We are house call

Concierge Cosmetic Medicine

let's make this personal...

We think going to an office for Botox, dermal fillers and IV therapy is as passé as aging.

We think you should receive medical aesthetic resuscitation in your home, on your schedule.

We think you should be cared for by a doctor.  (Ours is Harvard educated, Columbia trained and an expert in head and neck anatomy.)

We think faces should never look frozen or filled, and 1-week follow-ups and touch-ups give you the freedom to start low and go slow

We think injections should be paired with evidence-based medical and holistic therapies to treat your skin outside and in.


House call us, maybe?

Architecture is basically a container of something. I hope that people will enjoy not so much the teacup, but the tea.”

Yoshio Taniguchi, Architect

What is a house call?

Our three part approach


Video Consultation

You’ll start with a video consultation with your doctor.

We’ll talk about your goals for treatment and make a treatment plan together.

Or book a quick IV hydration or therapeutic IV. 

You’ll also get access to our online resources and patient handouts about skin health, weight loss and facial muscle training. 


At-Home Treatment

The doctor comes to you!

We use anti-aging IV therapies and Botox, dermal fillers, Kybella to correct fine lines and wrinkles, address volume loss, diminish fat under the chin, and even non-surgically modify facial features like the lips, nose or chin in some cases. 

We’re careful not to overdo it at this point because we know we can always do more at our follow-up. 


Close Follow-up

A week or two later we’ll follow-up with you and come back to see you if you’d like to modify your treatment.

We’ll discuss a long-term treatment plan and talk about supplements, medicines, and holistic therapies that might be right for your skin as well as things you should be doing every day to reverse aging.  

The good building is no one that hurts the landscape, but one that makes the landscape more beautiful than it was before the building was built.”

Frank Lloyd Wright, Architect
beauty for busy bees...

we come to you

We’re New Yorkers, too. Hardworking, late-playing, real-talking, community-engaged, detoxing, re-toxing, joyful, exhausted, lionhearted, loving, busy New Yorkers.  

We know the pain of midtown errands, the paradox of business hours, and the frustration of getting half of someone’s attention. 
We’ve also experienced patient care at its most caring. We know that medicine that feels personal yields better outcomes. We were trained to understand that physical appearance is an indicator of what’s going on inside the body, not a stand-alone visual artifact. 

Beauty is a sign  – a sign of glowing inner health. We started House Call to bring the art of healing to medical aesthetics

So let us come to you.
We’ll be there. We’ll be listening. We’ll be present.


Snow boots?

Let us deal with snow boots.

Our founder

The doctor is in

Your new friend
Dr. Palma

All of our patients are seen by Dr. Alexandra Palma, MD.

Dr. Palma attended college at Harvard University and medical school at Columbia University. She completed a sub-internship in Cosmetic Dermatology and Mohs Micrographic Surgery at Vitalogy Skincare in Austin, Texas. She trained in Internal Medicine at Maimonides Medical Center and in Anesthesiology at Montefiore Medical Center.

Dr. Palma now continues her training in the field of Functional Medicine and is passionate about bringing a multi-modal, root-cause approach to her clinical aesthetics practice. Before becoming a doctor she was an artist, so she loves having a practice that engages her creative mind and her understanding of the principles underlying our perception of beauty.

Did we mention she’s great company? Really great. And best of all, she cares.  

talk of the town

After being treated for breast cancer I felt like my face aged ten years overnight. In the space of an hour Dr. Palma reversed all of the aging and more — and she made me feel cared for while she was doing it.

Jillian Jacobellis, PhD
Public Health Executive

Christian Louboutin came up to me last night and asked me if I was “super in love.” I said no… and he said “but you look better than I’ve ever seen you look before. So fresh!”

Our Little Secret

What I love about the House Call style is that you don’t look like a different person afterward. You just look like you did ten or fifteen years ago. It’s really hard to find a doctor with that kind of eye.

Dawn Boscoe


We have them

Never feel fozen

Be free to do less...

Our aesthetic is soft and supple, not frozen or filled. That means the minimum effective dose is often the most effective dose. 

One-week follow-ups and touch-ups after cosmetic procedures means you’ll never feel pressure to do too much at once. As they say in anesthesiology: it’s easier to give more later than to take it away.

We’ll restore the features that have always made you beautiful to their most youthful appearance, then we’ll get out of their way and let them glow.

Meditation and movement

Softness looks good on you

The best way to look young is to be young. 

When you become a patient of House Call you’ll get access to our online resources for movement, mediation and tips for holistic skin health. Meditation can fight systemic inflammation and invite awareness to the face, body and mind to encourage youthfulness.

At any house call you can choose to add alternative therapies to your treatment which improve blood flow, lymphatic drainage, and immune-mediated collagen-repair. 

We’ll also keep you up to date with the most current, evidence based recommendations for holistic skin health.


Space is the breath of art.”

Frank Lloyd Wright, Architect
That's what he said

Guys have faces, too.

The features that contribute to our perception of attractiveness differ vastly between men and women.  Male and female faces also age differently, so men require specific study and consideration when it comes to clinical and preventive aesthetics. 

Our doctors are trained in the art of the male face. We love working with our male patients and finds that many of them benefit from a preventive strategy. 

Have friends?

Let's Party...

Let’s have a house party. We offer discounts for groups of more than five and ten people. The only thing better than getting gorgeous is getting gorgeous in good company. 

  • 10% off groups of 5 or more
  • 20% off groups of ten or more

We're coming over

House Calls are happening in...
  • Manhattan
  • Brooklyn
  • Westchester County
  • Greenwich, Connecticut
We've got your face,

We've got your back.

  • 100% online scheduling
  • HIPPA compliant scheduling and charting
  • Fully transparent, photo integrated medical records
  • Patient handouts for weight management, supplements and more
  • Flexible, early morning and late evening scheduling

a wealth of options...

for skin that's not skin deep
  • Cosmetic injections (Botox, dermal fillers, Kybella and more...)
  • IV hydration
  • Video consultations
  • 1-week follow-ups and touch-ups
  • Group cosmetic procedures

Injections like Botox and dermal fillers diminish signs of photoaging and natural changes in soft tissue morphology, but we can also use a variety of non-invasive therapies to reverse those symptoms by addressing their root cause.

In addition to cosmetic injections we offer medical cosmetic treatment, topical therapies, meditation and movement for skin suppleness, dietary supplementation, weight management, lifestyle modification, treatment of common skin disorders and referrals to specialists when there’s a more serious problem.

We like to treat the whole patient, which means treating the whole process behind their symptoms.  After all, we’ve never diagnosed anybody with a Botox deficiency.

  • Men's preventive aesthetics
  • Dietary supplements
  • Medical treatment
  • holistic therapies
  • Weight management
  • Meditation and movement
  • Referrals to specialists


get in touch