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Blog MD

Visit Drs. Timothy and Jennifer Janiga’s blog regularly for office and product updates and information about important topics in plastic surgery and dermatology. If you have a question that you would like addressed, please contact us.

Ready For A Game Changer? Meet ThreeForMe™

What can you accomplish in 30 minutes? It doesn’t sound like much time when you think about it. Thirty minutes is about the length of a TV sitcom or a quick workday lunch break. But it’s also how long it takes to say goodbye to tired, dull skin and hello to a more youthful-looking you, thanks to a new procedure at Janiga MDs.

Introducing ThreeForMe™.

Laser Resurfacing

In as little as a single office visit, this revolutionary new laser treatment will change what you see in the mirror for the better. People have long assumed that the brown spots, redness and wrinkles on our face were simple facts of life, and that while you could take steps to prevent further damage, you couldn’t reverse them. ThreeForMe™ turns the tables on that idea with a simple, 30-minute procedure.

Given that we lose one percent of our skin’s collagen each year after 30 and that 80 percent of all wrinkles are caused by exposure to the sun, ThreeForMe™ is here to combat what we previously considered natural parts of aging. Using Intense Pulsed Light (IPL) technology with the ICON resurfacing laser, ThreeForMe™ solves three problems at once: sun damage and brown spots, wrinkles and facial veins.

Dr. Jennifer Janiga has been performing this combination of treatments in different variations for the past two years.  With more and more success came ThreeForMe™, a combined treatment of three lasers in one treatment for clients seeking to improve the visible effects of sun exposure. In the first step of the process, Dr. Janiga addresses brown skin discoloration with specific tailored settings for your skin type and brown areas.  Second, facial veins that have been caused by sun exposure and everyday toxins are treated using the MaxG ICON specific tip.  Third, she then turns her attention to your wrinkles and collagen with an erbium microbeam laser designed to stimulate collagen and elastin production.

Is it painful? Not particularly. While there is some mild discomfort including a cooling sensation during the procedure and a warming feeling afterward, most patients experience a feeling similar to the snapping of a rubber band against skin during the procedure. You might also expect a little redness and swelling – not unlike what you’d get with a sunburn – but these issues typically resolve in a couple of days. Even better, ThreeForMe™ is such a quick procedure, you can return to work the same day.

As for results, they’re pretty impressive. Most patients need between one and three treatments to get maximum results. After the first treatment, you’ll notice improvement to the facial veins. Then, the brown spots will darken before falling off, leaving you with a youthful glow you haven’t seen in years. The collagen stimulation continues for six months after your treatment so the fine lines and wrinkles of your face will show dramatic improvement as your skin responds to the treatment.

Dr. Janiga is now accepting patients considering the ThreeForMe™ procedure. To find out if it’s right for you, contact us via email or call 775-398-4600.

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Get Ready To Be Inspired By INSPIRA

If you could make one improvement to your appearance in 2017, what would it be?

For some of our patients, it might be the tummy tuck they’ve been considering for years. For others, 2017 might be the year they opt for an in-office facelift. Those are always great choices, but for anyone considering breast augmentation, there’s never been a better time than right now, thanks to INSPIRA™.

Inspira Breast Implants

With a new line of more than 400 options, Natrelle® INSPIRA™ implants are an upgrade over the company’s previous line of Classic Round Gel implants, bringing even more softness and natural feel to their gel breast implants. In short, INSPIRA™ represents the most natural looking, customizable breast implants to date.

Now offered at Janiga MDs, INSPIRA™ implants are designed to be softer, rounder and fuller. When you set up a consultation with Dr. Timothy Janiga, you’ll get a chance to see all the options, and even select the exact projection and fullness you want in your breast augmentation procedure.

At Janiga MDs, we believe it’s vitally important to have a good working relationship with your cosmetic surgeon. In fact, before any procedure, you should ask your doctor about their certification, experience and whether you’re truly a good candidate for the procedure you’re considering.

