Total Dermatology, located in Irvine, California, is dedicated to providing the utmost quality and cutting-edge technologies in dermatology. Under the guidance of Dr. Pilest, a highly experienced board-certified dermatologist, we excel in treating acne, wrinkles, sun damage, and skin laxity for both men and women. With a renowned national reputation in aesthetic dermatology, Dr. Pilest has been serving patients medically and cosmetically since 1979 and has been a trusted practitioner in Orange County for over 38 years. Cosmetic Dermatology is a specialized field focusing on the appearance changes, which occur from Aging, Sun Damage and Skin Disease and are mostly treated outside of medical insurance coverage. Nissan Pilest, MD is a Board Certified Dermatologist with over 38 years’ experience in all elements of dermatology, including cosmetic, medical and surgical treatments with special expertise in dermal fillers and lasers.