Joe Niamtu III, DMD – Cosmetic Facial Surgery

Dr. Joe and April Niamtu Chair 2016 Easter Seals Gala

It was my (and my wife’s) honor to be the chairpersons for the 2016 Easter Seals annual gala.

A pre gala event was hosted at the Positive Vibe Cafe (a renown organization in itself) and Dr. Joe and April were guest bartenders.  It was an  honor to be acknowledged by the Richmond Times-Dispatch for Volunteer week.

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Music was provided by Vertical Dimension and Joe sat in with the group on “Move it on Over”, thankfully no ears were permanently damaged.

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The gala event was April 23 at the beautiful Dover Hall.  The sold out event consisted of great patrons and benefactors of the greater Richmond area and they truly stepped up to the plate in donations and auction items to support Easter Seals services.

April and I presented our experience and perspective of being parents of two sons with severe disabilities.  Although everyone can appreciate the heartbreak and challenges of having a disability in the family, most people have no idea of the emotional, physical, financial and social impact of dealing with a disabled family member.  Our presentation was both happy and sad, as is the experience of having disabled children.  We ended the presentation with discussion of the unique, exceptional and unconditional love that these children provide.

It was a great evening and we want to personally thank the Easter Seals staff and all those who supported the event.

Nothing feels better than giving back.



Left to right:  Monroe and Jill Harris, Paul and Emily Kiritsis, Joe and April Niamtu, Gilly and Lora Roberts, Rich and Joyce Johnson

Joe Niamtu, III DMD

Cosmetic Facial Surgery

Richmond, Virginia

What is the Deal with CoolSculpting?

The treatment of double chins has gotten a lot of publicity lately with several minimally invasive, namely Kybella and now CoolSculpting. I first want to say that I am a fan of all new technology and if there is an easier, safer and more effective means to achieve a result I am all for it. Having said that, the majority of the “new” technology that presents is minor in terms of making a big difference. Once in a while we experience a paradigm shift where the game is truly changed. Botox, liposuction, lasers and injectable fillers are good examples. Many times, however, the technology touted as being new and better really is not. If you watch TV shows about cosmetic surgery, there is some new miracle treatment every week and a year later many have fallen by the wayside.

So…..what is the deal with CoolSculpting? I get asked this question a lot and last night, I saw a TV piece that Honey BooBoo’s mom had the procedure for her double chin.

The good news about CoolSculpting is that it does work to a certain extent, just as Kybella does. Both of these technologies will reduce some fat under the chin. That is the good news. The bad news is that the average person that is interested in this type of treatment is frequently not a candidate. These minimally invasive procedures, whether you freeze, heat, vibrate or dissolve the fat are only effective on younger patients with isolated fat deposits and little or no excess neck skin. This definition really reduces the true and effective population for these procedures. If a patient has fat and skin excess, and you remove the fat (regardless of the technique) you are left with even more excess skin and a worse result. So, if the ideal patient is someone with isolated fat under the chin and little or no skin excess, who exactly is this? For the most part the ideal patient is young with minimal fat. Older patients (over 45) are likely to have a component of skin excess and patients in their 50’s are rarely candidates in my opinion.

RULE # 1- Patients with excess neck skin need a facelift.

There is really no getting around this. Every day I see patients with excess neck and jowl skin and they have wasted money or numerous “miracle procedures” that were supposed to tighten their neck. Most of the nonsurgical fat treatments simply do not and cannot address skin excess. So, many patients want to avoid a facelift and end up having several years of other treatments that actually cost more than a facelift and they finally return to have a facelift.

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Figure 1. These are good candidates for nonsurgical double chin treatment (or facial liposuction).

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Figure 2. This is a poor patient for nonsurgical treatment and the result will be disappointing without facelift.

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Figure 3. This patient was treated with liposuction and chin implant only.

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Figure 4. This patient was treated with face and neck lift which is the ultimate solution for excess neck fat and skin.

RULE # 2- If it sounds too good to be true, it probably is.

I see numerous company photos of fat reduction techniques that are impressive, but they don’t tell the entire story. Was it an exceptional case? Does that represent the typical treatment for everyone? Did the patient have the fat melting procedure and also go on a big diet and exercise regimen? Lots of variables here! If you are considering having any new nonsurgical procedure, ask the doctor to show you 20 cases of before and after pictures that are 6 months to a year after the procedure. If they can’t show you that, then you should be cautious.

Finally, just because something is new does not mean it is better. None of the nonsurgical fat melting procedures can produce as effective of a result as simple liposuction. I can perform submental (under the chin) liposuction in 10 minutes with local anesthesia and get an immediate result with about a week of recovery. I understand that some folks simply don’t want surgery and for this population, the minimally invasive procedures may be a good thing. It will take longer, require multiple treatments and won’t offer the comprehensive result that liposuction will. For instance, with conventional facial liposuction, the surgeon can lipo the double chin, neck, jowls, cheeks, etc. This is not possible at this point with most nonsurgical treatments or injectables.

CoolSculpting is a good product from a good company and I have numerous friends that market or use it and it works well for spot treatments on selected patients. It will not be effective for patients with a lot of face and neck fat and is by no means a treatment for obesity. It is an alternative and not a replacement for conventional surgical procedures.

As technology and science progress, hopefully nonsurgical treatments will make surgery a thing of the past. Currently we are light years away but the new technologies are nonetheless interesting. Make sure you are the proper candidate and investigate before investing thousands of dollars into a procedure that may have limited results. You can also say the same thing about surgery. Educated and informed cosmetic consumers get the best results as they take the time to research the proper treatments.

