Breast enhancement is a category of procedures that includes saline or silicone breast implants or a breast lift with implants. Options also include the type, size, and material of breast implants, the incision pattern, and the placement depth of your implants. All these factors depend on things like your anatomy and natural breast tissue, your desired enhancement degree, and whether you’re better suited for silicone implants or saline breast implants.
At JanigaMDs, we proudly offer the 3-D imaging software Vectra®, which allows you to “virtually try on” your size and shape implant. Before meeting with you, our staff will image your body with the software. During your consultation, you can use the software to “try on” different-sized implants on your body’s 3-D image. Many patients think in terms of cup size, but sizing is chosen based on overall proportion. This takes the guesswork out of sizing and lets you feel comfortable choosing your size and shape. During your consultation, you’ll discuss your aesthetic goals with our board-certified plastic surgeon, review implant options and surgical techniques, and use the Vectra images to plan breast volume. Our office carries Allergan, Mentor, and Motiva implant options.
No matter which option you choose, our board-certified plastic surgeon, Dr. Timothy Janiga, can help you find the most natural-looking breast implant surgery technique and implants that are right for your figure. Breast augmentation may use silicone implants, saline implants, or fat transfer. Fat transfer uses liposuction to harvest body fat for augmentation. Saline and silicone gel implants have benefits and drawbacks for certain body types. Although the inframammary incision (beneath the breast fold) is the most common technique, other incision options are available if you can benefit from them.
Round implants provide a full appearance and more pronounced cleavage. Because they are spherical, they can move or shift under the skin without changing the outward appearance of the breast. They are usually preferred by those who desire more lift, volume, or fullness overall. Implant selection also depends on existing breast tissue and desired projection. Round implants come in low, moderate, and high profiles, and Dr. Janiga will help you decide which is best for you, with moderate profile being the most common choice for natural looking results. High profile implants provide more projection and are often preferred for women with smaller body frames.
Silicone implants are filled with a cohesive gel that mimics the feel of natural breast tissue. Silicone implants closely resemble natural breast tissue and remain the popular choice for many patients. These implants generally last 10 to 15 years, though can last longer. Patients 22 years or older can be good candidates for silicone implants.
Saline implants are much less common than silicone implants and are filled with a sterile saltwater solution after being inserted, allowing for a smaller incision. They are generally more cost-effective than silicone implants. They can be used to help achieve more natural-looking breasts. Those over 18 years old can be good candidates for saline implants.
During your consultation, Dr. Janiga will review your medical history, recommend any necessary tests, and provide personalized pre-operative instructions. To support healing, you’ll need to avoid certain medications and supplements, stop smoking several weeks prior, and maintain a healthy diet.
Plan ahead by arranging for someone to drive you home and stay with you for 24–48 hours. Set up a comfortable recovery area with essentials like pillows, medications, and loose clothing. You’ll also receive instructions for the night before surgery; Dr. Janiga and his team will address any questions to help you feel fully prepared for your procedure.
Dr. Janiga can perform breast augmentation with or without a lift as an outpatient procedure in his outpatient surgery center, Mountain West Surgical Center. Breast augmentations are a common surgical procedure for women who wish to improve their physique.
Depending on your anatomy and desired results, implant insertion will be placed beneath the breast tissue (subglandular) or the chest muscle (submuscular). Breast augmentation incisions use techniques to minimize visible scarring, and the right incision type may be placed in the inframammary fold, periareolar area, or in the armpit. The procedure is performed under general anesthesia. It typically takes less than one hour, and most patients go home the same day. Most patients resume light daily activities in just a few days. Depending on placement and goals, Dr. Janiga will reposition the areola to ensure natural looking results.
For qualifying patients, Dr. Janiga also offers an in-office breast augmentation option performed under local anesthesia with light oral or IV sedation, rather than general anesthesia. This approach works best for first-time augmentation patients receiving implants placed above the chest muscle; those needing submuscular placement or revision surgery are typically better suited to traditional augmentation at Mountain West Surgical Center. Because it avoids general anesthesia, in-office augmentation can reduce certain anesthesia-related side effects and lower facility costs, while still meeting the safety standard the American Society of Plastic Surgeons requires for any procedure beyond local anesthesia and mild oral sedation. During your consultation, Dr. Janiga will help determine whether an in-office procedure or a traditional augmentation at Mountain West Surgical Center is the better fit for your anatomy and goals.
