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Dr. John Francis Nigriny Jr., MD

(John F. Nigriny Jr., MD)

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Specializes in: Plastic Surgery

Drexel University College of Medicine, Philadelphia, PA (2000)

Professional interests include: maxillofacial (jaw and face) problems, injectable fillers, breast reconstruction, and more.

1 MEDICAL CENTER DRIVE
Lebanon, NH 03756

(603) 650-5148

Dr. John Francis Nigriny Jr., MD is a plastic surgeon in Lebanon, NH specializing in plastic surgery. He graduated from Drexel University College of Medicine, Philadelphia, PA in 2000 and has 25 years of experience. Dr. John Francis Nigriny Jr., MD is affiliated with Dartmouth Hitchcock Medical Center, Dartmouth-Hitchcock Clinics and Dartmouth Health.

Office Locations

Address:

1 MEDICAL CENTER DRIVE
Lebanon, NH 03756

Some issues Dr. John Francis Nigriny Jr., MD can help you with:

Blepharoplasty

Blepharoplasty is a surgical procedure to remove excess tissue around the eyelids. With aging, skin loses elasticity. In some people, skin can pool around the eyes causing wrinkles, puffiness, under-eye bags, and drooping.

During a blepharoplasty, tiny incisions are made under local anesthesia, and any excess skin or underlying tissue is removed from the eyelids. The procedure takes between one and three hours, and patients may have bruising and swelling around their eyes for a few days afterwards. Icing the area may help.

The surgery is sometimes done along with other facial surgery as part of a facelift. Typically, a blepharoplasty is considered cosmetic. In severe cases, however, upper eyelids may droop so significantly that they make it hard to see. In these cases, blepharoplasty may be considered a necessary treatment.

Breast Reconstruction

Breast reconstruction is surgery to restore the appearance of the breast, usually after a mastectomy. The choice of how to proceed after the removal of a breast is a deeply personal one, with some women opting to wear a prosthetic form in a bra, and others choosing to embrace their new breastless form as a reminder of their strength and survival. Those options are perfectly acceptable, but many women feel most comfortable with their missing breast tissue surgically replaced. Breast reconstruction can be part of a patient's return to normal after experiencing breast cancer.

There are a few different methods used to create the round shape of the breast on the chest. A flap of fat, skin, and muscle can be taken from the side, abdomen or buttock and implanted on the chest to create a breast from the patient's own tissue. Alternatively, the skin over the chest may be gradually stretched to allow for the placement of an implant. Stretching of the skin is done using expanders, which are similar to breast implants, except they increase in size when saltwater solution is injected into them. Many women also choose to combine the flap procedure with implant placement to achieve their desired result. Once the new breast shape is formed, a nipple can be created and even tattooed to match the other side.

Reconstruction may be done in a single surgery or broken up into multiple procedures:

Immediate reconstruction rebuilds the breast right after mastectomy. This method is not recommended if additional chemotherapy or radiation is needed after surgery.
Delayed reconstruction occurs after chemotherapy or radiation has been given. These treatments may decrease the volume or alter the color of the reconstructed breast, so they should be completed before the breast is rebuilt. This type of reconstruction may happen weeks, months, or even years after mastectomy.
Staged reconstruction splits the reconstructive process into two parts. The first part inserts temporary expanders to stretch the skin and is done immediately after breast removal surgery. The second part replaces the expanders with implants after chemotherapy or radiation treatments have been given.

Breast reconstruction is not perfect. The two breasts may not always look exactly identical, although they will be close. There may be small scars, and a loss of sensation in the reconstructed breast. A reconstructed breast will not produce milk, so patients may have trouble breastfeeding. Still, reconstruction is a great option for women who want that part of their appearance back.

Rhinoplasty

Rhinoplasty is any surgery done to change the shape and structure of the nose. It is commonly done for cosmetic purposes, but it may also be done to reduce breathing difficulties. Surgery may include any part of bone or cartilage of the nose. In some cases, cartilage is transplanted from the ear or rib to augment the nose.

Rhinoplasty may be done for reasons that are primarily about appearance, such as:

Changing the shape or size of the nose to better fit the proportions of the face
Lifting a downward tilt at the tip of the nose
Adjusting an asymmetrical nose
Closing unusually large nostrils
Reconstructing a nose that has been damaged after trauma.

Rhinoplasty may also be done to correct a deviated septum or other breathing impairment. In that case, the nasal structure is adjusted so that airflow is increased to a comfortable level.