Learn more about the top five questions to ask your plastic surgeon here.

During the consultation, Dr. Janiga will explain, step-by-step, what’s involved in the procedure and what you can expect in terms of results. If you’re a good candidate for breast augmentation, we’ll start scheduling your surgery.

Dr. Janiga carefully performs your breast implant procedure in a Reno-area outpatient surgery center. Once the procedure is under way, it only takes an hour, with another hour of recovery before you’re ready to go home and rest. Best of all, you’ll enjoy a look that’s both natural and comfortable.

Next step: a whole new you.

Ready to see if INSPIRA™ breast implants are right for you? Request a consultation online or call us today at 775-398-4600.

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Top Cosmetic and Plastic Surgery Trends For 2017

Plastic & Cosmetic Surgery Trends

What a year! As we close the books on 2016, it’s always helpful to take a look back at the trends that dominated cosmetic and plastic surgery to get a better sense of what’s coming in 2017.

In 2016, Janiga MDs saw a definite increase in cosmetic surgeries as well as noninvasive procedures. Two of the more popular procedures were breast augmentation and Kybella. Of course, these are two very different procedures in terms of end results, but both share the common denominator of helping patients achieve their ideal look with a little help from science.

With breast augmentation, we use breast implants to make breasts larger and fuller. This procedure also can restore breast size and shape after pregnancy, breastfeeding or significant weight loss. See before and after photos of breast augmentation here.

Kybella has been a hot topic in 2016, with the procedure gaining steam not only at Janiga MDs, but across the nation, as well. This 45-minute in-office procedure permanently banishes double chins in as few as two treatments. The FDA-approved injectable helps break down the submental fat pad, reducing or eliminating the appearance of a double chin.

Given how popular each of these procedures has become, we don’t expect the trend to abate any in 2017.

Other cosmetic surgeries we expect to be on the rise in 2017:

  • Rhinoplasty: also known as a nose job, this procedure helps restore the ability to breathe properly by repairing a deviated septum.
  • Breast lift: to help reverse the effects of age, gravity, breast implant removal, breastfeeding or significant weight loss.
  • Facelift: to reverse the effects of age by removing excess skin in the face and neck while tightening deeper structures for a more youthful appearance.

As for the noninvasive and in-office procedures, we expect to see continued interest in the following:

  • In-office facelift: Sometimes called a mini or weekend facelift, this is designed to help diminish deep creases on the face and neck while creating a more defined neck and jawline.
  • miraDry: This is a noninvasive treatment for excessive underarm sweat that uses heat-based energy to eliminate odor glands with permanent results.
  • Botox: A popular injectable for cosmetic treatment of forehead wrinkles caused by specific muscle groups.
  • Juvederm: Using hyaluronic acid, this dermal filler helps correct moderate to severe facial wrinkles and folds.

To learn more about any of these procedures and to see if you’re a good candidate for them, contact us for a consultation at our Reno offices. We hope your 2016 ended with a bang and look forward to seeing you in 2017!

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For the Holidays, Give the Gift of Beautiful Skin

Christmas Holiday Promo

We’ve all got that someone on our holiday shopping list. You know, the person you love dearly, but you can’t for the life of you figure out what to buy for them. For these friends and family members, why not give them the gift of beautiful skin? After all, the dry, wintry months around the holidays can take their toll on the skin, so everyone needs a little extra boost to help restore a little youthful glow.

All through December, Janiga MDs is offering a couple of great deals on skin care products to help get you through the windy, arid days of winter. First up is a deal on TNS Essential Serum from SkinMedica®, the all-in-one skin rejuvenating treatment designed to decrease the appearance of wrinkles, fine lines and improve skin tone and texture. When you purchase one bottle of Essential Serum, you’ll receive a complimentary bottle of TNS Eye Repair, which helps temporarily banish dark circles, wrinkles and fine lines around the eyes.

