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Category Archives: Plastic Surgery

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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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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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.



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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Are you a good candidate for breast revision surgery?


There are many reasons to have revisional surgery for the breasts. Having previous breast augmentation, breast lift, breast reduction, or surgical procedure such as breast biopsy or lumpectomy may make you a candidate for a revision.

Breast augmentation revision can be performed for patients who would like a different size implant or a switch between saline and silicone. These procedures can also be performed for someone who may want to switch out a silicone implant for one of the new gummy bear silicone implants. Over time, the concept of ideal breast appearance can change for an individual. As women mature, their bodies change. Additionally, women may decide they want the breast to be smaller or larger. This is the most common reason for breast revision surgery after breast augmentation.

If you have had a previous breast lift, you may choose to have revisional surgery years later. As gravity has a continued effect on the breast itself, some people want to have their breasts lifted again. As women mature, have children, breast feed, have hormone changes and gain or lose weight, the breasts go through significant changes. Additionally, as women go through menopause, the dense breast tissue changes to a less firm fatty tissue adding to the sagginess of the breast. Another reason for revisional surgery after breast lift may be to improve unwanted scarring. With surgery, there is always a scar. At times, we can improve upon the look of a scar by revising it.

Breast reduction is another reason to have revisional breast surgery. There are many cases of women who have had breast reduction and, as the body changes with pregnancy, nursing, or maturing, they may have enlargement of the breasts again. This is usually related to weight gain or loss but may be a natural hormonal change for some women. A revisional breast reduction can also be performed if there is asymmetry in the breast from a previous procedure. If one breast is larger than the other or one is slightly higher, it can be made smaller or lifted higher.

People will also visit us for breast revision surgery after medical procedures that have been done to or around the breast which cause abnormalities in the contour. Revisional breast surgery can be done to improve the contour irregularities after breast biopsy, lumpectomy or from removal of other skin cancers on the breast.

If you have any questions or concerns regarding revisional breast surgery, please contact me, Dr. Timothy Janiga for your complementary cosmetic consultation.

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What is Otoplasty, and Who is a Good Candidate?


Otoplasty is a procedure performed on children and adults who would like to have their ears lay flatter against their head or who would like the shape of the ear changed. Most people believe otoplasty is only a procedure that pins the ear back to the head, or what’s called “ear pinning.” However, by definition it also includes procedures where the shape of the ear is changed. There are many reasons why people want to change the shape of the ear – including genetic abnormalities – but there can also be cosmetic reasons for the procedure.

When people are exposed to new social situations such as starting a new school, entering a new class, starting a new job or entering college, they may be exposed to a new set of people and feel uncomfortable if their ears do not lay flat against the head or if their ears have an abnormal shape. This is especially common in people with short hair and in those who wear their hair in a ponytail for particular activities. It may not have bothered the person when they were younger, but when these situations arise, ear shape or prominence may begin to bother them.

Otoplasty is performed in children to remove the prominence of the ears or to reshape an abnormally shaped ear the child was born with. With children, this procedure usually needs to be done in the operating room. The downtime after surgery is minimal, but anesthesia can make a child tired for about a week after a procedure.

For adults, both ear pinning and ear reshaping can be performed under local anesthesia in the office in most circumstances. The downtime is minimal, but for more involved cases there can be some discomfort for about a week.

If you or your child is having difficulty with the shape
or prominence of the ears, please call 775-398-4602 to make an appointment to see Dr. Timothy Janiga for a consultation.

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Medical tourism: approach plastic surgery abroad with caution


The trend of going out of the country to receive plastic surgery continues to increase. According to Patients Beyond Borders (www.patientsbeyondborders.com) over 1 million United States citizens traveled outside of the United States for medical procedures. The most common procedures are cosmetic dentistry, cardiovascular surgery, joint replacement surgery, fertility procedures, weight loss/lap band, and cosmetic surgery. Some of the most common countries that people travel to receive these surgeries are Costa Rica, India, Malaysia, Mexico, Thailand, Taiwan, and Turkey. The medical tourism industry continues to increase as healthcare costs in the United States increase. Deductibles for insurance are higher so patients are responsible for a larger portion of their medical costs, surgical facilities and hospitals are charging more for overnight stays and medication, visitation fees, nursing care, and postoperative care costs all continue to increase with time.

This discussion is not intended to disparage any other country or international physicians as there are a lot of great hospitals and great physicians locally and internationally, it is intended to educate you regarding the major risks of having procedures outside of the United States from my perspective.

