Natural Aesthetics Center by Dr. Bita Z. Farrell

Natural Aesthetics Center by Dr. Bita Z. Farrell Physician (Anesthesiologist). UCLA Professor. Facial Anatomy Ultrasound Expert. Botox/Fillers.

11/18/2025

Needle vs knife for a brow lift.

There are limitations to what a brow lift with Botox or any neuromodulator can achieve. A toxin-based lift works by relaxing the depressor muscles so the frontalis, which is an elevator, can dominate and lift the brows slightly. But it cannot replace true brow elevation when the issue is excess skin, brow ptosis, or structural descent.

What sets a good injector apart from a great injector is not just knowing anatomy or how to inject, but choosing the right patient for the correct procedure and setting realistic expectations. It means recognizing when a neuromodulator lift will give a subtle, beautiful result and when the patient actually needs a surgical brow lift or upper blepharoplasty to reach their goals.

Realistic expectations and honest guidance always create the best outcomes. Sometimes the needle is enough, and sometimes the knife is the more appropriate choice.

11/15/2025

Don’t be afraid darling. Trust me, you are going to love it.

When filler is done conservatively in the right hands, and placed in the appropriate places, it’s transformative.

11/11/2025

THE POWER OF NEUROMODULATORS (Botox, Daxxi, Dysport, Xeomin, Jeuveau)
Precise and intentional injections can do so much more than smooth lines. They can shift the entire energy of the face. When certain muscles are overactive, they pull our features downward, creating a constant expression of sadness, fatigue, or tension that may not reflect how we truly feel.
By relaxing these specific muscles, we can minimize the downward pull of the face and restore balance to our natural expressions. The goal is never to freeze movement, but to free it. A well-placed injection can lift the brows, soften the heaviness around the mouth, or erase the scowl that unintentionally communicates frustration or anger.
There is a real psychosocial connection in aesthetics. Our facial expressions don’t just reflect our emotions - they influence them. When we repeatedly express stress, worry, or sadness, the brain begins to associate those facial cues with emotional states. By softening the muscles responsible for these expressions, we can actually help retrain the feedback loop between face and feeling.
The result is a face that looks calm, rested, approachable, and aligned with your inner self. It’s about emotional harmony as much as aesthetic balance. When we look open, peaceful, and confident, we start to feel that way too.
Botox, in the right hands, is both art and neuroscience - a tool to restore balance, presence, and authenticity to the way we present ourselves to the world.

11/03/2025

How did we get to a place where a 28 year old is getting a facelift?

Facelifts are not reversible. They are invasive, expensive, and require revisions every 10 to 15 years as the face continues to age. Yet a very small subset of surgeons (outliers) are fear mongering patients away from fillers to steer them toward the scalpel instead.

Common sense and ethical judgment feel increasingly rare in aesthetics.

As physicians, we take an oath to first do no harm. In this field, that principle can become blurred when fear is used as a marketing tool to promote irreversible procedures.

Fillers, when done correctly and safely, have a valuable place in facial rejuvenation. They help maintain structure, restore balance, support aging tissues, and allow many patients to achieve natural, refreshed results without surgery. They also help patients delay or avoid surgical interventions that come with higher risk, cost, downtime, and permanent change.

Treatment should always be individualized. A 40 year old with moderate skin laxity and volume loss may benefit more from a surgical approach, while a 55 year old with good bone structure and healthy tissue could achieve a beautiful, refreshed result with injectables alone.

It is not about fillers versus facelifts. It is about honesty, education, and using the least invasive and most appropriate option for each patient at the right time, guided by ethics and true patient care.

10/23/2025

One of the most common untoward side effects from upper face Neuromodulator treatments is brow drop and/or lid droop. Prevention is key. Full tutorials available on my Patreon. Link in bio.

10/21/2025

Restoring the OGEE curve by adding volume in the mid face is key to facial rejuvenation.
Join my Patreon to learn more about how to asses and restore volume loss and the OGEE curve in the mid face. Link in bio.

10/16/2025

Aesthetic treatments including Botox are widely misunderstood. Let’s stop chasing lines, wrinkles, and isolated features. It’s time to zoom out and look at the messages being conveyed by our faces. Our expressions become emotions. And emotions become the energy we project. Aesthetics treatments - when done correctly - have the potential of great psychological benefits as well as cosmetic benefits.

Visit my Patreon for more learning. Link in bio.

Address

3625 Thousand Oaks Boulevard, Unit 102
Westlake Village, CA
91362

Opening Hours

Monday 9am - 4pm
Tuesday 9am - 4pm
Wednesday 9am - 4pm
Thursday 9am - 4pm

Telephone

+18058704487

Website

http://www.patreon.com/drbitafarrell

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