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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 over time adds up. Many people are surprised to see discoloration sort of “pop up” without warning.

You’re well-advised to always use sunscreen or sunblock. But even near-religious use of sunscreen can’t promise you’ll not have pigmentation problems at some point. Age and hormones (and heat in general) all precipitate pigmentation. Luckily, most people are good candidates for dermatology treatments to lessen skin discoloration.

Not everyone can benefit from the same treatments. Your ancestry will determine some of your treatment choices, as will the severity of your problem and your lifestyle. As odd as it may seem, those with the lightest skin tend to get the most results from the power of lasers and more aggressive procedures. Darker skins have to slow down the correction process so they don’t end up with even more splotches and spots.

Below are the different dermatology treatments for returning your skin to an evener tone and coloration.

Irvine skin discoloration treatments model




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 get rid of brown spots found on your face, arms, chest or hands.

  • Fraxel DUAL is a pigment specific laser and can be used anywhere and everywhere.
  • Clear and Brilliant Permea Laser gently blends uneven skin tone and helps the skin absorb products used for lightening.
  • Cosmelan is an all-skin-friendly professional mask treatment for discoloration.
  • Alex Trivantage is great for concentrated dark skin spots.
  • Skin care products now contain ingredients that specifically are included to reduce spots and lighten your skin. Non-hydroquinone formulations practically do away with sensitivity risks.

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 the surface. At-home products help suppress pigment cell activity.
  • dEp Mask is an at-home facial or spot mask that uses microcurrent to deeply infuse pigmentation-fighting vitamin c.
  • Sunscreen (sunblock if you are always in a rush out the door) is a necessity for any Melasma sufferer. Make it a part of your every day routine.

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 from sun exposure, making cover-up important.
  • Larger veins on the legs can also be treated with Sclerotherapy injections.
  • Topical and/or oral medications are more often used for Rosacea.


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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