Conditions2019-12-12T21:22:09-08:00

Skin Conditions

If you are unsure of the treatments that fit your particular problem (for instance sagging skin or wrinkles), please browse through our “Conditions” links. In each, you will find treatment information links that are grouped as to concern.

Our Procedures links are more brand-specific, so if you are searching for a brand name such as Fraxel or InstaLift, you would quickly find it in the Procedures list dropdown.

Our reception team members are very knowledgeable, but we don’t expect them to know everything. Should you have more involved questions, please ask to speak to a Patient Advisor who will be a senior Total Dermatology team member with advanced knowledge. And as always, the very best way to know what will work best for you is to set up a personal consultation with Dr. Pilest.

Acne

Acne is tough. New treatments are tougher. You’ll need a professional assessment to find out what will truly work for your acne and your skin. Here are the options available in our office…

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Acne Scarring

Acne Scars are tough to live with, and although impossible to completely remove, they can be improved. Treatment options will depend on your scar severity and your skin type and downtime tolerance. Intensif RF Micro Needling uses the powerful combination of microneedles and radiofrequency, both of which induce collagen production to…

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Aging Face

Looking older is no fun. And it’s especially no fun when you feel so much younger than you look. Facelifts used to be THE treatment to save for and plan for. But now, you have other options for maintaining and regaining the hallmarks of your younger face. Fillers obviously make a difference. Reshape,…

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Aging Hands

We offer a variety of treatments that can help aging hands look younger. Treatments include…

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Brown Spots

Brown spots can show up anywhere you’ve had sun exposure. Call them what you will, but no one likes them. Many treatments can lighten or even remove brown spots found on your face, arms, chest or hands. Fraxel DUAL is a pigment specific treatment and can be used anywhere and everywhere…

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Double Chin

Outside of surgical liposuction, there are only two FDA approved treatments for reducing the fat of a double chin. Kybella uses a fat-dissolving chemical that is injected into the chin fat. Treatment is quick, social downtime is low, multiple sessions are usually required. CoolSculpting Mini relies on the proven technology know as cryolipolisis (fat…

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Eye Hollows

Under-eye hollows and dark circles usually mean deficient volume. If you constantly look fatigued, simple injections can transform the eye area. Filler for the tear trough is easily placed with a smooth tipped cannula. Restylane hyaluronic gel is appropriate for nearly every patient. Skin laxity around the eyes can be improved with Thermage…

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Fat Bulges

Fat Bulges and pockets that are exercise or diet-resistant typically will respond to fat freezing. Temperature reduction of the fat cells causes cell breakdown which the body naturally clears. These treatments are for fat reduction in specific areas and are not meant to take the place of dietary weight management. CoolSculpting for the…

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Jowls

Jowls are one of the first aging signs that carry significant annoyance. Muscle laxity and volume loss above the jowls create an unwanted softening and aging effect. NovaThread Lift uses sutures to lift the jowl with absorbable sutures. Radiesse levels the skin in the chin edge and can easily camouflage jowls. Thermage for the…

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Large Pores

Enlarged pores are not imaginary. They come from age as tissue loses elasticity, from poor cleansing routines, and acne conditions. Re-tighten skin with Clear and Brilliant laser to combat tissue laxity that allows pores to enlarge. Isolaz, an acne treatment, vacuums oil and debris from the pores, helping them to avoid stretching by…

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Laser Hair Removal

Laser Hair Removal can be wonderful. But it can also be terrible – as is the case when the wrong laser is used on the wrong skin. Ethnic skin with more pigment is especially sensitive to laser heat and has to be treated with a laser that is gentler than most hair…

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Lip Enhancement

Many people think lip enhancement only involves the lips themselves. Recognizing the lip as an area that includes the philtrum and entire mouth area helps keep the lip/face balance in synch. Fillers for delicate lips and lip lines include the softer gels such a Juvederm Volbella and Restylane Silk. Fillers for small lips…

