Iyengar, Srinivas MD
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Iyengar, Srinivas MD
If you're looking in San Diego for safe, effective reduction or removal of wrinkles, meet the expert on Botox / Dysport, Restylane / Juvederm, and other advanced skin rejuvenation procedures, including IPL Light Energy treatment: Joan H. Kaestner, MD.

An ophthalmic plastic and reconstructive surgeon, Dr. Kaestner blends skillful precision and a keen aesthetic sense with an incredibly gentle touch to create long-lasting results for thousands of satisfied patients.As one of the nation's leading authorities on Botox / Dysport Cosmetic, Dr. Kaestner was one of Allergan's first Botox injectors and trains other physicians in the safe administration of Botox / Dysport nationwide.
Services
Dr. Kaestner is proud to offer Botox injections to local Encinitas and San Diego patients. Botox is a safe and popular anti-aging procedure which helps to relax the face and smooth fine lines while also preventing new wrinkles from forming. Precise injections of BOTOX Cosmetic safely and comfortably relax the muscles as a temporary solution for smoothing fine lines around the eyes (crow's feet) and across the forehead and brows.
Dermal fillers encompass everything from Collagen to liquid silicone, but the most popular fillers currently include Restylane, a natural substance that lasts nearly three times longer than collagen, Juvderm which is long-lasting and natural-looking, and Voluma for deeper wrinkles. This newer generation of fillers won't affect the movement of your face or your expression.
As we age, our skin changes. Over time, the natural volume of youthful skin begins to diminish as wrinkles and folds form. But, with Juvderm injectable gel, you don't have to just sit back and let it happen! Recently approved by the FDA, Juvderm injectable gel is a "next-generation" dermal filler.
Restylane is a safe and natural cosmetic dermal filler that restores fullness to the skin to correct moderate to severe facial wrinkles and folds - like the ones around your mouth and nose. Restylane is FDA-approved for filling the nasolabial crease, although it's frequently used off-label for the lips.
Restylane Kysse is a new FDA-approved hyaluronic acid (HA) lip filler designed to enhance lip volume and minimize the appearance of fine lines above the upper lip with a natural look and feel.

Restylane Kysse was evaluated in multiple clinical studies-a pivotal Phase 3 active comparator study, a European supportive active comparator study evaluating Restylane Kysse versus the control, as well as a Phase 4 study evaluating naturalness of expression, patient satisfaction, and novel claims around partner satisfaction.
Reviews (18)
Cydney Rose
Cydney Rose
Feb 03, 2022
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Dr K. Is amazing. I have been going to her for over 4 years. Super flexible and knows what she is doing. She will tell you what you need and also tell you if you don’t need something. Her prices are the best. I’ve never had problems with the results and have referred many friends to her.
Natalie S.
Natalie S.
Aug 07, 2020
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My experience with Joan was wonderful! I received Botox treatments and Joan knew exactly how to fix my problem areas without any pain. Results were fantastic! I highly recommend!
Esther N.
Esther N.
May 09, 2019
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Dr Jeanne Louie is excellent! She is extremely knowledgeable and takes as much time as needed to make sure you end out with the right prescription. Needless to say I was quite impressed and so glad I tried this office. Thanks Esther Nelson
Carina T.
Carina T.
Sep 23, 2018
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Writing this review 5-7 days after my Botox injections & I see 5 star results! First time Botox & Dr.Kaestner made my experience so pleasant. She explained & I learned what to expect. She was so delicate with my face, all I can say is I've found my Botox Expert. For all of you young women like me- I would recommend Dr.Kaestner look no where else.
Susan K.
Susan K.
Aug 01, 2018
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I have been fortunate to never wear glasses until my mid 40's. Unfortunately that meant that I also hated glasses! I had struggled for years with getting a good contact lens prescription. No matter what my previous eye doctor put me in, I was always sacrificing something whether it be my distance, computer, or close vision. Two years ago, I had had it. I decided to find a female optometrist and came across the reviews for Dr. Louie. She listened to me and fitted me with mono vision contact lenses that have allowed me to see at all focal points, something my previous eye doctor told me could
Christina T.
Christina T.
Oct 22, 2017
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If you want real botox that lasts and takes effect shortly after administration this is the place for you. Expertly applied. I never feel hurried. My results are always excellent.
Jen R.
Jen R.
Jun 18, 2017
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Every single time I've had Botox in the past I get numbing around my right eye ... until now. I love Dr. Kaestner. She knows the right was to inject and it's virtually pain free. People keep asking me if I've had work done (I'm 47). I highly recommend her.
Karen W.
Karen W.
Apr 20, 2017
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I gotta say, "What a pleasant experience." I haven't been to an eye doctor in many years so was anticipating getting prescription glasses, as I'm heavily dependent on readers for any kind of detail work or reading. Dr. Louie did a thorough, lengthy, exam, asked lots of questions, looked at my readers and told me I don't need prescription glasses. My eyes are just "over 40" but in great shape. (Huh?)

