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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.

A Closer Look at Four Trends in Cosmetic Procedures

Cosmetic Procedures

Not long ago, we mentioned that cosmetic and plastic surgery procedures are on the rise in the United States, with nearly 2 million procedures being performed annually. As we look over the data from the American Society of Plastic Surgeons, a few really interesting trends are starting to emerge, and we’ll explore them here.

When you include non-invasive procedures, the number of cosmetic procedures has nearly doubled since 2000. What’s driving this uptick? Muscle inhibitors such as Botox, Dysport and Xeomin are leading the way, while fillers such as Voluma, Juvéderm, Restylane and Radiesse come in a close second. We regularly perform each of these procedures at our Reno office, with patients experiencing very little discomfort. As with most procedures, you can expect a few days of swelling or bruising after your visit. Based on the number of these non-invasive procedures my wife, Dr. Jennifer Janiga, has performed lately, it’s fair to say Reno and northern Nevada are keeping up with the national trends.

Another trend worth noting is breast augmentation, a surgical procedure that remains the most popular among all cosmetic surgeries. Breast augmentation is followed closely by Liposuction, nose reshaping, eyelid surgery and tummy tuck. Each of these is a standard cosmetic procedure and should be performed by a board-certified plastic surgeon in an accredited operating room facility. And, as we’ve previously mentioned, it’s crucial for you to find a plastic surgeon that understands all your needs for you to have the best experience in the long run.

A trend that’s really skyrocketed over the past couple of years is butt implants, better known as the Brazilian butt lift. The look – made famous by celebrities such as Kim Kardashian and Sofia Vegara – is achieved by surgically grafting fat from areas such as the abdomen, flanks or thighs and injecting it into the buttocks. Using a fat graft rather than an actual implant helps give a more natural look. This procedure was so uncommon in the early 2000s, that the American Society of Plastic Surgery didn’t even track it. That’s all changed, with a recent 200 percent increase in these surgeries over the last couple of years. Safe to say this procedure is on the ASPS’s radar now.

Finally, let’s look at the trend of “lifts.” These can be performed on several areas of the body to help combat the effects of gravity, weight loss or changes due to pregnancy. One example: an alternative to traditional breast augmentation is a breast lift with augmentation, where excess skin is removed and the areolar complex is repositioned into a more youthful position. We fully anticipate there to be an increase in breast lift, thigh lift and facelifts in the coming years.

As we watch a lot of trends ebb and flow, we like to keep the procedures that remain consistently popular the mainstay of our practice. If you’d like to explore whether any of these invasive or non-invasive procedures are for you, please call us to schedule a consultation with us today.

This post was last updated on .

Spring Into Outdoor Fun, But Don’t Neglect Your Skin

Ah, spring. It’s the time of year when our thoughts turn to baseball, golf, that unrivaled Tahoe spring skiing and generally spending more time in the great outdoors. All healthy pursuits, to be certain, but with the lengthening of the days and inevitable warming trends that they bring comes a reminder that long-term exposure to the sun – whether it’s sitting on the beach at Sand Harbor, planting a garden or riding your bike around the McCarran loop – can seriously damage your skin.


As northern Nevada golfers and other weekend warriors get into the full swing of spring, here are a few reminders about the unique aspects of our region and how to deal with them.

The Truckee Meadows is situated at approximately 4,500 feet above sea level, meaning the sun exposure you get here is of a greater magnitude than in the Bay Area or most anywhere else in the nation. Sun exposure manifests itself in many different ways, but prevention should always be your first line of defense. At Janiga MDs, we strongly recommend you always wear a sunscreen of SPF of 30 or higher and reapply it every two to three hours. Another easy step is to wear a wide-brimmed hat and SPF protective clothing for the duration of your time outdoors.

Still, even the best methods of prevention can fall short. Over the course of a lifetime, we accumulate quite a bit of sun exposure. Sun exposure causes changes in the color or pigment of the skin. This damage can lead to broken blood vessels and the appearance of brown spots (lentigos) on your skin. This can result in the premature appearance of aging, especially on the face. These are treated quite nicely with Intense Pulsed Light, which is a simple 15-30 minute office procedure. The laser provides a combined treatment for both brown and red areas, which is perfect for people with significant sun exposure.

Chronic sun exposure also can cause solar elastosis, or a breakdown of collagen and elastin in your skin. These changes can manifest themselves in a couple of different ways. First, the skin can develop a bumpy texture or crosshatching, with lines going off in all directions. This gives skin the unfortunate resemblance to an orange peel. This phenomenon occurs most commonly in fair skinned people who’ve had significant sun exposure. The second possibility with solar elastosis and collagen degradation is laxity, which manifests itself around the jaw line through sagging skin or jowls.

