Dr. Walter Zamarian Jr.

Brazil has a long tradition in plastic surgery, including the influence of Professor Ivo Pitanguy. Board certification by the SBCP (Sociedade Brasileira de Cirurgia Plástica) requires post-graduate surgical training with dedicated plastic surgery residency. Dr. Zamarian is a Titular Member of the SBCP and also a member of the American Society of Plastic Surgeons (ASPS). International patients should evaluate credentials, hospital setting, anesthesia, recovery logistics and follow-up before planning surgery abroad.

The Deep Plane facelift is the most advanced facelift technique available today. Unlike traditional facelifts that only tighten the skin or the superficial SMAS layer, the Deep Plane technique goes beneath the SMAS to release and reposition the deeper facial structures, including the ligaments that cause jowling and nasolabial folds. This produces results that look natural (not "pulled" or "windswept"), last significantly longer (10 to 15 years), and require less tension on the skin, which means better healing and less visible scars. Dr. Zamarian learned this technique directly from Dr. Tim Marten and Dr. Mike Nayak, two of the foremost Deep Plane facelift specialists in the United States.

Most patients can return to light social activities within 2 to 3 weeks after a Deep Plane facelift. Significant swelling and bruising typically subside within the first 10 to 14 days. Dr. Zamarian's technique using the Auersvald hemostatic mesh eliminates the need for surgical drains, which contributes to a more comfortable recovery. Most patients travel home within 7 to 10 days after surgery. Final results continue to refine over 3 to 6 months as residual swelling resolves.

Yes. Dr. Zamarian performs Structured Rhinoplasty using an open approach that addresses both the aesthetic appearance and functional aspects of the nose. This means he can correct a deviated septum, improve breathing obstruction, and reshape the nose for better facial harmony — all in the same procedure. His technique preserves and strengthens the nasal structure rather than simply removing cartilage, which produces more stable long-term results and avoids the "operated" look. He trained with Dr. Dean Toriumi (Chicago) and Dr. Ali Sajjadian (Newport Beach), who are internationally recognized authorities in rhinoplasty.

The Wedge technique is a specialized method for labiaplasty (ninfoplastia) that removes a V-shaped wedge of tissue from the labia minora rather than trimming along the edge. The key advantage is that it preserves the natural border, original coloration, and full sensitivity of the labia, producing the most natural-looking results possible. Dr. Zamarian learned this technique directly from Dr. Gary Alter in Los Angeles, one of the world's foremost authorities on genital aesthetic surgery. The procedure takes approximately 1 to 2 hours and most patients return to normal activities within 1 to 2 weeks.

Yes. Londrina is a modern, safe city of approximately 600,000 people in southern Brazil (Paraná state), with excellent healthcare infrastructure. The city has a modern airport (LDB) with daily connections to São Paulo and other major cities. Dr. Zamarian's clinic is fully equipped and meets all safety standards required by Brazilian regulatory bodies. His team is experienced in assisting international patients with logistics, including airport transfers, hotel recommendations, and post-operative follow-up. His complication rate is below 3%, which is well below international benchmarks.

Yes. Dr. Zamarian offers online video consultations for patients who live outside Londrina or outside Brazil. During the virtual consultation (approximately 40 minutes), he evaluates your concerns, discusses your goals, explains the recommended procedures, and answers all your questions. He can also review photos you provide in advance. This allows international patients to plan their trip to Brazil with confidence, knowing exactly what to expect. Virtual consultations can be scheduled through WhatsApp at +55 43 99192-2221.

A first-time consultation with Dr. Zamarian costs R$ 800 (approximately USD 160), whether in-person or online. Follow-up consultations cost R$ 400 (approximately USD 80). The consultation lasts approximately 40 minutes. During this time, Dr. Zamarian conducts a thorough evaluation, discusses your goals and expectations, explains the recommended procedures in detail, and provides a personalized surgical plan. Surgery fees are discussed during the consultation and vary depending on the procedures selected.

Yes. Dr. Zamarian frequently combines procedures in a single surgical session when it is safe and beneficial for the patient. Common combinations include Deep Plane Facelift with Blepharoplasty, Rhinoplasty with Mentoplasty (chin surgery) for optimal facial harmony, and Blepharoplasty with Brow Lift. Combining procedures reduces total recovery time compared to having separate surgeries and can also offer cost advantages. During your consultation, Dr. Zamarian will recommend the best combination based on your individual goals and health status.

Results from a Deep Plane facelift typically last 10 to 15 years, which is significantly longer than traditional facelift techniques (which typically last 5 to 7 years). This is because the Deep Plane technique repositions the deeper facial structures rather than simply tightening the skin, creating a more stable and durable result. Additionally, Dr. Zamarian's use of nanofat rich in ADSCs (adipose-derived stem cells) helps regenerate and improve skin quality over time. While the aging process continues naturally, patients who undergo a Deep Plane facelift consistently look 10 to 15 years younger than their peers for many years after surgery.