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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.

Fall in Love With These Skin Care Products for Valentine’s Day

With Christmas behind us, it’s time to start thinking about what to get your sweetie for Valentine’s Day, which falls on a Sunday this year. That gives you very little time to get down to Janiga MDs to pick up some last-minute skin care gifts for your significant other. To make it easier, I’ve compiled a list of some favorite products, perfect for aspiring Cupids everywhere.

Skin Care

Skin Medica’s topical Vitamin C+E Complex is on sale at Janiga for $98. This is an antioxidant that lessens redness caused by years of sun damage. You can also pick up some Elta MD facial sunscreen ($28), which goes on after you apply the Vitamin C+E Complex. I’ve long mentioned that Elta MD makes my favorite sunscreen products because they’re not only effective, but they are free of scents and dyes while containing a light moisturizer. It’s winter, and we all need a little extra moisturizing. A good nighttime moisturizer is Replenix Restorative Nighttime cream, which you can pick up for $66.

Looking for a Botox or filler treatment? These injectable products will help reduce the appearance of wrinkles and sagging skin starting from $150. The procedures will last anywhere between six months and two years and are performed in quick and easy office visits.

Maybe you’re a little hesitant to pick a specific gift for that special person in your life. Understandable. With our gift certificates, you won’t go wrong (and you can grab them at the last minute – not that any of you would do that!) Whatever you choose, feel free to get in touch with us any time or stop by our offices at 500 Damonte Ranch Parkway #703 in south Reno. We look forward to seeing you.

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World Cancer Day: Practicing Skin Cancer Awareness All Year Long

According to the Union for International Cancer Control, cancer will kill more than eight million people alone this year. An equally scary statistic shows that the instances of skin cancer will top 5.4 million diagnoses in 2016. In fact, one in five Americans will develop skin cancer at some point in their life. The numbers are staggering, but the good news about skin cancer is that it’s quite often preventable if you follow a few simple rules for skin awareness.

World Cancer Day is a good opportunity to review these tips, which you should be following all year long. The following are the ABCDE’s of skin cancer awareness.

A is for Asymmetry

If you imagine cutting a mole or lesion in half and folding it on itself and the two sides do not look alike, you have asymmetry. One side could have a projection or irregular color, while the other side might not. This sort of asymmetry is a warning sign for skin cancer.

B is for Borders

If the borders of a mole are irregular or jagged, this could be a sign of skin cancer. Also, if the borders become blurry and are not sharply demarcated, this could be worrisome, and you should see your dermatologist right away.

C is Color

If there is more than one color in the mole or lesion, please contact your dermatologist.

D is For Diameter

If the lesion itself is greater than 6 millimeters in diameter, see your dermatologist.

E is for Evolution

To me, this is the most important of the ABCDE’s. Evolution means that something is growing or changing, and is a sign that you need to have the mole or lesion checked out.

Signs of Skin Cancer

It’s crucial for you to be familiar with these tips and that you perform a monthly self skin examination for any growing or changing lesions, or for any lesions that meet the criteria noted above. Should you notice any of these concerning signs on your skin, please make an appointment with your dermatologist.

For more information, or to set up a consultation with Dr. Jennifer Janiga or Melanie Buckley for mole evaluation and treatment in our Reno/Tahoe dermatology office, please contact us or call 775-398-4600.

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Banish That Double Chin With Quick, Easy Kybella Treatments

Whether you call it a double chin or neck wattle, the submental fat pad under your chin can be fairly annoying, not to mention the self-esteem issues it can cause. Until recently, your options were to have a neck lift, undergo liposuction or simply learn to live with it. Last year, however, the FDA announced that it had approved Kybella, an injectable liquid proven to minimize submental fat pad.

How to get rid of a Double Chin

Shortly after the announcement, Kybella was all over the news, because it promised to reduce the appearance of double chins across the nation without surgery. Allergan soon acquired Kybella, making it a part of the family of products that includes Juvéderm, Botox and Latisse. Fast forward to February 2016, and Janiga MDs is proud to announce that we are now offering Kybella injections for our patients.

