Total Dermatology in Irvine serves all of California with the highest quality and innovative technologies. Led by Dr. Pilest, a board-certified dermatologist with decades of experience, we specialize in treating acne, wrinkles, sun damage, and skin laxity for both men and women. Dr. Pilest has a national reputation for aesthetic dermatology, treating patients medically and cosmetically since 1979, and has been practicing in Orange County for over 38 years.