Pier Medical Aesthetics
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Pier Medical Aesthetics
When you need an aesthetic treatment to rejuvenate your face or body, you want nothing but the absolute best - and that's just what you'll receive at Pier Medical Aesthetics in Hermosa Beach, California. Dr. Douglas Mest has more than two decades of experience and is renowned in the field of medical aesthetics.

His dedication to creating natural and exceptional results has resulted in thousands of deeply satisfied patients and earned him a featured appearance on the TV series "Botched." Dr. Mest is also a pioneer in Sculptra aesthetic treatments and a CoolSculpting expert. The highly trained medical staff at Pier Medical Aesthetics works closely with each patient, talking about their personal needs and creating customized treatment plans.
Services
What can be said about the wonder drug Botox? Every day it seems a new condition can be treated with this little protein. It is the number one cosmetic treatment in the United States. It literally stops your body from making certain wrinkles by stopping the movement that causes them in the first place.
It is injected into muscles and used to improve the look of frown lines between the eyebrows (glabellar lines) in adults younger than 65 years of age for a short period of time (temporary). Frown lines (wrinkles) happen because the muscles that control facial expression are used often (muscle tightening over and over).
The Restylane family of products includes Restylane, Restylane-L, Restylane Lyft with Lidocaine, Restylane Silk, Restylane Refyne, and Restylane Defyne. Restylane Refyne is for mid-to-deep injection into the facial tissue for the correction of moderate to severe facial wrinkles and folds, such as nasolabial folds, in patients over the age of 21.
Now with local anesthetic for an even more comfortable procedure, Juvederm is a highly cross-linked Hyaluronic Acid dermal filler which may last for up to 12 months. Available in 2 strengths, Dr. Mest will determine which is best for you depending on the area to be treated.

