Facial Plastic Surgery in Londrina

The Importance of the Face in Your Self-Image

Your face is the first element that people notice when they meet you. It is through the face that you express emotions, convey confidence, and build connections. Therefore, when the reflection in the mirror does not correspond to how you feel inside, it can significantly affect your self-esteem and quality of life.

Facial ageing is a natural and multifactorial process. As the years go by, the skin loses collagen and elastin, the deep tissues of the face descend due to gravity, expression lines appear, and facial fat redistributes unfavourably. Factors such as sun exposure, smoking, stress, and genetics can accelerate this process.

The good news is that modern facial plastic surgery offers safe and effective solutions to restore the harmony and youthfulness of the face. At my clinic in Londrina, Brazil, I use advanced techniques learnt at the renowned Ivo Pitanguy Institute and perfected with the best surgeons in the United States, to provide natural results that respect the individuality of each patient. International patients choosing medical tourism in Brazil benefit from world-class expertise at a fraction of the cost found in the UK or North America.

Why choose me for your facial surgery in Brazil?

• Excellence in training: Postgraduate degree from the Ivo Pitanguy Institute (PUC-Rio) -- CRM-PR 17,388 | RQE 15,688
• Modern techniques: I specialise in the deep plane facelift and structured rhinoplasty
• International recognition: Member of SBCP, ASPS, and AExPI
• Proven experience: Over 20 years and more than 8,000 surgeries performed
• Natural results: My focus is facial harmony, not artificial changes
• Medical tourism support: Full assistance for international patients seeking cosmetic surgery abroad

Facial Plastic Surgery Procedures

Rhinoplasty: Nose Plastic Surgery

The nose occupies a central position on the face and directly influences the harmony of the face. Small changes to the nose can completely transform the facial aesthetics, as well as improve breathing when there are associated functional problems.

I perform structured open rhinoplasty, a technique that allows for greater precision and control of the result. Unlike old techniques that merely removed cartilage, structured rhinoplasty remodels and strengthens the nasal structures, ensuring more durable and natural results.

The surgery can correct:

• High dorsum or nasal hump
• Droopy or bulbous tip
• Wide nostrils
• Nasal asymmetries
• Deviated septum and breathing difficulties

Recovery: The stitches are removed in a week, the nasal splint in 7 to 10 days. The patient can return to work in two weeks and to light physical exercise in a month. The final result stabilises in approximately a year, when all residual swelling disappears.

Facelift Deep Plane: Deep Rejuvenation

The facelift in Brazil is considered the most comprehensive procedure for facial rejuvenation. However, not all facelifts are the same. I specialise in the deep plane facelift technique, which repositions the deep tissues of the face (SMAS layer) instead of merely stretching the skin. As a face lift specialist in Brazil, I also offer the male facelift, mini facelift, and revision facelift for patients requiring different approaches.

Why is Deep Plane superior?

• Natural result: No "pulled face" or artificial expression
• Durability: Results that last 10 to 15 years
• Real rejuvenation: Treats the cause of ageing, not just the symptoms
• Less tension on the skin: More discreet scars and better healing

The complete procedure may include treatment of multiple areas:

Frontal region and eyebrow lift: Through the coronal incision (ear to ear, behind the hairline), I elevate the droopy eyebrow -- especially the lateral tail -- and treat the muscles responsible for forehead and glabellar wrinkles (between the eyes). This eliminates the air of tiredness and sadness, giving a more youthful expression.

Middle third of the face: The area between the eyes and the jaw receives treatment with SMAS plication and repositioning of the tissues. This restores the volume of the cheekbones and improves the nasolabial folds (smile lines) naturally.

Jawline and "bulldog": The drooping of tissues over the jawline (lateral double chin or "bulldog") is treated with precise liposuction and SMAS plication. The result is a defined and youthful jawline.

Neck (Deep Neck Lift): Cervical ageing includes wrinkles, platysma bands (cords in the neck), and accumulation of submental fat. I treat the area with liposuction, platysma plication, and removal of excess skin, restoring the defined cervicomental angle. The neck lift can also be performed as an isolated procedure -- see my dedicated cervicoplasty page for details.

Recovery: The surgery lasts about 3 to 4 hours. Most patients return to work in 10 to 14 days, already looking rested and natural. The result continues to improve in the first months as the swelling decreases.

Fat Grafting: Rejuvenation with Stem Cells

Fat grafting (facial lipotransfer) is one of the most versatile techniques in modern plastic surgery. In addition to restoring the volume lost with ageing, the transplanted fat contains mesenchymal stem cells that promote real skin rejuvenation.

