Howard Kahen, MD Kristy McManus, RN
727.457.4358 drkahen@reflectionsma.com

Q: How do your services work?

A: As a mobile aesthetics company, we bring to your location, medically and professionally administered Dysport or Botox and dermal fillers. We know that many individuals are very busy today and want to have these procedures performed, but don’t have the time to go to a spa or a physician’s office. Also some individuals feel embarrassed about going to a spa and having these procedures performed. At Reflections we bring these procedures to your door. We prefer to the do the procedures on a group (3 or more).


Q: What is the difference between Dysport or Botox and dermal fillers?

A: Dysport or Botox both contain Botulinum Toxin A, a highly purified protein. When injected into the facial muscles, it blocks release of neurotransmitters from the nerve endings in the muscle injected, thus essentially paralyzing the muscle. The relaxed muscle leads to a reduction in lines and wrinkles in the area injected.

Dermal fillers such as Perlane and Restylane contain hyaluronic acid, which is a complex carbohydrate that is naturally found throughout the body, especially in connective tissue and there is a large amount of this substance in our skin. Dermal fillers are used to replace volume in the face, by injecting the hyaluronic acid back into the skin and replacing what we lost as we age.


Q: In what areas of the face can Dysport or Botox be used?

A: Generally Dysport or Botox is best in the upper portion of the face. Injections can be used to reduce lines and wrinkles in the glabellar region (the area between the eyebrows), in the forehead and around the outside of the eyes (crow’s feet). For those with minimal or no wrinkles, Dysport or Botox can be used to lift the eyebrows, by relaxing the appropriate facial muscles.


Q: In what areas of the face can dermal fillers be used?

A:  Basically dermal fillers are used in the mid and lower portions of the face.  Common areas include: Nasolabial folds (the space between the corner of the nose and cheek, which deepens with age), the corners of the mouth, marionette lines (the lines that extend downward from the corner of the mouth) and the lips (the borders can be accentuated and/or volume can be added to the lips).  Other uses include putting volume back in the cheeks and reducing the fine lines around the mouth.


Q: How long do the treatments last?

A: Dysport or Botox in general lasts 3 to 4 months.  With continued use the treated muscles will weaken with a decrease in lines.  Dermal fillers last from 9 months to over a year depending on the filler used and the individual patient.


Q: Do the injections hurt?

A: Both Dysport or Botox and dermal fillers use very small needles for their injections.  In general, Dysport or Botox injections are well tolerated and are essentially painless.  Filler injections can hurt, especially in the lips, which is why we administer topical anesthetic to all of our filler patients.  All of our fillers contain lidocaine, for added patient comfort.


Q: What are your prices?

A: Our Dysport prices in general are $4-$5/unit, which is equivalent to our Botox prices of $10-$12/unit.  Our fillers range in price from $450 to $650/syringe.  The number of units of Dysport or Botox needed or the syringes of filler required depend on the individual patient.


Q: Who performs your procedures?

A: All injections are performed exclusively by Dr. Kahen.


Q: What happens following the injections?

A: Most Dysport or Botox patients do very well following the procedure and basically go back to their routine right after the injections.  Filler patients will probably experience some mild facial swelling and bruising which will subside in a few days.


Q: What is Latisse?

A: Latisse is a prescription treatment for hypotrichosis used to grow eyelashes, making them longer, thicker and darker. It will take about 8 weeks to see changes, with full results at 12 to 16 weeks.