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BOTOX TO MAKE HOUSE CALLS

doc with offices in N.Y. and Florida gives at-home idea a 21st-century twist

The latest in concierge services is coming to New York: at-home cosmetic injections done by a physician. Dr. Daniel Ahoubim, a neurologist with offices on Fifth Avenue and in Miami, launches Refined Aesthetics on Feb. 1. “A lot of people don’t have the time to go to a medical office to get a procedure,” Ahoubim says. “And privacy is an issue. Some people don’t want to be seen after their injections.” Sure, hair, nails and makeup pros make house calls and some physicians may do so for special patients. But this appears to be the first portable fountain-of-youth service. Ahoubim wants to take his tightening campaign national. In the meantime, he’s starting with Manhattan and Brooklyn. The procedure sounds pretty wrinkle-free. Patients would call his office or go online at refined-aesthetics.com to set up an appointment. After a free consultation, they would select from Botox, used for crow’s feet and frown lines, or dermal fillers, such as Juvederm, meant to smooth wrinkles around the nose and mouth. Other in-home sag-busters include Platelet Rich Plasma, also known as the vampire facelift, where a person’s own blood is regenerates tissue growth. Then there’s Kybella, a new treatment used to break down fat in double chins. For 50 units of Botox, Ahoubim would charge $650 for a home visit; an in-office visit with him would be $500. Ahoubim says he got into this because he sought a holistic approach to medicine. As a neurologist, he preferred treating migraines with Botox instead of more toxic drugs. He then trained in the cosmetic benefits of Botox. Most of his clientele is between 80 and 90% female, he says. There were 6.3 million injections of Botox in the U.S., in 2013, the last data available, according to the Board of Plastic Surgery.



And after listening to so many patients, Ahoubim understands the success of Botox. “Your face is what you present in the world,” he says. “You want to have confidence. For a lot of people, these injections aren’t major plastic surgery, like ‘Oh my God, what happened?” These are subtle changes.” Four people who had Botox injections from Ahoubim — two in Miami and two beauty bloggers at a Manhattan event — said it was painless, loved the results and would do it again. “I am cursed with a forehead on which you could project movies and I am extremely animated,” says Bart Kaczanowicz, 35, one of the rare male beauty bloggers with inhautepursuit.com. “I only get Botox injected in the very center of my forehead. I am not frozen not like the red carpet special.” Susan Estrada, 51, a Miami interior designer, had Botox done, and would prefer an in-home service. “I had the chicken legs,” she says, referring to crow’s feet. She admits she’s scared of needles, but says she felt nothing. That was pretty much Suma Kaul’s experience too. The Bronx beauty blogger tried Botox in November. At 33, she’s on the younger side for the injections, but says after getting the treatment, “I noticed my makeup sits nicer on my face.” At 36, Amparo Albo, an office manager for a TV production company in Miami, was about to make her third Botox appointment, which she wished she could do at home. “It saves time out of your work hours,” she says. These at-home appointments may be the wave of the future, but they are not covered by insurance. “I see house calls returning,” Ahoubim says. “I see telemedicine, which will become very popular, where you see your doctor remotely. With cosmetics you need to have the doctor there, present. These are changing times. It is busier and people don’t have the time.”

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