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Lip Lines

Vertical lip lines can be particularly aging. Restoring lost volume along with filling fine wrinkles often offers the best results. Restylane Silk and Juvederm Volbella are lip-specific soft fillers. Restylane and Juvederm XC hyaluronic gels can be used to restore lost volume above the lips to soften small lines. Microneedling helps soften radial…

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Melasma

Melasma is a unique form of hyperpigmentation. Because it’s hormone-driven, treatment choices are more limited. The “wrong” treatment for Melasma can actually make it worse. Take a look at some of the safer options. Cosmelan Mask Peel is an all-skin-friendly peel/extended treatment combo. An in-office peel jump-starts the process of lifting pigmentation that’s near…

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Nasolabial Folds

Nasolabial Folds are also sometimes referred to as smile lines. These folds deepen with age. Denser fillers with volume and lift qualities such as Restylane Refyne and Defyne and Juvederm Vollure. NovaThread Lift and Silhouette InstaLift use sutures to lift and re-position tissue. Voluma used to lift the cheeks can help reduce the…

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Redness/Veins

Facial redness can have many causes. Tiny enlarged or broken capillaries are among one of the most common reasons. The cause determines the treatment, so you’ll want to see a dermatologist to distinguish between common vein enlargement and Rosacea. Vbeam is a vascular laser that seals expanded and broken blood vessels Redness is increased…

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Sagging Skin

Sagging Skin Surgery is not the only way to tighten sagging skin. Today’s technology offers increasing options to lift and tighten skin on the face and body. Skin tightening treatments like Thermage®, Pelleve, and Intensif create new collagen by heat from radiofrequency. Sutures provide instant lifting and skin re-positioning – NovaThread and InstaLift Collagen stimulating Sculptra…

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Scars / Stretchmarks

Stretchmark Scars and Stretch Marks on the body are not simple to treat. Improvements are possible, but generally, require multiple treatment sessions and sometimes multiple types of treatments. Fraxel Repair laser is a serious laser *ablative treatment for faster scar reduction and will provide the most improvement for scars that are a result of…

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Sun Damage

Sun exposure is the biggest reason behind dermatology visits because it’s the basis for so many skin conditions. From early wrinkles to sagging skin to discoloration to enlarged pores, the sun wreaks havoc with your appearance. Sun-induced wrinkles represent collagen and elastin loss. Look for regenerative solutions such as Clear and Brilliant Laser, Fraxel…

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Volume Loss

Volume Loss is a natural part of aging and can’t be stopped. But you do have options to replace lost volume. Dermal fillers are the “go-to” for volume loss. Cheek volume loss is specifically instantly corrected with Juvederm Voluma and Restylane Lyft. Sculptra creates new collagen that lasts for two or more…

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Wrinkles

Injectable fillers give instant improvement to wrinkles and folds. Collagen stimulators like Sculptra smooth over time along with volume creation. Relaxers such as Botox, Dysport, and Xeomin smooth wrinkles caused by movement. Fractionated laser treatments such as Clear + Brilliant™ and Fraxel® re:store and re:pair. Simple services like chemical peels and Omnilux™ LED light therapy are ideal for those…

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Skin Discoloration

Spots and blotches, even on low levels, bother most patients. The causes are varied, as are the treatments to correct and blend out pigmented spots. Of course, the main culprit is the sun. As much as it feels great to be by the pool, at the beach or anywhere outside, the damage that’s occurring…

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PATIENT
REVIEWS

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

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*Individual Results May Vary

Take the First Step – Request a Consultation

If you would like to schedule an in-person consultation or learn which treatment is right for you, please fill out the form on this page and one of our knowledgeable medical staff members at Total Dermatology will reach out to you promptly. You can also call our Irvine office directly to schedule. (949) 727-3800

Total Dermatology serves the Irvine, CA area.

*Individual Results May Vary

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