Here’s how it works: The deoxycholic acid in Kybella is the material from the gallbladder that digests fat in your G.I. tract.  When injected under the skin into the fat pad under the chin, it breaks up fat cells, ultimately causing the fat pad to shrink.

There are a few things you should know about Kybella before making your appointment. At present, Kybella is approved only for the submental fat pad and cannot be injected into other areas. It requires at least two to three treatments for full effectiveness, and cannot be used in the lateral jowl area of the face. You will experience mild to moderate discomfort for about an hour after the procedure. After that, you’ll likely experience swelling for a few weeks before seeing your results.

Once you’ve received your full course of Kybella injections, the fat cells are lysed (broken up), meaning they won’t return. This is great news for people who don’t like the profile of their neck or consider themselves to have a double chin. Because the procedure is nonsurgical, it can be performed in less than 30 minutes in our office.

Kybella injection costs will depend on the size of the fat pad and on your anatomy. For the average woman, the injections cost approximately $600-$1,000 per session. For men, they can run between $600- $1,500 per session. The injections are placed about 1 centimeter apart, and the number of injections needed is based on the size of the fat pad. In the FDA trials, the injections were done at one-month intervals and up to six different times. The side effects most commonly included discomfort of the treatment area, swelling, and/or bruising.

During March, Allergan is running a Kybella promotion for its Brilliant Distinctions members. If you haven’t yet signed up for the Brilliant Distinctions program, you can do so here. This will also allow you to take advantage of other upcoming promotions on Latisse, Juvéderm, Voluma and Botox.

If you’re interested in getting rid of that double chin without surgery, please set up an evaluation with me, Dr. Jennifer Janiga, or my physician’s assistant, Melanie, to see if you’re a candidate for Kybella. In your consultation, we’ll discuss your personal expectations, the goals of the procedure as well as the risks, benefits and alternatives to this procedure.

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Four Things to Expect During Your Breast Surgery Recovery

Whether you’re having breast cancer reconstruction or breast augmentation, you’re likely to experience four common factors in your recovery. Let’s take a closer look at the typical stages of recovery once you’ve undergone surgery.

Breast Surgery Recovery

  1. Soreness

Regardless of the type of surgery you have, you should expect to feel at least a little sore. How much soreness you experience will vary depending on how involved your procedure is, though even localized procedures such as a breast augmentation come with some discomfort afterward. In the days right after your procedure, you’ll usually be prescribed a course of pain medication, which will be tapered down to ibuprofen or Tylenol as you return to normal. It’s not unusual to experience some mild discomfort for up to six weeks after surgery, but it varies from case to case. As part of the post-op consultation, we’ll discuss how long it will take you to get back on your feet. This way, you’ll know generally what to expect as you recover.

  1. Activity Restrictions

Based on the type of operation you’ve undergone, there will likely be some restrictions on your activity. When we operate on breasts, the muscle and skin can often become disturbed. This necessitates a break from vigorous activity for a few weeks after your procedure. Your downtime could range from three to eight weeks, but I’ve found the average is between four and six weeks. Within three weeks of your surgery, you should be able to take moderate walks, but I’ll strongly advise you to avoid weightlifting, moving furniture or generally lifting more than 20 pounds until you’re about six weeks removed from your operation.

  1. Fatigue

There’s no getting around the fact that you’ll simply be tired after an operation. This partly comes from being administered anesthesia, but other factors come into play. For one, you’ve probably worried about the procedure beforehand, which takes a toll on your mental and physical strength. Also, your body is pooling its resources to help you heal, which requires a lot of energy. Rest assured, this fatigue usually subsides after three weeks.

  1. Follow-Ups

Naturally, there will be a couple of follow-up appointments after surgery. If you’ve had drains placed, we will remove them anywhere between a day to two weeks after surgery. If you’ve been given stitches, we’ll likely remove them one to three weeks later, depending on where they are on your body. After that, I like to see you roughly three months later for an additional follow-up. I do this to ensure that everything is healing as it should. Most of my breast surgery patients then see me once a year thereafter, or sooner if needed.