The good news is that we can help you overcome many of these issues through a few simple procedures we offer here at our Reno offices. For the orange peel look, skin resurfacing lasers such as our ICON Ablative Resurfacing Laser can go a long way toward improving the appearance of these areas. For the issue of laxity, we would recommend either a full facelift or mini facelift to improve the overall appearance of the skin. Call it the Golfer’s Makeover, if you like. Either way, we think you’ll be thrilled with the results.

In addition to offering each of these cosmetic procedures, we carry a full array of sunscreen and other preventative skincare products to help reduce your risk of sun damage this spring and summer. To see if one of these products or procedures is right for you, feel free to schedule a consultation with us any time. With these tips in mind, get out there and enjoy the great northern Nevada outdoors!

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Head To Toe: A Look At The Top 10 Plastic Surgeries

Top 0 Plastic Surgery Procedures

Would it surprise you to learn the most popular plastic surgery procedure in America is breast augmentation? If you’ve been a reader of this blog for any length of time, then probably not. Still, some recent numbers from the American Society of Plastic Surgeons paint a very interesting picture of our collective plastic surgery trends in the U.S.

With overall plastic surgeries jumping 2 percent in 2015 over 2014 to 1.7 million procedures, the biggest spikes we see are with tummy tucks, breast lifts and liposuction. Despite a modest decrease in actual number of procedures performed, breast augmentation remains the top procedure for Americans. Here’s a look at the top 10 procedures, by the numbers:

  1. Breast augmentation (279,143 procedures, down 2 percent)
  2. Liposuction (222,051 procedures, up 5 percent)
  3. Nose reshaping (217,979 procedures, no change)
  4. Eyelid surgery (203,934 procedures, down 1 percent)
  5. Tummy tuck (127,967 procedures, up 9 percent)
  6. Facelift (125,711 procedures, down 2 percent)
  7. Breast lift (99,614 procedures, up 7 percent)
  8. Neck lift (54,281 procedures, down 2 percent)
  9. Breast reduction (40,650, down 2 percent)
  10. Forehead lift (40,450, down 4 percent)

It is interesting to note the breakdown of these surgeries, with half being body-related and half being face and neck. This trend is reflected in our own experience at Janiga MDs, where the numbers are nearly identical. We’ve recently speculated that this rise in facial procedures could be correlated to the growing popularity of cellphone selfies. We’ve also noted that we’re seeing more and more men come in for cosmetic work. Whatever the case, it’s clear that plastic surgery is growing, especially as society comes to embrace it as a way to combat the effects of age, gravity, parenthood and the various curveballs life throws you.

At Janiga MDs, we have years of experience with each of these procedures right here in our Reno offices. This includes breast augmentation with implant placement; lifts where the breasts are restored to a more youthful position; and reductions where the breast tissue is made smaller. We also perform liposuction on the flank, abdominal area, thighs or back to remove fat deposits. Liposuction can be combined with a tummy tuck to remove excess skin and fat from the abdomen.

We’ll also work closely with you on any facial procedures to combine them in a way that best suits your needs and desires. We might, for instance, combine a forehead lift with eyelid surgery. We also perform face and neck lifts together quite often. By contrast, rhinoplasty is usually performed alone.

Whatever your cosmetic goals, it’s crucial to work with a plastic surgeon that understands your needs. To learn whether any of these – or other procedures – is right for you, contact me, Dr. Timothy Janiga, for a consultation where we’ll discuss your health and cosmetic goals in a confidential, one-on-one setting.

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Why You Should Use A Plastic Surgeon Who Understands All Your Needs

Consider these hypothetical questions. Would you put your family’s life in the hands of an inexperienced pilot on your next vacation? Would you invest your life savings with someone who couldn’t properly explain to you how investing works? Or would you buy a used car without having it thoroughly inspected by a mechanic? Of course you wouldn’t. Likewise, you wouldn’t let just anyone perform surgery on you without asking lots of questions and getting satisfactory answers.


At Janiga MDS, we understand that having surgery isn’t a decision to be taken lightly. Surgery brings the possibility of many unknowns. It also brings a host of questions you deserve to have answered by someone with enough depth of knowledge and experience to inspire complete confidence in you. By choosing an empathetic surgeon you’re comfortable with, you can overcome many of these fears of the unknown well before your procedure.

Here are a few of the top things to consider when choosing a surgeon.

Before Your Operation
It’s important to find a surgeon who listens attentively to your questions and answers them to your complete satisfaction. A good surgeon will also help fill in the gaps by discussing questions you didn’t ask and providing those answers.

A good surgeon will also review your medical history to ensure you are healthy enough for the procedure. This is especially important for patients with medical problems including allergies that might prevent them from having surgery. It also applies to anyone who has quit smoking within six weeks of the surgery, a factor that could hamper your ability to heal properly.