Dr.Kaestner followed up with more questions and her own exam and pretty much assured me my eyes are aging just fine.

Both doctors were attentive, seemed quite
Don D.
Don D.
Jan 26, 2017
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Meeting Doctors Louie and Kaestner yesterday for the first time was an absolutely distinct pleasure. They were amazingly cordial, considerate and attentive. They patiently explained
the details of my examination and answered all of my questions. Their professionalism was outstanding. Their office atmosphere is tranquil, and the receptionists are extremely pleasant.
(I am delighted that I chose to make the move from the Morris Eye Center.)

Don Davidson
Carlsbad
Suzi H.
Suzi H.
Sep 01, 2016
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Dr. Kaestner is extremely professional and able to provide a wide array of services. She and her office have taken care of my eye sight needs for a number of years. More recently I have gone to her for Botox and consultation on the many treatments available to combat the effects of aging. She has training and knowledge that many doctors do not. She also truly has your needs and well being as her goal. She does not try to market any particular product or service --- which is such a refreshing approach. Her office staff reflects her warmth and caring attitude which is another plus. All of
Dave G.
Dave G.
May 10, 2016
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I had to book an eye appointment since 1-800 Contacts caught me forging my old one. What can I say? I've never been a guy that didn't want to bend the rules. And it's not like they're painkillers, they're just contact lenses. So no one would have gotten killed :)

Anyway, I have VPS insurance, and one of the closest optometrists in their network was Dr. Jeanne Louie. It was literally the best eye exam experience I ever had. The girls at the front desk were very professional, but also very personable...and downright hilarious. I moved to SD in 2003 from the east coast. Californians
Dan L.
Dan L.
Sep 02, 2014
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I had a sore left eye that just wouldn't go away. I booked an appt. with Dr. Kaestner and got in immediately. Turned out if was just an irritated eye that needed constant eye drops to soothe my dry eyes. But, if you want someone who is attentive, kind and professional look no further than Dr. Joan Kaestner. She made me feel at home and spent as much time with me as I wanted. Her warm approach to her patients is rare among doctors these days. You won't find a better doctor in San Diego.
Steve H.
Steve H.
Feb 28, 2014
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Finally, in Encinitas an eye-care office that's as kind as it is professional. I've tried many in this area over the years, but Drs. Louie and Kaestner are the best. For me, eyes are so important and can be quite delicate (cataracts, macular degeneration, etc). The right correction, and the right medical attention can make a huge difference in keeping good eyesight. I'll bring my whole family here, where there's personal treatment, lens correction (contacts/glasses) and full medical care available. Everyone in the office is friendly and super-knowledgable.
Melissa D.
Melissa D.
Oct 25, 2013
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Go to Doctor Louie for all your eye care needs! I've been having some problem with my eyes and wanted to get in quickly. She was so sweet and stayed late to see me. She was so patient and never rushed me and spent quite a while going over all the issues. It turns out I'm just getting old, LOL, so my fears were unfounded. I was still appreciate of her time and expertise. She also suggested contacts for reading. The non-dominant eye contains a reading contact and the dominant eye contains nothing or a far vision contact. You brain adapts and allows you to see far with one eye and
Lisa Q.
Lisa Q.
Jul 21, 2012
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I LOVE Dr. Kaestner. I have been getting dysport and botox for the last 14 years. It lasts, and the results have always been great. I am always so nervous about needles and she makes me feel very comfortable and spends a lot of time with me and doesn't rush me in and out. I have also gotten an eye lift by her. My eyes look so natural. The eye lift was smooth and easy it was the best thing I've done yet! I look fresh and well rested still ,and i got the eye lift done over 12 years ago! I would highly recommend Dr. Kaestner if you want great results that last.
Kathryn V.
Kathryn V.
Dec 02, 2010
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I have been going to Joan Kaestner, M.D. now for about seven years (at least!) and would not think of going anywhere else for my Botox, Restylane or other services. Joan is concise, professional, listens well, and is an expert in her field. I always feel that with Joan and with Anne (her lovely assistant) I am in excellent hands and that they will put my needs ahead of any other consideration. It is nice to have such an excellent service available in North County. Thank you, Joan and Anne! -- Kathryn vM.
Gabrielle O.
Gabrielle O.
Apr 09, 2010
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Dr. Kaestner is the best at all types of procedures! Thank you on behalf of the Rancho Santa Fe Unit of Rady Children's Hospital.
M. S.
M. S.
Jan 09, 2010
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You need Botox et al? She has it all!
I always judge a plastic surgeon, or someone who administers these types of meds by how they look. This is one stunning woman. SHe has a great soft touch as well.
Simply the best.