Joe Niamtu III, DMD – Cosmetic Facial Surgery

Jim Kelly: Stay Tough, Get well


For those of you who know me you are aware that one of my best buddies is going through a tough time.  Although to most, Jim Kelly is a Hall of Fame quarterback for many of us he is also “JK”, just one of the Kelly boys.  This is no ordinary family.  Parents Joe and Alice had their own team of tough, Catholic, Irish characters who enjoy and occasional beer (possibly an understatement).  This family grew up in a situation like many of their friends where money came tough but values came easy.  If you know this family, the phrase “Kelly Tough” is an underlying theme.  Sometimes I wonder if they have nerve endings.  When we are on a hunting trip and I am cold, wet and shivering, these guys are running around in short sleeves!  Their toughness permeates all aspects of their work and play and of course Jim’s toughness on the field is legendary.

Jim was diagnosed with oral cancer over a year ago and had a pretty debilitating surgical procedure, losing a good part of his upper jaw inside his mouth.  Just when it seemed that things were good, he began experiencing severe pain in his face.  Although this level of facial pain would have crippled the average person, Jim kept on with his speaking engagements, hunting and family life.  We communicated a lot about his pain level and my 30 year experience with facial surgery told me that it was truly unbearable and unusual.  As it turned out, this pain was a sign of recurrence of his cancer.  Trigeminal nerve pain has been described as one of the most severe pains known to man and this guy was walking around with it for months; an example of “Kelly Tough”.  Pat Kelly (Jim’s older brother) describes Jim as being “as tough as a Waffle House steak”, and he is correct.


Brothers Danny, Pat and Jim showing off their puzzle skills ( they are a lot better than me ).

I had the chance to spend the weekend with Jim and his family at the hospital in New York City.  I feared that I would find a debilitated and depressed patient but what I found was the usual “JK” as upbeat as possible and looking tired, but not sick.  In the first 2 seconds I saw him, a relief came over my body; Jim is making the best of it as usual.  Even if Jim was not an NFL quarterback, he would still be the “commander” with his friends.  He would be barking out commands keeping things straight while not asking anyone to do something that he would not do.  I guess this is just a facet of being a leader and to his friends he has always been a leader.  It did not matter if you were cooking on the grill, having a party, or stalking Elk with the bow and arrow, JK would be controlling the reins.

As with many of my friends, I have always admired Jim, and we have shared some heartache.  Not long after Jim and Jill’s son Hunter was born with a rare and fatal genetic syndrome, my wife April and I had not one but two sons born with severe disabilities.  Only families that have gone through this can even begin to understand the heartache associated with sick children.  Scores of emergency room visits, weeks of hospitalizations, numerous operations and a future of total uncertainty just scratch the surface of this situation.  I have to say that I was beyond devastated having this happen to me twice with 2 sons.  When I would fall into the “oh woe is me, life is so hard”, Jim would reel me back into reality and remind me that “this happens, be tough, deal with it.  You did not cause it but it is life and you have to be strong for you, April and Joey and Evan.”  Jim showed me by example how to handle this situation with dignity, resolve and toughness and I have called on this many times when the going gets rough.  I am counting on my pal JK to show me the same example with his current situation and I know he will.

Family is everything and Jim is wealthy in that respect.  His wife Jill has always been a light house in the storm and gets that from her mom Jacque.  Jim’s daughters Erin and Cameron are his everything and currently the first line of defense in keeping him strong.  This is an extremely religious family and they live by the power of prayer.  When people ask the family “is there anything we can do” the answer is simple, they will answer you by saying “please Pray for JK” and have established this link for that purpose.



 Prayers for JK video

Jim’s former team mate and Hall of Fame peer Bruce Smith was also at the bedside all weekend and specifically told the doctor “you have to fix this guy because we love him”.  Usually when Bruce Smith (all-time NFL sack record) speaks, people listen, so I know the doc got the message.  I arrived in NYC late enough to miss our mutual friend and Hall of Famer Thurman Thomas who introduced Jim into the fine art of jigsaw puzzles.  I left at 7:30 Saturday PM, and unfortunately was a bit too early to see a surprise visit by another Hall of Famer and close JK friend Dan Marino who showed up with a giant box of Joe’s Crab Legs.  With the Kelly’s Pat, Ed, Danny and Ray in the room, I get the feeling they did not last long.


