I found Total Dermatology from a simple google search. So glad I decided to give them a try. Everyone in this office is engaging and treats you like a real person. Always smiling and willing to explain details with patience. I bought a package of 4 Dual Fraxel laser treaments. So far I have done 3 on my face, neck and chest. I can see a big difference in my skin. It's brighter, less sun damage and texture is smoother. Downtime wasn't bad at all. Just some redness and peeling. Jessica did my laser and she was so great. She explained everything from start to finish and was very thorough and professional. Dr Pilest removed some oil glands that have bothered me for years. They are gone. He is helping me turn back the clock! Overall, I have had a positive experience at Total dermatology and so grateful I found them. My skin has never looked better! read more

I'm currently getting laser hair removal here, and I started noticing significant results after my third session. My hair is growing back much more slowly, and my skin feels so smooth. The staff is very friendly, kind, and professional. I'm very happy with my experience so far! read more

I'm never disappointed when I am at Total Dermatology. The professionalism, 5-star customer service, and Dr. Pilest's skill and talent, what else can you ask for?! read more

Always a great experience with the entire Total Dermatology team. Dr. Pilest is caring to all his patients. I highly recommend Dr. Pilest.

The staff is incredibly kind, welcoming, and professional. The facility is very clean, modern, and well-maintained, which made me feel comfortable right away. Dr. Pilest is extremely knowledgeable and took the time to explain everything clearly while recommending the best approach for natural-looking results. The appointment process was smooth and efficient, and I'm very happy with my results. Highly recommend! read more

Always a pleasure coming here. Incredibly kind & knowledgeable staff, and Dr.Pilest is truly the best!! Treatments are top notch and always professional. read more

I can't recommend Total Dermatology enough! Dr. Pillest is an outstanding physician--knowledgeable, professional, and genuinely cares about his patients. The office is always immaculate and well organized, and the entire staff is friendly, welcoming, and attentive. I trust them completely with all of my skincare needs, from products to treatments, because I know I'm receiving honest advice and exceptional care. Every visit has been a wonderful experience! -- Soni N. read more

DiamondGlow was amazing! I had such a relaxing time ! definitely worth it! I am in love with how my skin feels!

The entire team is great. Dr is excellent at Botox and Jessica does a thorough job at Fraxel and v-beam. It is a pleasurable visit every time I've been there. I would highly recommend them and I have been a patient for over 10 years read more

I recently had a facial, the diamond glow, and it was awesome. My skin felt so hydrated and purified. Sandy did a great job, very informative and great personality. Everyone there that I encountered was friendly. Will definitely be back. read more

Amazing! This place has the nicest people. Great service and very knowledgeable doctor. The medical expertise with a facial service is super valuable. read more

Let me begin with the Reception staff. They are very cordial and they fit me in. Sandra was thorough yet funny and friendly when asking me about my complaint. She was knowledgeable having been with Dr Pilest some 13 years. Then came in Dr Pilest, better fashionably dressed than a GQ midel, with matching tie and shoes. He examined my skin and asked questiins. I felt that he was giving me his precious time and professional expertise. I didn't feel rushed, even if my issue was not the high value thing. The attention he gives to patients is what makes him exceptional. read more

I've been seeing Dr. Pilest for over 15 years, and he is truly the best in dermatology. I travel all the way from Torrance just to see him. I've tried other dermatologists in the past, but I always come back because the results I get here are absolutely fabulous. I've had Thermage, Mface, and neurotoxin treatments, and I couldn't be happier with the outcomes. The staff is always friendly and welcoming, which makes every visit a great experience. If you're looking for real results, this is the place. Dr. Pilest has the experience and expertise--you won't regret it! Jackie V. read more

Dr.Pilest and team are fantastic. I have been coming here for years and always receive expert care and treatment.

Dr. Pilest and his staff are wonderful. Very knowledgeable and friendly. Overall, a pleasant experience with great results!

