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. | Chief Medical Officer

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.


Joshua Iffla | Chief Reverse-Aging Officer

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

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.


Mary Mireles, L.E. | Head of Operations

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 | Lead Esthetician & Master Body Specialist

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.

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.


Bailey Renfroe BSN, RN | Injector

Is originally from Boerne, TX and has a Bachelors of Science in Nutrition Health & Wellness. She went on to complete her second Bachelors of Science in Nursing at Texas Tech University. She has a love for helping people feel confident and beautiful in their own skin. She has spent the past 4-5 years shadowing in medical aesthetics practices, overseeing Botox, filler and lasers. Bailey has been trained through Allergan in working with neuromodulators (Botox) and juvederm fillers. When Bailey is not working you can find her playing golf or participating in outdoor activities.


Vanessa Odders, MSN, APRN, FNP-C | Injector

I enjoy collaborating with my patients to help them achieve their aesthetic goals whether they are looking to enhance their natural beauty or desiring a more dramatic look. I am experienced in neuromodulators, hyaluronic acid fillers, Sculptra, microneedling, resurfacing lasers, and various weight loss protocols. I also love discussing all things health, wellness, and skincare. My goal is to help my patients look and feel their very best!

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