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Category Archives: Plastic Surgery

Rhinoplasty: Cosmetic Benefits versus Health Benefits


Rhinoplasty is one of the most common surgeries I perform. Frequently, I am asked the difference between rhinoplasty for cosmetic reasons and rhinoplasty for medical reasons and what are the benefits of each. In order to answer this question, we first need to discuss the different types of surgery that can be performed on the nose. These procedures can be performed in combination or alone depending on your specific situation.

“Functional rhinoplasty” and “septoplasty” are the terms used for internal nasal surgery performed through your medical benefits on your health insurance. This is performed when the septum (the wall down the inside of the middle of your nose) is deviated (moved to one side) and inhibiting your ability to breathe or the ability of the sinuses to drain, causing chronic sinus infections. This surgery is mostly performed inside the nose and relocates the septum to a central location, allowing both sides of the sinuses to drain and air to flow through. This type of surgery is performed purely to improve breathing or sinus drainage and does not include any external procedure to improve the look of the nose. That said, cosmetically if the septum is deviated, the nose usually appears slightly crooked. Fixing the deviated septum usually improves the appearance of a “crooked nose.”

Turbinate repair is another medical procedure that is performed inside the nose. The turbinates are the tissues on the wall of the nose that secrete mucus and swell in response to allergies. In people with severe allergies, the turbinates can swell enough to obstruct breathing and cause problems with sinus drainage and airflow. The turbinates can be lessened in size with surgery. This improves airflow through the nasal passage, decreases mucus secretion and allows the sinuses to drain better.

Polypectomy is another procedure that can be performed medically inside the nose. Polyps are small grape-like sacs that grow from the sinus walls in response to severe allergies. These sacs can cluster and obstruct sinus drainage, impede airflow and cause chronic sinus infections. Polyps can be removed surgically with a polypectomy. Removing these polyps allows the sinuses to empty, improves airflow and decreases sinus infections.

Most of the cosmetic procedures performed on the nose are performed to improve the external appearance of the nose. Cosmetically, there are a few areas people like to improve on the nose. The dorsal hump, nasal tip and overall size can be improved with cosmetic rhinoplasty. When performing a rhinoplasty for cosmetic reasons, it is important to always consider the functional aspect of the nose. In every rhinoplasty I perform – whether cosmetic or functional – I want the patient to be able to breathe better following the procedure.

The dorsal hump is the bone and cartilage at the top portion of the nose. At times, this hump can be more prominent and make people feel as though the nose is hooked or broken. This can be a normal anatomic variance, but it often bothers a significant number of people from a cosmetic perspective enough to seek out surgery. For this procedure, we shave down the bone and cartilage where the bump is to improve the contour and external appearance of the nose.

Tip rhinoplasty can be performed in conjunction with dorsal hump removal, but also is performed commonly alone. Tip rhinoplasty is performed on the very bottom of the nose for patients who do not like the appearance of that area. The tip can be lowered, raised, widened or thinned out without changing the shape of the nasal opening. This surgery improves the appearance of the bottom portion of the nose and the nasal opening.

When patients come in to be seen for cosmetic rhinoplasty, they often just want the nose to be “smaller.” Making the nose smaller usually involves a combination of tip rhinoplasty as well as some version of dorsal hump shaving to make the nose smaller.

Each procedure we perform is specific to your situation and can be combined with other procedures to give an overall improvement in function, cosmetic appearance, or both.

If you have a problem with the inside function of your nasal passages, please call Janiga MDs and make an appointment with me, Dr. Timothy Janiga, for your complimentary cosmetic rhinoplasty consultation or your insurance appointment.

Plastic Surgery Summer Trends


As summer enters full swing, we have seen an increase in body cosmetic procedures such as breast lifts, breast augmentations, abdominoplasty (tummy tucks), mommy makeovers, breast reductions and liposuction.

With warmer weather comes bathing suits, shorts and tank tops, bringing attention to parts of your body that may bother you. As a result, people start thinking about making improvements in these areas. Breast augmentation is common throughout the year, but tends to increase in warmer months and just before wedding season. Similarly, mommy makeovers, breast reductions, breast lifts and liposuctions become more common in the warmer months.

Wedding season, New Year’s, birthdays and the start of the summer months are just a few reasons (and seasons) that motivate people to come in for a cosmetic surgery consult. Whatever the motivation and whatever the season, Janiga MDs is here to give you the best opportunity to look and feel your best.

Get ready to hit the beach with confidence. Make your complimentary plastic surgery consultation with Dr. Timothy Janiga to see which of these procedures is best for you.