I highly recommend Total Dermatology for anyone looking for exceptional skin care. They are incredibly professional, take the time to listen to your concerns, and provide clear, effective treatment plans. My skin has never looked better, and the entire office experience was seamless. I've already recommended them to my friends and wouldn't go anywhere else! read more

I've been going to Dr. Pilest's office for many years. I've seen him for numerous different types of treatments. He is a true expert in his field. Dr. Pilest and his staff seem to be very informed about the newest and most advanced dermatological treatments available. They always help me come up with the best options to achieve the results I'm hoping for. Jessica and the rest of the staff are so knowledgeable, helpful and friendly. This office never disappoints me! read more

Lived with cystic acne through high school/college years, have been through it all in treating the scars it left. It had been a while since I had done any drastic treatments so I wanted to try my hand at speeding up my progress with laser. They recommended I buy three rounds of radio frequency and Vbeam with exosomes, which came out to $5k. They promised serious results at the consultation, showed drastic before and afters, and it's of course hard not to fall for that when you've lived with scars for so long and would pay anything to make them go away, even when I was trying to be vigilant for that type of "prey on the desperate" behavior. By the end of my three rounds, I did not see a big improvement. I am an optimist and was ready to buy into the "you have to give it time to let the skin heal before you see the real results" mindset, but at my exit appointment, they were really pushing me to buy more services and kept saying that if I really wanted the results promised at my first consultation then I would have to do more rounds and of course spend thousands of more dollars. That was my "aha" moment where I realized that this place was not what I was looking for. I am now more than three months post all three rounds and still have seen no big improvement. I feel like my gut to walk away was right. I was reminded you cannot rush progress- do not let them sell you on a dream. You are better off investing in monthly microneedling/peels/facials. I have a wonderful esthetician in Costa Mesa that owns her own business and has done miracle work with my skin at a fraction of the cost- I recommend trying to find someone like that instead of sinking all your funds here. 2 stars only because the woman who did my initial consultation was very kind. read more

Very good Dr. Very knowledgeable With all new products . Wonderful supporting staff When I worry about my skin Dr Pilest is my first choice . read more

I am a new patient of Dr. Pilest. Absolutely like this office. Dr.Pilest is a great doctor and knowledgeable. He listens carefully to his patient's concern and questions , and he cares about the treatment he provides for his patients. His staff are very welcoming, friendly and helpful and his consultant Manab, she has a great personality and she explained regarding the treatment, procedure, products, costs clearly and concisely. And also his assistant that she was asisting him during my laser procedure was very friendly and helpful she explained everything to me very clearly. It was my first visit and as well as my first laser procedure and it was done effectively, smoothly, and simple with minimal pain. I highly, highly, highly recommend this place! Farah D. Dec 13, 2025 read more

I have been a long time patient and have received a variety of treatments over the years. Dr. Pilest and Staff are very skilled in the services they provide. The staff are very welcoming when you arrive and provide excellent customer service. I have also referred my sister and mom and they were also pleased with the treatments. I would not see any other dermatologist. read more

Amazing doctor and staff. Especially Jessica who is sweet and knowledgeable. Been coming here for over 20 years and won't go anywhere else.

I highly recommend this practice to anyone looking for a skilled, kind and knowledgeable dermatology team. The doctor and staff are always warm, friendly and thorough. I also appreciate how they consistently run on time and don't keep you waiting! read more

Absolutely love this office, Dr Pilest, and his entire team. I've been here several times for both medical and cosmetic procedures. I recently had a lot of filler and Botox done. I am so scared of needles and pain and they were so kind with giving me pain medicine and putting up with my fear and anxiety. The procedure was so smooth and was done with minimal pain. Days later I have gotten sooooo many comments how great I look. I am amazed at what a great injector Dr Pilest is. I honestly hope he never retires. I would give him 10 stars if I could. Dont listen to the negative reviews. read more

From the moment I checked in, to the moment I left, I was treated with compassionate care. JC and Alyssa are masters at making a pt feel comfortable. Dr. P is always 5 Star with his warm professionalism and cute sense of humor. He's skilled hands have never hurt me. I'm have such confidence and trust in him. Thank you for your care. Bravo Team Pilest! read more

I've been visiting Dr. Pilest for 15 years now! I first went to him for my acne as a teenager and he completely transformed my skin. He made me feel confident again. Fast forward to now, I still go him for laser therapies and skin treatments. I constantly get complimented for my skin. I'm truly grateful for Dr. Pilest and his trusted team at Total Dermatology! read more

I have been going to Dr. Pilest for many years. I have seen him for all kinds of skin issues from Rosacea and age spots and wrinkles. Also for many treatments from hair removal, different laser treatments and quarterly Botox and Daxify. He is always up to the latest techniques and procedures. I definitely recommend him for any skin needs. read more

