The Stella Center

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The Stella Center The Stella Center (www.doctorstella.com) is Seattle’s premier destination for individuals seeking facial plastic surgery and nonsurgical rejuvenation.

The Stella Center for Facial Plastic Surgery is a modern aesthetic medical practice providing state-of-the-art surgical and non-surgical services to enhance your natural beauty. Our mission is to improve the appearance, confidence and self-esteem of our patients. Founder Dr. Stella Desyatnikova is a facial plastic surgeon who is recognized for her impeccable skill and the personalized attention she gives each client. She is especially known for her talent in performing eyelid surgery, rhinoplasty facelift, and injectable fillers in Seattle. She and her staff are committed to ensuring that you receive only the best care.

It is always bittersweet to leave CMAC.This is one of my favorite meetings. Away from the glamour and spotlight of aesth...
10/12/2026

It is always bittersweet to leave CMAC.

This is one of my favorite meetings. Away from the glamour and spotlight of aesthetics, this is where people come to learn how to manage difficult cases. I come not only to teach, but also to learn. As always, the caliber of the speakers and content this year was exceptional.

I am honored to be a part of it, alongside people I deeply respect, many of whom I am lucky to call friends.

CMAC is very special. In an industry where patient safety and sometimes even common sense can be sacrificed on the altar of the almighty dollar, it is rare to be surrounded by people so committed to refining their craft and taking better care of their patients.

The audience reflects that same commitment. They stay from the first lecture to the final hour. They ask difficult questions and challenge our assumptions.

Once again, I left Chicago tired, intellectually overloaded, and very grateful.

I miss my friends already.

Spent the last weekend at Galderma Train the Trainer meeting in Las Vegas. What a great event!I was invited to teach ult...
05/02/2026

Spent the last weekend at Galderma Train the Trainer meeting in Las Vegas. What a great event!

I was invited to teach ultrasound anatomy and join a panel on injectable safety and the role of ultrasound in practice.

So happy to see real attention to anatomy and safety, especially with the new indication for temple treatment! All live injections were done with ultrasound mapping and guidance.

Thank you to Galderma, , and for the invitation, and for taking education and safety seriously!

I’ll be teaching more on injectable safety and complications prevention and treatment at my course in July.

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Our dear Rosa Sigrist  led an international multicenter study on Doppler findings in vascular occlusion.The manuscript i...
04/20/2026

Our dear Rosa Sigrist led an international multicenter study on Doppler findings in vascular occlusion.
The manuscript is now available as a preprint while awaiting peer review.
Grateful to be part of this collaboration and looking forward to the final publication.

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Do you know what is under your patient’s skin surface?Can you avoid the blood vessels? Can you dissolve old filler and t...
03/25/2026

Do you know what is under your patient’s skin surface?

Can you avoid the blood vessels? Can you dissolve old filler and treat other complications?

Next ultrasound training - July 2026. Most of my training courses are now private, do this is the only one for the year. We do one- and two-day courses.

Hope to see you there!

This is what healed scars from a facelift are supposed to look like. I take my time so it could look like this.
03/08/2026

This is what healed scars from a facelift are supposed to look like. I take my time so it could look like this.

IMCAS 2026 in Paris is coming!I’m excited to see my friends and colleagues, learn and teach.I’ll be presenting several t...
01/15/2026

IMCAS 2026 in Paris is coming!
I’m excited to see my friends and colleagues, learn and teach.
I’ll be presenting several topics at the Thinkin pre-meeting, then Ultrasonography summit, and then the main meeting. Join me to explore the future of aesthetic medicine and aesthetic ultrasound!

Do you know what the patient’s anatomy looks like under the skin?Do you want to actually see and understand what you’re ...
01/02/2026

Do you know what the patient’s anatomy looks like under the skin?
Do you want to actually see and understand what you’re injecting?
And do you know what to do when complications happen?

Ultrasound is the most valuable tool in my practice, and I cannot imagine practicing in 2026 without real-time anatomical assessment.

My courses are intentionally very small, usually 4 - 6 participants. Most of my training is private.
You cannot learn ultrasound in a meaningful way in a large group.

I strive to make sure you actually learn and go back to your practice and start using ultrasound.

Our participants get extensive hands-on scanning, guided anatomy on real faces, and plenty of time to ask questions and troubleshoot.

You will scan. A lot.
You will be tired by the end of the day.
And you will leave inspired, and seeing anatomy and your own techniques very differently.

If you’ve been waiting for the right time, 2026 dates are now open!

To sign up, go to Link in bio, or comment Course

Since we’re talking about Botox not working…IsBotox resistance real and what can we do about it?We’ve been getting a lot...
12/30/2025

Since we’re talking about Botox not working…
IsBotox resistance real and what can we do about it?

We’ve been getting a lot of requests for Myobloc, perhaps Reddit and ChatGPT picked it up somehow.

I’m always very careful with these patients. Before recommending Myobloc, I want to make sure it’s the right next step. So if we don’t schedule you right away, please don’t be mad at me, or especially at my staff. They’re just doing what I’ve asked them to do. The goal is to save you time, money, and unnecessary treatment.

A detailed review of prior treatments helps. What looks like resistance can be related to dosing or injection technique.

That said, true neuromodulator resistance does exist.
In selected cases, botulinum toxin type B (Myobloc) can be a useful option, but it’s not a miracle fix. Knowing the details of anatomy and toxin behavior really matters.

We spend a lot of time educating our patients.
It’s also something I teach in my ultrasound courses, including ultrasound-guided techniques when appropriate.

Do you have questions about Botox resistance or Myobloc?

Is this toxin resistance? Same masseter muscle.Different tissue.Long-term (Bo)tox can change muscle architecture, replac...
12/28/2025

Is this toxin resistance?

Same masseter muscle.
Different tissue.

Long-term (Bo)tox can change muscle architecture, replacing contractile fibers with denser, fibrotic tissue.
If the tissue is different, should it really be treated the same way?

Let me know what you think.

If you start your Botox today, what will you look like in 5 years?This patient does not just avoid aging. She looks more...
12/21/2025

If you start your Botox today, what will you look like in 5 years?

This patient does not just avoid aging. She looks more balanced and refined, not frozen or overtreated.

Botox is not one size fits all, and it is not about doing more. It is about doing the right amount consistently with intention.

Facial muscles behave differently over time. Sometimes we need to use ultrasound to guide injections and improve our results.

Your face is unique. Your treatment should be too.

Address

509 Olive Way Suite 1430
Seattle, WA
98101

Opening Hours

Monday 9am - 5pm
Tuesday 9am - 5pm
Wednesday 9am - 5pm
Thursday 9am - 5pm
Friday 9am - 5pm

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