Let us review some of the positives regarding hospitals, surgery centers, and physicians in the United States. Hospitals are regularly monitored by the government bureau called JAHCO. This agency will conduct surprise inspections, monitor infection rates, monitor patient volumes and readmission for complications. The hospitals in the United States must be accredited and certified in order to perform surgeries on patients with health insurance. Surgical centers whether inpatient or outpatient, must undergo similar accreditation by JAHCO and a separate surgical center accreditation to become an insurance certified surgery center. Physicians in the United States are monitored by their individual and respective boards, have to do continuing medical education in order to maintain their board certification, and can be researched on their state medical board website for certifications and disciplinary action. These are all safeguards put in place through the government and state agencies to ensure that the best safety measures and quality are provided to the patients in each state.

Internationally, there has been a movement to use the same American criteria for hospitals and surgery centers as an international standard. Our JAHCO will have its international version called Joint Commission International and the international surgical centers will also have a separate accreditation that should be closely equivalent to American standards. This criteria has been met by some international facilities. Physician certification in other countries varies by country. India and England for example follow a similar structure and certification, while some Asian countries have a completely separate way of certifying physicians as specialists that would perform surgery.

There are some risks outside of accreditations and certifications that patients should also be aware of. First and foremost is having to travel after having surgery. The postoperative recovery period varies for each type of surgery, but can range from a week to three months depending on how involved your surgery. Traveling on an airplane a short period of time after surgery can increase your risk of blood clots in the legs and may predispose you to bleeding or infection at a time while you are traveling and not able to reach a physician quickly. Additionally, postoperative complications are possible for months after your surgery. Most complications occur within the first three months, but it is possible to have new pain, infection, or an issue with an implantable device months to years after that surgeries been performed. If your physician is located outside of the country it will be difficult for you to find postoperative care especially for an immediate complication while you were traveling. Lastly, most health insurance plans now have provisions in their policies that they will not cover any complications from surgery performed outside of the United States. This means if you have a complication such as bleeding, infection, or a problem with an implantable device, any emergency services that you received in the United States afterwards maybe denied through your health insurance policy. Your health insurance wants you to have surgery at a contracted, accredited facility with a board-certified surgeon that has been vetted by your insurance company as an approved and credentialed physician in that specialty.

In conclusion, the motivation for having procedures outside of the United States is usually a financial motivation as it is less expensive in general to have procedures performed in other countries. However, safety is the utmost priority when it comes to your health and this should be your first and foremost consideration when making the choice to have an operation. There is no system that is perfect, including the healthcare system in the United States, but it is no coincidence that important figures from across the world travel here to have their surgeries performed, why would you go somewhere else?


– Dr. Timothy Janiga

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Cosmetic Surgery is on the rise. Will you partake?

Botox Injections

TIME magazine’s June 18 cover story was titled, “Nip. Tuck. Or Else. Why you will be getting cosmetic procedures even if you don’t want them.” After reading this article, I was excited to see some things mentioned, and I disagreed with one major point.

The concepts that I thought were covered well were numerous. The article also did a great job of talking about different types of surgeries and the different types of patients that are getting surgery in the U.S. The general idea that the old concept of hiding your procedures was mostly de-bunked and the new ideas of being proud of your choices were reviewed. The best part of the article, in my opinion, was the outline of the increase in cosmetic procedures. It is true that cosmetic procedures continue to increase every year as new technologies, less invasive procedures and great techniques improve. So, it’s little surprise we’ve seen a rise in procedures.

The one area that was covered extensively in this article that I disagreed with was the idea that plastic surgery is done – and will be done – because people are trying to keep up with their neighbors. In my practice, I do not find this to be true.

In general, most women (and men) come in to my office to improve a particular area that bothers them. The patient may be a mother who would like to get her pre-baby body back with a mommy makeover, a person changing career tracks and wanting to look their best with a facelift, or someone who has always been bothered by a particular area on the body such as the nose. Overall, my patients are everyday people with families and jobs who just want to look their best. These men and women are usually referred by a friend who has had surgery with me, but they do not come in because their neighbor had surgery.

The article in TIME is a good read, full of information, but a few areas should be taken with caution.

If you are considering plastic surgery, do it for you! Call us or go online to schedule a consultation with a board-certified plastic surgeon who can help you decide which procedures are best for you.

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