Also during December, we’re offering a special on Teoxane® RHA Serum. Tapping into the power of resilient hyaluronic acid, this antioxidant cream visibly transforms the skin within 14 days by reactivating the skin’s natural mechanisms of deep regeneration, tissue restructuring and cell renewal. When you purchase a bottle of RHA Serum, you’ll get a free RHA Eyes Advanced Eye Contour, which helps reduce dark circles, puffiness and wrinkles around the eyes.

We also offer Janiga MDs gift certificates in any denomination good
toward all our products or treatments. If you’re looking to avoid the holiday crush at malls and department stores, drop by our offices at 500 Damonte Ranch Parkway #703 in south Reno to pick up the perfect last-minute gift or gift certificate. Until then, Happy Holidays from the Janiga family!

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Explore Our Top Five Non-Invasive Cosmetic Procedures For Fall & Winter

Non-Invasive Cosmetic Procedures

When you think of cosmetic procedures, what comes to mind? For many people, the first thought is of invasive procedures that require surgery and a lot of resulting downtime for healing. But this isn’t always the case. As winter approaches, we’d like to share five of our favorite non-invasive cosmetic procedures we perform at Janiga MDs.

For several years running, one of the fastest-growing areas of cosmetics in the United States has been non-invasive cosmetic procedures. This category includes a wide range of procedures from injectables such as BOTOX® to newer, lesser-known procedures such as miraDry. Here are five of our favorite:

  1. miraDry: When miraDry was launched a couple of years ago, it was an instant game changer for many patients. Designed to decrease armpit sweating by up to 86 percent in just a single treatment, miraDry is the perfect fall/winter procedure because it allows you to see full results before the start of sweating season in the spring. This FDA-approved treatment works by eliminating sweat and odor glands, allowing you to feel dry and confident all day long. Once the one-hour procedure is over, you may experience some swelling and minimal discomfort, but the results are almost immediate. Learn more about whether you’re a good candidate for miraDry here.
  1. Kybella: A procedure that’s growing in popularity is Kybella, a 45-minute in-office procedure that permanently removes the stubborn fat pad sometimes known as a double chin. This procedure is perfectly suited for fall weather because you can expect some tissue swelling after you’ve had it performed. A turtleneck or scarf can help cover your neck while you heal, and most people won’t even notice until you’re ready to show the world your new wattle-free neck. By dissolving the submental fat pad, Kybella safely and permanently banishes the double chin in as few as two or three treatments. Learn more about it here.
  1. Laser therapy: Northern Nevada’s dry, high-altitude climate can be rough on the skin. For that, Janiga MDs offers laser therapy to treat sunspots. We use a pulsed light laser called Max G to target pigment in the skin, bringing it to the surface and allowing it to slough off. This laser is perfect for the fall and winter because one prerequisite for its use, is that your sun exposure be limited for six weeks before and a few weeks after treatment. This helps decrease potential side effects. See if laser therapy is right for you.
  1. Filler: Janiga MDs offers quite a few filler options for you to choose from, including Radiesse® for the hands, Voluma® for the cheeks, Volbella® or Restylane® Silk for your lips. One of the great things about late fall is extra time off from school or work, allowing you more time with family. Put those days to good use by having fillers performed at our Reno plastic surgery and dermatology offices. Because some swelling and bruising can be expected, you’ll be able to recover quietly at home in order to see full results by New Year’s.
  1. BOTOX®: True, there’s no bad time of year to have BOTOX® performed, but who doesn’t love a little refresher for the holidays? With its ability to treat forehead wrinkles in a short office visit, BOTOX® is the perfect pre-holiday gift to yourself and it’ll last well into the New Year.

Interested in learning more about these procedures? Schedule a consultation with Dr. Jennifer Janiga today to see if you’re a good candidate for miraDry, Kybella, laser therapy, fillers or BOTOX®.

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Which Plastic Surgery Procedure Is Right For Me – And Who Should Perform It?