Your expectations are also a big factor not to be overlooked. In many procedures such as liposuction, where there is a limit to the volume of fat that can be removed, it’s important for you to fully understand what can and cannot be done during your procedure. Being armed with this sort of information can help you plan accordingly prior to surgery.

When you have a surgeon who listens to what you want, you gain an advocate who has a better understanding of your aesthetic desires, such as with breast size in a breast augmentation. Too often, we see patients years after they’ve had a breast augmentation elsewhere. They are unhappy with the size of their breasts and invariably come to us to discuss a revision. To avoid this, your surgeon should carefully review size expectations with you. Ideally, they will perform 3D imaging with you to confirm your wishes regarding size. This eliminates all doubts about the outcome of the surgery.

During Surgery
Simply put, you need a board-certified plastic surgeon operating at an accredited facility. Your surgeon should be technically skilled, give great attention to detail and keep your best interests at top of mind at all times.

Post-Op Considerations
Surgery doesn’t end when you wake up in post-op. It’s an ongoing process that continues as you heal and as you deal with any issues of pain and discomfort throughout your recovery. For the best experience, you will want a surgeon who has seen many post-operative cases and knows how to help you through each step of recovery. Each patient’s pain level, length of recovery and post-op course will vary. There will generally be some discomfort after surgery, and there will often be questions you forgot to ask or ones you already asked but need clarification on. The best surgeons will make themselves available to answers these questions after your procedure.

As you can see, many factors come into play when choosing to work with a particular surgeon, from the doctor’s experience to their attention to detail to how they respond to your fears and concerns. In the end, remember this: Don’t ever be afraid to ask questions. The more educated you are about your surgery, the more likely you are to have a positive surgical experience and recovery.

If you’d like to meet with me, Dr. Timothy Janiga, to discuss your options for cosmetic or other surgeries, feel free to contact me and set up a consultation.

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Exploring The Benefits Of Mastopexy With And Without Implants


There are a great many joys and triumphs that come with life as we grow older. Joys such as seeing our children flourish into productive young adults, and triumphs such as establishing strong footholds in ours careers and generally becoming wiser about the ways of the world.

By a certain age, you’re at the top of your game, ready to take on any challenge. But your body isn’t always as cooperative. As we age, we inevitably face changes in the body’s appearance. For many female patients, their breasts are a common area of concern, particularly after pregnancy. Breast laxity can be caused by a number of factors, including weight loss, weight gain, pregnancy or nursing. The medical term for this condition is ptosis, and there are different grades of ptosis from mild to moderate to severe.

The good news? A breast lift will help restore your breasts to a more natural and youthful shape and location. The breast lift procedure is also called mastopexy, and it can be performed with or without the inclusion of implants. So, which procedure is right for you? Let’s take a closer look at both instances.

When patients have a generous amount of ptotic breast tissue, they usually seek to have it elevated back to a normal position. In these cases, we’ll generally perform mastopexy without implants. Once some skin is removed, the breasts will become smaller, resulting in a more natural, youthful look.

In cases where the patient has ptosis, but has very little breast tissue, we will perform the mastopexy/lift in order to elevate the breast tissue and we’ll use implants to add shape, projection and volume to the breasts. We often see this with women who have nursed their children, and in those who have lost a significant amount of weight at some point. It’s also common in women who have always had a smaller breast volume.

In the end, it’s your choice whether you have a breast lift with implants or without them. We’re here to guide you through the procedure that’s best for you. You may be a good candidate for a breast lift if your breasts are ptotic, if you are at a stable weight, are a healthy non-smoker and are bothered by the position, loss of shape and/or volume in your breasts.

At Janiga MDs, our philosophy is to keep your best interests in mind at all times while informing you of the wide array of surgical and nonsurgical options available to you. When you set up a consultation, I will examine you and discuss which surgical options best meet your needs and expectations.

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Discover our March Product Deals on Kybella & Voluma

Product Deals Kybella and Voluma

A quick note to let you know of the Allergan specials starting March.

  1. Purchase 3 sessions of Kybella and receive a complimentary Botox session up to 35 units – all three Kybella sessions have to be paid for by June 30th to be eligible for the Botox per Allergan
  2. Double Brilliant Distinctions points for TNS Essential Serum – purchase by March 31st to be eligible for the double points
  3. 100 Brilliant Distinctions points and $25 rebate with purchase of new Skin Medica HA5 serum, a hyaluronic acid serum with 5 different hyaluronic acid subtypes that plumps the skin and fine lines for up to 8 hours
  4. Purchase 3 syringes of Voluma and receive a complimentary syringe of Juvederm Ultra Plus – must use all 4 syringes at one time

You do not have to see a provider to get the TNS Essential Serum or the new HA5 serum, the front desk can get those for you.  Make an appointment to see me or my mid-level, Melanie Buckley for a Kybella or Voluma consult.

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Selfies and Plastic Surgery: Is There a Correlation?

