously. Meanwhile, radiofrequency energy causes the body to permanently remove fat cells at the same time, resulting in visible improvements in strength and muscle definition.

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Fraxel Laser Resurfacing in Orange County

Fraxel laser skin resurfacing is one of those fantastic treatments that can improve both the look of your skin and your overall health. In addition to treating light wrinkles, acne, pigmentation issues, and melasma, Fraxel can also remove actinic keratosis. These lesions are sometimes precancerous, which makes Fraxel a powerful preventative and effective aesthetic treatment. An ounce of prevention is worth a pound of cure, particularly when it comes to cancer.

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Injectables in Irvine, CA

Total Dermatology is your Orange County injectable dermatology destination. Nobody in Orange County has more experience with injectables than Dr. Pilest, and he makes sure Total Dermatology is fully stocked with the absolute best serums and injectable treatments, from Botox Cosmetic to Juvederm to Kybella. In fact, we offer more than 15 different brands of injectables to make sure we have exactly what you need to look your best.

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We love our patients at Total Dermatology


“The staff is amazing and sweet. Professional, kind, prompt, and the best service. I will only get my Juvederm and lip injections here!”

— Priscilla S.

“Dr. Pilest is the best injector in Orange County. Obviously, no one likes needles, but he makes getting a little botox painless. I make the drive all the way from L.A. just to see him and his amazing staff.”

— Kay S.

“I have been coming here for about 5-6 months and the service is amazing. All staff members are very welcoming. They have helped with my skin so much. I totally recommend them.”

— Victoria L.

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*Individual results may vary.

Acne and Skin Treatments for Face and Body

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Facial Rejuvenation

Skin rejuvenation and skin resurfacing for Orange County dermatology patients can be achieved in a number of methods, ranging from laser dermatology treatments to chemical peels and other non-ablative methods. Let Total Dermatology rejuvenate your skin and restore a youthful glow.

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Body Contouring

Our Non Surgical Body & Face Contouring options offer some of the latest technology for Non-Surgical fat reduction, body sculpting, discreet shaping, and skin tightening. Whether it’s slimming overbuilt masseter muscles of the jaw or melting excess fat under the chin or the upper arm, you don’t need surgery for many contouring desires.

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Acne & Acne Scars

Acne can range from a nuisance to seriously affecting one’s self-confidence. Total Dermatology works with our Orange County cosmetic dermatology patients suffering from acne to treat the problem at the foundation. A variety of treatment options exist to help reduce acne and acne scarring.

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Specials & Promotions

Botox newbie?

Get a FREE* Trial! Click below to learn more

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Not Ready for a Facelift?

Click below to see our Total Derm Lift special

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Schedule your consultation with Total Dermatology today!

When it comes to your skin and your health, it really is all about what’s best for you. Total Dermatology understands this, which is why we offer versatile treatments with experienced and highly trained aesthetic professionals led by Dr. Nissan Pilest. Your Total Dermatology transformation awaits.

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