It’s easy to be bombarded with information these days. Everywhere you turn, there’s someone enticing you to check out the latest cosmetic product or plastic surgery procedure that’s sure to make your life better. Each day, we’re exposed to hundreds of such messages, each offering to solve a different cosmetic problem – from resurfacing lasers for wrinkles to full facelifts and beyond. While many of these procedures really can offer life-changing transformations, the ads don’t always address two of the most important topics: who is performing them and are these procedures even right for you in the first place?

plastic surgeon

Ads are great at piquing patient interest, but they leave many questions unanswered. For instance, should you have grafting performed or should you choose filler to help restore facial volume? In our strong opinion, these are questions that should only be answered after selecting a plastic surgeon who best understands your needs. Someone who treats you as a person first, and not as just another procedure. Starting off with a candid, in-depth conversation with your plastic surgeon is just the first step toward a successful outcome.

The right plastic surgeon will guide you through surgical and noninvasive options, carefully explaining the pros and cons of both, and also discuss recovery time for surgical vs. non-invasive procedures. When you select a board-certified plastic surgeon with a specialty in cosmetic surgery designated by membership in the American Society for Aesthetic Plastic Surgery, you’re choosing to work with someone with years of experience in cosmetic and plastic surgery. This doctor will have the experience needed to guide you in the direction that most fits your desires, need for discretion as well as availability for recovery time.

Dr. Timothy Janiga is board certified by the American Board of Plastic Surgery, is a member of the American Society of Plastic Surgeons, and is designated as a member of the American Society for Aesthetic Plastic Surgery. He recently was voted a Top Doctor by RealSelf and was nationally recognized by the American Institute of plastic surgeons as one of the top 10 plastic surgeons in Nevada.

When you’re ready to discuss whether a certain procedure is right for you, contact us for a consultation with Dr. Timothy Janiga.

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When Is The Best Time For Breast Reconstruction Surgery?

Nothing is easy about a breast cancer diagnosis. First, there’s the overwhelming uncertainty, followed by the avalanche of information to process. Then, there are the endless decisions to make. If you reach the point where a mastectomy is required, one of the choices you’ll need to make involves whether – and when – to have breast reconstruction surgery.

As we observe Breast Cancer Awareness Month in October, we’re reminded of the number of women who face such choices each year. One in eight women will develop breast cancer in their lifetime, with an estimated 246,660 new cases of invasive breast cancer diagnosed in 2016. Of them, nearly 41,000 will die from breast cancer, making it the second leading cause of death in women behind heart disease.

Breast Reconstruction

Breast cancer is treated in many different ways, but one common result of treatment is the complete or partial removal of the breast. In these cases, a plastic surgeon can be brought in to help reconstruct the breast to a natural shape. Many women struggle with the decision whether to have the reconstruction performed at the time of the mastectomy (immediate reconstruction) or at some point in the future (delayed reconstruction.)

How Breast Reconstruction Surgery Works

When Dr. Timothy Janiga performs breast reconstruction, he has several techniques he can employ. The first of these uses a tissue expander, which is placed under the pectoralis major muscle on the chest wall. The expander acts as a temporary spacer to stretch the muscle and skin to create a breast mound. Later on, a second operation is required to remove the expander and place an implant.

The second technique involves using the patient’s own body tissue. With this procedure, a muscle from the back (latissimus dorsi) is rotated around to the chest wall to form a new breast. Often, there is an implant placed under the muscle to provide more volume to the breast.

Another common technique uses tissue from the abdomen with the tissue being moved directly into the mastectomy defect on the chest wall. This third technique is more involved and has a longer recovery time associated with it.

Finding the right technique for your situation depends on factors that include the type of cancer you’re suffering from and whether radiation therapy is required. In the end, each situation is different and requires a specialized consultation with your plastic surgeon.

As to whether you have breast reconstruction performed at the time of your mastectomy or afterward is a deeply personal choice. However, a recent article in US News & World Report provides some guidance.

In the article, Dr. Minas Chrysopulo, micro surgeon with the PMRA Center for Advanced Breast Reconstruction advises, “ideally, it should be done at the same time as the mastectomy,” suggesting that this route is particularly advisable for patients with stage 1 or stage 2 breast cancer.

