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All posts by Timothy Janiga

Exploring The Benefits Of Mastopexy With And Without Implants

Mastopexy

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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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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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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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.

couples-plastic-surgery

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

plastic-surgery-consultation

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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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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Breast Reduction for Males – Learn More About Gynecomastia

In November, I am focusing on the cosmetic procedures that are most utilized by men. One of the most common is gynecomastia surgery.

gynecomastia

Gynecomastia in men occurs in two main forms. The first is in younger men, where a small amount of breast tissue develops as a result of hormones. This usually does not bring any medical consequences, but becomes cosmetically unacceptable in its appearance. The second type of gynecomastia surgery in men is for excess skin or fatty tissue after weight loss or gain. When performed surgically, both procedures are similar, but the hormonal type of gynecomastia is usually performed on younger patients and is a smaller procedure then the post-weight loss or gain type of gynecomastia surgery.

Most of my gynecomastia patients come in saying that they don’t like the way the chest area looks with their shirt off, and some even have what they consider to be an unacceptable appearance while clothed. The goal of gynecomastia surgery is to remove the excess breast tissue, fat or skin to give the male chest a more masculine appearance.

The procedure takes approximately one to two hours in the operating room depending on how extensive, and the recovery is one to three weeks.

Please call my office to schedule your complimentary consultation if you are interested and cosmetic gynecomastia surgery.

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Growing Popularity in Plastic Surgery for Men – What Are the Trends?

According to a report from the American Society of plastic surgeons, there were 15.6 million cosmetic procedures in 2014. Of these procedures, 1.7 million were surgical and 13.9 million were considered minimally invasive. We talk a lot about cosmetic procedures for women, but for November, we’re going to focus some attention on the other half of the population: men.

The top five cosmetic surgical procedures for men in 2014 were nose reshaping, eyelid surgery, breast reduction, liposuction and facelift. The top five minimally invasive procedures include Botulinum Toxin Type A (Botox, Dysport, or Xeomin), laser hair removal, microdermabrasion, chemical peels and fillers.

facelift-for-men

tummy-tuck-for-men

From a surgical perspective, nose reshaping or rhinoplasty can be performed in most age groups and is usually a procedure done to improve the overall contour or size of the nose. The width length or a type of dorsal hump can be improved with rhinoplasty. Eyelid surgery candidates are usually a more mature population, who seek help with laxity in the skin on the upper eyelid or bags or laxity on the lower eyelid. Breast reduction in men can be performed after massive weight loss or in men with abnormal tissue called gynecomastia. Liposuction is the fourth most common procedure performed on men. It can be performed on the flanks or abdomen to reduce fat deposits. Rounding out the top five is facelift, which is a similar procedure for men and women, but special care must be taken in men because of their hairline.

For minimally invasive procedures, the overwhelming top spots goes to the botulinum toxin type A with more than 400,000 men receiving this procedure in 2014. Botulinum toxin inhibits muscle movement and is commonly performed to decrease lines in the area between the eyes, the forehead and around the eyes on the sides. Other areas that can be treated include the jaw muscles, which can be prominent in men. Botulism toxin can be used to inhibit some of the muscle contraction in this area, thereby decreasing the thickness of the muscle improving the contour of the face. Laser hair removal is usually performed on the beard area or other areas such as the back where hair is undesirably located. Microdermabrasion and chemical peels are usually performed by an esthetician associated with a plastic surgeon or dermatologist. Rounding out the top five are soft tissue fillers. Men with a desire for improving the lines around the mouth, or giving a lift to the cheek area are interested in soft tissue augmentation such as Juvéderm, Restylane or Voluma.

I’ve included a few before and after pictures specifically for men, but if you would like a consultation for any of these surgical or minimally invasive procedures, please call our office at 775-398-4600 and make an appointment for your complementary consultation.

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