At its best, plastic surgery can transcend science and begin to resemble art. Such is the case with rhinoplasty, a cosmetic nose surgery that refines your nasal bones to make your nasal septum more proportionate to the rest of your face. Many concerns can be treated with a rhinoplasty, including an overly large nose, a wide nasal bridge, a crooked nose, a drooping nasal tip, and more. Dr. Timothy Janiga is a highly experienced plastic surgeon with extensive experience in rhinoplasty, and he understands how the look of the nose can impact a person’s entire facial appearance. He tailors each patient’s results so that their new nose fits naturally with the surrounding facial features.
At JanigaMDs, we offer several variations on the nose job, including standard surgical techniques, tip-only, and a cosmetic rhinoplasty procedure combined with septoplasty.
Open rhinoplasty often allows for more extensive nose reshaping. Surgery involves an incision at the base of the nose (where it meets the area above the lip) to fully expose the internal nasal anatomy. The nasal bones and cartilage will be shaved away, repositioned, and sculpted to reduce the size of the nose, improve symmetry, and create other desired changes.
Closed rhinoplasty is an internal nose surgery that requires no external incisions, so it is sometimes referred to as scarless rhinoplasty. Instead, the nasal cartilage and tissues are reshaped through the nostrils to slim the nasal dorsum (nasal bridge), open up the nasal airway, and create subtle changes to the nasal shape.
Tip-only rhinoplasty refines the tip of your nose, reducing a bulbous tip or giving definition to a poorly defined tip. This can be performed alone or in conjunction with other types of reshaping or septoplasty, depending on the individual’s needs. Because this is one of the most artistic procedures in plastic surgery, experience and in-depth understanding of nasal anatomy are crucial for achieving optimal results.
Functional rhinoplasty combines traditional rhinoplasty techniques with a septoplasty to address both the appearance and function of the nose. A septoplasty is an internal nasal surgery performed to correct a deviated septum, focusing on the internal nasal valve and nasal passages, which may be inhibiting your ability to breathe. When combined with a rhinoplasty, the two can correct common septum-related issues while also improving the overall cosmetic appearance of the nasal tissues.
Dr. Timothy Janiga is a board-certified plastic surgeon with over two decades of experience and countless patient success stories. His calm, expert, and meticulous approach has transformed the lives of both cosmetic and reconstruction patients, helping them feel good in their bodies. Dr. Janiga is an expert in all aspects of plastic surgery and specializes in cosmetic facial surgery, body contouring, and breast surgery.
Rhinoplasty patients will first consult with board-certified plastic surgeon Dr. Timothy Janiga to discuss the surgical procedure in greater detail and develop a personalized treatment plan to create facial balance with results tailored to the patient’s individual aesthetic goals. During this consultation, Dr. Janiga will also examine the patient’s medical history to ensure a safe surgical procedure. If patients have suffered a broken nose or other injury, the nose must be fully healed before surgical interventions are made to repair the nose.
Dr. Timothy Janiga performs rhinoplasty using general anesthesia in a Reno-area surgery center. The procedure typically involves an incision underneath the nose and on the inside of the nose. The cartilage and bone of the nose are reshaped, and small portions may be removed if needed. Sometimes cartilage grafts are used to improve and refine the appearance of the nasal tip and dorsum. Nasal packing will be placed to put pressure on the blood vessels and prevent excessive bleeding. This procedure takes approximately one to two hours, with one to two hours of recovery time before leaving the surgery center.
I had a deviated septum (and then some) from an old sports injury. […] I was able to breathe through both nostrils instantly after surgery. I had no idea how much the injury had been impacting my quality of sleep, exercise, and even just daily living. It has been so wonderful to have a functional nose, plus it looks lovely! Dr. Janiga did a skilled, subtle job. I still look like myself, and the nose really fits my face.
My family and I have seen Dr. Jennifer Janiga many times. She is knowledgeable, caring and honest. Dr. Tim Janiga has cared for me several times and I feel very confident in his skills. They both seem like they are genuinely interested in their patients. They are both very nice people and fine physicians.
I came from out of state after having 3 different consultations, and I am glad I chose Dr. T Janiga and his team to perform my mommy makeover. I am 3 months post-op and loving my results. I know it will take a complete year before I will see full results with my body adjusting and having gone through major surgery. Hands down I would do it again. Having the Surgery center right next to Dr Janigas office was an added bonus. It didn’t have the feeling of being at the hospital where it can feel very sterile, cold and inpersonal, my experience was awesome. From day 1 they have all been very welcoming and amazing! Great job Dr. Janiga and TEAM!
After a rhinoplasty, patients can expect moderate swelling, bruising, and discomfort that improve significantly during the first two weeks. Prescription pain medication, cold compresses, and sleeping with your head elevated will minimize these symptoms and help speed up recovery. Nasal splints are usually left in place for one week after your surgery. Once this is removed, return to work and activity is generally acceptable. However, patients must avoid strenuous exercise for up to six weeks, while contact sports must be avoided for a few months after surgery.
You can expect some swelling and mild bruising for at least the first two weeks, potentially for the first month, depending on the extent of your surgery. Full results are expected within four to nine months. The new shape of your nose is permanent, providing a long-lasting boost in confidence.
JanigaMDs is distinguished as a leading choice for rhinoplasty due to the expertise and recognized achievements of Dr. Timothy Janiga, a board-certified plastic surgeon who specializes in facial surgery and aesthetic enhancement. Dr. Janiga completed his residency in plastic and reconstructive surgery at the University of Michigan and has spent more than two decades refining surgical techniques that balance structural precision with harmonious aesthetic outcomes.
Professional recognition for Dr. Janiga underscores his commitment to excellence in both surgical quality and patient satisfaction. He has also received multiple Best of Reno and top plastic surgeon honors from the American Institute of Plastic Surgeons, including rankings among the ten best plastic surgeons in Nevada for client satisfaction. Additional distinctions, such as inclusion in the American Registry’s America’s Most Honored Professionals – Top 5 %, further highlight a sustained record of achievement in aesthetic surgery.
Dr. Janiga’s surgical philosophy blends technical mastery with individualized planning, which is essential for rhinoplasty, where subtle changes can significantly impact overall facial balance. His experience in facial surgery and aesthetic enhancement informs each rhinoplasty case, allowing for tailored approaches that align structural improvements with refined aesthetic goals. This strong foundation in reconstructive principles, combined with acknowledged excellence in cosmetic outcomes, reflects a level of care that is both artful and grounded in surgical integrity.
Janiga MDs is uniquely strengthened by a collaborative model that integrates surgical and dermatologic expertise under one roof, providing well-rounded care across aesthetic surgery and non-surgical treatments. We are the only practice in Northern Nevada to host a board-certified plastic surgeon and board-certified dermatologist in one space. With a comprehensive perspective on facial proportion and harmony, JanigaMDs embodies a commitment to surgical skill, thoughtful aesthetic planning, and distinguished patient care.
We evaluate patients considering rhinoplasty in our Reno/Tahoe offices. For more information or to set up a consultation with Dr. Janiga for your rhinoplasty in our offices, please send us an email or call 775-364-0224.
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.
Learn More
Founded in 2010, the team at JanigaMDs has been proven to provide the utmost care for all patients. With a 4.7 rating over almost 700 reviews, JanigaMDs is the premier aesthetic practice in Northern Nevada.
Contact Us"*" indicates required fields