How to Maximize Your Cosmetic Surgery Results

You’ve done the research, you’ve saved for the procedure and now you’ve finally pulled the trigger on the cosmetic surgery procedure you’ve wanted for a long time. Now what? I am often asked by my Reno plastic surgery patients, “What can I do to get the best results from my surgery?”

There are two ways to answer this question: the short answer and the long one. Today, we’re going to give you both.

Reno Cosmetic Surgery Results

The short answer:

The best thing you can do to maximize your outcome after surgery is to follow your pre- and post-operative instructions diligently. There are a lot of things that we are not able to control or predict when it comes to cosmetic surgery, but for everything that we can control and predict, we like to try to make sure those things happen.

The long answer:

When you book a surgery with Janiga MDs, you are provided written and verbal detailed pre- and post-operative instructions. It is very important to follow these instructions carefully to maximize your results.

The instructions before surgery include preoperative tests that vary by procedure, like a mammogram, bloodwork, abstaining from certain medications while making sure you take others. We ask you to get a good night’s sleep beforehand, as surgery is taxing on the body. It’s also important to have a good support system in place ahead of time so someone else can care for your basic needs while you recover.

Postoperatively, you will receive similar printed instructions, as well. These include details about when to restart your medications, as well as any food restrictions, how to take your medication for discomfort, phone numbers to call in case of emergency and approved activity level after surgery.

This last one is important. Often we hear from patients who feel good and would like to be more active than our instructions state, but it is crucial to your recovery that you refrain from too much activity too soon. Patience is key to achieving the best results from your cosmetic surgery procedure.

Many factors go in to a surgical procedure and maximizing outcomes. As a patient, your most significant contribution to this surgery is your full participation in the before and aftercare.

Call our Reno plastic surgery offices any time to discuss your cosmetic surgery needs. You can trust us to provide you with the best comprehensive care available.

~ Dr. Timothy Janiga

The Benefits of Having Dermatology and Plastic Surgery in the Same Office

The specialties of dermatology and plastic surgery complement each other exceptionally well. We like to say that where one begins, the other ends, but it is a continuum. At Janiga MDs in Reno, most of our patients take advantage of both the plastic surgery and the dermatology side of the practice.

janiga mds reno

One great example of how plastic surgery and dermatology work together is in how we treat patients who are looking for an anti aging affect for their face. From the plastic surgery side, we can treat those larger issues that require surgery like removing excess skin, tightening underlying structures, and removing fatty deposits. From the dermatology side, we can improve the texture and tone of the skin, improve volume with fillers and help with fine lines and wrinkles.

At Janiga MDs, our patients enjoy a well-rounded approach to treatment. For example, all of our surgery patients receive a gift certificate to have a complimentary consultation with my wife our dermatologist, Dr. Jennifer Janiga.

During this consultation, they can talk to Dr. Jennifer about how they can maintain their youthful appearance after surgery and into the future. When she meets with people after I have operated on them she will advise them about skin checks, brown spots, fine lines and wrinkles and what products would best work for them. Often times these surgery patients will opt to receive lasers, botox or filler to complete their anti aging goals.

The reverse is also true. A lot of our dermatology patients will see Dr. Jennifer Janiga for many years and then decide that they would like to have surgery. Lasers, filler, botox and product are great for maintenance of the skin, but sometimes the only thing that will fix laxity issues is removing and lifting the skin, and that’s where I come in.

By having both dermatology and plastic surgery in the same office, we can offer a well-rounded approach to procedures and skin care. Many times I will see a patient for surgery and let them know they are not ready for that extensive of a procedure and my wife will perform a less invasive treatment for them. This holds surgery off sometimes forever and other times for a few years.

This combined all-inclusive approach allows our patients to get the best long-term result as possible with the best approach for their individual needs.

Call our Reno plastic surgery and dermatology offices any time to set up your consultation. We can help you decide if you should see Dr. Jennifer Janiga in dermatology or myself, Dr. Timothy Janiga in plasic surgery (or both).

~ Dr. Timothy Janiga

Transformation Tuesday: Patient Before & After

For this month’s before & after transformation we chose a patient who had a treatment plan that was customized to her specific needs. As with all of our Reno plastic surgery patients, we evaluate this patient’s needs and requests to create a treatment protocol that fit her needs.

In this patient’s before photo she has a significant amount of laxity in the lower face and neck, requiring a facelift, but one of the things that also really bothered her was her upper lip.

facelift before

Many people will advise filler or fat grafting to this patient’s upper lip, but this case is a more difficult one. This is a perfect example of a woman with a naturally aged and very thin upper lip. No matter how much filler or fat you place in this upper lip you will not get the results you are looking for. You will get that characteristic overfilled duck shape lip that we all dislike.