For those who wait, the time frame for reconstructive surgery is roughly six weeks to six months post mastectomy.

While some find waiting to have reconstructive breast surgery performed later to be the best option, others find comfort in waking up from mastectomy surgery with intact breasts and no further surgeries to undergo. In the end, the choice you make will be the one that’s best for you. To learn more about reconstructive breast surgery, contact Dr. Timothy Janiga for a consultation or call us at 775-398-4600.

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Dr. Timothy Janiga named “Top Doctor” by RealSelf.com

Timothy Janiga Top Doctor Real Self
It seems more and more people are beginning to realize that Dr. Timothy Janiga is no ordinary physician – and we couldn’t agree more. Some of the industry’s top organizations, such as the American Institute of Plastic Surgeons, have recognized Dr. Janiga for his highly respected credentials and reputation among his clients.

And the awards don’t stop there. We at Janiga MDs are proud to announce that Dr. Timothy Janiga was recently named a “Top Doctor” by RealSelf.com, a website dedicated to covering the best in cosmetic treatments, products and clinicians as deemed effective by the people who matter the most – the patients.

Since 2006, Real Self has recognized doctors who have achieved the highest patient ratings and favorable feedback and their contributed expertise by awarding them with the title of “Top Doctor.” This honor is granted to less than 10 percent of the site’s qualifying community and is a significant achievement to any professional within the industry of cosmetic surgery.

“It is a great honor to be recognized for the work we perform at Janiga MDs,” said Dr. Timothy Janiga. “This award reinforces our dedication and hard work in providing our patients with the best possible cosmetic and surgical care possible.”

According to its website, “RealSelf Top Doctor status is awarded to a select group of doctors who have demonstrated an ongoing commitment to answering consumer questions, and are transparent about their level of service by encouraging their patients to post unbiased reviews and ratings.”

At Janiga MDs, we continue to strive to produce work that is of the highest quality for our patients. We congratulate Dr. Janiga on all of his accomplishments, both now and in the future, within the field of plastic surgery.

To schedule your private one-on-one consultation with Dr. Timothy Janiga call our Reno office at 775-398-4600 or email us today.

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Double Chin? Kybella To The Rescue

Isn’t it a wonderful surprise when something takes less time than you hoped it would? Like when your plane leaves on time and touches down 15 minutes early, which means more beach time for you. Or, how about when something just works the way it should? A lot of our patients are experiencing just that with Kybella, a 45-minute in-office procedure that dramatically reduces the appearance of a double chin. While the FDA suggests it could take up to six treatments to be effective, most people find Kybella banishes their dreaded neck wattle in as few as two or three treatments.

Here’s how this terrific new product works.

Kybella - Rid Your Double Chin
Recently introduced by Allergan, the same company that produces Botox, Juvéderm, and Voluma, Kybella is an injectable that takes enzymes from your own body called deoxycholic acid and breaks them down into a form that can be injected under your chin. The FDA-approved product is injected into your submental fat pad, where the enzyme breaks down fat cells. The result? Permanent removal of that pesky double chin.

Patients who undergo Kybella injections at Janiga MDs can expect a very short procedure – usually 45 minutes or less from start to finish. As with other injectables, you may experience some mild discomfort after the procedure, generally lasting around an hour. After that, expect bruising for up to a week and swelling for another week or so beyond that. Once the swelling is gone, voilà: No more double chin! If a second or third round is needed, we generally space treatments out, with two to three months between office visits.

In our experience, Kybella is truly a great noninvasive option for anyone looking for a more defined jawline. Not long ago, the standard approach was to use liposuction for double chins, but Kybella has changed the game, making it even quicker and easier to achieve your ideal look. Cost for Kybella treatment varies, but ranges from $600 to $1,200 per treatment and depends on the size of the fat pad. To discuss whether you’re a good candidate for Kybella, set up a free consultation with Dr. Jennifer Janiga today.