As you can see, each type of breast surgery is unique, and so is its associated recovery.  Because everyone is different, I will walk you through what to expect as you start on the road to recovery. After you’ve had your operation, we will tailor a set of instructions specific to you and your procedure so that you can get back to the most important things – and people – in your life.

Ready for a consultation? Contact Dr. Timothy Janiga today to learn about your surgical options.

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Forget the Dad Bod. Let’s Have a Do-Over.

Actor Leonardo DiCaprio made headlines last year for his so-called “Dad Bod,” a physique that features a prominent beer belly and a generally softer, plumper look. For a short time, the Dad Bod was all the rage on social media, but it soon became clear that the usually svelte DiCaprio had intentionally beefed up for his role in “The Revenant.” Once filming was over, Leo quickly returned to his thinner, healthier form, and the Dad Bod fad was over almost before it began.

Dad Bod

For the rest of us who don’t have Hollywood fitness instructors at our beck and call, it’s not quite so easy. Years of sedentary office work, the stress of raising children and the grinding effects of middle age all combine to give many men a natural Dad Bod along with other normal signs of aging.

Fortunately, it’s becoming increasingly acceptable for men to go under the knife for plastic surgery procedures meant to improve their appearance. According to the American Society of Plastic Surgery, men now account for 13 percent of cosmetic surgical procedures, with some procedures rising as much as 30 percent since 2000. Two of the more popular procedures are pectoral implants and male breast reduction (Gynecomastia).

At Janiga MDs, we’ve performed many Mommy Makeovers throughout the years. These include breast lift and augmentations with tummy tucks. Now, we’d like to introduce the Daddy Do-Over. Tailored for men seeking to keep their competitive edge in the workplace and to those simply hoping to look as young as they feel, the Daddy Do Over consists of any combination of the following: jawline and neck reshaping, rhinoplasty, facelift, pectoral implants, male breast reduction, liposuction and/or tummy tuck.

Let’s look at some of these procedures a little more closely.

Pectoral Implants: We insert the implants through an incision in the skin, around the areola or through the armpit. We then carefully place them through the incision to create more definition in the male chest wall.

Male Breast Reduction: This is usually performed in a man with a history of a significant weight loss. In these cases, there is a lot of excess skin to be removed, but once it’s gone, shape is restored.

High Definition Liposuction: This is done to combat love handles and to create definition in the abdominal muscles. Liposuction is particularly useful in men who are close to their ideal weight and would like some additional definition in the abdominal muscles.

Tummy Tuck: This is performed in both men and women. For men, tummy tucks are usually performed after weight loss surgery where there is a significant amount of redundant skin and tissue to be removed.

Jawline and Neck Reshaping: We find many men seek improvement in the appearance of their necks. As men age, laxity increases in the neck, resulting in a double chin. We often perform neck lifts or liposuction to help restore the neck to its original appearance.

The Daddy Do-Over is quickly becoming a common procedure. Whether you’re a CEO at the top of your game, a man who has lost a significant amount of weight or a man trying to get that promotion, Dr. Timothy Janiga will evaluate your concerns and goals and help you choose the best combination of procedures for you. Schedule a consultation today and start kicking that Dad Bod to the curb for good.

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Five Skin Care Resolutions For 2016

As a new year begins, resolutions come and go. That renewed vigor for jumping on the treadmill or cutting calories remains strong throughout January, but often starts to wane a little by February. And usually by March, we’re back to our old ways. With injectable cosmetic treatments, however, you can resolve to look more rested, healthy and youthful with a simple office visit – and your results last anywhere from a few months to two years. Talk about minimal effort and maximum results.

Here at Janiga MDs, we have hundreds of clients who see us regularly for Botox, Dysport, Juvederm and Restylane to help improve the appearance of wrinkles and sagging skin. These sorts of procedures, along with plastic surgery, such as facelifts, are no longer stigmatized in our society. In fact, they’re becoming quite common. Think about this: more than 1 million get Botox for the first time each year because they see the value in making an investment in their skin’s appearance.