Many people think of their phones as they would a friend. Phones are constantly by our sides, telling us things about the world and about ourselves that inspire, inform and entertain us. Our device addiction has also given rise to the “selfie” culture, whereby people – particularly younger ones – share highly-posed photos of themselves to get “likes” or comments about their appearance.

Plastic Surgery For Selfies

With this trend comes an increased scrutiny on physical appearance and a rise in plastic surgery procedures, according to a report from the American Academy of Facial Plastic and Reconstructive Surgery. Partly thanks to apps such as Instagram, Snapchat, Tinder and others, the report says more and more people are becoming aware of their perceived flaws and are turning to surgery to remedy these issues. Among the popular procedures being sought are rhinoplasty, breast implants and fillers such as Restylane.

At Janiga MDs, we love making our patients look and feel good, but it’s important to remember that not everyone is an ideal candidate for plastic surgery. With the sharp rise in procedures in younger patients, we feel strongly that cosmetic surgery is best suited for those 21 and older, with exceptions for those with genetic abnormalities or development issues that might impact the patient’s growth or well-being. The bottom line is that we carefully consider each patient’s individual case and make recommendations – including not having surgery – based on what’s appropriate.

For those over 21 seeking improvements in their facial or body appearance, we offer a wide range of cosmetic surgery services, from Mommy Makeovers to Dad Bod Do-Overs, to facelifts and Botox at Janiga MDs. In addition to surgery, we also can offer you practical tips on slowing the appearance of aging, including regular use of skin care products that will help restore a youthful glow to your skin. If you’d like to discuss your options, feel free to set up a consultation with one of us or call us at 775-398-4600.

So, go ahead. Snap those selfies and share your beauty with the world. Just remember that beauty comes in all shapes, sizes and forms, and that there’s only one you. And there’s nothing more beautiful than being yourself.

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Get More Bang For Your Buck With Combined Cosmetic Procedures

Peanut butter and jelly. Jeans and t-shirts. Ross and Rachel. Some things in life are just meant to go together. So, why not extend this same philosophy to your cosmetic procedures? The truth is, there are quite a few procedures that work really well together – even ones you might not have considered before. Let’s look at these dynamic duos and examine how you can minimize downtime and maximize results by combining procedures.

Cosmetic Surgery

Mommy Makeover

Far and away, the most common combined procedure we perform at Janiga MDs is the mommy makeover. The mommy makeover involves breast augmentation or lift combined with a tummy tuck.  These two body procedures work together nicely because women often experience changes in these areas of the body simultaneously. Performing both procedures together lets you recover and improve at the same time.

Facelift With Blepharoplasty  

Facelifts and blepharoplasty (eyelid lift) work well together because they each involve similar types and amounts of facial swelling and bruising. Because the recoveries are so similar, we often package these two procedures together for patients. We find that patients who have enough laxity of the jowl and neck area to require a facelift often have laxity around the eyes, as well. Combining these procedures allows for improvement of the entire face all at once.

Tummy Tuck + Lipo

Another popular combination: tummy tuck with liposuction of the flank, back or inner thigh. When combined, these procedures offer overall improvement to the surrounding area while removing any excess tissue.

There are also a few procedures that you might not have previously considered combining. Let’s look at these a little closer.

Nose Reshaping + Breast Enhancement

While seemingly dissimilar, rhinoplasty and breast augmentation go very well together for a few reasons. Firstly, both procedures are common in women between 21-35. Secondly, the surgical position is identical in both cases. Finally, the downtime for each procedure is roughly three weeks. By combining these two procedures, you can get back to exercising, working and generally enjoying life much quicker than if performed separately.

Lipo With Brazilian Butt Lift

Simply put, a Brazilian butt lift is when fat is harvested from the waist, back or flanks and placed into the buttocks to improve overall shape and contour. This procedure naturally includes both liposuction as well as fat grafting, and the recovery is about two to three weeks. Because we’re already performing lipo for the butt lift, we can also arrange to remove it from other problem areas as needed.

Lip Lift and Facial Fat Grafting

A combination that’s particularly attractive to a more mature patient involves lip lifts and facial fat grafting. Often with age, the upper lip can become turned down, giving a flat appearance. To repair this, we make an incision under the nose, removing a piece of skin in order to restore the lip’s natural shape. Fat grafting can be performed on the buttocks, breasts or the face. In this case, we would combine a lip lift with facial fat grafting. This works particularly well on those who have lost volume in their faces over time. As with nose reshaping and breast enhancement, these two procedures mix so well because of the demographic, the surgical position and the recovery time, which is about two weeks. With fat grafting, we usually liposuction a small bit of fat from the tummy or inner thigh at the same time, making these two perfect procedures to have performed simultaneously.

If any of these combinations have inspired you to consider dual procedures, contact us for a consultation at Janiga MDs any time or call us at 775-398-4600.

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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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