By Denise Mann

Joe Niamtu III, DMD, hits his professional stride.

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As the largest solo injector of Botox Cosmetic in Virginia, Joe Niamtu III, DMD, often signs his e-mails with a simple โ€œJoetox.โ€

Clearly, Niamtu, an oral and maxillofacial surgeon whose practice is limited to cosmetic facial surgery, has a sense of humor about himself, and tries not to take himself too seriously. He does, however, take his patients, procedures, and professional responsibilities extremely seriously. โ€œI have never done anything at half speed or half commitment,โ€ he says. โ€œI want to be remembered as someone who was really serious about what he did and had fun in life.โ€

Niamtu also takes his role as a teacher seriously, and itโ€™s his academic career that helps him stay fresh and engaged. He takes the Joe show on the road about 20 weekends a year and has spoken on six continents. โ€œI always learn as much as I teach,โ€ he says. Publishing is also a passion. His most recent textbook sold 2,000 copies in the first 2 years of publication and has been translated into Spanish.

It takes a great deal of drive and tunnel vision to juggle a busy practice, academic, teaching, and publishing responsibilities with a challenging, but rewarding family life, yet Niamtu does so seamlessly.

Dr Joe, as his patients call him, doesnโ€™t complain ever. He has hit his professional stride, and could not be happier or feel more fulfilled. โ€œYou never hear me say I am the best,โ€ he says. (Although he has been voted a best or the best by various local and national magazines and peopleโ€™s choice awards time and time again.) โ€œThey say excellence is a journey, not a destination.โ€


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Niamtu has spoken at many meetings.

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Niamtu does not take shortcuts.

 

Joe Cool

He is an active member and fellow of the American Academy of Cosmetic Surgeons (AACS), a group of doctors that tends to get the goat of some other groups of doctors in what many call the โ€œcore wars.โ€ As such, Niamtu has taken some punches, but like everything else, he takes them in stride. โ€œMy retribution is to keep doing better and better. The harder they push, the better I do.โ€

Fellow cosmetic surgeon and past AACS President Angelo Cuzalina, MD, DDS, of Tulsa, Oklahoma, attests to Niamtuโ€™s Rocky attitude.

โ€œHe has had his share of political battles because he is in the spotlight,โ€ he says. โ€œHe keeps a very positive attitude, and is an extremely good friend and an incredible individual who would do anything
for a patient.โ€

Anything? Yes, anything, quite literally. Cuzalina recalls a time when Niamtu performed pro bono surgery on a Romanian man who was shot in the face. Thatโ€™s not all he did, either. Niamtu also let the patient stay at his own home while he got back on his feet. This stay lasted 4 years. โ€œHe has a heart of gold,โ€ Cuzalina says.

So where does he draw the line? Niamtu doesnโ€™t watch TV or play computer games, and when it comes to his role in the AACS, he has no political aspirations.

In fact, Niamtu considers himself more of a worker bee at the AACS.

โ€œI donโ€™t ever want to be president of anything,โ€ he says. โ€œI donโ€™t like politics because it detracts from the stuff that is important to me.โ€ And that is surgery.

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Publishing is another passion

โ€œLike most surgeons, I am not happy if I am not operating,โ€ he says. โ€œMy absolute favorite procedure is facelift surgery.โ€ He performed 82 facelifts in 2012.

โ€œI feel it is the most significant cosmetic procedure,โ€ he says. โ€œYou can hide mediocre breast or abdominal surgery, but in the face there is nowhere to run, nowhere to hide. No other procedure carries the emotional and physical impact of a facelift.โ€

He doesnโ€™t take shortcuts with his facelifts. โ€œI perform platysmaplasty on all patients and SMASectomy,โ€ he says. More than 25% of the facelifts Niamtu performs involve simultaneous chin or cheek implants, and almost one-half receive simultaneous laser resurfacing.

Injectables, however, provide an immediate gratification. โ€œIt is really fun to inject a patient, let them look in the mirror, and see that big smile of looking younger.โ€

Making Lemonade

While jovial and upbeat when discussing work, a different side of this man emerges when he discusses his family and home life.

โ€œIt took me almost a half of a century to find the girl of my dreams, and a year after marriage we had our son, Joey,โ€ he recalls. โ€œI was so excited to teach him how to throw a football, hunt and fish, and unlock the mysteries of life.โ€

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He is very serious about his patients.

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Niamtu and his staff

 

At 3 months of age, however, Joey began to have seizures. He was ultimately diagnosed with severe cerebral palsy. โ€œHe would never walk or talk, would be tube fed and always in diapers,โ€ he says. โ€œThis was a horrible setback in my life and took a lot of readjusting. One of my biggest fears was who will take care of Joey when I am gone?โ€

Niamtu, and his wife, April, both underwent comprehensive genetic testing before having more children. โ€œWe were told that Joeyโ€™s condition was a mutation, and having it happen twice would be like winning the lottery twice,โ€ he says. โ€œA year after this, my second son, Evan, was born and all appeared normal,โ€ he says. โ€œTragically, Evan missed milestones and had the same condition, which remains an undiagnosed genetic abnormality.โ€

Today, Joey is 12 and Evan is 10. โ€œThey are the joys of my life,โ€ he says. โ€œApril and I have had to turn

More articles on Niamtu from PSP

Get to Know Dr Joe

Joseph Niamtu III, DMD, FAACS

A Horse of Many Colors

Facial Reconstruction Using Implants

lemons into lemonade.โ€ The pair decided not to put their sons in an institution, and instead added an addition to their home with three shifts of around-the-clock nursing. The boys sit in normal school class but canโ€™t participate. โ€œWe dress them normally and try to provide them with as normal as a life as possible.โ€

This is the type of stress and tumult that can break even the most solid of unions, but it has made the Niamtusโ€™ marriage stronger. โ€œShe is my lighthouse,โ€ he says of his wife. โ€œI found out how tough and how compassionate my wife is as she deals with this like there is nothing wrong.โ€

As for Niamtu, he lives in the moment and tries not to worry about the future. โ€œEach night after work, I hold them and play guitar, which makes them laugh,โ€ he says. And while he would never complain and ask, โ€œWhy me?โ€ he admits, โ€œIf my boys could walk and talk, I would have a charmed life.โ€ n

 

Denise Mann is the editor of Plastic Surgery Practice. She can be reached at [email protected].