Joe Niamtu III, DMD – Cosmetic Facial Surgery

5 Steps to Better Skin This Winter

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We want to thank our friends at Obagi for the above graphic and also for helping our patients take the best care of their skin.  The best way to look great for spring is to begin a lifetime skincare plan now while it is cold, gray and nasty out.  Spring will come, so get ready now.  For more information about Obagi products visit

Joe Niamtu, III DMD

Cosmetic Facial Surgery

Richmond Virginia

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Vote for Best of Richmond and Dr. Niamtu

This is the last time this year we will ask you to vote this year……….promise!

I am proud of my staff and I love making Richmonders look and feel better.

We would sincerely appreciate your vote for Best of Richmond


  1. Click on the icon below

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  1. Select “Best Cosmetic Surgeon”


  1. Enter   Dr. Joe Niamtu and select “VOTE”


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Thank you so much,


Dr. Joe and Staff

The 31st Annual Meeting of the American Academy of Cosmetic Surgery

AACS 2015


Live injection session teachers  (from left to right) oculoplastic surgeon Julie Woodward, MD , Joe Niamtu, III DMD, dermatologist Hema Sundaram, MD, dermatologist Sabrina Fabi MD, dermatologist Suzan Obagi, MD, oculoplastic surgeon Irene Gladstein, MD,  dermatologist Lisa Donofrio, MD, dermatologist and keynote speaker Brazilian dermatologist Andre Braz, MD.

This last week I  had the pleasure and honor of participating in the 31st annual meeting of the American Academy of Cosmetic Surgery in New Orleans, Louisiana.  This is always my favorite meeting as I get to see my talented cosmetic surgery friends from all over the world.  This is always a great showcase for leaning and teaching.  I presented lectures on facelift, eyelid surgery, injectable fillers, laser resurfacing, otoplasty (corrective ear surgery) and facial implants.  Some of the best known cosmetic surgeons in the world presented at this meeting and I was honored to be a session moderator for the live injection session on facial fillers and neuromodulators.  I shared the podium with some of the best known (and best looking) injectors in the world. Anyone who injects fillers and Botox is familiar with the names above.

Teaching and learning are two of my passions and this was a great meeting in a great city that involved great friends from all over the world.  I sit on the board of directors for the AACS and look forward to a great year and our next meeting in Hollywood, Florida.


Joe Niamtu, III DMD

Cosmetic Facial Surgery

Richmond, Virginia


Genioplasty versus Chin Implant: Why Some Patients Need a Genioplasty

Chin implant surgery is a simple surgical procedure with dramatic results that takes less than an hour and is adjustable and reversible.  For patients with a deficient chin, profile or jawline, chin implant surgery can improve aesthetics and boost confidence.  Not everyone with a recessive chin is a candidate for chin implants and depending on the patient’s anatomy, they may need a genioplasty (surgical advancement of the chin) to properly address the problem.  Unfortunately, I see numerous patients that were treated elsewhere with chin implants and should have had a genioplasty instead.  Performing the wrong operation can produce a very unnatural result, so  accurate diagnosis and treatment is essential.  This video discusses the nuances of this diagnosis and treatment.

For more information about cosmetic facial surgery visit

Joe Niamtu, III DMD

Cosmetic Facial Surgery

Richmond, Virginia

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Garth Brooks is the Nicest Performer in the World.

Last year I had the pleasure to meet and spend some time with Garth Brooks while he was in Richmond to film some promotional commercials for the Commonwealth.

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This guy meets about a million people a year, but that evening he acted like my wife and April and I were friends he knew all his life.  I have met a lot of celebrities over the years and usually it is a handshake and a picture.  Garth was at the reception and he spoke and took pictures with everyone there.  Later in the evening, he came up to April and I and remembered our names from earlier, signed my guitar and asked us about our life.  We chatted for about 15 minutes and the guy was so polite I could not get over it.  We talked about his life, his family, a cosmetic surgeon buddy of mine (Angelo Cuzalina in Tulsa who went to college with Garth) and what he does in his spare time.

Recently, he was doing a concert in Minneapolis and Teresa Shaw held up a sigh “Chemo this morning, Garth tonight. Enjoy the dance” (The Dance is one of Garth’s biggest hit songs).