Jim, Joe and Bruce share some laughs and compassion at the hospital.

Jim’s medical team is being headed by the very talented Peter, Costatino, MD who is a surgical hall of famer in his own right.  The surgical plan has changed and Jim will soon undergo chemotherapy and radiation treatments.  He will need everyone’s support as there will be some rough water to navigate, but he is in a great place.  He has his family and thousands of friends, fans and supporters who are thinking and praying for him.

“Stay Kelly Tough Jim, flex your muscles and look it in the face.  You can win this”, that is what you would tell me.

Joe Niamtu,III DMD

Cosmetic  Facial Surgery

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Google Glass: Awesome Technology or is the Cart before the Horse


Somehow I received the opportunity to be an “Explorer” for Google Glass At first I was hesitant as I thought it was some scam, but after verifying with Google, I placed my order (yep, even Explorers have to shell out $1,500).  Several days later a box from Google was on my doorstep!   Being a techie, a surgeon and an educator, I was very excited to receive my Glasses.

The packaging (like the iPhone) is very trendy and intuitive and customized for the product.  Like most really high tech devices, if you need an instruction book you should not be purchasing the device, so the package was pretty much sans directionies.

The glasses have a built in speaker that is pretty tinny sounding but comes with a mono earbud for privacy.  Stereo ear buds are also available.  Other accessories include sunglass lenses (one set comes with the device for free) and a wide array of conventional and hipster eyeglass frames so you can wear your own prescription.  There is also a charger that comes with the glasses in a nifty flannel drawstring bag.  Not sure if the frame and nose pieces are titanium but they are very bendable and retain their shape.

The set up was pretty easy, a little online activation and an app download for iPhone or Android and iPad.  The online portal for Google Glass is Google Plus.  You don’t need any of the apps for the basic functions such as going online taking pictures and videos.  You do need the phone app for using the GPS and navigation options.

Let me now put forth a disclaimer that I am pretty sure that the following descriptions are accurate but won’t bet my life on it as some of my musings may be operator error or ignorance.

So, you put on these incredibly cool looking cyberglasses and you see a tiny monitor over your right eye.  The monitor is adjustable so that with both eyes open it looks like it is in the middle of your visual field.  How big does the display look?  Google says it is the same perspective as standing 8 feet away from 25 inch monitor.  Actually, it looks pretty big.  It is also reminiscent of what the Terminator saw when Arnold looked from his eye in the movie.  Young eyes should have no problem reading the “monitor” in front of their nose, but for those with corrective lenses or reading glasses it may take some experimenting.  The monitor sits above your line of vision, so you are not “looking through it”, but rather glancing up at it. Full eyeglass frames are available for the Glass frames and if you desire, you can fit your prescription or reading glasses under the Google Glass, but doing this is pretty cumbersome.  To wake up the monitor, you tilt your head up 30 degrees and it lights up.  The opening screen has the time of day in big numbers and as simple as it seems, it is actually pretty useful as you don’t have to look anywhere for the time.  Between cell phones and Goggle Glass, wrist watches may become obsolete.  There are various setup modes such as wink recognition that allows you to take a picture simply by winking you eye.  So, in the first 5 minutes of putting them on, I was taking pictures and videos and walking around the house saying “OK Glass”.  This is the prime command when the monitor becomes active and then allows you to make various choices.  Similar to the “enter” button on your keyboard.  Since walking around all day saying “OK Glass” is impractical and irritating to all those around you, the right temple of the glasses functions as a touchpad.  You can make choices and navigate menus by simply tapping or swiping back and forth or up and down on the frame.  Very stealthy!