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No More ‘Trout Pout:’ 5 Noninvasive Cosmetic Treatments For Fall

Trends come and trends go, with many of them serving as passing fads that don’t last more than a season. Others, however, are worth a closer look. One such trend in cosmetic surgery and dermatology is the movement toward noninvasive procedures.

Unlike traditional surgery that requires patients to be checked into a surgery center or hospital to be put under, noninvasive procedures are performed in-office under local or topical anesthesia. Noninvasive treatments are the most rapidly expanding area in cosmetic surgery, with a 158 percent increase in the last 15 years, according to the American Society of Plastic Surgeons. Because of this dramatic rise in popularity, we’d like to highlight the top five noninvasive procedures to consider this fall and beyond.

Perioral and Periocular Rejuvenation

As we mature, so does our skin. A loss of bone, fat and volume in the face may cause a sunken appearance around the eyes or pinched appearance of the mouth for both men and women starting in their 40s.

With time, our lips begin to lose volume and as a result lines begin to form around the mouth and nasal labial folds. Juvéderm and Voluma are fillers that can be successfully used to treat these concerns, without lips appearing overly plumped, pinched or fish-like. At Janiga MDs, we are sensitive to this and are always trying to help our clients achieve the absolute best look for their age.

Juvéderm and Voluma are used to build up the loss in volume and bone around the nose, mouth, pre-jowl sulcus and chin to help improve the overall appearance of lines as well as the lips. With this technique, very little filler is used into the actual lip, thus avoiding the dreaded “fish lips” or “trout pout” appearance we all so desperately want to avoid.

Dr. Timothy Janiga recently performed this procedure on Dr. Jennifer Janiga, resulting in a natural, younger-looking appearance of the mouth and lips.

Juvederm & Voluma

Similar to the area around the mouth, the area around the eyes is just as sensitive to bone, fat and volume loss. Loss of volume around the eyes manifests itself in the form of bags or a hollowing appearance under the eyes. This happens as we age, with the first signs appearing, for most, around the early 40s.

To treat this area, we leverage products similar to the ones used to treat volume loss around the mouth, both Juvéderm and Voluma. These products are injected around the eye and the cheek bone to provide contour and lift to the areas effected by volume loss.

Dr. Jennifer Janiga has performed this procedure on a patient, resulting in more youthful eyes.

Non-Invasive Cosmetic Treatments


As we’ve discussed in previous blog posts, miraDry is a great alternative in treating underarm sweating. With just one treatment, underarm sweating can be reduced up to 82 percent. Most people require only one treatment, and experience a significant reduction of sweat, hair and odor.

The procedure takes an average of an hour and a half to two hours and is ideal for the cooler months of fall and winter, so that you may be sweat-free come next spring.

Botox or Dysport

Botox and Dysport are neuromodulators that inhibit the muscles of the face and can be used to treat crow’s feet, frown lines between the eyes, forehead lines and even those annoying bands that form on the neck. These procedures take no longer than 15-30 minutes with very little downtime, making it perfect for patients on the go.


Intense pulse light is the ideal procedure for treating brown and red areas on the face. Brown spots and blood vessels appear on the face through excessive sun exposure. But with just one treatment, you will see up to a 50 percent reduction in brown spots and blood vessels. This laser treatment is ideal for the fall and winter months, as patients need to refrain from sun exposure for six weeks prior to the procedure.


A fat destroyer, Kybella is a new product designed to dissolve the fat pad that tends to form under the chin as we age. Injections are performed in office, and, on average, take up to three treatments resulting in permanent shrinkage of the fat pad of up to 80 percent. Kybella treatments are performed right in our office with little to no downtime, making it a great option for many patients.

Dr. Timothy and Jennifer Janiga evaluate and treat patients who desire these, as well as other, noninvasive procedures in their Reno/Tahoe offices. To schedule your consultation, please send us an email or call (775) 398-4600 today.

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