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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.

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.

This post was last updated on .

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 our Physician’s Assistant Melanie Buckley, 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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Top Five Questions to Ask Your Plastic Surgeon Before Your Breast Augmentation Surgery

Breast Augmentation Surgery

One of the hardest parts of a cosmetic consultation is knowing which questions to ask your surgeon. Are you forgetting anything? Is there something you should be asking that you didn’t? What sort of questions would a plastic surgeon ask if in your position? In this blog post, we’ll address the most important questions you should ask your plastic surgeon prior to having breast augmentation surgery.

1. Are you board-certified by the American Board of Plastic Surgery?

Be warned: Addressing board certification with your surgeon can sometimes be a complicated conversation. But if asked if they are specifically board-certified by the American Board of Plastic Surgery, your surgeon should be able to give a clear, definitive answer. In some cases, you may come across a physician who is board certified in a specialty not directly related to cosmetic surgery, but advertised as such. Some may even possess a title in “cosmetic surgery.” Though be aware that most of these are not nationally recognized by the Board of Plastic and Reconstructive Surgery. Board-certified physicians are accredited by the American Board of Plastic Surgery and are required to complete a rigorous residency program specifically designed for plastic surgeons. This is a national standard and should be the first question you ask your plastic surgeon.

2. Are you a member of the American Society for Aesthetic Plastic Surgery?

This specific certification is only given to board-certified plastic surgeons after they have accumulated a large amount of cosmetic experience. Each physician’s cosmetic experience is reviewed by an independent group of established cosmetic plastic surgeons, and if the criteria have been met, they will become a certified member of the American Society for Aesthetic Plastic Surgery. This certification ensures patients their plastic surgeon is an expert within the field of cosmetic surgery and has adequate professional experience in performing the procedures that they offer.

3. Do you have 3-D imaging software?

3-D imaging software allows both the patient and their physician to remain on the same page when customizing a procedure. Previously, we’ve published a blog post discussing the specific software used at Janiga MDs, The Vectra.

4. Do you have a lot of experience performing breast augmentation surgery?

In addition to knowing whether your surgeon is board-certified, and a member of the American Society of Aesthetic Plastic Surgery, having a clear understanding of their past professional experience will help you feel confident, not only in their ability, but also in the results to be achieved.

5. Am I a good candidate for breast augmentation surgery?

Prior to your consultation, ask yourself, “Is there any reason why I shouldn’t get this surgery?” Sometimes patients get caught up in the excitement of obtaining their ideal body image and may forget that a breast augmentation is not right for everyone. Examples of who might not be right for this procedure include, patients with a history of blood clots, patients with heart disease or history of stroke, as well as many others. Be sure that you and your surgeon are both aware of any health-related issues you may be facing prior to your procedure. Unaddressed concerns may interfere with producing the best possible outcome for you.

Dr. Timothy Janiga evaluates and treats patients who desire a breast augmentation in our Reno/Tahoe offices. Initial consultation length varies, but is usually no more than 15-30 minutes. To schedule your consultation send us an email or call (775) 398-4600 today.

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Dr. Timothy Janiga Nationally Recognized by The American Institute of Plastic Surgeons

Dr. Timothy Janiga

As many of our clients may already be aware, Dr. Timothy Janiga is a technically-gifted plastic surgeon, dedicated to producing only the best results. In addition to his highly respected credentials, Dr. Janiga is also an incredibly nurturing physician, who treats each of his patients as if they were family and not just a mere procedure.

That is why we at Janiga MDs are proud to announce that our office has been nationally recognized for being the best in terms of quality of service as well as customer satisfaction.

Dr. Timothy Janiga recently accepted an award presented by the American Institute of Plastic Surgeons (AIOPS) as one of their 2016 10 Best Plastic Surgeons in Nevada for Client Satisfaction.

The AIOPS is a third-party rating organization that publishes an annual list of the top 10 plastic surgeons by state. Surgeons who are selected to appear on the list must pass a rigorous selection process, which is based on patient/peer nominations, thorough research and AIOPS’s own independent evaluation. The annual list was created as a resource to help guide patients during their surgeon selection process.

One of the most significant aspects of the selection process involves the evaluation of a surgeon’s relationship with or reputation among his or her patients. As patients should be a surgeon’s top priority, the AIOPS places the utmost emphasis on selecting surgeons who have achieved significant success in the field of plastic surgery without sacrificing service and customer support.