This patient received an in-office face and neck lift, which had minimal recovery time, and an in-office upper lip lift. An incision was made below the nose and a portion of the skin was removed.

mini facelift after

You can see that this gives her the natural shape of her youthful upper lip back and a beautiful Cupid’s bow shape.  No filler or fat was placed in the lip, the before and after are 6 weeks apart and she has nothing but her natural anatomy.

Come visit our Reno plastic surgery office and have a personalized one-on-one consultation with me.  We can discuss if you need one of our customized procedures including lip lift, in office facelift, earlobe repair, or possibly revisionary surgery from previous operations.

~ Dr. Timothy Janiga

Two Tummy Tuck Transformations by Dr. Timothy Janiga

With my line of work, often seeing is believing. That’s why today we are profiling two of our patients who underwent drastic tummy tuck transformations. These women have very different body types, so you can see how plastic surgery can benefit just about anyone.

Our first transformation comes from a patient with extra skin on the abdomen from having multiple children. The laxity of the skin in this area is very common after the stomach has been stretched multiple times from pregnancy. As you can see this woman would not be able to lose anymore weight or do any more crunches to improve her stomach. Her skin was not able to regain its tightness and elasticity.

A tummy tuck to remove this extra skin was performed allowing her to have a flat stomach once again. The photo shows her stomach before surgery and three months post operation.

Tummy Tuck Before and After

In our second before and after plastic surgery photo features a patient that had about 5 pounds of tissue removed from the abdominal area to give her back a flat and more appealing stomach. Additionally in this patient a small amount of liposuction was performed to improve the contour.

The photo below shows the transformation of the patient’s stomach from before to three months post operation.

Tummy tuck and liposuction before and after

Tummy tuck and sculpting procedures can be performed for women of different sizes, shapes, and anatomy. As you can see from these two examples sometimes only skin needs to be tightened and other times a more extensive procedure with contouring can be done.

Make an appointment at our Reno plastic surgery office and see how I can tailor body procedures specifically to your body type.

~ Dr. Timothy Janiga

Treatment Spotlight: All About Liposuction

Liposuction is one of the most common cosmetic surgery procedures in the United States. Last year more than 200,000 men and women received liposuction in the US. In general, this is a high satisfaction procedure with low downtime.

One of the common misconceptions about liposuction is that you can use liposuction as a means to lose weight. This is incorrect. In fact, the best candidates for liposuction are people who are at or near their ideal weight and have stubborn areas of fat deposits.

For example, women with pear-shaped bodies will have small amounts of fat deposited in the hip area even though they have a flat stomach and very thin arms. In the apple shaped body people may have thinner legs but hold fat deposits in the abdominal or flank areas.   Even though there are fat deposits in specific areas, these body types are not able to lose more weight, but still have fat deposits in the hip and buttocks area. In order to decrease these deposits liposuction is a realistic and common choice. Other possibilities for liposuction include the arms, around the knee, and the neck.

Something that has been in the media a lot recently is liposuction of the stomach area to make the muscles of the stomach more defined. This is also possible.


Most liposuction procedures need to be done in an outpatient surgical facility, but small areas can be performed in the office under tumescent local anesthesia.  There is usually some bruising and tenderness of the area for one to three weeks afterwards.

During recovery, you will wear compression garments to keep the swelling down and give you the best results as soon as possible. Most people can return to work in about a week if their job is not strenuous.

If you would like to be evaluated for liposuction procedure at our Reno plastic surgery office, please make an appointment. I would be happy to examine you and let you know if you are a good candidate for this procedure.

~ Dr. Timothy Janiga

Plastic Surgery Procedures with the Least Recovery Time

With our busy and hectic lives, most of us are looking for improvements with the least amount of recovery time missed from work, hobbies, and social activities.  Studies show that adults today have the least amount of free time of any previous generation.

One of the very first questions I am asked by patients at our Reno plastic surgery office is “how much time do I need to be off of work or out of social activities to have this procedure?”

All of the surgeries that we perform require some amount of rest afterward, but there is a great variation in downtime from treatment to treatment. Today we will go through a few of the plastic surgery procedures with the least amount of recovery time for all you busy folks out there.

Plastic Surgery Recovery Time

In-office facelift

The in-office facelift uses local anesthesia, so you do not go completely under.  There is minimal bruising with this procedure and in most cases and the stitches are removed in a week.  Most people are back to mild activity or work from home within three to four days.  Of course there’s no heavy lifting on or other strenuous activities for about three weeks, but most people can resume the majority of their regular activities after one week.