Typically, rhinoplasty is only performed on adults because kids' and teens' faces are still growing and changing. After a rhinoplasty, healing will take 1-2 weeks, but subtle shifts in the face and occasional swelling can last up to a year.

doctor visit	248
plastic surgery procedures	8
reconstructive surgery	8
tissue transfer	8
wound repair (e.g. stitches)	8

**Gender**
Male	93
Female	100

**Age**
From 65 to 74	77
From 75 to 84	40
85 and over	23
Less than 65	53

Hypertension	54
High Cholesterol	37
Stroke	0
Ischemic Heart Disease	26
Depression	27
Chronic Kidney Disease	21
Asthma	11
Osteoperosis	0
Atrial Fibrilation	9
Heart Failure	11
Chronic Obstructive Pulmonary Disease	10
Diabetes	25
Dementia	10
Cancer	17

doctor visit	205

**Gender**
Male	90
Female	101

**Ethnicity**
Non-Hispanic White	177
Black	0
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	84
From 75 to 84	45
85 and over	13
Less than 65	49

Hypertension	51
High Cholesterol	43
Stroke	0
Ischemic Heart Disease	27
Depression	24
Chronic Kidney Disease	16
Asthma	7
Osteoperosis	0
Atrial Fibrilation	11
Heart Failure	10
Chronic Obstructive Pulmonary Disease	12
Diabetes	25
Dementia	0
Cancer	15

doctor visit	185
plastic surgery procedures	10
reconstructive surgery	10
tissue transfer	10
wound repair (e.g. stitches)	10

**Gender**
Male	134
Female	200

**Ethnicity**
Non-Hispanic White	306
Black	0
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	136
From 75 to 84	70
85 and over	32
Less than 65	96

Hypertension	49
High Cholesterol	38
Stroke	0
Ischemic Heart Disease	23
Depression	29
Chronic Kidney Disease	15
Asthma	16
Osteoperosis	0
Atrial Fibrilation	16
Heart Failure	16
Chronic Obstructive Pulmonary Disease	14
Diabetes	27
Dementia	0
Cancer	14

doctor visit	169
plastic surgery procedures	11
reconstructive surgery	11
tissue transfer	11
wound repair (e.g. stitches)	11

**Gender**
Male	61
Female	96

**Ethnicity**
Non-Hispanic White	145
Black	0
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	74
From 75 to 84	31
85 and over	14
Less than 65	38

Hypertension	51
High Cholesterol	30
Stroke	0
Ischemic Heart Disease	17
Depression	29
Chronic Kidney Disease	15
Asthma	13
Osteoperosis	7
Atrial Fibrilation	10
Heart Failure	11
Chronic Obstructive Pulmonary Disease	9
Diabetes	24
Dementia	0
Cancer	21

doctor visit	171
plastic surgery procedures	9
reconstructive surgery	9
tissue transfer	9
wound repair (e.g. stitches)	9

**Gender**
Male	88
Female	112

**Age**
From 65 to 74	87
From 75 to 84	35
85 and over	16
Less than 65	62

Hypertension	53
High Cholesterol	38
Stroke	0
Ischemic Heart Disease	24
Depression	30
Chronic Kidney Disease	22
Asthma	9
Osteoperosis	7
Atrial Fibrilation	14
Heart Failure	13
Chronic Obstructive Pulmonary Disease	9
Diabetes	24
Dementia	0
Cancer	16

doctor visit	160
plastic surgery procedures	23
reconstructive surgery	23
tissue transfer	23
wound repair (e.g. stitches)	23

**Gender**
Male	60
Female	103

**Age**
From 65 to 74	63
From 75 to 84	0
85 and over	0
Less than 65	55

Hypertension	57
High Cholesterol	41
Stroke	0
Ischemic Heart Disease	25
Depression	40
Chronic Kidney Disease	21
Asthma	11
Osteoperosis	9
Atrial Fibrilation	7
Heart Failure	12
Chronic Obstructive Pulmonary Disease	13
Diabetes	30
Dementia	0
Cancer	20

doctor visit	168

**Gender**
Male	63
Female	94

**Age**
From 65 to 74	59
From 75 to 84	0
85 and over	0
Less than 65	60

Hypertension	52
High Cholesterol	35
Stroke	0
Ischemic Heart Disease	27
Depression	43
Chronic Kidney Disease	21
Asthma	10
Osteoperosis	10
Atrial Fibrilation	8
Heart Failure	9
Chronic Obstructive Pulmonary Disease	15
Diabetes	28
Dementia	8
Cancer	16

doctor visit	117
plastic surgery procedures	10
reconstructive surgery	10
tissue transfer	10
wound repair (e.g. stitches)	10

**Gender**
Male	36
Female	90

**Ethnicity**
Non-Hispanic White	114
Black	0
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	54
From 75 to 84	0
85 and over	0
Less than 65	37

Hypertension	44
High Cholesterol	33
Stroke	0
Ischemic Heart Disease	18
Depression	39
Chronic Kidney Disease	17
Asthma	10
Osteoperosis	0
Atrial Fibrilation	0
Heart Failure	10
Chronic Obstructive Pulmonary Disease	9
Diabetes	26
Dementia	0
Cancer	14

doctor visit	292
plastic surgery procedures	10
reconstructive surgery	10
tissue transfer	10
wound repair (e.g. stitches)	10

Average Medicare Procedure Volume From 2013 - 2021

Volume of procedures performed by Dr. John Francis Nigriny Jr., MD for Medicare patients.

The highest averages for the top procedures that Dr. John Francis Nigriny Jr., MD treated as a plastic surgeon in Lebanon, NH were reconstructive surgery, plastic surgery procedures, wound repair (e.g. stitches) and tissue transfer.

doctor visit	192
plastic surgery procedures	13
reconstructive surgery	13
tissue transfer	13
wound repair (e.g. stitches)	13

Average Medicare Patient Data From 2013 - 2021

Information about Medicare patients treated by Dr. John Francis Nigriny Jr., MD.

