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All posts by Timothy Janiga

Men and the Changing Face of Plastic Surgery

Plastic Surgery for Men | Janiga MDs

More and more, men are turning to plastic surgery. In fact, according to the American Society of Plastic Surgeons, 2015 was the first time that men accounted for more than 40 percent of breast reduction procedures in the United States.

You’ve come a long way, guys.

Here at Janiga MDs, we’ve seen this trend evolve over the years. More men than ever are now willing to consider the option of plastic surgery from nose jobs to tummy tucks and everything in between. Today, we’ll look at the top five procedures we’re seeing in our male patients.

Rhinoplasty for Men

Call it a rhinoplasty or call it a nose job. Whatever your preference, Janiga MDs offers two varieties of this procedure to help correct a deviated septum or address cosmetic concerns. The first is an open rhinoplasty that is done through a small incision under the nose. This procedure helps with bulbous tips, deviation, and asymmetrical nostrils.

The closed rhinoplasty is a less invasive procedure that is usually done through the nostrils and leaves no external scars. Common reasons for a closed rhinoplasty include crookedness and dorsal hump abnormalities. A consultation with me will determine which is best for you.

Liposuction for Men

By removing excess fat, liposuction helps you shed those pesky, proverbial “last five pounds” that just don’t seem to budge, despite your best attempts with diet and exercise. Liposuction is generally used on the inner and outer thighs, buttocks, lower belly, neck and chin, upper arms, and other areas of undesirable fat deposits. Meet with me to see if you’re a good candidate for lipo.

Gynecomastia for Men

As we mentioned in the beginning, men now make up 40 percent of all breast reduction surgeries, a 35 percent jump since 2000. ASPS credits this increase to a general acceptance of the procedure among men, who now view gynecomastia a viable solution for tightening and toning problem areas such as the breasts.

At Janiga MDs, we perform breast reduction surgery for men. The gynecomastia involves removing excess skin or fatty tissue after weight loss or gain. The procedure is short – approximately one to two hours long – with a recovery period of up to three weeks. The result? A tighter, more toned chest that you’ll be proud to show off in summer.

Tummy Tucks for Men

Popular with moms as part of our Mommy Makeover, tummy tucks are a trend that men are getting in on, too. Janiga MDs offers full and mini tummy tucks, with one procedure moving the belly button and removing more skin and while the other is less invasive and removes a smaller amount of excess skin. Which one is best for you? This can be determined in a consultation with me. In both cases, guys are looking at a three-week recovery time with downtime of up to six weeks before returning to strenuous activities.

Facelifts for Men

Facelifts help reverse the visible effects of age, gravity, and weight loss. The procedure works by removing excess skin in the face and neck, which tend to be the first areas to show visible signs of aging.

The great news about facelifts is that it can be performed in our Reno offices under local anesthesia. More extensive facelifts are done in a local surgical center using general anesthesia. Not only does a facelift give you a rejuvenated look, but it can also reduce sagging skin on the neck. Opt for a full or mini facelift, depending on your personal needs.

If you’re a man contemplating plastic surgery, talk to the dedicated and experienced team at Janiga MDs. As an award-winning, board certified physician, I will listen to your needs and work up a game plan to help make you look your absolute best.

Schedule a consultation with me today.

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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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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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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

miraDry

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.

IPL

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.

Kybella

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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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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