View Our Specials right arrow
(949) 727-3800 Appointment

ROSACEA TREATMENT in Orange County, California

For medical office visits, we are a cash-only practice. Our initial medical office visit is $275 and follow-up medical appointments are $175. Please feel free to contact us at the number listed below if you have any questions, or would like to schedule an appointment.


  • Flushing
    Many people with rosacea have a history of frequent blushing or flushing. This facial redness may come and go, and is often the earliest sign of the disorder.
  • Persistent Redness
    Persistent facial redness is the most common individual sign of rosacea, and may resemble a blush or sunburn that does not go away.
  • Bumps and Pimples
    Small red solid bumps or pus-filled pimples often develop. While these may resemble acne, blackheads are absent and burning or stinging may occur.
  • Visible Blood Vessels
    In many people with rosacea, small blood vessels become visible on the skin. To remove these blood vessels, Dr. Pilest will use the Vbeam laser. Vbeam affects the vessels within the skin and does not affect the surface skin.


  • Eye Irritation
    In many people with rosacea, the eyes may be irritated and appear watery or bloodshot, a condition known as ocular rosacea. The eyelids also may become red and swollen, and styes are common. Severe cases can result in corneal damage and vision loss without medical help.
  • Burning or Stinging
    Burning or stinging sensations may often occur on the face. Itching or a feeling of tightness may also develop.
  • Dry Appearance
    The central facial skin may be rough, and thus appear to be very dry.
  • Plaques
    Raised red patches, known as plaques, may develop without changes in the surrounding skin.
  • Skin Thickening
    The skin may thicken and enlarge from excess tissue, most commonly on the nose. This condition, known as rhinophyma, affects more men than women.
  • Swelling
    Facial swelling, known as edema, may accompany other signs of rosacea or occur independently.
  • Signs Beyond the Face
    Rosacea signs and symptoms may also develop beyond the face, most commonly on the neck, chest, scalp or ears.




Rosacea (pronounced “roh-ZAY-sha”) is a chronic and potentially life-disruptive disorder primarily of the facial skin, often characterized by flare-ups and remissions. Rosacea affects mostly adults, usually people with fair skin, between the ages of 30 and 60. Many have observed that it typically begins any time after age 30 as a redness on the cheeks, nose, chin or forehead. It typically first appears as a flushing or redness that comes and goes. In some cases, rosacea may also occur on the neck, chest, scalp or ears. Sometimes referred to Acne Rosacea or misdiagnosed as adult acne, Rosacea has no specifically known cause. Find out more about our options to treat rosacea here: Rosacea Treatment


Rosacea Video – Warning Signs

I’d like to thank Dr. Pilest for treating the most severe case of Rosacea I’ve seen and experienced. He treated me with such understanding and had me ready for a very important “Generation” family photo in just 1 week. I am very impressed. Dr. Pilest can help anyone in the war on this painful and unsightly problem. The pictures turned out great!”
Joyce McBroom

Over time, the redness becomes ruddier and more persistent, and visible blood vessels (telangiectasia) may appear. Bumps (papules) and pimples (pustules) often develop, and in some people the eyes feel irritated and appear bloodshot. In other cases, the nose may become swollen and enlarged from excess tissue. Without treatment, each of these potential signs and symptoms may progress from mild to moderate to severe.

Irvine rosacea patient before and after

Photo Source Candela

Learn about Treatment of Facial Rosacea with Vbeam Laser


Subtype 1: Facial Redness (Erythematotelangiectatic Rosacea)

Rosacea sufferers typically experience flushing and persistent facial redness. Small blood vessels may become visible in some patients, and stinging, burning, swelling and roughness or scaling may also occur.

Irvine rosacea patient

Subtype 2: Bumps and Pimples (Papulopustular Rosacea)

Rosacea sufferers typically experience flushing and persistent facial redness. Small blood vessels may become visible in some patients, and stinging, burning, swelling and roughness or scaling may also occur.

Irvine rosacea patient

Subtype 3: Enlargement of the Nose (Phymatous Rosacea)

Rosacea may be associated with enlargement of the nose from excess tissue, a condition known as rhinophyma.This may include thickening of the skin and irregular surface nodules, which in rare cases may also develop in areas other than the nose.

Irvine rosacea patient

Subtype 4: Eye Irritation (Ocular Rosacea)

Rosacea affects the eyes in many patients, and may result in a watery or bloodshot appear-ance, irritation and burning or stinging. The eyelids may also become swollen, and styes are common.

Irvine rosacea patient

Acknowledgements: Patient photos were supplied by Dr. Joseph Bikowski, assistant clinical professor of Dermatology, University of Pittsburgh; and Dr. Jerome Z. Litt, assistant clinical professor of Dermatology, Case Western Reserve University thru the National Rosacea Society.


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.

left arrow
right arrow

read more right arrow

*Individual Results May Vary


  • Culprit #1. Avoid sun exposure, which adversely affects more than 80 percent of Rosacea sufferers. Minimize exposure from 10 a.m. to 2 p.m. When you do go out, use a UVA sunscreen with an SPF of 30 or higher. Physical sunscreens with zinc and/or titanium oxide are less irritating and work instantly.
  • Avoid Stress. Expect the unexpected. Also, don’t try to do too much in a day.
  • Staying Cool. Retreat to air-conditioning when temperatures rise.
  • Dress “Cool.” Keep it light, loose and topped with a broad-brimmed hat.
  • Stay Hydrated. Drink plenty of cold liquids. You may also want to mist your face when you are outside in the heat.
  • The Spice Connection. Steer clear of spices, hot drinks and foods that may cause you to flush.
  • Choose your Workout Time. Early or late in the day is best, when it’s cooler outside.
  • Umbrellas in the Sun. A must at the beach…anywhere without shade.
  • Keep Your Routine. Don’t sporadically start and stop your treatment. Successful management of Rosacea only happens when you follow your treatment program.
  • Avoid Harsh Products. Your skin care routine should consist of mild cleansing products and your prescribed topical medication. Don’t add scrubs or glycolic acids which will only irritate already sensitive skin.


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.

Sign up for the latest news, events & offers from Total Dermatology

By submitting this you agree to be contacted by Total Dermatology via text, call or email. Standard rates may apply. For more details, read our Privacy Policy.