OK, now you have this wonderful new toy, but what can you do with it?  It functions flawlessly as a wireless headset to answer phone calls, but you can do that with a $20 Bluetooth earbud.   Some of the menu choices include “listen to music” and “send email”.  Exciting………………until you discover that you cannot listen the music that is already on your phone or computer, but rather have to buy new music from Google Music!!!!!  Crushed me.  I don’t listen to music that much on my phone, but like to do it at the gym before work.  This will be a deal breaker for Google Glass if their final release does not change.  No one is going to buy 2 sets of songs.  The other bummer was the fact that you can’t access your contacts on your phone if you want to send a picture, video or other data.  You have to go to Google Plus and enter up to 10 favorite contacts.  That also sucks as who needs 2 address books?  It is obvious that Google wants to rule the Glass world and forces you through their portal, but this is sort of like saying that the iPhone will only call other iPhones.  I can’t see any way that this device will prosper without a more ecumenical arrangement. The type of people that will use such a device is not keen on monopolies.  With the contacts you enter, it is easy to take pictures and videos to your contacts without using your hands.  This will be important for future uses.

So what can it do?  Remember, this is basically an extension of your cell phone; think of it as if your phone is dangling in front of your nose.  The glasses need an internet connection or a mobile hot spot on your phone in order to do anything other than take photos or video.  The GPS function “OK Glass, get directions to” is easy to use but you have to have a mobile hotspot active on your phone and access via Bluetooth.  So, the GPS and navigation that your phone is displaying is also shown on your Glass monitor.  The monitor sits above your sight of vision, so you basically glance upward to view it.  This actually makes it safer to drive with this device than glancing over at the dashboard to see the GPS.  It is literally sitting right under your nose.  I made a pretty cool video from my 1967 XKE Jaguar going through the gears on a curvy road and never had to take my hands of the wheel.  The video below is lower resolution due to the Youtube conversion, and is more impressive at the true hi def playback.

There are available apps called Glassware and I have not explored all of them.  I am not a gamer, but there is an app for various games like Tennis and Clay Shoot.  You move your head to hit targets, etc.  If you ever watched Maverick (Tom Crews) in Top Gun lining up the enemy in his lens, you get the idea.  The experience is similar to using an Xbox but hands free.   If you are a golfer there is a GPS app that shows pin distances.  There are CNN apps that give breaking news, recipe apps, fitness apps, Jewish prayer apps, as well as New York Times, weather, Twitter, YouTube and Gmail apps.  There are a bunch I just have not had time to look at yet. There is a translation app that looks pretty useful and through a Google interface translates your voice.  Stating the name of an airline and flight number brings up a screen detailing flight information.  Also, when you Google an item, you have the option to have the print read by computer voice.  This is very handy when you find it difficult tread the tiny screen.

This device will function much like a Go Pro wearable action camera, but is smaller and lighter, but also not waterproof, etc.  The possibilities are limitless of such compact wearable video.  It is my understanding that some Glass wearers have been accosted in bars for wearing their technology.  Invasion of privacy, get ready be mainstream.

Of course, when I got to work, the first thing I wanted to do was to record some cosmetic facial surgery.  Being a lifetime teacher and student, recording surgery is advantageous for learning, teaching and patient education.  The video (and pictures) are 720p HD and respectable.  Again, the camera lens is not necessarily looking where the wearer is looking, so this takes some adjustment (before you pick up the scalpel J).  The default video is only 10 seconds, but by a simple button push, you can record as long as the batteries last.  I recorded (with patient permission) some cosmetic eyelid surgery, laser surgery and part of a facelift.


If I wanted to and the patient consented, I could share this video, in real time, with the patient or students via Google Hangout which is part of Google Plus or download to my computer or devices.  I see huge and exciting possibilities for telemedicine and surgery with such a device that may be game changing and lifesaving.  It could guide surgeons through anatomy or document and diagnose lesions.  With the live view via Google Hangout, your friends, patients, students, etc. can watch you ski, skydive, operate or travel in real time.  This will open up some interesting possibilities, good and bad.  I will use these for the fall archery season.