At Janiga MDs, we take great pride in producing work that is not only of the highest quality but which helps each of our clients to achieve their own desired results. We are proud of Dr. Janiga and all that he has accomplished within the field of plastic surgery, and congratulate him on his most recent achievement.

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

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Fat Grafting For A More Youthful Appearance

While many cosmetic surgery patients are eager to find ways to rid their bodies of fat, some are looking to add it in all sorts of places you might not expect. The procedure is called fat grafting and, unlike liposuction, fat grafting is aimed at adding – rather than subtracting – volume to your face, buttocks and other areas.

Fat Grafting

Facial Fat Grafting

Probably the most commonly requested area for fat grafting is the face. As we age, it’s natural to experience thinning lips, prominent nasolabial folds, hollowing around the eyes, cheekbone and temple areas. The resulting loss of facial volume leads to a long, hollow expression and can make other parts of the face appear saggy. With fat grafting, we remove fat from other parts of the body and use it to re-balance the youthful proportions of your face.  At Janiga MDs, we routinely place fat in patients’ temples, cheeks, nasolabial folds, marionette lines (in the corners of your mouth) and lips to give them a fuller appearance through revolumization.

There’s also an added benefit to fat grafting that’s not often discussed. In many patients we’ve performed the procedure on, we’ve noticed an improvement in their skin’s texture tone and vitality. Our belief is that this is a result of the stem cells that are transferred with the fat, giving a boost to the appearance of the skin.

In most cases, we combine facial fat grafting with a facelift, but the procedure can be performed alone, as well.

Fat Grafting In Buttocks

By now, you’ve heard of the Brazilian Butt Lift, the now-famous procedure that gives patients that much sought-after Kim Kardashian look. The look is achieved through grafting fat into the buttocks. As we age, our buttocks lose projection and can sag or become flat. Even if you’re not looking for a larger backside, fat grafting can still help give you a more youthful looking rear.

Fat grafting is nothing new. It has been around for quite a few years, but the technology we use for it has advanced, allowing us to use micro cannulas to place the fat very specifically into small areas of the face. It’s also hard to overlook the added benefit of the stem cells that are transplanted, improving overall texture of the skin. If you’re looking to turn back the hands of time (or at least make them run a little more slowly), Dr. Timothy Janiga for a consultation, we can discuss fat grafting and explore other cosmetic options tailored to your needs.

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What Type of Tummy Tuck is Right for Me?

Tummy Tuck

One of the advantages of plastic surgery is that it affords patients the flexibility to customize their procedures to realize an ideal look. A great example of this being the tummy tuck. The tummy tuck surgically removes excess skin and fat resulting in a smoother looking abdomen. Whether you’ve experienced significant weight loss, childbirth or just want to tighten up your mid-section, a tummy tuck may be the perfect solution for you.

At Janiga MDs, we offer our patients two main types of tummy tucks. In simple terms, one procedure moves the bellybutton while the other does not. The first of these – the full tummy tuck – tends to be more involved and is for people hoping to remove larger amounts of tissue, fat and skin. At the start of the procedure, we make an incision around the bellybutton, then make another from hip to hip to remove any extra skin and fat. At this point, we reposition your bellybutton and place sutures around it. The full tummy tuck has more incisions compared to its counterpart, the mini tummy tuck, but is necessary for certain patients. You can expect a little more downtime after undergoing the full tummy tuck: recovery ranges from three weeks for regular activities to six weeks for exercise and vigorous activities.

The second type of tummy tuck we offer, known as the mini tummy tuck, is less invasive, using an incision along the same line as a C-section, avoiding the belly button completely. This type of tummy tuck is ideal for both men and women who may be bothered by excess skin or a small protrusion below their bellybuttons. Because we make fewer incisions during this procedure, the mini tummy tuck is less extensive and has less scarring, but is only appropriate for certain patients. Similar to the full tummy tuck, recovery ranges from three weeks for regular activities to six weeks for more vigorous activities.

The great news about a tummy tuck, whether you choose the full or mini, is that both can be combined and performed simultaneously with other cosmetic procedures such as breast augmentation, breast reduction, liposuction, repair of the abdominal wall muscles or even a facelift or rhinoplasty.

Curious whether you’d benefit from a tummy tuck? Schedule a consultation today with Dr. Tim Janiga to see if you’re a candidate for a full or mini tummy tuck, or if a combined procedure is right for you.

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Q&A: How Effective Is miraDry?

