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Total Dermatology
Total Dermatology

Total Dermatology

Med spa in Irvine, CA

Rated 4.6 out of 5 (125 on Google Maps) (opens in a new tab)

Total Dermatology is a medical spa at 16100 Sand Canyon Ave, #190, in Irvine. The practice has served Orange County for over 30 years and draws patients from Irvine, Newport Beach and across the county. Dr. Nissan Pilest, a board-certified dermatologist, leads the practice, and registered nurses work alongside him. The practice says it aims to be a destination for cosmetic dermatology in Irvine, Newport Beach and Orange County, and the site shows a 5.0 rating from more than 420 reviews.

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About

Total Dermatology is a medical spa at 16100 Sand Canyon Ave, #190, in Irvine. The practice has served Orange County for over 30 years and draws patients from Irvine, Newport Beach and across the county. Dr. Nissan Pilest, a board-certified dermatologist, leads the practice, and registered nurses work alongside him. The practice says it aims to be a destination for cosmetic dermatology in Irvine, Newport Beach and Orange County, and the site shows a 5.0 rating from more than 420 reviews.

Treatments cover several areas. Injectables include more than 15 brands: neuromodulators such as Botox, Xeomin, Dysport and Daxxify, hyaluronic acid fillers, Sculptra, SKINVIVE, thread lifts, PRF and EZGEL. The practice runs more than 15 laser, radiofrequency and light systems, used for options such as Fraxel, Thermage FLX, EmFace, Vbeam, PicoWay for pigment and tattoos, GentleMax for hair removal and Acne Lasers. Microneedling, facials and peels, and body contouring round out the menu, along with medical weight loss and vaginal rejuvenation. The site also lists treatment for acne, acne scarring, melasma, rosacea, psoriasis, warts and skin cancer.

Body contouring is non-surgical and includes Emsculpt NEO, Liposonix, Thermage Body, QWO for cellulite, stretch mark reduction and Kybella for small pockets of fat. The practice uses five body-shaping technologies. Facial options include DiamondGlow, dermaplaning, Cosmelan VI Peel, Dermamelan, Intimate and TCA peels.

A visit begins with a new-patient meeting with Dr. Pilest, who reviews concerns and builds a personal plan. Price quotes are not given over the phone. The firm price is set at the in-person consultation, and the practice says there are no hidden fees. Pricing reflects the work each person needs rather than a flat fee, and depends on factors such as skin thickness, the depth of lines treated and procedure time. The practice says it does not use high-pressure sales tactics. Consultations can be requested through the website or by phone at (949) 727-3800. Office hours are Monday to Friday, 9 AM to 5:30 PM. The site lists Botox facial contouring at roughly $300 to $600 per treatment and Liposonix at about $150 to $300 per treatment area.

Payment options include financing and membership programs for facials, Botox and Emsculpt NEO. The practice sells Skinbetter, SkinMedica and Alastin skincare.

Plans are tailored to each patient's skin type and face after a new-patient consultation. The practice says its treatments aim to help skin cells work better and to stimulate new collagen.

Services

Final prices may vary.

Neuromodulators, hyaluronic acid and other fillers, skin-quality injectables, thread lifts, and options for weight management, with Botox, Xeomin, Dysport and Daxxify among the neuromodulators.

  • Botox Facial Contouring $300
  • Kybella Double Chin $600
  • Botox Price at booking
  • Botox & Wrinkle Reducers Price at booking
  • Daxxify Price at booking
  • Dermal Fillers Price at booking
  • Dysport Price at booking
  • Ezgel Price at booking
  • Kybella Price at booking
  • PRF Price at booking
  • PRP with Acell Price at booking
  • Radiesse for Hands Price at booking
  • Restylane Price at booking
  • Restylane Kysse Price at booking
  • Restylane LYFT (Perlane) Price at booking
  • Restylane Refyne and Defyne Price at booking
  • Restylane Silk Price at booking
  • Sculptra Price at booking
  • Semaglutide Price at booking
  • Skinvive Price at booking
  • Thread Lifts Price at booking
  • Tirzepatide Price at booking
  • Volbella Price at booking
  • Xeomin Price at booking

Resurfacing, tightening, pigment, hair removal and acne laser options, including Fraxel, Thermage FLX, EmFace, Vbeam, PicoWay, GentleMax and eyebrow tattoo removal.

  • Fraxel Friday $999
  • Thermage 900P + Fraxel Face (Thermafrax Thursday) $2,999
  • Pellevé Facial Tightening Wand $95
  • Thermage 900P Eye Tightening (Tighten Tuesday) $1,000
  • Thermage Face $1,700

Needle-based skin treatments including SkinPen, RF microneedling, AquaGold, platelet-rich plasma, ELEVAI Exosomes, Rejuran and Salmon DNA.