When Garth saw the sign, he dedicated the song to the lady, but then brought her to the front of the stage and gave her his favorite guitar.  This was amazing and touching.  If you haven’t seen this video, click below and enjoy.  The world needs more Garth’s.


Video of the Performance




Video of Garth and the Teresa Shaw on Entertainment Tonight

Joe Niamtu, III DMD

Cosmetic Facial Surgery

Richmond, Virginia


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The Aesthetic Academy 2014



It is my honor to be among the invited faculty at the Aesthetic Academy in Washington, D.C. in several weeks.  I look forward to sharing the podium with plastic surgery palls Dr. Jorge Perez and Dr. Miles Graivier.  I have been on numerous programs with both of these docs and always enjoy them.  Dr. Phil Werschler is a personal friend and hero is one of the best known cosmetic dermatologists and is serving as the meeting chair.  The other speakers are also well known educators and I am excited to teach and learn with everyone.

Michael Morretti and his staff run the very well known Aesthetic Show each year in Vegas and is one of the best and most fun conferences.  I have lectured there for the past 5 years and look forward to it.  Both of these venues are multispecialty  events so there is a tremendous amount of teaching and learning from some of the best docs both nationally and from abroad.  I look forward to seeing friends from around the country in D.C.

Joe Niamtu, III DMD

Cosmetic Facial Surgery

Richmond, Virginia

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The Tapering Face of Youth

My job, all day, every day, is to discuss face and neck aging with patients.  85% of these patients are female and it is not uncommon to see a 40 year old with very minor aging that is driving them crazy.  This is a natural phenomenon as the worst aging is the first aging; or at least in the eye of the beholder.  I frequently tell these patients that if I could take a video of them today and show it to them in 10 years, they would laugh that they were concerned about this minor aging.  Unfortunately, it just gets worse.  Aging is not a bad thing, in fact it is a privilege denied to many!  Well-adjusted individuals will accept the natural aging process, although no one welcomes it. What I do for a living is to reverse aging with surgical and non-surgical procedures.  The best patients are those that are not trying to look 20 years younger (that is when people look plastic), but rather they want to look as good as they can for their age.  Natural cosmetic surgery should whisper, not scream and my goal is to make patients look more youthful and natural.

One of the big things to realize is how our face and neck ages.  When we are young our face is a tapering oval like a heart or upside down egg.  This is because the youthful fat volume and tight skin in the midface produce roundness and the tight jaw and neck skin produce a tapered and defined chin and jawline.

As we age, we undergo atrophy of the cheek fat and have sagging soft tissues which makes the youthful midface droop.  This causes accumulation of tissue at the jawline (jowls) and we simultaneously undergo gravitational changes and fat accumulation of the chin and neck.  All of the above cause the once tapering oval face to become square.  The Loss of a midface volume and increased tissue of the jawline and neck are what makes look old.


The figures below shows illustrate the shape of the youthful face and an aging face.

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The figure below show an actual patient on whom I performed facelift surgery.  The pictures illustrate the “square” face and jaw line in the before picture and the tapered oval face after the procedure.


I have performed almost 1,000 facelift procedures and it is for these reasons that it remains my favorite surgical procedure.  No other cosmetic surgery procedure carries the physical and emotional impact of a well done facelift.  You can hide mediocre breast, belly and butt surgery, but the face is in the open for everyone to see.

To find out more about cosmetic facial surgery visit


Joe Niamtu, III DMD

Cosmetic Facial Surgery

Richmond, Virginia

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Botox for the Gummy Smile

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Some patients show excessive teeth or gum (gingiva) when they smile.  This is usually from excess downward growth of the upper jaw and is called vertical maxillary excess.  This is classically treated by oral and maxillofacial surgery and orthodontics.  The surgeon shortens the upper jaw so it is in a more natural position and the smile is normalized without tooth and gum excess upon smiling.

Some patients cannot have this surgery for various reasons and request Botox Cosmetic (or Dysport or Xeomin) treatment to weaken the smiling muscles so that the lip does not move upward as much.

The patient shown above was treated with a single treatment of 2 Botox injections above the upper lip.  This weakens the smiling muscles and prevents the lip from elevating as much, which shows less teeth and gum.  This treatment is temporary and last about 3 months.

For more information about cosmetic facial surgery visit


Joe Niamtu, III DMD

Cosmetic Facial Surgery

Richmond, Virginia

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