For more information about cosmetic facial surgery visit

Joe Niamtu, III DMD

Cosmetic Facial Surgery

Richmond, Virginia

2015 National Professional Football Hall of Fame

In August every year a new class of heroes are enshrined in Canton, Ohio. The Hall of Fame is down the street from where I grew up in Canton and I played high school football at that stadium. In 1974 my father was the general chairman of the Hall of Fame weekend.

I try to go back when I can, especially when I know an enshrinee. Jim Kelly, Bruce Smith and Thurman Thomas are all friends so I attended their years for sure. I will be going back this year to see the 2016 class which includes Brett Favre. The pictures below include some of the greats in the Hall of Fame.

This is big stuff for little old Canton, Ohio and I look forward to this year to see my family in Canton as well as the HOF weekend.


The last vote request of the year!

Love that face friends,

Last month you may have voted for us in the Virginia Living contest and we need  your support one more time for the Style Weekly contest.  Please take a second to vote for us and your other Richmond favorites.  We try hard to be the best and winning this energizes my office and staff.

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Go to

Click on VOTE TODAY: 2016 Best of Richmond

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Click on “Goods and Services” on the left side of page

Click on “Best Cosmetic Surgeon” (about half way down page)

Select “Dr. Joe Niamtu” in drop down box or type “Dr. Joe Niamtu”

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Help Joe and April help Easter Seals

We need your help this Sunday.  April and I are proud to be the Chairs of the 2016 Easter Seals “Eggstravaganza” and as part of the upcoming events we will be celebrity bartenders at Positive Vibe Cafe to benefit Easter Seals/United Cerebral Palsy.  Eat, Drink and help children with disabilities. We hope to see you Sunday and will tempt you with  Dr. Joe’s “Botox Blaster” or April’s “Apriltini”.

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We will also be Chairing the “Eggstravaganza Gala” on April 23  at Dover Hall.  More to come………………

Joe, April, Joey and Evan Niamtu

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Hemangioma: A Benign Tumor of Blood Vessels

Blog McGrath, Charlotte

A hemangioma is a benign tumor of blood vessels.  Most hemangiomas are harmless although some can be associated with vital organs and be serious.  Small hemangiomas can be removed with lasers  but larger tumors must be surgically removed.  This surgery can be difficult due to the large concentration of blood vessels.  The 7 year old patient below presented to the office after several unsuccessful treatments by other doctors.  I was concerned about the amount of lip tissue that might have required removal as the patient was a very cute child.  I am happy to say that we were able to remove the tumor and reconstruct the lip with a successful result.  As the patient grows we may perform further cosmetic treatment but she and her parents and my entire office were pleased with the result.

For more information about cosmetic facial surgery visit

Joe Niamtu, III DMD

Cosmetic Facial Surgery

Richmond, Virginia


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Introducing the All New Volume II Niamtu Cosmetic Surgery Education Video Series

About 8 years ago I produced high definition, narrated DVD series on cosmetic facial surgery.  Surgeons from all specialties in almost every country purchased these DVD’s for teaching, learning and review.  Over the past year I have produced almost 300 new videos on contemporary cosmetic facial surgery procedures and am proud to introduce Volume II.  Keeping with the latest technology of streaming and downloading, all the videos are online.  This has eliminated the hassles of DVDs.  Most new computers don’t even have DVD players and in the past adding new content was impossible.  Now, doctors can access all videos 24/7 and I can update any procedural series to viewed around the world in minutes.  I will update these videos at no extra charge within Volume II.

Online ad 2016


See the video below to view a Volume 2 series trailer.

The blue geographic regions indicate countries where Volume II has been downloaded or purchased since the 2016 release

Global 1


To preview videos or order visit  click here


Joe Niamtu, III DMD

Cosmetic Facial Surgery

Richmnond, Virginia

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It is Voting Time Again!

It is Voting Time again and we are asking you a favor!

We realize it is a hassle to vote for us twice a year, but truly appreciate your confidence.


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Enter “Dr. Joseph Niamtu, Midlothian”

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Joe Niamtu, III DMD

Cosmetic Facial Surgery

American Academy of Cosmetic Surgery Annual Meeting and Scientific Session





It is my honor to present 4 lectures (eyelid, facelift, facial fat reduction and practice management) at the 2015 American Academy of Cosmetic Surgery Annual Meeting in Hollywood Florida.  Congratulations to Suzan Obagi, M.D. and Jacob Haiavy, M.D. Webster Award Winners.  This is a great academic meeting and socially, April and  I get the chance to see all my U.S. and international cosmetic surgery friends.  I am sorry this is the last day, such a great meeting.

Joe Niamtu, III DMD

Cosmetic  Facial Surgery

Richmond, Virginia

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Total Removal of Facial Sebaceous Cyst

Sebaceous cysts are common facial lesions that have a lining and are filled with various contents depending on the type of cyst.  If the lining is not totally removed, the cyst will return.  Squeezing, lancing and otherwise disrupting the cyst usually results in disappointing recurrence.  Removing the entire lining will usually be curative so the cyst does not return.  The surgeon’s knowledge of how and were to place the skin incision also has a direct bearing on the quality of the scar.  Patients that heal with a visible scar can be treated with laser resurfacing.

Joe Niamtu, III DMD

Cosmetic Facial Surgery

Richmond, Virginia

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