I’d like to offer up some proactive steps you can take to help your procedures last longer. In the spirit of the new year, here are the top five skin care resolutions for 2016.

Skin Care Tips

Apply sunscreen every single day

You wouldn’t skip brushing your teeth, would you? I doubt it. That’s due to a number of reasons, including personal embarrassment as well as a concern for the health of your teeth. It’s no different with your skin. All the signs of aging, including wrinkles, sagging, loss of volume, brown and red discoloration are due to UV radiation. This damage accumulates even if we are indoors all day or just driving to and from work. Here at Janiga MDs, we recommend a sunscreen meant for facial use with at least a SPF 15. Elta MD is my favorite product line. Elta MD Facial and Elta MD Daily each contain a light moisturizer while Elta MD Clear is a sunscreen without moisturizer if your skin is oily. These products cost about $30 per bottle and will last about two months.

Use Retinol

Retinol is a topical medication designed to exfoliate the skin, stimulate collagen and reduce the appearance of wrinkles, fine lines and sunspots. SkinMedica Retinol Complex is available at Janiga MDs for $75 a bottle. This will last at least a few months, depending on how often it is applied. I recommend applying the retinol treatment at bedtime once a week or even nightly, depending on your skin type.

Apply Topical Antioxidants

If you want to undo and even prevent some of the inflammation caused by the sun’s harmful UV rays, topical antioxidants are a must-have. When used daily, not only do they undo sun damage, they also reduce redness and visible blood vessels. SkinMedica Vitamin C+E Complex is a soothing serum you can apply under your sunscreen in the morning.

Embrace Growth Factors

Growth Factors stimulate collagen cells to replicate. If you keep in mind that wrinkling and sagging is caused by the breakdown of collagen by UV radiation, you start to see the importance of collagen, which is responsible for the thickness and youthfulness of the skin. These topical medications are the latest innovation in maintaining and improving skin health and appearance, as an added bonus they can also help the longevity of your injectable cosmetics and plastic surgery. Come in and see us at Janiga MDs to discuss which growth factor is best for your skin and your skin care routine.

Moisturize, Moisturize, Moisturize

Moisturizer is a must for nearly everyone living in the Reno-Tahoe area. The climate is so dry that newcomers often tell me their skin has appeared to age five years in just a few months after moving from a more humid environment. Our dry air is notorious for stripping natural oils out of the skin. I highly recommend applying a moisturer every night. Replentix night cream costs $66 for a two-month supply and will combat the dry wrinkly appearance of your skin. I also recommend a moisturizer designated for the eyelids. This is important because the skin on the eyelids is much thinner and more susceptible to wrinkles and irritation. SkinMedica Eye Repair is my favorite product and can be applied before or after your facial moisturizer.

Put these five tips into regular practice and you’ll have skin that appears more healthy, rested and youthful for 2016 and beyond. Feel free to schedule a consultation with us at any time. Happy New Year!

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Couple’s Plastic Surgery: Going Under The Knife To Bring You Closer Together

There’s no doubt couples share a lot with each other: bank accounts, cars, parenting responsibilities and countless journeys together; but what about the joint experience of plastic surgery? Could going under the knife together be the key ingredient that’s missing in your love life? A new trend in plastic surgery suggests that it just might be.


Here at Janiga MDs, we have quite a few couples that come in together considering joint procedures. Those who decide to take on this joint venture will usually have their respective surgeries a couple of days apart so they can take care of the other, while allowing themselves to heal during the same time. Many couples plan a staycation around these procedures.

You can’t be blamed for a healthy dose of skepticism here. After all, isn’t plastic surgery largely performed on women? The truth is, we’re seeing this old stereotype crumble as large numbers of men are seeking plastic surgery. While 90 percent of cosmetic surgery procedures are still performed on women, that number is quickly shrinking as more men are taking the plunge and opting for everything from rhinoplasties to breast reductions. As we mentioned in a November blog post, the top five cosmetic surgical procedures for men in 2014 were nose reshapingeyelid surgery, breast reductionliposuction and facelift. We’ve also seen a growing number of men choosing to have breast reduction surgery.