In the office, localized liposuction can be performed on the small areas under local anesthesia, so you do not have to go fully to sleep. This can be performed for small pockets of fat on the abdomen or lateral thigh as well as the love handles on the mid back.

Downtime for this procedure is approximately a week also, but most people can be sitting and doing deskwork within three or four days.  Again, with this procedure there’s no vigorous activity or heavy lifting for about two to three weeks afterwards.

Breast Augmentation

This procedure is a surprisingly fast recovery. It is performed in the operating room, but has one of the quickest recoveries. With breast augmentation most can return to light activity in a week and more strenuous within three weeks.


Arm Lift Surgery

A brachioplasty, or arm lift surgery, is also performed under general anesthesia and has two variants: a modified version and a full. The modified version is less downtime, and is a more conservative procedure. Not everyone is a candidate for the modified brachioplasty, but with this version you could be back to work and most regular activities within a week.

Each plastic surgery procedure is different and each person has a different rate of healing, so most of these are general rules. Please come in for a specific consultation at Janiga MDs Reno Plastic Surgery for your needs and we will work together to find the best procedure for your specific body type and lifestyle.

~ Dr. Timothy Janiga

Treatment Spotlight: Rhinoplasty or Nose Job

The face is the first thing people see when they meet us, and the nose is one of the most prominent features on the face. For this reason, when the nose is crooked, overly large or has other aesthetic abnormalities, it can cause a person to be self-conscious.

Thankfully, Rhinoplasty or a nose job is one of the most common cosmetic surgical procedures. I see patients of all ages and both genders for this surgery in my Reno Plastic Surgery office. These patients are relieved to hear that the issues with their nose can be fixed.

There are two main types of rhinoplasty or nose job surgeries, closed and open. A closed rhinoplasty is usually performed for dorsal hump abnormalities for crookedness.  The closed rhinoplasty is performed through the nostrils with no external scars.

An open rhinoplasty is done through a small incision under the nose. This type of rhinoplasty is done when the patient needs more work done on the tip of the nose for a bulbous tip, tip deviation, or asymmetrical nostrils. A crooked nose, deviated septum, or a dorsal hump can also be fixed this way.

The recovery from a closed rhinoplasty is slightly less then for an open rhinoplasty, but the recovery time ranges between 2-4 weeks for bruising, but can take over a year for the full results to show as it takes quite a while for the swelling of the nose to completely dissipate.

Every patient has individual needs, and every nose is unique. Make your complimentary consultation to see whether an open or close rhinoplasty is better for you.

~ Dr. Timothy Janiga

Top Three Patient Transformations

When it comes to plastic surgery, often, seeing is believing. With that in mind, we decided to do a quick round up of some of our amazing cosmetic surgery transformations to share on today’s blog post.

1. Facelift and Fat Grafting

Fat Grafting Reno Facelift Reno

This patient received a transformative facelift and fat grafting. The facelift incision was made in front and behind her ear to give her a face and neck lift. Look how smooth and tight the neck area looks after.

The fat grafting was done around the mouth to help the fine lines in the nasabial folds to decrease their prominence, and to the cheeks and lips to give back that youthful and fuller look.

2. Nose job or Rhinoplasty

Nose Job Reno

A nose job or rhinoplasty can be performed for completely cosmetic reasons and also at times for breathing and structural issues. In this photo you can see the dramatic difference in the before-and-after in the shape of this patient’s nose.

Dr. Timothy Janiga improved the appearance of the top of the nose down to the tip, which has been raised and repositioned giving her face a completely different appearance.

3. Tummy Tuck

Tummy Tuck Reno

This woman had a few children and she was back to her pre-pregnancy weight, but was unable to get her tummy to be flat again.  The muscles in her abdomen had spread open with her pregnancies and in addition to a small amount of skin to be removed, she needed the stomach muscles tightened down the middle, this is called the diastases.

The tummy tuck procedure allowed the skin that had been stretched with pregnancies to be removed. It also repaired the diastases, which allowed her to have her waistline back. The scar is very low across her lower abdomen and is covered with most bathing suits and underwear. The recovery for a tummy tuck is between 2-6 weeks with restrictions on lifting more than 20 pounds for the full 6 weeks.

You can see many more of our patient before and after photos on our website. If you’re interested in your own transformation, call us any time to set up a consultation in our South Reno plastic surgery office.

~ Dr. Timothy Janiga