About L-Aesthetics & Longevity MedSpa

Welcome to L-Aesthetics and Longevity MedSpa. We are excited to help you look and feel your best so you can be your best in all areas of your life. We take great pride in offering world class laser procedures, skin care, Botox® and fillers, body sculpting, and other anti-aging treatments.

In Bee Cave, Texas, local men and women can count on the professionals at L-Aesthetics & Longevity for expert cosmetic procedures. Billy Ledbetter, MD, Natalie Ledbetter, CRNA, and Joshua Iffla own and operate the practice, which was opened to fulfill a passion for helping people look and feel incredible.

Our team provides a comprehensive range of noninvasive cosmetic services including body contouring, HydraFacials™, Botox®, dermal fillers, microneedling, and acne treatments. They invest in world-class technology including CoolSculpting, SculpSure® and EmSculpt body shaping devices and numerous radio-frequency devices designed for skin-tightening.

In addition to their skillful use of cosmetic procedures to help men and women from in and around Bee Cave look amazing, the providers at L-Aesthetics & Longevity are experienced medical professionals with a deep interest in anti-aging medicine. They want to help patients lead their best, healthiest lives without worrying about common age-related health conditions.

The team at L-Aesthetics & Longevity never rushes their treatments — they believe that time is the key ingredient to beautiful aesthetic results. They also believe that making healthy choices now and working with a medical team that treats you as a priority is essential to longevity.

“We are never in rush. Time is the secret ingredient to achieving beautiful aesthetic results.” - Billy Ledbetter

L-Aesthetics has a passion for helping people look and feel the best they can. Our mission is to help you become your personal best, by offering state-of-the-art aesthetic treatments performed by a trained team of professionals, with uncompromising concern for your comfort and safety. We continue to pioneer and research, establishing the industry standards for non-invasive full body procedures. We are passionate about encouraging high standards of training, establishing ethical practices and employing staff that exhibit a comforting bedside manner.

Meet Our Team

Dr. Billy Ledbetter Jr., M.D.
“The Age Defier”

Dr. Billy Ledbetter Jr., M.D. knew he wanted to be a doctor and help people since the age of two. He graduated from The University Of Texas Medical Branch School of Medicine in Galveston, Texas where he also completed an internship in general surgery and then completed a fellowship in surgical infectious diseases and helped to run the hyperbaric medicine department at UTBM.

He later joined the US Navy and served as both a flight surgeon and a pilot. After serving in the Navy, he worked in Emergency Medicine and Urgent Care where he discovered the need for someone to help people find their optimal level of health and live vibrant, energetic, healthy lives throughout their entire life span instead of thinking that having high blood pressure, diabetes, arthritis and wrinkles is just something that must be tolerated as one ages. To this end, he is pursuing a board certification in Anti-aging and Longevity Medicine. He is additionally skilled in injectables, IV infusion for health, hyperbarics, and general medicine.

If you loved your experience at our office and/or with Dr. Billy Ledbetter specifically, please write a review to share. A personal recommendation from you is the best advertisement we can receive. Review us on Facebook, Google, Yelp, etc. taking the time to review us is that best thank you we can get! Also, don’t forget to like us on Facebook and Instagram for exclusive specials, announcements and educational material.

Joshua Iffla
"The Youth Fountain"

Josh is an industry veteran with a passion for learning how to keep people looking and feeling their best. His friendly and outgoing personality make it easy to feel comfortable, and his knowledge guides clients towards the best available procedures for the most desirable outcomes. An expert in procedures and Skincare products designed to achieve specific client goals make Josh an excellent resource to design an at-home program that protects and enhances in-office treatments. A self-described product and treatment “junkie,” Josh spends much of his time researching and learning about new technologies available in the cosmetic space. Having previously worked alongside multiple Plastic Surgeons and with a plethora of individuals specializing in aesthetics (physicians, mid-levels, RN’s, Estheticians, and office staff), Josh is very knowledgeable on what is necessary and available to treat specific concerns. Not all clients are the same and not all faces need the same treatment(s). Josh takes great pride in guiding patients towards what is best and right, for them specifically.

Natalie Ledbetter, MSN, MSNA, CRNA
“The Lip Bomb”

Natalie Ledbetter has a passion for helping people look and feel their best so that they can get the most out of life. She graduated from the University of Texas Medical Branch at Galveston with a bachelor’s and master’s degree in nursing and then went on to get a master’s degree in nurse anesthesia at the University of Texas Health Science Center in Houston. She practiced anesthesia for 20 years in a variety of settings and currently provides anesthesia for a prominent Austin plastic surgeon as well as for L-Aesthetics & Longevity MedSpa.

Her skill with sedation and anesthesia ensures that you will be comfortable during your procedure if you desire more than a topical anesthetic. She is a Doctor of Acupuncture and Chinese Medicine as well as a certified cupping specialist.