One thing that comes to mind is that this is an expensive toy that is waiting for an application.  I remember people saying the same thing about the iPad.  They were saying “Great technology, now what will you use it for”.  Eat those words baby, the iPad has been phenomenal.  I think the same thing will happen with Google Glass.  Although there are a number of Glass Apps, there are third party apps starting to spring up and like the iPhone, I am sure this will replicate exponentially in the near future.

The real advance and advantage of this device is that you wear it and go about your life. It is like being able to use all the functions of your cell phone hands free.  I am sure that like the old brick cell phones, this technology will probably fit into a contact lens in a decade.  This is intuitive technology and I truly feel that this framework will permeate our daily lives in innumerable ways.  Our future phone won’t be a phone at all, but probably something wearable and with smart vision technology.  Having 2 severely handicapped children that can’t walk or talk, I also wonder how this may assist people with disabilities.  Since you can already take a picture with a wink, you can and will probably be able to initiate commands and communications on a simple device like this.  This technology is available now, but not on such a small platform.

Joe Niamtu, III DMD

Cosmetic Facial Surgery

Richmond, Virginia

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Neotensil: The new breakthrough in noninvasive eyelid rejuvenation

As one of the first offices in the country to get the early release of Neotensil we are happy to introduce this new and exciting technology to Richmond.  Remember when you were a kid and put glue or rubber cement on your skin and it tightened up?  Well, this is a much more advanced technology but involves applying an invisible liquid film to the lower eyelid skin.  Within an hour, the film tightens up and truly reduces the appearance of wrinkles and bags.  This is not some drugstore or TV hype cream, but a breakthrough technology from my friend Dr. Rox Anderson at Harvard University.  It is not magic as it is temporary and lasts up to 16 hours.  The price for the product factors out at $10 per day and does not have to be used daily.  Some patients will only use it for social engagements, etc.

Cosmetic eyelid surgery (blepharoplasty) is one of my favorite procedures and Neotensil will not replace lower lid surgery, but rather is a therapy for those who are not ready for surgery or for some reason are not surgical candidates.


Living Proof® Neotensil™ daily under-eye  reshaping procedure is the only noninvasive solution that reduces the appearance of under-eye bags, within an hour.1,*  Brought to you exclusively by Obagi Medical Products.


Powered by patented Strateris® technology, Neotensil dramatically reduces the appearance of under-eye bags and wrinkles with a cross-linked, invisible film.1,2,*,†

Neotensil is the first at-home, noninvasive solution that:

  • Visibly compresses and supports the under-eye area
  • Offers incredible lower-lid aesthetic benefits that last 16 hours3,‡
  • Provides superior barrier protection and 24-hour hydration1,4,*,§

The comprehensive system includes everything needed to address eye-area concerns:

  • Skin Prep Towelettes to cleanse the under-eye area in preparation for application
  • Reshaping Tool to ensure smooth, consistent layers of the products for best results
  • Reshaping Base and Activating Layer, which work together to form the cross-linked, supportive, invisible film
  • Remover and Remover Pads to gently and efficiently remove Neotensil

The Neotensil Under-Eye Coverage SPF 15 and Brush set will be available in April as a separate purchase for patients who prefer extra coverage.


*Study results for once-daily application of Neotensil in a 2-week pilot study; N=25.

†Study results for one application of Neotensil in a multi-site pre-commercialization study; N=96.

‡Study results for one application of Neotensil in a 16-hour durability study; N=28.

§Study results for one application of Neotensil in a 24-hour skin barrier function study; N=22.

References: 1. Kauvar A, Kilmer S, Ross EV, et al. A pilot study of a novel non-invasive topical under-eye contouring technology. Poster presented at: 71st Annual Meeting of the American Academy of Dermatology; March 1–5, 2013; Miami, FL. 2. Day D, Dayan S, Draelos Z, Farris P, Jones D, Investigators. Neotensil™ precommercialization study. Living Proof study protocols SPP-001 and SPP-002. Data on file, Living Proof, Inc. 3. Draelos ZD, Investigator. Strateris 16-hour durability study, DCS-105-13. Data on file, Living Proof, Inc. 4. Grove GL, Principal Investigator. Research report S13-05: barrier function of Strateris™ on dry skin. Data on file, Living Proof, Inc.

