What’s New at Total Dermatology

IFine for Under Eye Wrinkles

Gently heating undereye tissue to smooth wrinkles at their source. Read more about IFine

NovaThreads Lift and Smooth

Absorbable sutures for lifting and smoothing the brow, jowl, neck and eye area. Used in conjunction with Silhouette InstaLift for full face lifting without surgery. Read more about NovaThreads, a remarkable method for repositioning skin in mere minutes!

  • Makes the skin look firmer
  • Creates a more defined contour
  • Provides a lifting effect where desired
  • Improves appearance without scar lines
  • Very affordable
  • Quick treatment with an excellent safety record


Vaginal rejuvenation for external aesthetics and internal function. No surgery, no needles, no cutting, no downtime, and no recovery. Three sessions provide a “makeover” for your lady bits. Learn about ThermiVa

The “O-Shot”

Increase arousal with this very safe, unique injection into the clitoral and surrounding tissues. Platelet-rich plasma (derived from your own blood) is used to expand sensitive areas for increased pleasure and sensitivity. Read about the O-Shot and see a patient testimonial.


Micro needling intensified with radio frequency. Get all the benefits of micro-needling with the added collagen production from radio frequency. A new “go-to” for acne scarring. Intensif RF Micro Needling.



Juvederm Vollure

A new hyaluronic gel filler from Juvederm (Allergan). Vollure lasted up to 18 months in clinical studies. Used in moderate to severe lines around the mouth and nose.

Restylane Refyne and Defyne

More elasticity AND soft lift? Yes! The new Restylane Refyne and Defyne formulas are designed with flexibility in mind. Fill in those folds, laugh lines and marionette lines and keep your expressions “expressive”.  Both products last up to 12 months when appropriate treatment is applied. Enjoy the benefits of fillers that not only look natural but feel like skin.

Silhouette InstaLift

Silhouette InstaLift™ is the breakthrough facial rejuvenation procedure you have read about in Town & Country and seen on THE DOCTORS TV Show that lifts sagging facial skin without the need for major surgery, scars or general anesthesia.

This in-office procedure re-contours your mid-face and cheeks by gently lifting the deeper layers of your skin with resorbable sutures. The treatment is comfortable, requires no general anesthesia and typically takes 45 minutes. You will see results right away and the recovery time is minimal. See the InstaLift procedure videos and results.

Volbella for Lip Lines

Lip lines are nothing to laugh at. Referred to as perioral lines or “smoker’s lines”, these vexing detractors are a big problem for many baby-boomers. Juvederm’s new Volbella XC is a lidocaine-included line smoother (and plumper if you need) that is ultra-soft with staying power. About Volbella and what it can do for your lips


Medical-grade exfoliation built into a luxurious treatment for smooth, radiant, and refreshed skin. Dermaplaning explained and live treatment video

AquaGold Finetouch

Watch a video of this very unique delivery system to place almost any product into the skin without pain or side effects. Botox for tighter pores and redness reduction, hyaluronic gels for smoother skin, and deep delivery of active facial serums. About Aquagold Finetouch


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