If you loved your experience at our office and/or with Dr. Natalie Ledbetter specifically, please write a review to share. A personal recommendation from you is the best advertisement we can receive. Review us on Facebook, Google, Yelp, etc. – taking the time to review us is that best thank you we can get! Also, don’t forget to like us on Facebook and Instagram for exclusive specials, announcements and educational material.

Mary Mireles, Front Desk Supervisor

"The Make It Happen"

Mary was born and raised in beautiful Austin, Texas and has always had a
love for skincare. As a licensed esthetician she enjoys being able to learn about the science
behind skincare, and loves being able to share that knowledge with our patients. She has been
blessed to be with L-Aesthetics for the last year and a half, and has found that her true
passion is in an administrative role as front desk supervisor. Being able to support the “L Team”
and provide our patients with the best customer service possible is her favorite part of the job.

When not working, she enjoys spending time with friends and family. Game night’s, (attempting) to
cook, and taking hikes are some of her favorite pastimes.


Kelsie Matthews, L.E

"The Glow Getter"

Kelsie is one of the licensed Aesthetician’s at L Aesthetics & Longevity. She has worked at our Bee Cave office for about a year and a half. Kelsie became an Aesthetician because she has a passion for helping others, and loves being a part of someone achieving their goals. Her favorite part of this industry is seeing the joy brought to our patients once they reach the destination of their skincare journey. She is currently going to school to pursue a degree in Nursing, and hopes to use it to further her career in Aesthetics.

When Kelsie is not working, you can typically find her hanging out with her fur baby, Beau, who is a 2 year old German Shorthaired Pointer. She also spends a lot of time with family/friends, listening to live music, and getting involved with her Church every chance she gets.


Katie Ladner L.E.,

Katie has over 20 years of esthetics experience. Katie started her path in the aesthetics world at the age of 19 in Orange County, California. First starting out at the front desk of Skin Therapy and moving into the Aesthetics side at age 21. Being a classically trained European style Esthetician, Katie's skills range from European style facials to IPL. Along with waxing, body treatments and custom airbrush tanning. Over the years Katie has catered to every type of client from the woman next door to high profile celebrities. When Hollywood called Katie shifted gears from Day Spa services to on location services. Mad Men was the first big production Katie had worked on, learning how to work on set with her custom airbrush tanning treatments. While on set, Katie made contact with the Hollywood elites and started to get more requests from Hollywood celebrities to help prep them for upcoming movies, events and appearances. After awhile Katie grew tired of the long days and nights in Hollywood and found herself back where it all started in the OC. Getting back to her roots Katie decided to open up a Day Spa in San Juan Capistrano California. There Flawless Skin & Body grew and flourished. After 15 years Katie and her family decided to move to Texas where she now works at L-Aesthetics & Longevity.

GiGi Spencer, L.E


“Enthusiastic, Efficient, Compassionate, Innovative and Resourceful” are just a couple words that clients of GiGi say after just one appointment with her.

GiGi is a licensed spa industry Vet and has been providing excellent service to the greater Austin Area for over 20 years. Specifically, she is a clinical-medical skincare specialist with result-oriented techniques. GiGi is originally from Austin and has a strong sense of family and community.  For as long as she can remember GiGi has had an affinity for helping people find their inner beauty. All skin is unique and with her thorough knowledge of all Fitzpatick Skin types she is able to consult her clients and recommend the right treatments that best suit them.

GiGi is “People Passionate”.  She loves helping her clients find solutions to their skin care needs, so that they feel beautiful in the skin that they are in. She has a special pampering attitude and specializes in many services such as Radio-frequency devices, skin resurfacing and tightening, IPL, Laser Hair Reduction, Cool Sculpting, Cryo Skin, Dermaplaning, and Microneedling as well as traditional aesthetic services.

In her time away from the spa, she mentors underrepresented young girls through local youth programs. She also finds passion in supporting expectant Mothers and Fathers as a birth Doula.


Tara Bertoldo, NP

Tara Bertoldo is a board-certified Nurse Practitioner. She received her Bachelor of Science in Biomedical Science from Texas A&M, her BSN from UT Health Science Center, and her master’s degree from Texas Woman’s University.

While pursuing her master’s degree in 2014, she had the opportunity to work in aesthetics, and she was hooked. She will tell you that the great loves of her life are her husband, her three girls, and aesthetics.

Tara also worked in family medicine where she utilized creative problem solving for her patients’ needs; she now carries that mindset to all things skincare - her true passion. She adores watching patients’ reactions to “instant gratification” treatments such as filler. “It is so rewarding to help people feel fabulous!”


Jennifer Jacques, NP

Jennifer is originally from Kansas and became interested in aesthetic practice in her undergraduate studies while working with a plastic surgeon. She went on to complete graduate school at the University of Texas, and during this time she worked closely with a local dermatologist. It was here she was introduced and trained with neuromodulators (Botox, Dysport). She believes in holistic wellness, including having a healthy self-image. She is eager to connect with her patients and help them achieve their skin care goals. Outside of work she enjoys bodybuilding and being a mother to her Doberman Pinscher.



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