Benefits of fat grafting:

• Natural filling with your own tissue
• Improvement in skin quality (texture, elasticity, brightness)
• Treatment of deep dark circles
• Volumisation of cheekbones, temples, and lips
• Complete facial harmonisation
• No risk of rejection (autologous material)

The fat is collected from donor areas (abdomen, flanks, or thighs), processed, and reinjected in microparticles into the desired areas. Approximately 60-70% of the grafted volume is permanent.

Fat grafting can be performed alone or in conjunction with a facelift for even more complete results.

Blepharoplasty: Eyelid Surgery

The eyes are the focal point of the face and represent up to 60% of the visual impact of facial rejuvenation. Droopy eyelids, fat bags, and excess skin convey a tired appearance, even when you are rested and happy.

Blepharoplasty can treat:

• Upper eyelids: Excess skin weighing down the eyes
• Lower eyelids: Fat bags and redundant skin
• Dark circles: When caused by loss of volume or fat projection

Techniques used:

• Traditional blepharoplasty: Removal of excess skin and fat
• Transconjunctival blepharoplasty: Incision inside the eyelid, with no external scar
• Blepharoplasty with fat grafting: Combines removal of excess and volumisation of dark circles

Recovery: The stitches are removed in just 3 days. The swelling and bruising decrease significantly in the first week. Most patients return to social activities in 7 to 10 days.

Mentoplasty: Chin Harmonisation

The chin is fundamental for the balance of the facial profile. Patients with a small, retruded, or poorly projected chin often present disharmony between the nose, lips, and chin, as well as a poorly defined jawline.

The chin augmentation mentoplasty uses a solid, biocompatible, and highly durable silicone implant. The surgery is performed through an intraoral incision (inside the mouth), with no visible scar. The implant is positioned directly on the bone, projecting the soft tissues naturally.

Indications:

• Small or retruded chin (retrognathism)
• Facial profile disharmony
• Complement to rhinoplasty for profile balance
• Double chin due to lack of bony projection

Recovery: The result is already visible in 5 days. The diet is soft in the first week for comfort. The residual swelling decreases progressively in the first weeks.

Otoplasty: Correction of Protruding Ears

Protruding ears can cause significant embarrassment, especially in children. Otoplasty is a safe surgery that can be performed from the age of 6, when the ear cartilage has developed sufficiently.

What does otoplasty correct:

• Protruding ears
• Absence of the anti-helix fold
• Excessive auricular concha
• Asymmetries between the ears

The surgery is performed through an incision behind the ear (hidden scar) and consists of reshaping the cartilage to create the natural fold of the anti-helix and, when necessary, reducing the concha. The procedure lasts less than an hour per ear.

Recovery: A protective bandage is used for 30 days (full time in the first week, then only for sleeping). The patient can return to normal activities in a week, avoiding contact sports for 2 months.

Dermabrasion: Treatment of Wrinkles and Scars

Dermabrasion is a deep peeling that removes the superficial layers of the skin in a controlled manner, stimulating the regeneration of new, smoother, and more even skin.

Main indications:

• Barcode: Vertical wrinkles around the lips
• Perioral wrinkles: Lip wrinkling due to smoking or ageing
• Acne scars: Irregularities on the skin surface
• Traumatic scars: Sequelae from accidents or surgeries

The procedure can be performed alone (outpatient, with local anaesthesia and sedation) or in conjunction with a facelift for complete treatment of perioral ageing.

Recovery: The treated skin forms crusts that peel off in 7 to 10 days. Redness decreases progressively over a few weeks. Strict sun protection is essential for 3 months.

Buccal Fat Removal: Reduction of the Buccal Fat Pad

The Buccal Fat Pad is a structure of fat located in the cheeks, below the cheekbones. When voluminous, it can give the appearance of a "round face" or "baby cheeks" that persists even with weight loss.

Buccal fat removal consists of the partial removal of this fat through a small intraoral incision, resulting in:

• More sculpted and defined face
• Enhanced cheekbones
• More angular facial contour
• More mature and sophisticated appearance

Important: Buccal fat removal is not indicated for everyone. I carefully assess the facial anatomy of each patient, as in some individuals, removal may cause an early aged appearance. Correct indication is fundamental for a good result.

Recovery: Outpatient procedure with local anaesthesia. Moderate swelling for 5 to 7 days. Soft diet in the first week. Definitive result in 2 to 3 months.