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All posts by Timothy Janiga

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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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.


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

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

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

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

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

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

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Best of 2015: Plastic Surgeries of the Year


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

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

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

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

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

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

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

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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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