**Gender**
Female	89
Male	62

**Ethnicity**
Black / African American	0
Asian / Pacific Islander	0
Non-Hispanic White	74
Hispanic	0
Native American / Alaskan Native	0
Other	0

**Age**
85 and over	9
75 to 84	22
Less than 65	45
65 to 74	63

Average of Total of Conditions of Medicare patients treated by Dr. John Francis Nigriny Jr., MD From 2013 - 2021

The highest averages of the most common conditions of Medicare patients that Dr. John Francis Nigriny Jr., MD treated were hypertension, high cholesterol, depression and diabetes.

Hypertension	41
High Cholesterol	29
Stroke	0
Ischemic Heart Disease	18
Depression	26
Chronic Kidney Disease	14
Asthma	8
Osteoporosis	3
Heart Failure	9
Chronic Obstructive Pulmonary Disease	9
Diabetes	20
Atrial Fibrillation	7
Dementia	1
Cancer	13

Education & Training

Dr. John Francis Nigriny Jr., MD graduated from Drexel University College of Medicine, Philadelphia, PA in 2000. He completed residency at Hahnemann University Hospital, Philadelphia, PA. He is certified by the Plastic Surgery and has a state license in Massachusetts.

Medical School: Drexel University College of Medicine, Philadelphia, PA (2000)

Residency: Hahnemann University Hospital, Philadelphia, PA (1998)

Board Certification: Plastic Surgery

Licensed In: Massachusetts

Affiliations & Hospitals

Dr. John Francis Nigriny Jr., MD is associated with these hospitals and organizations:

Dartmouth Hitchcock Medical Center

Dartmouth-Hitchcock Clinics

Dartmouth Health

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General Payments

These charts describe general payments received by Dr. John Francis Nigriny Jr., MD. Doctors may receive payments for a number of reasons, including meal compensation, travel compensation, and consulting.

**Payments by Company**
Vascular Technology, Inc.	$13,125 $13,125
Koven Technology, Inc.	$393 ES100X $393
TELA Bio, Inc.	$178 OviTex Reinforced Bioscaffold With Permanent Polymer (OviTex) $178
Allergan Inc.	$132 AlloDerm $132
Mentor Worldwide LLC	$89 MENTOR MemoryGel Resterilizable Gel Sizer $89
Other	$19 $19

**Types of Payments**
Consulting Fee	$13,125
Food and Beverage	$399
Charitable Contribution	$393
Education	$19

Biography

Dr. John Nigriny practices plastic surgery. Dr. Nigriny obtained his medical school training at Drexel University College of Medicine and performed his residency at Hahnemann University Hospital and Stanford University Medical Center. His professional affiliations include Dartmouth-Hitchcock Clinics and Dartmouth-Hitchcock Medical Center (DHMC).

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Dr. John Francis Nigriny Jr., MD

Office Locations

Some issues Dr. John Francis Nigriny Jr., MD can help you with:

Medicare Procedure and Patient Information

2013 Medicare Procedure Volume

2013 Medicare Patient Data

Conditions of Medicare patients treated by Dr. John Francis Nigriny Jr., MD in 2013

Medicare Procedure and Patient Information

2014 Medicare Procedure Volume

2014 Medicare Patient Data

Conditions of Medicare patients treated by Dr. John Francis Nigriny Jr., MD in 2014

Medicare Procedure and Patient Information

2015 Medicare Procedure Volume

2015 Medicare Patient Data

Conditions of Medicare patients treated by Dr. John Francis Nigriny Jr., MD in 2015

Medicare Procedure and Patient Information

2016 Medicare Procedure Volume

2016 Medicare Patient Data

Conditions of Medicare patients treated by Dr. John Francis Nigriny Jr., MD in 2016

Medicare Procedure and Patient Information

2017 Medicare Procedure Volume

2017 Medicare Patient Data

Conditions of Medicare patients treated by Dr. John Francis Nigriny Jr., MD in 2017

Medicare Procedure and Patient Information

2018 Medicare Procedure Volume

2018 Medicare Patient Data

Conditions of Medicare patients treated by Dr. John Francis Nigriny Jr., MD in 2018

Medicare Procedure and Patient Information

2019 Medicare Procedure Volume

2019 Medicare Patient Data

Conditions of Medicare patients treated by Dr. John Francis Nigriny Jr., MD in 2019

Medicare Procedure and Patient Information

2020 Medicare Procedure Volume

2020 Medicare Patient Data

Conditions of Medicare patients treated by Dr. John Francis Nigriny Jr., MD in 2020

Medicare Procedure and Patient Information

2021 Medicare Procedure Volume

Average Medicare Procedure Volume From 2013 - 2021

Average Medicare Patient Data From 2013 - 2021

Average of Total of Conditions of Medicare patients treated by Dr. John Francis Nigriny Jr., MD From 2013 - 2021

Education & Training

Affiliations & Hospitals

Ratings & Reviews

General Payments

Biography

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