Juvederm, manufactured by Allergan, the makers of Botox, is a smooth gel made up of highly cross-linked Hyaluronic Acid particles in the highest concentration available which allows for the longevity of this material.Allergan's unique, proprietary manufacturing process creates a uniform gel that allows for an easy, more uniform flow when injected.
Have you ever wanted to naturally replace the volume we all lose as we age? Now you can. Sculptra allows for the gradual and long-lasting correction of volume defects and contour deficiencies. Dr. Mest is a pioneer in the use of Sculptra in the United States. He was the Principal Investigator of one of two US trials that led to the approval of Sculptra in 2004.
Reviews (29)
Melissa R.
Melissa R.
Jan 07, 2022
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I was very impressed by the PMA experience. First I made my appointment thru Instagram which for someone who doesn't have a lot of time they made it convenient! Secondly, the office team has the kindness demeanor. From the moment I made the appt to walking in the office they were incredibly kind and helpful. Lastly, Dr Mest is incredible- he's smart, kind, funny and thorough. Everything he said was on point with my experience. I can't wait to go back!
Leslie Quinn
Leslie Quinn
Dec 28, 2021
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Dr Doug Mest is the best!! I’ve been a patient for many years, and trust him implicitly. Not only does he have a fun and engaging personality/bedside manner, his professionalism and technique are 10 out of 10! I would not go elsewhere!
In addition, his staff is absolutely outstanding! From phone calls to schedule appointments to front desk interactions, they are as good as it gets!
I highly recommend Pier Aesthetics!
Vesna Radisic
Vesna Radisic
Dec 27, 2021
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Positive: Professionalism, Quality
This is a great run office , from the front desk staff to nurses and dr Mest. Professional and pleasant. Dr Mest is an excellent doctor !
Fitness J.
Fitness J.
Dec 21, 2021
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Haleigh is the best! She is gentle -- doesn't try to upsell. You feel comfortable knowing she goes at your pace of what you're ready for.
Megan L.
Megan L.
Nov 17, 2021
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I suffered from Bell's palsy in 2015. I have been lucky, and only left with a droop in the right side of my mouth. I came to Pier Aesthetics, and could not believe what Hayleigh was able to do! I wish I had known that this was an option sooner. Thank you so much, Hayleigh, for giving me smile back!
Thomas McGinnis
Thomas McGinnis
Oct 30, 2021
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I had a great experience with Dr. Mest at Pier Aesthetics! I recently moved to Southern California and looked for a new Doctor. Dr. Mest came recommended and I would definitely extended that recommendation. Very Professional consultation and genuine interest in the best results for you. The members of Mest’s team are A+++, cannot compliment everyone enough.
Yael K.
Yael K.
Oct 22, 2021
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Haleigh is the best injector in the business!!! I have been to so many "top rated" places for botox injections, and haleigh is superior in every way. Her bedside manner, comfortable environment and her technical skills are all top notch. Her work is natural looking and lasts for a long time. She is careful and knowledgable about the perfect injection spot to brighten you up in a natural but effective manner. Look no further- once you go to haleigh, you will never be in the market again!
Sara Nygard
Sara Nygard
Oct 20, 2021
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Positive: Cleanliness, Professionalism, Punctuality, Quality, Value
Dr Mest and his staff always exceed my expectations. They are friendly, professional, and ethical. I like that they don’t upsell you on unnecessary treatments like many med spas in the area try to do.
Michelle Weiss
Michelle Weiss
Oct 10, 2021
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Positive: Cleanliness, Professionalism, Punctuality, Quality, Value
I have been a patient of Dr. Mest for approximately 10 years. He is a spectacular physician- artist. Dr Mest has an extraordinary eye for detail and incredible respect for his patient outcomes. Beyond that Dr Mest is an extraordinary person who truly cares for his patients. What a refreshing difference from his competition.
Oscar Clark
Oscar Clark
Aug 14, 2021
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I recently moved to California and before I moved I was seeing a doctor for injections for many years. My plans were to fly back every 5 months because I was very hesitant to switch to a new doctor.
A good friend of mine introduced me to Dr. Mest and from talking to him, I felt very comfortable and decided to see him.
From the moment I called the office (Stephanie is extremely nice, professional and patient) I experienced such a high level of customer service.
When I walked in, I instantly felt like I have known everyone for a long time. Everyone was very friendly and had a great sense of humor
Kerop Kazazian
Kerop Kazazian
Jun 12, 2021
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Positive: Communication, Professionalism, Quality
The staff is very warm and attentive and makes the experience quite easy and pleasant. Dr. messed has an amazing gentle touch to the most fearful of needles. If you’re thinking about it stop and just do it you will be amazed at the results!
Lindzie V.
Lindzie V.
Jun 08, 2021
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I was referred to Pier because "Doctor Mest is the best" - and he did not disappoint. I have had what I call "skeleton eyes" and found him because he is known to be the fill master. He was so consultative, told me exactly what to expect, made good recommendations, thoroughly measured my face, and was just an overall delight. His staff is unbelievable as well, so knowledgeable and accommodating.

The results are as beautiful as the review, and I will absolutely be returning!
Michelle V.
Michelle V.
Mar 04, 2021
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Today I saw Nurse Katie for Dysport/Botox, AMAZING!!!!
I have been to her once before
for a Clear & Brilliant laser procedure, AMAZING!
Clear & Brilliant was painless with 1 day of slight redness. Improved my sun damage by 80%...I only need 1 more session to have porcelain skin! And it's skin tightening, the price is right too.
Going back for my second (and last) treatment in two weeks! Can't wait for flawless skin.
Katie is my Skin Angel

