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AN ACNE STORY in Orange County, California


A young man came to our office suffering from severe acne. Needless to say, the condition had completely disrupted his life. He was embarrassed to go out with friends or family, feeling far too self-conscious to be out in public. Anyone who has experienced acne on this level generally has levels of anxiety and depression that affect every aspect of every day. It is typical in those cases for the person to avoid interaction with others, including family members. Treatment is not only necessary to prevent physical scarring, but the emotional scarring that comes with it!

Our new patient had previously had some minimal improvement with antibiotics prescribed at another practice, but as it is for most young people, compliance was difficult and he felt the effects were unnoticeable, so he stopped taking medication and the acne raged on. His acne condition had taken strong hold by the time we saw him and he already had significant cyclical inflammation which made the acne not only hard to look at but extremely painful – even to the touch of his pillow at night. Like most acne patients, and particularly those with severe acne, until hormones dictate otherwise, it will be an issue of monitored ongoing control to keep acne at bay. Our patient has consented to share his photo-documented progress so that others who are in a similar set of circumstances can see there IS a solution to what may seem like a hopeless situation.

“I used to be very insecure about everything, like participating in school or having a job interview. But now I don’t worry about that anymore. I am more independent. I can look people in the eye now since my acne doesn’t distract their attention. Everyone who is close to me is just happy to see me get out of the house.”

Update : “Just writing to you to keep in touch. I want to drop off a little Thanksgiving gift from me to everyone at your office and see how you are doing. I am doing good. When can I visit to chat and catch up? As for my skin, it’s perfect. I no longer need treatments. I’m really happy” – A. *


  • Oral Antibiotics to calm inflammation and stop bacteria cycle within the skin
  • Total Dermatology acne products to kill external acne bacteria on skin surface
  • Tazorac Gel to increase cell turnover to more rapidly clear existing acne
  • Photodynamic Therapy with LightStim – Multiple treatments
  • Vbeam Laser to reduce redness
  • Sali Peel to smooth the skin and keep pores clear


Treatment compliance, family support, and physician support are hand-in-hand necessary components in effectively controlling acne. If you or a family member suffers from acne, please understand that coordinated efforts, ongoing routine, and continued medical treatment are the only effective way to keep acne from regaining its destructive momentum.

*Each patient will require their own treatment protocol and each patient will have different responses to treatment.


Irvine acne treatment patient nissan-pilest

*Individual results may vary.

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We love our patients at Total Dermatology! Read what our satisfied patients have to say about their experiences with Dr. Pilest and our team.

“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




Schedule your consultation with board-certified dermatologist Dr. Nissan Pilest at Total Dermatology in Irvine, CA today by calling (949) 727-3800.

*Individual Results May Vary

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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