Sometimes the skincare routine that worked for you before just doesn’t cut it anymore. In Orange County, many med spas are run by people you’ll never meet. At Total Dermatology, we look at your skin differently. Your skin is a living part of you, not just a surface to be covered up. We focus on small, smart changes that help you look like the best version of yourself. Instead of just hiding the signs of aging, we use treatments that help your skin actually get healthier from the inside out.
Book Your ConsultationOver the years, Total Dermatology has become one of the most advanced skin centers in the country. Our Irvine clinic gives you more choices than almost any other med spa. We don’t believe in one-size-fits-all. Instead, we have over 15 different lasers and five different ways to shape your body.
Because Dr. Nissan Pilest is on-site every day, our clinic is a place where you get both expert medical care and a relaxing experience. Whether you need a gentle facial or a more complex treatment to fix damaged skin, we have the right tools for the job. When you are ready for a plan that focuses on real results rather than trendy gimmicks, we are ready for you.
Our ClinicThe biggest difference you’ll notice here is that a real skin doctor, a board-certified dermatologist, is in charge. Dr. Nissan Pilest has been helping patients in Orange County since 1979. He has over 40 years of experience with lasers and skin health. While many med spas follow whatever is popular on social media, Dr. Pilest bases every treatment on how your skin actually works.
Dr. Pilest is a top-level expert in Botox and fillers, and he even teaches other doctors at UCI. He meets with every new patient to look at their skin and listen to their goals. This means every treatment you get is picked specifically for your skin type and your face.
Learn more about Dr. PilestOur Philosophy: Healing Beauty
We believe in something we call "Healing Beauty." The way you feel and your overall health show up on your face. When your skin is truly healthy, it has a natural glow that no amount of makeup can copy. Our goal isn't just to cover up wrinkles or spots. We want to help your skin cells work better. By using treatments that help your body grow its own new collagen, we give you results that look natural and last a long time.
When lines between your brows or around your eyes start to stay visible, Botox can help. Dr. Pilest uses a very precise, light touch so you still look like you. The goal is to relax the muscles that cause wrinkles, leaving you looking rested and fresh, never frozen.
We are the go-to spot for adding volume back to your cheeks, lips, or jawline. We carry over 15 different types of fillers, which lets Dr. Pilest pick the perfect one for your face. This helps create a lift that looks completely natural and fits your unique look.
Our lasers are great for clearing away sun damage, acne scars, and fine lines. We use light and heat to hit the reset button on your skin. These treatments remove old, damaged cells and help new, healthy skin grow back in its place, making your skin look smoother and brighter.
We take traditional microneedling and make it better with advanced technology. Whether we are using the SkinPen or a laser-based needle treatment, we create tiny channels that tell your skin to start making more collagen. It’s one of the best ways to shrink pores and smooth out your skin.
Our medical facials are for people who want a deep, clinical clean. The DiamondGlow treatment cleans out your pores while pumping in skin-boosting serums. We also offer a wide range of peels that can lift away dark spots and sun damage for any skin tone.
Emsculpt NEO is a powerful way to tone your body without the gym. It uses special energy to make your muscles contract thousands of times while also melting fat. It helps our patients in Orange County get stronger and more defined in their stomach, arms, or glutes with zero downtime.
Why Choose Total Dermatology?
Choosing where to go for your skin is about more than just finding a good price. It’s about trusting the person using the laser or the needle. We don’t use high-pressure sales tactics. Instead, we give you a safe, medical environment where your health comes first. We understand how different skin tones react to treatments, and we make sure your results are safe and effective in the long run.
Cost and Consultation
Pricing at our Irvine office is based on the actual work needed to get you the results you want. We don’t use gimmicks or flat fees because every person’s skin is different. The cost depends on things like your skin thickness, the depth of the lines we are treating, and how much time the procedure takes.
Because everyone is unique, we don't give out price quotes over the phone. Quoting a fee without seeing your skin is just a guessing game, and we want to be more accurate than that. Your consultation is where we look at your skin and give you a firm, honest price with no hidden fees.
Schedule your visit with Dr. Pilest at (949) 727-3800 or through our Online Booking Link.
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.
