Joe Niamtu III, DMD – Cosmetic Facial Surgery

Kylie Jenner Lip Challenge: Fail!!

About a year ago, the Web began to buzz with something called the Ice Bucket Challenge for ALS and it was an extremely positive, noteworthy and effective promotion to benefit ALS research.  Today there is a new challenge, the Kylie Jenner Lip Challenge.  This involves people placing a shot glass or other vessel (a baby bottle will do) and creating a vacuum for 5 minutes.  This is actually not a new thing and has been a party trick as long as there have been people, alcohol and shot glasses.



The lips are sucked into a shot glass or similar bottle to produce swelling.


The mechanism of action is that the high vacuum causes blood and cellular fluid to be pulled to the surface by the negative pressure.  The lips are very rich in blood vessels (this is why they are red) and the vessels engorge, leak and along with other fluid swell to giant proportions.  The negative pressure phenomenon can also pull enough blood out of the vessels and tissues to create immediate or delayed bruising.  This is the exact same process that produces a “hickey”.


Unfortunately, many young people actually think that this is how Kylie enhances her lips.  Although I don’t know her and have not treated her, I can promise you that this is not an effective or safe treatment.  In most cases the lips probably swell, bruise and then heal with the person saying “I won’t try that again”.  This IS NOT A SAFE Thing to do! By placing the extreme vacuum on the lips they become engorged with blood and fluid and severe bruising can occur.  When severe bruising happens, some of the pigment in the blood (hemosiderin) can stay in the tissues long after the swelling resides and cause long lasting or permanent pigmentation problems.  The lips are very fragile structures and the extreme swelling could also cause lacerations, tissue death and loss (necrosis) and scar tissue.  In short, there are not positive cosmetic effects of this fad and it could easily have a negative effects.


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The above images show bruising, severe swelling and lacerations from people trying the lip challenge.

Young females must also realize that although Kylie Jenner may have beautiful lips, they may or may not be natural.  I spend much of my professional life injecting filler into female lips and this is a safe and easy procedure that Kylie may also embrace.  Also, makeup and Photoshop can do things that are not reproducible on the average person.


Kylie has nice lips, but a lot of effort is probably achieved with makeup and possible filler injections.

Voluptuous lips will always be in style.  Lip injection by trained doctors with safe and effective products such as Restylane, Juvederm, and Belotero very safe treatments with natural results.  An additional advantage is these products can be reversed if the patient does not like the result.

For more information on safe lip enhancement click here

For more information about Dr. Joe Niamtu, III in Richmond, Virginia visit

Kylie llips


Just say no!

Joe Niamtu, III DMD

Cosmetic Facial Surgery

Richmond, Virginia


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Fake Botox, FauxTox and Bogus Botox



There has been a lot of media attention recently about bogus Botox that has appeared in the United States. First of all, if you use a competent and honest doctor that only purchases their Botox from Allergan, then you have nothing to worry about. If you got your Botox treatment from a doctor in the United States who purchases Botox out of the country or from a distributor other than Allergan then you need to simply ask them to provide you the lot number of the vial from which you were injected. If your provider cannot answer this question then it raises serious questions. Fake Botox is nothing new and has shown up in this country and around the world for years.

Like Rolex watches and Louis Vuitton purses, Botox has and will be counterfeited. Counterfeit Botox can have several effects. If it is just water or watered down Botox, then either nothing will happen or a below average result will occur. If it is a preparation that has too much toxin than it can produce sickness or death. True, legal, authorized Botox is only available through Allergan or its official designates and they spend millions of dollars not only insuring a safe product and exacting dosage but also on validating legitimacy.

The biggest give away about the current fake product is (as mentioned) the absence of a Lot Number. All legitimate Botox has a lot number on the box and bottle (above figure). In addition the sealed Botox box has a double hologram protective seal. The actual bottle has a hologram on the label as well as a bar code and probably other secret identifiers. The fakes can be extremely accurate, but like counterfeit money, can be identified relatively easy. If you have or will have Botox injections, it is a totally fair question to ask your provider where they obtain their Botox and to see the lot number you will be receiving. Neurotoxins are very safe when regulated but can be deadly without control. It is illegal for any doctor to import drugs from outside the USA and many physicians have been investigated and or penalized by state medical boards for such activity.

Trying to save money is one thing, gambling with an illegitimate controlled substance with a potential to cause harm is an entirely different. I am proud to be a Diamond Level provider of Botox which puts me in the top 3% of all injectors in the USA and all my patients can rest assured that what they get at my office is one and only Allergan authorized Botox.

Joe Niamtu, III DMD

Cosmetic Facial Surgery

Richmond, Virginia

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Botox and Filler Awards

We have once again this achieved Diamond status with Allergan for the sixth year in a row and I am happy to say that once again this year we continue to be in the top 3% of all Botox injectors in the United States.    This continues to makes us the largest solo injector of Botox Cosmetic  in the state of Virginia.  We take this designation seriously and continue our commitment to painless and effective Botox treatments.


Dr. Niamtu has been awarded Diamond status award for Botox and is in the top 3% of injectors in the USA.

I am  honored to have been one of the  faculty involved in the Voluma XC launch which has turned out to be the single largest product launch in aesthetics history.  During this product launch Dr. Niamtu trained other doctors on the use Voluma in hands on and lecture demonstrations.   Juvederm Voluma XC is the only FDA  approved product to correct age related volume loss in the midface in adults over 21.

voluma launch 4-15



For more information about cosmetic facial surgery visit


Joe Niamtu, III DMD

Cosmetic Facial Surgery

Richmond, Virginia


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March 16th was National Lip Appreciation Day!

If you don’t believe me Google it.  If you don’t appreciate your lips, come and see us….we can help.

lip appreciation day


Dr. Joe Niamtu, III DMD

Cosmetic Facial Surgery

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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”


  1. Enter your email address and follow directions


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