The Best Technology

At Total Dermatology as our patient you will have access to the highest quality and most innovative technologies available. Whether your concern is acne, wrinkles, sun damage or skin laxity, Dr. Pilest has both the latest technology and the most up-to-date expertise to address virtually every issue.

  • 15 laser, radiofrequency and light systems
  • 5 body shaping technologies
  • 15 injectables for filling, relaxing, fat melting, and vein removal
  • A full range of “every-skin” chemical peels
  • Clinically proven skin-transforming professional products
  • THE most experienced Board-Certified Dermatologist in the entire area


Since 1979, Dr. Pilest has been serving the greater Orange County area as a Board-Certified Dermatologist, treating a wide variety of patient concerns. For nearly four decades he has built upon a deep understanding of both the intricate science of medical dermatology, as well as the aesthetic artistry of cosmetic dermatology.

In addition to his practice, he has been an active Associate Clinical Professor at the UCI Department of Dermatology and is an in-demand injectable and laser trainer for fellow physicians.

Total Dermatology Practitioners and Staff

Paired with the experience of Dr. Pilest, we are fortunate to integrate the expertise of our Registered Nurses.

Our staff is fully-trained for their respective positions, using their experience, education, and certifications. You can relax knowing that each staff member has a full understanding of all that Total Dermatology offers, but also can provide excellent care and customer service.



Professional Consultations

We understand your need to thoroughly explore your options, and know it can be difficult to connect the dots on your own. As a new patient, you will meet with Dr. Pilest himself upon your initial visit. Here you may discuss your concerns, receive a comprehensive professional assessment, and build your own personal treatment plan along with Dr. Pilest. Please feel free to call our office at (949) 727-3800 today to schedule a consultation or fill out the form on this page and one of our trusted staff members will reach out to you promptly.


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

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