Neotensil, Strateris, and Living Proof are trademarks of Living Proof, Inc. used under license.

Except as otherwise indicated, all other product names, slogans and other marks are trademarks of the Valeant family of companies. Distributed by OMP, Inc.

©2014 Obagi Medical Products, Inc., a division of Valeant Pharmaceuticals North America LLC. 03/14


Joe Niamtu, III DMD

Cosmetic Facial Surgery

Richmond, Virginia

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“Selfies” and Cosemtic Facial Surgery




I guess Narcissus was the first example of a “selfie”Narcissus
and over the past year I have seen a lot of pretty silly correlations between people taking “selfies” (self-photographs with cell phones) and cosmetic facial surgery.  I even heard of one surgeon who supposedly has a special facelift just for that.  Even for someone like myself who makes a living doing cosmetic surgery that sounds extraordinarily frivolous.  Cosmetic surgery is vanity surgery and there is nothing wrong with someone wanting to look better or younger for the right reasons, but do selifes really drive a rise in these procedures?

The answers is probably, however this phenom is not new to younger generations.  I have been doing facial surgery for 30 years and long before the digital age, people would comment about how a picture underscored their need for surgery.  All of us have seen great pictures of ourselves (probably our facebook pic) and bad pictures of ourselves (probably destroyed).  Appearance in pictures has always been a reason for someone to consider cosmetic surgery and it has remained common for my three decades to hear someone say “I did not know my neck looked so bad” or chin, or eyelids, etc.

One interesting thing is that most of us only see ourselves from the front and hence, it is fun to sit and observe people watching themselves in clothing store triple mirrors.  They rarely see that person, i.e. their other two views.  When we see a picture of ourselves in a group, my bet would be that the average person looks at themselves first then moves on.  We are vain creatures, and that is healthy to a certain extent.  Body Dysmorphic Disorder is a condition where people are obsessed with minor flaws or even no flaws at all.  They think that have some terrible attribute that the rest of the world sneers at and ridicules.  It is a very sad disorder as I have seen a lot of really nice and talented people with BDD and it can be crippling.  I discuss cosmetic facial surgery with people all over the this country and the world on a daily basis and it is astounding how many people in their early 20’s are wanting to have cosmetic procedures done.  If you look at some of the cosmetic surgery bulletin boards you will see a common question from people in their early 20’s posting a picture and asking “what do I need?”

Back to selfies.  There are numerous things that can make us look old and tired when doing selfies. Examples include lighting, camera angle and distance.  If you hold your phone far enough away, level with you face in bright daylight, you will look a lot better. You will look worse by holding the phone from below and looking down which causes a double chin on almost anyone.  Overhead or low lighting makes eyelid bags and wrinkles look worse as shadowing enhances detail. Finally, distance is important because with many fixed lens devices, when the lens is clolse to the subject, a fisheye effect occurs which can make a normal nose look like a clown nose.  So, if you want to look better in a selfie, use good light, hold your head up and keep the camera back as far as you can.

We tend to see our own faults magnified from our own view.  You belly may not protrude out as much as it looks to you when you look down.  Same for breasts and same for all anatomy seen daily by the owner.  Actually, I think that sometimes viewing a video of ourselves taken by someone else would make us feel better.  I think that this would be a good therapy for someone who has an eating disorder and thinks they are fat.  If they saw dynamic video of themselves from multiple views, it may improve their body image.  Same thing with someone who thinks everyone is staring at their chin, etc.

When I was young they used to talk about “wrist radios” where you could talk to someone and see them.  Now we have Skype, Facetime, Selfies, Webcams and a multitude of similar devices on which we can view our own image.  Further study of this would be a great PhD thesis.