Breast augmentations are a common surgical procedure for women who wish to improve their physique.
We’re proud to share that Dr. Tim Janiga has been named the Gold winner for Best Breast Augmentation Surgery in the 2026 Best of Sierra Nevada awards. This honor reflects the care, precision, and natural-looking results his patients have come to expect, and we’re grateful to everyone who helped make it possible.
Breast augmentation patients should not lift more than 20 pounds for up to 6 weeks following their surgery, and depending on the implant location, they should be careful of stretching their arms or chest muscles too much during the recovery period. Other restrictions will be discussed with Dr. Janiga and his staff during your personalized consultation appointment, including the amount of time you will need to refrain from strenuous activity. Following your aftercare instructions will help you achieve the best outcomes.
It’s normal to expect about one week of initial recovery after breast surgery, though swelling and bruising can continue for several weeks. You can often return to work within five to seven days, sometimes longer if you have a physically intense job. Your breasts may take a few months to achieve their final look and final breast appearance. Once you’ve healed, you’ll see fuller breasts with a very natural and proportionate look for your body, with long lasting results that can also support self esteem.
No matter which option you choose, our board-certified plastic surgeon, Dr. Timothy Janiga, can help you find the most natural-looking breast implant surgery technique and implants that are right for your figure. Saline and silicone gel implants have benefits and drawbacks for certain body types. Although the inframammary incision (beneath the breast fold) is the most common technique, other incision options are available if you can benefit from them.
As a patient of both Dr. Jennifer and Tim Janiga, I have the utmost praise for the care I have received. They are fantastic at what they do. The attention to detail and going ‘above and beyond’ is very much appreciated.
I’ve had microneedling, fillers, and Botox with Charlotte and I am very happy with the results. Charlotte is always so informative and answers all of my questions. I really like her conservative approach and recommendations. She is friendly and we always have great conversation!
I’m giving Dr. Janiga 5 stars because of I love the results of my surgeries. He listened to my concerns and we decided together the best options based on my budget and the outcome that I wanted. He did a Lip Lift for me in May 2015. I am so happy with the results. My thin flat upper lip now has that cute cupids bow and it looks natural. He did this surgery in his in his Office Surgical Suite.
If you have already had a breast augmentation before, breast revision surgery may be the next step for you. Breast revision surgery addresses concerns from previous augmentations, including implant rupture, asymmetry, or capsular contracture. A revision may involve larger or smaller implants, breast implant removal, and sometimes a breast lift procedure.
If you’re not satisfied with your profile, breast augmentation surgery may be the right cosmetic procedure to help you achieve your goals. Breast augmentation patients can be a part of the decision-making process for implant placement, type and size of implant, and a variety of other factors. While a pair of new breasts may not be a substantial change for many women, they can have a substantial impact on your self-esteem and confidence. Schedule a consultation today to learn more about whether breast augmentation surgery is right for you.
JanigaMDs is the only practice in Reno where patients can consult with both a board-certified dermatologist and a board-certified plastic surgeon in one visit.
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Dr. Timothy Janiga is a board-certified plastic surgeon with over two decades experience serving the Northern Nevada community. He has been awarded multiple "Top Doctor in Nevada" and patient satisfaction awards. He is a member of several organizations, including American Institute of Plastic Surgeons (AIOPS), American Society of Plastic Surgeons (ASPS), and American Society of Aesthetic Plastic Surgery (ASAPS), as well associated with establishments such as the Nevada State and Washoe County Medical Societies.
Founded in 2010, the team at JanigaMDs has been proven to provide the utmost care for all patients. With an almost 5 star rating over almost 700 reviews, JanigaMDs is the premier aesthetic practice in Northern Nevada.
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