I have been going to Total Dermatology with Dr. Pilest since my early twenties up until now in my mid-thirties for skin health and aesthetic purposes. There is a reason why I have not left! Not only does he have the latest techniques, but he is the best at diagnosing issues and always knows the right procedure. Dr. Pilest has the best team as well, which is a major plus. Everyone is professional and knowledgeable. I could not recommend any dermatologist office more! :) read more

Dr Pilest and his team are the best! Dr Pilest is really the best diagnostician and injecting. He always does a great job. I also love Jessica and does a great job with the clear and brillant facials and I'd always so helpful. Highly recommend Dr Pilest and his team. read more

Today I had a lovely DiamondGlow facial, which exfoliates, extracts and infuses. Sandy explained all my options very clearly, along with the benefits and cost, allowing me to make the best decision for my skin care. read more

I have been going to Dr Pilest's for years and love the results! Can't recommend him enough :)

Dr. Pilest and his staff are amazing. Everyone made me feel comfortable and cared for from the start. My Rosacea Laser treatment was simple, effective, and the results have been life-changing. I feel more confident than ever. Definitely recommend this place! read more

Total Dermatology is the best!! Dr Pilest and everyone that works for him are very kind and professional. I feel very fortunate to have found them. read more

i have been seeing Dr Pilest for over 8 years and has been the best choice that I have made with my skin care. Jessica has been amazing with my laser treatments and Sandy has been my best advocate in aiding and informing me about every treatment available and it's benefits. read more

I've been going to Total Dermatology for over 8 years now and although there's no stopping aging, my skin looks amazingly BETTER NOW than when I was 8 years younger thanks to Dr. Pilest and his awesome team of nurses, aestheticians and all the support staff who makes every visit easy and comfortable. My Fountain of Youth Team for sure! I didn't realize how much skin damage I had (and how much older it made me look!) until I started seeing the treatment results! And the ongoing maintenance definitely has helped keep things fresh! I love the results I've gotten especially with Thermage, Fraxel (my fave!) and Botox (of course!). Have tried other treatments including fillers and have always had a positive experience, but the trio treatment (Thermage/Fraxel/Botox) has been my go-to that works best for me for ongoing maintenance. I'm almost 60 but these treatments have truly helped me stay youthful enough to not have to consider any invasive treatments...yet! Thank you, Dr Pilest, Jessica!! and the entire Total Dermatology team! (Sorry, this review is so long overdue!! I can't believe it's been over 8 years that I found my Fountain of Youth with Total Dermatology! Gonna ride that fountain as long as I can! lol read more

Hello, I have been having skin problem for 5 almost years. For some reason I can't get my skin looking better until i discovered Total Dermatology. Thank you so much in helping me. You don't know how much you have change my skin. Thank You, Thank You. Love you guys. read more

Dr P is the best in the cosmetic field. I treated myself to a much needed rejuvenation (for my 40th) with fillers and Botox. I was a little scared to get too much done and end up looking like the Real house wives. As a former employee I knew that the only Dr I could trust to make me look 10 yrs younger without looking crazy, was Dr Pilest. I am now 42 and continue to go to Dr P to stay youthful looking. I go in for monthly Diamond Glow with Jessica (whom I just adore!). I've also had my teen daughters go in for laser hair removal and acne treatments, and just like me, they are so happy with their results! read more

I wouldn't go back to him if he PAID ME!!! Had a lump on face and wanted to do a biopsy I asked would it leave a scar which he just answered very coldly YES! Left that office immediately. I went elsewhere and had it only injected and it was GONE, was told I never needed a biopsy!!!! read more

Dr, Pilest and his team feel like family. They always welcome and remember me, I'm not just a number with a dollar sign. I've been using Dr. Pilest for about 20 years now. Not once has he said, I don't think we can do anything about your problem. The doctor is so detailed and really pays attention and listens to all of your concerns. My migraines have been an issues since childhood. Dr. Pilest is the only one I trust to use botox with me. I never have to worry about frozen face - takes care of my headaches for at least 3 months. If you want to look refreshed the best version of yourself - Go to Total Dermatology. read more

We have been seeing Dr Pilest as a family for 10+ years. He has treated us for acne and anti-aging treatments, and we love all of the staff and nurses! We are so happy with all of the services here and highly recommend! read more