Kaestner Aesthetic Center in Encinitas is a women-owned aesthetic practice led by ophthalmic plastic and reconstructive surgeon Joan H. Kaestner, MD, operating from 4403 Manchester Avenue near San Elijo Lagoon in the Cardiff-by-the-Sea corridor. Dr. Kaestner trained at Stanford University, Duke University School of Medicine, UCSF for ophthalmology residency, and California Pacific Medical Center for oculoplastic sub-specialty certification, then completed a dermatology fellowship at Harvard Medical Center — periorbital expertise that draws referrals from the broader ophthalmology and optometric network including Morris Eye Group. She holds Fellowship in both the American Academy of Ophthalmology and the American Academy of Cosmetic Surgery and is a member of the International Society of Cosmetic Laser Surgeons. For over 17 years she served on the Medical Advisory Boards for Allergan and Medicis/Galderma, the manufacturers of Botox, Restylane, and Juvederm, and she maintains senior medical staff privileges at Scripps Memorial Hospital. Dr. Kaestner delivers every injection personally rather than delegating to support staff, an all-physician treatment model distinct from the aesthetician-led facial and body-contouring services at Four Moons Spa on South Coast Highway 101. Advanced procedures include Kybella submental fat dissolution using deoxycholic acid and IPL intense-pulsed-light chromophore targeting for rosacea, sun damage, and hyperpigmentation across Fitzpatrick skin types I through IV.