Joe Niamtu, III DMD

Cosmetic Facial Surgery

Richmond, Virginia

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The Tennessee Society for Laser Medicine and Surgery Meeting (AKA Music City Scale Meeting)

The Tennessee Society for Laser Medicine and Surgery Meeting (AKA Music City Scale Meeting)

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From left to right Dr. Biesman (cut in half) Dr. Michael Gold, Dr. Joe Niamtu, III, Dr. Doris Day, Dr. Rox Anderson, Dr. Darrell Ellis in a Q & A session

I usually lecture at national and international meetings 12-15 times a year and it is always a great experience to meet new docs and share the podium with so many national experts in cosmetic surgery.  Last weekend I had the honor to speak in Nashville at the Tennessee Society for Laser Medicine and Surgery Meeting which is an annual event hosted by well-known dermatologist Michael Gold and oculoplastic surgeon Dr. Brian Biesman.  The guys really know how to plan a meeting and throw a party.  Several hundred dermatologists, plastic surgeons, facial plastic surgeons, ophthalmologists and other specialists gathered in Nashville for this faced paced meeting that covered cosmetic surgery from head to toe.  I always enjoy lecturing with my  two good dermatology friends Jeanine Downie, M.D. and Doris Day, M.D.. If these names sound familiar it is because they are frequently on The View, The Today Show, and Dr. Oz.

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Left to right Dr. Rox Anderson, Dr. Joe Niamtu, Dr. Richard Fitzpatrick

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Left to right, Dr. Jeanine Downie, Dr. Joe Niamtu, III, Dr. Barry DiBernardo, Dr. Doris Day,

Besides Drs. Gold and Biesman, some of my other hero docs made the meeting special.  Rox Anderson, M.D. from Harvard pretty much rules the laser world and has more hobbies than 10 people.  Richard Fitzpartick, M.D. is also legend in dermatology and cosmetic surgery and is a great guy to be around.  Barry DiBernardo, M.D. is a very talented plastic surgeon and teacher and added a lot to the topics.

My wife April and I went to the Grand Ole Opry on Friday and it was amazing.  It is actually a live radio show, which most people are unaware.  Had some time to buzz through the country music honky tonks on Broadway which is like Bourbon Street in New Orleans, but for cowboys.

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Dr. Gold, Biesman and Niamtu discuss cosmetic practice marketing on the final day of the course.

The final night Dr. Gold hosted a party at his home.  He leaves down the street from Keith Urban……nuff said!  Awesome home, great wife Cindee (the hostess) and fab party.

For any cosmetic docs reading this blog, if you want a great experience, don’t miss this meeting next February.


Joe Niamtu, III DMD

Cosmetic Facial Surgery

Richmond, Virginia

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Seborrheic Keratosis: old age spots

I see many skin lesions and remove thousands of benign lesions every year with radiowave surgery.


                                 This patient is shown before and 30 days after radiowave removal of several keratoses using radiowave surgery.

A seborrheic keratosis is a noncancerous benign skin growth also called “senile keratosis”.  Seborrheic keratoses are seen more often as people age. In fact, they are sometimes humorously referred to as the “barnacles”. 

These lesions appear in various colors, from light tan to black. They are round or oval, feel flat or slightly elevated (like the scab from a healing wound), and range in size from very small to more than 2.5 centimetres (1 in) across. They can resemble warts or melanoma skin  cancer though  though they are benign and unrelated to melanoma. Since only the top layers of the epidermis  are involved, seborrheic keratoses are often described as having a “pasted on” or stuck on” appearance.

Presence and frequency increase with age: almost all elderly patients have some. An Australian study found 100% of the over-50-year-olds in their sample had at least one seborrhoeic keratosis (median number of 23 keratoses in the 51-75 year range, and 69 keratoses in the over-75-year-olds). Onset is usually in middle age, although they are a common finding in younger patients—found in 12% of 15-year-olds to 25-year-olds—making the term “senile keratosis” a misnomer. No difference in prevalence exists between the sexes. There is less prevalence in people with darker skin.