Hands down best Med Spa in the South Bay!
I am a "medical esthetician" and have worked with plastic surgeons in Beverly Hills
Caroline Wolf
Caroline Wolf
Jan 08, 2021
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My favorite place in the world, for a million reasons. Pier is the best. Friendly staff, honest with their patients, and talented!
Zoe S.
Zoe S.
Oct 16, 2020
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Was feeling so down about myself until
Katie fixed me up. I am a new person. Katie thanks for your patience and diligence! She took her time and was a perfectionist. The office was very clean.
Michelle Valrey
Michelle Valrey
Sep 22, 2020
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The staff is always friendly and professional. Super clean office and exam rooms. Dr Mest is great and very knowledgeable.... lots of experience with injectables! Highly recommend Pier Aesthetics!!!
Barbara Ann Herpolsheimer
Barbara Ann Herpolsheimer
May 21, 2020
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Best place yet! Keeps me looking 10 years younger. Great staff and Dr Mest does an amazing job!!!
Michelle S.
Michelle S.
Feb 28, 2020
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An absolutely amazing place and experience. Dr. Mest and his staff are friendly and accommodating. They offer a wide variety of services. I've found them to be extremely knowledgeable and informative when asking about anything. I would and do recommend everyone to go here for any services they need or might consider.
Laura B.
Laura B.
Jan 08, 2020
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This place is amazing. The staff as well as Dr. Mest make you feel like family. Cindy and Hannah are on top of their field. Emma, the receptionist is kind and caring.They never make you look overdone, just beautiful. I have had different treatments, all of which were a success. They best one is the reason for the exciting review. I had Coolsculpt on my stomach. What a game changer. One treatment and the three-month pregnant look is gone.
This place is the best!

Laura B.
Barbara Ann H.
Barbara Ann H.
Aug 25, 2019
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I feel very fortunate to have found Dr Mest. He does amazing work leaving me with a very natural youthful look. The staff is wonderful and very pleasant. I reside in Las Vegas...he is definitely worth the extra miles that I travel to see him!
Therese B.
Therese B.
Jul 11, 2019
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I came in to see Hannah and she was not only a total sweetheart, but incredibly professional and knowlagable. I had cool sculpting done on my things and a peel. I am super happy with my results. Would highly recommend her to anyone.
Dar V.
Dar V.
May 30, 2019
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I am so glad I found this place! Dr Mest and the entire staff is amazing. Always attentive, knowledgeable and they truly care about their patients. I got Kybella, Dysport and IPL here all for the first time and I'm so amazed by the results. It looks SO NATURAL. I've gotten tons of compliments for my skin and newly chiseled chin. The prices are also very reasonable. Highly recommend!
Cherry Blackwolf
Cherry Blackwolf
Jan 04, 2019
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Dr. Mest is no-nonsense, no up selling, knows his stuff, and answers questions very honestly.
Jennifer S.
Jennifer S.
Sep 28, 2018
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Dr. Mest is the best. He is very knowledgeable and gentle. He is an expert with needles and knows where to place the filler/botox to achieve what you want without looking "filled up." Been going here for over 4 years. You will not be disappointed.
S. S.
S. S.
Aug 08, 2018
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Another amazing visit with Dr. Mest! I'm gorgeous. He is BRILLIANT, no one is better-- period, the end. Oh except also, Hannah is the perfect wingman for a brilliant doctor and I am so grateful she's there!
Rebecca G.
Rebecca G.
Nov 10, 2017
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I went in with an initial concern of my laugh lines. I paid $700 for Restyline and saw an improvement in volume but not in my lines which was my only concern. In my opinion, Dr. Mest was extremely unprofessional during my follow up visit because he was agitated rather than concerned with my disappointment. He ended the visit by just walking out of the room without even saying goodbye so I took that as a sign that the appointment was over and I walked out on my own. I said bye to him as I left, out of kindness, which is what he should have done if he valued me as a patient. I will never go back
Yoli F.
Yoli F.
Dec 18, 2016
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Thank you so much to Emily ! Loving the results so far. Emily is very gentle and kind. I left with No bruising or extreme swelling. It's only been 2days and getting better every hour. So happy with the results! I feel fantastic

Thank you Emily

Also special shout out to Hanna & Cindy, terrific ladies - Thank you for everything!
Gina Spencer-Roisentul
Gina Spencer-Roisentul
Apr 22, 2016
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Comfortable, friendly, professional, and highly skilled and knowledgable! Reasonable prices, latest technology, and the most amazing staff ever. Love this place!
Lisa Sheredy
Lisa Sheredy
Aug 26, 2013
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Great office! Awesome staff! Efficient, thorough, offering the latest technologies. I commute from LA (and if you understand Lincoln Ave or the 405 you get what a BIG deal this can be)! Worth the drive. You will be in very capable hands with Dr. Mest and Cyndee, RN.