  • RF Microneedling (face) $600
  • AquaGold Price at booking
  • ELEVAI Exosomes Price at booking
  • Platelet-Rich Plasma Price at booking
  • Rejuran Price at booking
  • RF Microneedling Price at booking
  • Salmon DNA Price at booking
  • SkinPen Microneedling Price at booking

Facial and peel options such as DiamondGlow, dermaplaning, Cosmelan VI Peel, Dermamelan, Intimate and TCA peels.

  • Salicylic Acid Peel $200
  • Radiance Peel $350
  • ViPeel $450
  • Peel Monday - Cosmelan $1,000

Non-surgical body treatments aimed at reducing fat, tightening skin, smoothing cellulite and improving shape, including Emsculpt NEO, Liposonix, Thermage Body and stretch mark reduction.

  • Medical Weight Loss Price at booking
  • Vaginal Rejuvenation Price at booking
  • Liposonix Fat Melting $150
  • Emsculpt NEO $500
  • Kybella Body $600
  • Stretch Mark Reduction $768
  • Thermage Body $1,700
  • QWO Cellulite Treatment $2,731
  • Voluma Price at booking
  • Kybella for Double Chin $600–$3,200
  • Cosmelan VI Peel Price at booking
  • Dermamelan Price at booking
  • Dermaplaning Price at booking
  • DiamondGlow Price at booking
  • Intimate Price at booking
  • TCA & TCA Cross Price at booking
  • Fraxel package of 3 $2,997
  • Acne Lasers Price at booking
  • Alex TriVantage Price at booking
  • Clear + Brilliant / Permea Price at booking
  • CO2 Repair Price at booking
  • Dual Fraxel Price at booking
  • EmFace Price at booking
  • Exion for Contouring & Rejuvenation Price at booking
  • Eyebrow Tattoo Removal Price at booking
  • Fraxel Price at booking
  • GentleMax for Hair Removal Price at booking
  • PicoWay for Pigment & Tattoos Price at booking
  • Thermage FLX Price at booking
  • Vbeam Price at booking
  • Cosmelan $1,000
  • Rejuran PDRN Skin Booster with SkinPen microneedling Free
  • VI Peel with peptides $350
  • Laser hair removal packages (20% off) Price at booking
  • Thermage 900P + Fraxel Face $2,999
  • Eyes (50% off when you get Thermage) $1,000
  • Thermage 450P $2,000
  • Thermage 900P $2,500

Photos

  • Before and after lip and facial filler result
  • Forehead injectable before result, close-up
  • Forehead injectable after result, close-up
  • Eye area injectable before result
  • Eye area injectable after result
  • Facial treatment before result on a male patient
  • Older man's face, front view, injectable filler result
  • Woman's face in side profile, injectable filler result
  • Woman's face at an angle, injectable filler result
  • Woman's face, front view, injectable filler result
  • Woman's face, front view, smoother skin after injectables
  • Close-up of woman's cheek and eye wrinkles, before treatment

Meet the team

Team members listed on their website. Individual roles, credentials, and current employment have not been independently verified.totaldermatology.com (opens in a new tab)

Highlights
  • Over 15 injectable brands, including several neuromodulators and filler families
  • More than 15 laser, radiofrequency and light systems and five body-shaping technologies
  • Botox facial contouring, with Botox and Dysport sometimes used together in one session
  • Allē points on Botox and Juvederm treatments, exchangeable for Allergan products
  • Membership programs for facials, Botox and Emsculpt NEO
  • Sells Skinbetter, SkinMedica and Alastin skincare
Good for
  • first cosmetic treatment with a plan built at consultation
  • comparing injectable options
  • non-surgical body contouring
  • acne and acne scarring
  • melasma and pigment concerns
  • people considering medical weight loss
  • patients who want financing or membership options
Treats
  • fine lines
  • frown lines
  • wrinkles
  • volume loss
  • jawline contouring
  • double chin
  • small pockets of fat
  • cellulite
  • stretch marks
  • acne
Techniques
  • Botox
  • Xeomin
  • Dysport
  • Daxxify
  • Juvederm
  • Restylane
  • Radiesse
  • Sculptra
  • Belotero
  • Volbella

Products & treatments

  • Skinbetter
  • SkinMedica
  • Alastin
  • Botox
  • Xeomin
  • Dysport
  • Juvederm
  • Restylane
  • Belotero
  • Radiesse
  • Sculptra
  • Volbella
  • SKINVIVE

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