With radiowave surgery, the lesion is melted away and no stitches are required.  This type of removal produces excellent scars.  To view before and after pictures of radiowave mole and lesion visit my mole page and click on the Mona Lisa icon.

We biopsy suspicious lesions to rule out malignancy and encourage all patients seeing their dermatologist once a year for a total body mole check.

To find out more about face and neck mole removal or cosmetic facial surgery visit

Joe Niamtu, III DMD

Cosmetic Facial Surgery

Richmond, Virginia


Dr. Niamtu Invited Speaker at Nashville Music City Cosmetic Surgery Course





music city

It is my honor to be a featured speaker at the Music City Scale Symposium for cosmetic surgery and laser education.  Although I will be speaking at 15 various meetings here and abroad during 2014, few (if any) have any more renowned faculty than this meeting.  Doctors from the USA and abroad will meet in Nashville (actually my first time there) to learn from the experts.  These are some of the best known plastic surgeons and dermatologists in the world and have set the bar for safe and effective laser treatment.  Again I am flattered to be on the same panel as these experts.  Any cosmetic doctor or surgeon looking to learn the latest advances in cosmetic and laser surgery should take note of this excellent meeting hosted by Dr. Michael Gold and Dr. Brian Biesman in the center of country music.


Joe Niamtu, III

Cosmetic Facial Surgery

Richmond, Virginia

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The Niamtu Cosmetic Facial Surgery Course

Our biannual comprehensive cosmetic facial surgery course will be held once again at our education and surgery center facility in Richmond, Virginia.  This course is open to doctors of all specialties that have an interest in cosmetic facial surgery as well as Botox and injectable fillers. We already have 3/4 of the available spaces filled and are proud to have 7 international surgeons already registered.

We look forward to seeing interested doctors on March 21-22, 2014.

2 day


For more information about cosmetic facial surgery by Joe Niamtu, III DMD visit

5 minute Cheeks

Juvederm voluma is the new and only FDA approved filler specifically for cheek and midface rejuvenation.  Allergan, the maker of Voluma states that results can last up to two years.  This 5 minute treatment has become very popular in our office.

For more information about fillers or cosmetic facial by Dr. Joe Niamtu, III in Richmond, Virginia visit

Lip Implants are Still an Option

Lip implants have come in and out of popularity about every 10 years.  The have been great in some patients and not so good in others.  Over the past 20 years I have seen Gore-Tex, a saline filled implant and the more recent soft silicone implants.  The reason that lip implants were in demand in the past is the fact that the old fillers like Zyplast simply did not last.  With the advent of newer hyaluronic acid fillers such as Juvederm, Restylane and Belotero, the inject effects can now last up to a year and this has largely replaced the requests for lip implants.

There remains a group of patients that does not want injectable fillers in the lips for various reasons including fear of  needles and having to continually repeat the injections, which don’t last long enough for some patients.  For these patients, silicone lip implants are an option.  I have published numerous articles and textbook chapters on lip implants. The article below reported 80 implants that I placed.


Niamtu, J

Advanta ePTFE Facial Implants in Cosmetic Facial Surgery

J Oral Maxillofac Surg 64:543-549, 2006

The patient pictured below had lip implants placed in the upper and lower lips.


Untitled - 11 lab

The positive aspects of lip implants are that it is a 10 minute procedure and is easily reversible.  The negative aspects include the fact that you can feel them (which most patients don’t mind) and is some cases they can shift.  The newer implants by SurgiSil are called Perma Lip implants and they are the best I have found to date.  They are very soft and stretchy and tapered to fit the lip.  This is not a procedure for every patient as contemporary fillers are more in demand but for patients that insist on lip implants, the Perma Lip is a viable option.

For more information about lip implants or cosmetic facial surgery by Dr. Joe Niamtu visit

Joe Niamtu, III DMD

Cosmetic Facial Surgery

Richmond, Virginia

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