At Janiga MDs, we’ve treated our first few patients with miraDry. We’re happy to report that they’re getting great results and providing us with valuable feedback. Following is a Q&A of some of the more common questions we’re getting about this revolutionary new procedure for profuse underarm sweating.

What is miraDry?

miraDry is an in-office treatment that decreases sweating, hair and odor of the underarms by up to 80 percent with just one treatment. The procedure takes one to two hours and gives great, lasting results. Compared with Botox, which requires treatments every nine months and can cost over $1,000 per session, miraDry is a great alternative for almost anybody. Roughly 10 percent of patients require a second treatment to attain their desired outcome, but in most cases, miraDry results in a significant decrease after just one treatment, with lasting, long-term effects.

How does miraDry procedure work?

The procedure starts with us mapping out the underarm for treatment followed by the injection of anesthesia. Once the anesthesia is injected, most people will lack sensation in the underarm area for the rest of the procedure. In fact, we encourage you to bring in your headphones and relax during your treatment by listening to favorite music. miraDry is an outpatient procedure and most people should be fine to drive right after treatment.

How soon will I notice a change with miraDry?

After the treatment is complete, you’ll notice an immediate decrease in sweating and odor. Visible reduction in hair will take about three months to notice. You may experience some mild discomfort for a few weeks following the treatment, but results should be noticeable right away.

Who is a good candidate for miraDry?

Many types of patients are ideal candidates for miraDry, with the most obvious being a person who suffers from excessive sweating. If the constant sweat rings on your shirt are affecting your day-to-day life, miraDry is the ideal treatment for you. Odor is the second most common reason people seek relief with miraDry. With a significant reduction in sweat and odor, most people don’t even need to wear deodorant following treatment. Another group of patients miraDry appeals to are those who don’t want to wear deodorant due to the risk of being exposed to aluminum chloride.

Will I sweat in another location by decreasing my underarm sweat with miraDry?

The short answer here is no; you will not start to sweat more in other areas post-treatment. This is because the sweat glands in the underarm are of a specific type that is not commonly found in other areas of the body, besides the groin. For example, sweating that occurs on the forehead is produced by a different type of sweat gland than the underarm area. For this reason, your sweating will not increase in other locations with miraDry.

Are men good candidates for miraDry?

Because miraDry reduces hair by 60 percent, I’m often asked whether it is recommended for men. The answer is that men are great candidates for this procedure. Post-treatment, most men will notice a slight decrease in the density of their hair. But because they tend to have more underarm hair to begin with, the result of miraDry is more a thinning of the hair, rather than experiencing large sections of underarm hair loss.

Can you have the miraDry procedure if you’ve had laser hair removal in your underarms?

Absolutely. The follicle openings in the underarm are still visible after undergoing laser hair removal, and a lack of hair will not restrict you from experiencing the same results.

Can you have this procedure done on other locations of the body besides the underarm area?

The most common question I am asked is whether miraDry can be done on other locations of the body, like the hands. Unfortunately, the answer is no. Currently, this procedure cannot be done in other locations such as the hands or feet or face. However, we understand that the hands will be the next treatment area available, so stay tuned!

Ready to discover whether you’re a candidate for miraDry? Call our office at 755-398-4600 or use our online scheduling request form to arrange your complimentary consultation for miraDry and be sweat free this summer and beyond.

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Exploring The Varied Costs of Plastic Surgery

When you’re considering plastic surgery, there are a lot of questions that inevitably swirl around in your head: Is this procedure safe? How long will it last? What’s my recovery time? But often the biggest question comes down to money, namely, “How much will this plastic surgery procedure cost me?” To answer this question, we’ll break things down between noninvasive procedures, in-office cosmetic procedures and surgery center-based procedures, each of which varies in price and financing options.

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Noninvasive Cosmetic Procedures

These include procedures such as Botox and Dysport, injectables such as Juvéderm, Radiesse and Restylane, as well as lasers, miraDry and peels. Each of these procedures is performed in office, allowing you to return home the same day with minimal side effects of bruising or peeling. Recovery time with these procedures is short, lasting from a day to a week. Factors in the price of these cosmetic procedures include the cost of the actual product combined with the office staff and the length of time it takes to perform. Most of these procedures range from $240 (one area of Botox) to $3,000 (resurfacing laser.)