As men increasingly embrace plastic surgery, the number of couples going in for joint procedures is also growing. In our experience, having surgery together helps these couples understand what each partner is going through. The shared experience gives each person a better understanding of their partner’s concerns about a specific part of the body. As a bonus, it seems to make post-surgery recovery a better overall experience.

How does it work? Honestly, any way you want it to. Sometimes the couple has their consult at the same time and then one person has their procedure first. After the first partner is happy and overjoyed with their results, the other then follows. In my practice, facelift is the most common procedure that couples have together, but it is also common for a man to have rhinoplasty while his other half is interested in a body procedure such as breast augmentation or tummy tuck.

In the end, it just makes sense that couples would want to support each other during consultation and recovery, as well as age gracefully together. So, go ahead, embrace the new.

Set up your complimentary combined couples consult with Dr. Timothy Janiga and start a new journey with your significant other today.

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Best of 2015: Plastic Surgeries of the Year


As we near the end of 2015, let’s take a closer look at the three most common cosmetic procedures I performed for patients this year: breast augmentation, facelift and rhinoplasty.

These three are some of the most commonly performed surgical procedures in the United States. Here at Janiga MDs, we seem to follow the national trend with these procedures outpacing most others.

The national numbers for 2015 won’t be out for a couple of months, but breast augmentation was one of the most popular procedures in 2014 according to the American Society of Plastic Surgeons (ASPS), with almost 300,000 augmentations performed across the country. This number is even greater when you include those women who have a breast lift along with augmentation, which is one of the most common procedures we performed at Janiga MDs in 2015. Breast augmentation is a procedure that places either saline or silicone implants in the chest wall to increase breast size. The implant can be placed either above or below the muscle, depending on the patient’s anatomy. The procedure can enhance a naturally smaller breast to make a woman feel more symmetrical. Also, the procedure can help women’s clothes fit nicer and increase overall self-esteem. Breast augmentation can improve breast appearance after pregnancy, nursing or weight loss. Overall, breast augmentation is a very high satisfaction procedure and this is reflected in the feedback we get from patients who elect for these types of services from Janiga MDs.

The next top procedure is the facelift. In 2014, ASPS reported nearly 150,000 facelifts were performed nationally. This number has remained mostly stable for 15 years, and it remains one of the most common procedures I perform. There are two main types of facelifts in my practice; one is the in-office facelift or mini facelift, and the other is the full facelift performed in a surgical center. In my practice, I perform an equal number of each type of facelift. The in-office facelift/mini facelift is performed under local anesthesia, which means you’re not put to sleep. This procedure is for women with excess skin around the jowl and neck area who are not ready for a full facelift in the operating room.

When under general anesthesia, you have more options, including a more extensive facelift and neck lift. Liposuction of the neck, brow lift or eyelid procedures can be performed at the same time. In some cases, body procedures such as breast augmentation can be performed in the same surgical session.

The last of the three most popular procedures is rhinoplasty. Rhinoplasty is one of my favorite procedures to perform. It is done to reduce the size of the nose, change the angle of the tip, remove a hump on the nose’s dorsal surface or any combination of the three. If done well, rhinoplasty can provide tremendous satisfaction to patients.

As we reflect back on 2015, we would like to say thank you to all of our patients. It has been a great year. As always, feel free to reach out to us for a free consultation at our Reno office.

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Best Skin Care Products for the Holidays


I’m always excited when we have new skin care products to share with our patients. Just in time for your last-minute holiday shopping (it’s OK, we all do it), I want to tell you about a handful of new products guaranteed to give your skin a more youthful, healthy appearance.
One of my favorite products we now carry at Janiga MDs is Alphaeon’s botanical topical growth factor. It’s designed to stimulate collagen, leading to thickening of the skin and the reversal of fine lines and wrinkles.
Personally, I love this product because it’s not only effective, but also easy to use. First, you rub a single drop of Alphaeon Epidermal Serum onto your face. Quick tip: make sure your face is clean and dry before using the serum. Next, you apply Alpheaon RHA Serum, which is soothing and contains hyaluronic acid. The hyaluronic acid helps lock in the growth factor in the epidermal serum. After using them myself, I noticed a big difference in the smoothness of my skin in only one month. You can pick up the Epidermal serum for $180 and the RHA serum for $190 here at Janiga MDs.

