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VOLBELLA in Orange County, California

Juvederm® Volbella® is developed specifically for your lips and mouth area. If you’ve lost the soft, sensual lips you used to have and want a subtle, more kissable look, then Volbella is exactly what you’ve been looking for. At Total Dermatology we strive to deliver the best Juvederm Volbella Irvine has to offer.

Volbella Lips Before and After Photos

*Individual Results May Vary


A smooth gel that is injected using an ultra-fine needle, Volbella is the queen in assuring a soft, natural feel. The gel fills in lip lines and wrinkles while the hyaluronic acid within attracts and retains moisture for incredibly soft lips.

Juvederm Volbella contains lidocaine, making the injection process much simpler and more comfortable. Dr. Pilest has nearly 4 decades’ experience as a Board-Certified Dermatologist and is a trainer /speaker for Juvederm fillers. He is also a member of the prestigious Expert Injectors consortium. All injectables are with Dr. Pilest, not medical staff.


The CAUSE: The skin on your lips is constantly moisturized from within by hyaluronic acid, a naturally occurring sugar. As your skin loses hyaluronic acid over time, lines begin to appear around the mouth.

The EFFECT: This loss of hyaluronic acid leads to the appearance of wrinkles and the loss of fullness to your lips. As your lips become thinner, they lose volume and lack definition. Typically, you’ll develop vertical, or “marionette”, lines around the mouth, which can form at the corners going down to the chin or we can even develop a droop to the corners of the mouth, giving your mouth a sad appearance.





  1. Fill in “smoker’s lines”
  2. Plump the lip body
  3. Define the lip border
  4. Restore the philtral columns

A study showed that 98% of people who had Juvederm Volbella with Lidocaine reported that their lip appearance goals had been achieved; with results lasting up to 12 months.

*Individuals Results May Vary.


The smooth consistency of the products in the Juvederm Ultra® and VYCROSS™ ranges allow easy and smooth placement. They also contain 0.3% Lidocaine to reduce injection pain for a more comfortable experience.


It’s best to stop wearing makeup for up to 12 hours. Dr. Pilest recommends that you avoid the sun, as well as saunas and steam rooms, for 2 weeks. Some of our Irvine Juvederm Volbella patients experience a little temporary tenderness, swelling or bruising around the injection sites. It is also recommended that you avoid additional treatments in the treated area for the next 7 days.

Dr. Nissan Pilest is a member of the distinguished Expert Injector collaboration and holds the Circle of Excellence in Soft Tissue Fillers through the American Society of Dermatologic Surgeons. Dr. Pilest performs all injections for dermal fillers and neuromodulators at Total Dermatology.

About Dr. Pilest

Expert Injector Dr. Nissan Pilest



Juvederm Volbella XC injectable gel is for injection into the lips for lip augmentation and for correction of perioral rhytids in adults over the age of 21.


Are there any reasons why I should not receive Juvederm Volbella XC injectable gel?

Do not use these products if you have a history of multiple severe allergies or severe allergic reactions (anaphylaxis), or if you are allergic to lidocaine or Gram-positive bacterial proteins used in these products.

What precautions should my doctor advise me about?

Tell your doctor if you are pregnant or breastfeeding. The safety of Juvederm Volbella XC for use during pregnancy or while breastfeeding has not been studied. The safety of Juvederm Volbella XC in patients under 22 years has not been studied. The safety and effectiveness of Juvederm Volbella XC in areas other than the lips and perioral area have not been established in controlled clinical studies. Tell your doctor if you have a history of excessive scarring (e.g., hypertrophic scarring and keloid formation) or pigmentation disorders, as use of Juvederm Volbella XC may result in additional scars or changes in pigmentation.

Tell your doctor if you are planning other laser treatments or a chemical peel, as there is a possible risk of inflammation at the treatment site if these procedures are performed after treatment. Tell your doctor if you are on immunosuppressive therapy used to decrease the body’s immune response, as the use of Juvederm Volbella XC may result in an increased risk of infection. Tell your doctor if you are using medications that can prolong bleeding, such as aspirin, ibuprofen, or other blood thinners, as this may result in increased bruising or bleeding at the injection site. Minimize strenuous exercise, exposure to extensive sun or heat, and alcoholic beverages within the first 24 hours following treatment.


The most common side effects include swelling, tenderness, bruising, firmness, lumps/bumps, redness, pain, discoloration, and itching. Most side effects are mild or moderate and last 30 days or less.

One of the risks of using this product is an unintentional injection into a blood vessel, and while rare, the complications can be serious and may be permanent. These complications, which have been reported for facial injections, can include vision abnormalities, blindness, stroke, temporary scabs, or permanent scarring.

As with all skin injection procedures, there is a risk of infection.


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.

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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