Office-based Surgery
All of the surgical procedures at Janiga MDs are performed by our board certified plastic surgeon, Dr. Timothy Janiga. Included in this category are procedures such as mini facelifts, small area liposuction, upper eyelid lift (blepharoplasty), lip lift, scar revision, earlobe reconstruction and other smaller, minimally invasive procedures. These are all performed in our Reno office under local anesthesia and do not require putting you completely under. In most cases, you’ll experience a one- to two-week recovery period. With office-based surgeries, we determine the price based on how many staff members we use along with the cost of technologies/supplies used (i.e. the liposuction machine for lipo procedures). Because we perform these procedures in-office, they generally cost less than their surgery center counterparts, ranging from $1,500 for scar revision to $9,000 for longer, more involved procedures such as an in-office facelift.

Traditional Surgery
Not all procedures can be performed at our offices. Some, such as endoscopic brow lift, complete facelift, tummy tuck, breast augmentation, rhinoplasty, Brazilian butt lift, large area liposuction and others must be performed in a fully accredited surgical center, complete with an anesthesiologist who puts you to sleep for the duration of the surgery. The reason for this is that these procedures generally take longer than most patients can tolerate being awake. Also, the area being treated is too large for local anesthesia, which can be toxic at the doses that would be required for these procedures. Often, patients will ask if we can perform procedures such as breast augmentation in office to avoid the cost of surgery centers and anesthesiologists. While some doctors might do this, Dr. Janiga is firm in his belief that you should be in a full surgical facility when having these types of procedures done.

When you receive a quote for your specific surgery, it usually is broken down for you into surgeon’s fees, implant fees (if applicable), facility fees for the surgery center and anesthesiology fees.  At Janiga MDs, we bill you for one single fee, which includes the anesthesiology and facility fees in order to streamline your transaction. The minimum cost of full surgery is $4,500 and ranges upward of $25,000, depending on how much time your surgery takes. Although this is the most expensive option, it’s a small price to pay to ensure that your vital functions are constantly monitored during surgery.

Financing Options
At Janiga MDs, we set you up with a preoperative appointment a week prior to your surgery, at which point you will pay in full for your surgery. Janiga accepts Alpheon Credit, Care Credit, most credit cards, as well as check or cash. There are multiple financing options available, including those through Care Credit and Alpheon, which allow you to decide how much you can afford each month for up to five years. If you go with one of these options, you need to make arrangements for the financing well in advance of your surgery so everything is set for the day of your pre-operative appointment.

If you are interested in financing or want to discuss whether any of these procedures are right for you, please contact us for a consultation where Dr. Janiga will discuss options specific to your case.

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How Old Is Too Old For Plastic Surgery?

How Old Is Too Old For Plastic Surgery?

Here’s a question I get asked a lot: “how old is too old for someone to have plastic surgery?” Before I answer that, let me break the question down into two distinct ideas. The first concept is that there is an average age range for specific procedures – breast lifts, for instance. The second, trickier question, is whether there’s such a thing as “too old for plastic surgery.”

Let’s explore this. With a procedure such as breast augmentation, the typical patient age range includes women in their twenties and early thirties. A Mommy Makeover, on the other hand, tends to be performed in peak childbearing years, or around a woman’s mid-thirties to her early fifties.

In our practice, we have what’s called a bimodal distribution (two separate ranges) for procedures such as rhinoplasty, which sees peaks in patients in their early twenties and rising again for those in their forties and fifties. With facelifts, we tend to see patients – both male and female – who are over 45, but a mini facelift or in-office facelift can certainly be performed on people who are younger.

These age ranges should hardly be considered limits on having a procedure done. Rhinoplasty is a type of procedure that can be performed at nearly any age. Rather, we look at these numbers as mere averages that help us know our clientele better. There is such a thing as too young for plastic surgery, which we’ve previously discussed and feel passionate about as a practice.

So, back to the heart of the question: can you be too old for plastic surgery? In short, the answer is no. If you are healthy enough for surgery, we do not place age limits on our procedures. Someone who is very healthy and in their seventies would make a great candidate for nearly all of our procedures and we’d welcome them at Janiga MDs.

A word of caution: there are a few reasons to avoid surgery at any age. These include:

  • Blood clots
  • Heart problems
  • Lung issues
  • Kidney failure
  • Severe reaction to anesthetics

I’d welcome the chance to discuss whether you’re a candidate for any of our plastic surgery procedures. Please contact me, Dr. Timothy Janiga, at 775-398-4600 or schedule a consultation online.

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