Another product I really like is the Alphaeon eyelash serum. You just apply this once a day to your eyelash line to thicken and darken your lashes. For $110, you get a supply that should last you one to two months.

In the morning, I like to apply two products prior to my make-up. I start with Skin Medica’s topical Vitamin C+E Complex, which we sell for $98. This product is an antioxidant, and it lessens redness caused by cumulative sun damage. Then, I apply the Elta MD facial sunscreen ($28). Hands down, Elta MD is my favorite sunscreen because it is free of scents and dyes, while containing a light moisturizer that’s perfect for our dry climate. If you’re noticing a pattern here, it’s no accident. I take care to only recommend products that I personally use.
Speaking of moisturizers, most of us can benefit from a little extra moisturizing before bedtime. The Replenix Restorative Nighttime cream ($66) is a great product containing antioxidants, ceramides, hyaluronic acid, peptides and stem cells. This is a great addition to the Alpheaon system listed above and it can be applied afterward.
Worried about the appearance of your neck? You’re not alone. It’s not only the skin on our face that becomes more noticeable with age, but also the skin on our neck. One product I’ve found that really helps with this is from Replenix, and it helps tighten and smooth the skin of the neck. It can be applied once or twice daily and makes a great gift for $77.

Also, Botox and filler are great injectable products that provide a more instant improvement for those struggling with wrinkles and sagging skin. We perform these procedures in the office starting at $150, depending on the treatment area. Botox lasts two to six months, while filler lasts anywhere from six months to more than two years. We’re running a holiday special that might be perfect if you’re looking to have either of these procedures done.Right now, if you purchase 3 syringes of Juvederm, you can get a 4th at no additional charge, all product must be used in one treatment session.

A final thought on holiday gifting: although your significant other or friend may appreciate you hand-picking products or procedures for them, sometimes it is easier to purchase a gift certificate and let them chose what they want. Whatever you choose, feel free to get in touch with us any time.
Happy holidays from the Janiga family to yours. Here’s to the gift of beautiful skin!

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Considering a Mommy Makeover?

Give yourself the gift of confidence this holiday season with a mommy makeover.mommy-makeover

As parents, we give our children every ounce of our time and energy around the holidays, just as we give them all throughout the year. One of the most common obstacles to having surgery is finding the time to devote to yourself. Although this is a problem for both men and women, the data shows women do the majority of the caretaking of the household and of the children, so it doesn’t surprise me (or probably you as the reader) that finding time for surgery is very difficult for mothers. If you are like my wife, it’s “go-go-go” from sunup to sundown. I am encouraging you – as I encourage her – to take time for yourself. Schedule it and find a way to do it, because it’s worth the effort.

A mommy makeover entails two main procedures, with one involving the breasts and the second involving the stomach. For the breast portion of the surgery, some women need breast augmentation while others need a lift or lift with augmentation. This depends on the anatomy and how the breast has changed with pregnancy and/or nursing. You can opt for a mini tummy tuck or a full tummy tuck, but I’ve found that a majority of women choose the full tuck after pregnancy. The mommy makeover must be performed in a surgical center under general anesthesia. The surgery takes between three and five hours. The downtime associated with the mommy makeover is between one and three weeks, depending on the procedures performed. Additionally, you should refrain from lifting anything greater than 20 pounds for six weeks afterward.

While it is true that a mommy makeover requires some downtime, it is our experience that the amount of help needed in those first few weeks after surgery is far outweighed by the boost in self-esteem and confidence that the women in my practice gain after a mommy makeover.

This year, make some “me time” and boost your self-confidence so you have more to give of yourself in the years to come. As always,

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