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(949) 727-3800 Appointment

ROSACEA TREATMENTS in Orange County, California


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.


Because the signs and symptoms of Rosacea vary from one patient to another, treatment must be tailored for each individual case. Identifying Rosacea is tricky for many patients who also experience breakouts. Those with Acne Rosacea need very different treatment from a patient with Acne Vulgaris. At Total Dermatology we strive to deliver the best Rosacea treatments Irvine has to offer. Dr. Pilest will most often use a combination of treatments to provide the most relief as quickly as possible.

Various *oral and topical medications may be prescribed to treat the bumps, pimples and redness often associated with the disorder. Treatment with oral antibiotics that are “Rosacea-specific” reduce inflammation and redness and topical therapy will generally be used together in the initial treatment stages. * Prescription-based office visits are medical in nature. Please view the Medical Insurance Notice above.

Irvine Rosacea treatment patient before and after

  • Topical lotions or gels containing azelaic acid help maintain remission. For excessive redness, a newer topical product named Mirvaso can be used. It works by shrinking the capillaries in the skin – much like redness removing eye drops “get the red out”. Although it is temporary in action (about 12 to 18 hours), the effects are readily apparent in 30 minutes.
  • Vascular laser – Rosacea that has been left untreated can result in expanded veins in the face and nose. When appropriate, Rosacea treatments with a Vascular laser (Vbeam) are very effective. Vbeam is considered a cosmetic treatment.
  • For our younger Irvine Rosacea treatment patients with oily skin, salicylic acid peels can be used to help reduce inflammation and improve skin that is prone to acne
  • Ocular Rosacea may be treated with oral antibiotics
  • Skin products that reinforce the skin’s natural barriers

In addition to medical treatment, Rosacea sufferers can improve their chances of maintaining remission by identifying and avoiding lifestyle and environmental factors that trigger Rosacea flare-ups or aggravate their individual conditions. The National Rosacea Society offers a free Rosacea Diary Booklet to assist patients in identifying factors that may affect their individual cases, as well as a booklet called “Coping with Rosacea” that provides tips on lifestyle management, Rosacea Q and A’s etc. If you would like to learn more about Rosacea Treatments, please 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.

“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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