Plastic Surgery Reno and Dermatology

Two Disciplines: One Unbeatable Benefit – there are no two specialties that complement each other better. When these two highly specialized, yet distinctively separate disciplines combine, patients are offered the most comprehensive care available and the most beautiful results possible.


Plastic Surgery

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Plastic Surgery Reno: Bring your inner beauty to the surface.

It isn’t about vanity or defeating time, plastic surgery is about making the outside match what you feel like on the inside and restoring your self-confidence.


Dermatology

JanigaMDs Plastic Surgery Model

Dermatology Reno: It’s about the skin you are in.

Many skin conditions require the skills of a dermatologist to be treated. Many cosmetic procedures are best performed by a board certified dermatologist.


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A Dermatologist’s Skincare Routine

As a Reno dermatologist specializing in anti-aging, I am often asked what I do for my own skin and what products I use myself. I am going to walk you through my personal skincare routine in this blog post.

I am a strong believer in doing the right things for your skin over many years to keep it looking youthful, rather then trying to play catch up once the damage has been done. Over the course of an 80 or 90-year life expectancy there are many things we can do to improve the look of our skin and keep it looking fresh. I believe in maintenance for a lifetime with my skin care routine.

Dr. Jennifer Janiga’s Anti Aging Skincare Routine:

Dr-Jennifer-Janiga

1. Cleanse and Moisturize.

I apply a good moisturizer every night to help keep the skin hydrated, and I use a gentle cleanser morning and night that does not strip the oils from my skin but does remove my make up

2. Sunscreen.

First and foremost, I apply a sunscreen with a physical blocker called titanium dioxide with an SPF of 46 every day before I leave the house. I wear my sunscreen even if I will be spending most of my day indoors because there is some data to suggest that fluorescent lighting can darken things like sunspots and melasma.

I am a firm believer in physical blocking sunscreens at least as a partial ingredient. The physical blockers are titanium dioxide and zinc oxide. If you turn over your sunscreen bottle and look at the ingredients your sunscreen should have at least 5% of one of these two ingredients.

3. Topical Retinoid.

The second important thing that I do is apply a topical retinoid once or twice a week. My skin is too dry to allow application of this product more often then once or twice a week, but if I could I would apply it every night.

The side effects of this medication are dryness and irritation, but the benefits include building collagen, decreasing fine lines and wrinkles, mild exfoliation, shrinking the pores, and an overall improvement in texture. I have been using a topical retinoid as often as tolerated for more than 15 years (except for when I was pregnant or nursing as this product is not allowed during this important time).

Retinoids are one of the most studied topical products and are available in different concentrations for topical application to the skin.  I prefer the more concentrated pharmaceutical grade products such as Skin Medica’s retinoid, but there are some over-the-counter versions such as ROC.

4. TNS Essential Serum.

I also use a combination product called TNS essential serum twice per day. TNS essential serum is also made by Skin Medica, and has three important ingredients in it.

The first is an antioxidant which most people are aware of as a vitamin A, vitamin C, or vitamin E. Antioxidants scavenge free radicals and help combat the damage that we do to our skin from the environment daily.

The second ingredient in the TNS essential serum is growth factor. Growth factor is one of the most exciting products on the market today. It stimulates collagen and cell turnover to decrease fine lines and wrinkles, and improve the overall texture and tone of the skin.

The third ingredient in the TNS essential serum is peptides. Peptides are another way to stimulate cell turnover and are essential for healthy and youthful looking skin.  You can purchase each of these three ingredients separately as antioxidant, growth factor, and solitary peptides, but I prefer to put one application on with this combination product to decrease the number of steps that I have to perform on a daily basis.

5. A Brightening Serum.

Another product that I really like is a brightening serum by Skin Medica (see a theme here?) called Lytera. This is the first product that has been shown to inhibit melanin and be equivalent to hydroquinone without having any hydroquinone in it.

I try to use this twice a day especially in the sunny months to decrease my pigment production and decrease the number of brown spots that I form each year.

6. Laser Treatment for Sunspots

Each year I develop a few new brown spots as I have been a Nevadan most of my life and I’m not sure there any of us who don’t have a few sunspots. I treat these with the IPL laser treatment each fall (in fact I am due in the next couple of weeks) in order to keep them under control.

I cannot prevent new ones from coming 100% of the time even with sunscreen, but if I treat sunspots with lasers each year I can keep my skin clear for the future.

7. Laser Resurfacing Treatment

The other laser treatment I have done is a resurfacing laser. Resurfacing lasers build and stimulate collagen, shrink the pores, and improve the texture and tone of the skin. I have done five resurfacing lasers in the past seven years.

One every 18 months or so on average is good for my skin type. Resurfacing lasers are a great way to stimulate collagen and keep the skin looking tight and youthful, so I try to stay proactive by doing resurfacing lasers as part of my routine.

As you can see, I focus on protection and collagen stimulation in my maintenance routine. Topically a gentle cleanser, twice-daily application of the brightener Lytera and the combination product TNS essential serum, sunscreen with a physical blocker, twice-weekly topical retinoid, moisturizer. Longer term, I do one laser each fall for the brown spots, and a collagen stimulating resurfacing laser approximately every 18 months rounds out my skin care routine.

If you’d like to purchase any of the products listed in this post, stop by our offices as we carry them all for sale. We can also get you set up on a laser treatment schedule so you can stay on top of your anti aging routine.

~ Dr. Jennifer Janiga

 


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