Frequently Asked Questions

What is different about Numé Aesthetics Clinic?

   We take pride in our individualized treatment plans, created and executed by Janice Shook MD MPH.  No services are performed by another provider or technician.  Dr. Janice personally follows up on every client and a 2 week follow up and touch up is included with all services.  All consultations are free with no obligation.  No high pressure sales or push to "do more" than a client is ready for.  Dr. Janice is fully transparent with prices, which are published on the website.  If a service will not create the goal that the patient desires, Dr. Janice will not perform the service.  You can trust your care to Numé Aesthetics Clinic.

How do I book an appointment?

         1.  Self schedule online-  Use our website "Book Now" buttons to lead you to the open appointment page or click on the tab at the top of the page for "Services and Booking" to get to the tabs that say "Book Now" under your service that you wish to book.  You will see a calendar.  Click on the date that works for you and available appointment times will show.  Dates with available appointments will have a dot on the day.  Click on the appointment time you want and a page will load for you to input your information.  If you aren't sure exactly what service you are interested in, please feel free to book a general consultation.  Once you successfully book your appointment, you will receive a confirmation email.

          2.  Call 614-642-2779.  We can schedule you for an appointment over the phone.  Please leave a message if we are not able to get to the phone and we will call you back.
 
 
What do Botox, Dysport and Xeomin do?

Botox, Dysport and Xeomin are neuromodulators that block the signaling from the nerve to the muscle, causing the muscle to no longer move.  Each of these medications have different formulations, but how they work is more or less the same.  When the muscles no longer move, this causes wrinkles and fine lines to "fall out", giving a smoother and more youthful appearance.  
 

Why do people call Botox, Dysport and Xeomin "Toxin"?
 
Botox, Dysport, and Xeomin are all derived ultimately from botulism toxin, a neurotoxin.  Botulism toxin is a naturally occurring entity from bacteria whose effect of paralyzing muscles has been harnessed so that doctors can use it in a controlled manner to paralyze muscles in areas of our choice.  This gives a desired cosmetic effect.  Since all of these products are based from this botulism toxin, we often refer to them as a group as "Toxin."  Plus, it rolls off the tongue easier than "Neuromodulators" or "Neurotoxin!"

How do I know how many "units" to expect?
 
The number of units needed for a desired result varies based on a multitude of factors.  Some factors that affect the number of units required includes age, biological sex, how large an individual's facial muscles are, how much post procedure movement the client desires, the depth of wrinkles and an individual's personal metabolism.  Here are some general guidelines.
Frown lines:
          Botox: 20-25 units
          Dysport: 60-75 units
          Xeomin: 20-30 units
Forehead:
          Botox: 15-25 units
          Dysport: 45-75 units
          Xeomin: 20-30 units
Crow's feet:
          Botox: 24-30 units
          Dysport:  75-90 units
          Xeomin: 24-30 units
Chin (Mentalis to treat peau d'orange):
           Botox: 4-8 units
           Dysport: 12-24 units
           Xeomin: 4-8 units

How do I know if I am looking for dermal filler or a toxin like Botox, Dysport or Xeomin?
 
"Toxin" like Botox, Dysport and Xeomin, paralyze the injected muscles, which will smooth over fine lines and wrinkles.  Dermal fillers, such as Restylane, Juvederm and Radiesse product lines, add volume.  This can enhance facial features such as adding volume to the lips or cheek bones.  It can also replace lost volume in the cheeks, lower face, temples and tear troughs.  This can "fill" in Marionette lines, smokers lines, etc.  It can help improve the appearance of scars.  Filler works better for larger facial folds.  

What is a lip flip?

A lip flip uses "toxin" to give the appearance of a fuller upper lip.  Dr. Janice will do 2-4 small injections of toxin to the top of the upper lip area.  It is especially helpful for people whose top lip "disappears" when they smile.




                                      Before                          After

How do I prepare for my appointment?
Approximately one week before your appointment, please stop taking aspirin, ibuprofen, NSAIDS, St John's Wort, Vitamin E, Fish oil, Omega-3 fatty acids, Gingko Biloba and Ginseng.  These medications increase your likelihood of having bruising.  Be sure to tell Dr Janice if you are on any blood thinning medications, such as Plavix, Arixtra, Coumadin, Warfarin, Eliquis, Pradaxa, etc.  These medications do increase your risk for severe bruising.
On the day of your appointment, avoid heavy foundation or makeup products.  


What should I expect after I get "toxin" ie Botox, Dyport or Xeomin?

A tiny needle is used to inject the "toxin" into your muscles.  You may see a little red bump where it was injected for 20-30 minutes.  You may also see a tiny red spot where the needle entered your skin.  Be sure NOT to rub the area or lay flat for at least 4 hours.  
It takes time to see the results.  By day 3 or 4 you will see less movement in the intended muscles.  Maximum decrease in movement is seen at 2 weeks post treatment. Clients with deeper furrows and wrinkles will continue to see improvement in the depth and appearance of the wrinkles.  Deep wrinkles did not form overnight and don't completely disappear overnight either!  However, you will see improvement at 2 weeks.
Dr. Janice will give you an aftercare sheet which has Do's and Don'ts as well as what to expect.


How often do I need to be treated with "toxin"?  How long does it last?

This is very dependent on the individual.  Each person metabolizes toxin at a different rate.  Most people will need to have repeated dosing every 3-4 months.  Some people metabolize the product very quickly and have results for less than 3 months.  Some people see effects for 5 months or more!  The vast majority of people will need to be treated every 3-4 months for the best maintenance of their look.  You should make an appointment once you start seeing movement or the reappearance of fine lines where you previously had wrinkles.


What should I expect after I get filler?

You will see a change immediately!  There will likely be some swelling, but this will resolve usually within the week.    Use ice to the area for 5-10 minutes each hour.  You may seen some bruising.  It can vary from being very minor to severe.  If you feel any small lumps or bumps, you may gently massage the area. You can take Tylenol to help with tenderness.  Be sure to call Dr. Janice if you have severe pain or unusual whiteness to the skin.  
Dr. Janice wants to see you 2 weeks after your treatment.  At this appointment you can have a touch up done since the swelling will have resolved.
Don't schedule filler within 2 weeks of an important event.  You want to be sure that any bruising or swelling has resolved!


How do I know how many "syringes" of dermal filler I need to reach my goals?

The easy answer is the more dramatic results you are looking for indicates more syringes of filler!  Here is a general guideline to consider.

Cheeks:  Plan on 2 syringes, one for each side at minimum.  You will see some improvement with one syringe split between the left and right cheek, but generally clients are more satisfied with two.

Lips:  One syringe is perfect to start.  You can always get more, but sticking to one syringe to start helps to keep lips from looking overdone.

Marionette Lines:  This depends on how deep your lines are and how much volume loss there is in the lower face.  You should anticipate at least one syringe for this area.  

Chin Contouring: This is highly dependent on how recessed the chin is.  Mild retrusion can see a nice effect with a single syringe, but most will need 2 or more syringes to get the desired effect.  
 

Tear Troughs:  One syringe usually gives a very nice improvement, but some clients have needed more than one for deep tear troughs.

When will I see results after my dermal filler?
Immediately!  You will have some swelling, so it may look overdone at first, but as the swelling goes down, you will see your new look.
 
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