Results Gallery: transparency and trust through real cases
I deeply believe that the best way to demonstrate my work is by showing real results. Over more than twenty years of career and more than eight thousand plastic surgeries performed, I have built an extensive photographic collection that documents every stage of my patients' transformation. This before and after gallery represents not only my surgical technique but also the commitment I have to transparency and to educating those considering undergoing facial plastic surgery.
When a patient arrives at my clinic in Londrina for the first time, one of the most frequent questions is: "Doctor, can I see photos of previous results?" This question is not only legitimate — it is essential. No decision as important as plastic surgery should be made without concrete evidence of what the surgeon is capable of delivering. That is why I keep this gallery updated with representative cases of each procedure I perform.
Each photograph you will see here was obtained with the express consent of the patient, following standardised photographic protocols that ensure the fidelity of the images. I do not use filters, I do not digitally manipulate the results, and I do not select only the best cases. I show the reality because the reality of my work is my strongest argument.
What this gallery represents
More than a showcase, this gallery is an educational tool. Each case tells a story: the patient's initial complaint, the surgical strategy adopted, the recovery process, and the final result. By navigating through these images, you will be able to identify situations similar to yours, understand what is realistically possible to achieve, and form expectations aligned with reality.
I invite you to explore each section carefully. And if you have any questions about any case or want to know if a similar result is possible for you, I am available for an in-person consultation where we can discuss in detail.
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Deep Plane Facelift: the rejuvenation that redefines the entire face
The deep plane facelift is the procedure I take the most pride in performing, and the results speak for themselves. In the before and after photographs of the facelift, what impresses the most is not just the reduction of sagging — it is the naturalness of the result. My patients look younger, more rested, more vigorous. They never look operated on.
This happens because the deep plane works on the deep layers of the face, releasing the ligaments that attach the facial structures to the bone and allowing me to reposition the entire muscle-fat-skin system as a single unit. The lifting vector is vertical, mimicking the direction opposite to gravity, and not lateral as in the old techniques that produced that dreaded stretched appearance.
When analysing the photos of my facelift patients, pay attention to some specific details that reveal the quality of the technique:
Nasolabial Fold: notice how the fold that goes from the nose to the corner of the mouth significantly softens, without disappearing completely — which would be artificial.
Jawline: note how the jaw contour regains the definition lost with aging, without looking angular or exaggerated.
Neck: observe the improvement of the cervicomental angle, the elimination of the platysma bands, and the softening of the double chin.
Malar Region: notice how the cheekbones regain natural projection, thanks to the combination of the facelift with fat grafting.
Each facelift case I present here includes standardised images from three angles — frontal, profile, and three-quarters — photographed with the same lighting and distance, so that the comparison is fair and real. The interval between the before and after photos varies from six months to two years, a period in which the result is already consolidated.
The importance of fat grafting in facelift results
A detail that differentiates my results is the systematic association of fat grafting with the deep plane facelift. In the photos, you will notice that the skin of the operated patients is not only firmer — it is more luminous, with better texture. This is a direct effect of the adipose stem cells present in the grafted fat, which stimulate collagen production and promote real cellular regeneration.
Compare the photos paying attention to the quality of the skin, not just its position. This improvement in skin texture is something that no other facelift technique offers without the addition of fat grafting.
Rhinoplasty: the art of harmonising the nose with the face
The rhinoplasty is perhaps the procedure that requires the most artistic sensitivity from the surgeon. The nose is the geometric centre of the face, and any alteration — no matter how small — impacts the facial harmony as a whole. In my before and after rhinoplasty photographs, I aim to show exactly this: how a well-planned change in the nose transforms the perception of the entire face.
Each nose is unique, just like each face. There is no universal "ideal nose". What exists is the ideal nose for each specific face, taking into account proportions, angles, skin thickness, cartilaginous structure, and, most importantly, the desires of the patient. My rhinoplasty photos illustrate this diversity: noses that have been refined, projected, narrowed, corrected after trauma or previous surgeries.
When observing the images, pay attention to the following aspects:
Profile: the line of the nasal dorsum, the definition of the tip, and the nasolabial angle are the most evident elements in profile.
Frontal View: the width of the nose in relation to the face, the symmetry of the nostrils, and the projection of the tip.
Inferior View: the shape of the nostrils, the columella, and the relationship between the tip and the base.
Breathing: although not visible in the photos, many of my rhinoplasty patients report significant improvement in breathing, as I correct septal deviations and turbinate hypertrophies whenever necessary.
Rhinoplasty requires patience from both the surgeon and the patient. The definitive result takes twelve to eighteen months to manifest completely, especially in noses with thick skin. Therefore, my "after" photos are always taken after this maturation period, so that you see the real and definitive result.
A significant portion of my rhinoplasty patients seeks correction of previous surgeries performed by other professionals. These cases, known as secondary or revisional rhinoplasty, are technically more complex and require refined experience. In the gallery, I include some of these cases to demonstrate that even unsatisfactory results can be significantly improved with the right technique.
Blepharoplasty: how rejuvenating the gaze transforms the expression
The eyes are the first thing people notice on a face. When the eyelids are droopy, with excess skin or prominent fat bags, the impression is one of tiredness, sadness, or premature aging — even if the person feels young and energised inside. The blepharoplasty corrects exactly this, and the photographic results are extraordinarily impactful.
In my before and after blepharoplasty photographs, you will notice transformations that go far beyond what is expected from eyelid surgery. The gaze opens up, the expression brightens, the entire countenance changes. Many patients report that friends and family comment that they look rested and happy, without realising that surgery has taken place. This is exactly the result I aim for.
I perform blepharoplasty on the upper eyelids, lower eyelids, or both, depending on the individual needs of each patient. I often combine blepharoplasty with the deep plane facelift, which allows for complete rejuvenation of the upper and middle third of the face in a single surgical session.
Details that make a difference
When analysing blepharoplasty photos, observe carefully:
Upper Eyelid: the removal of excess skin reveals the palpebral sulcus and expands the visual field, as well as dramatically rejuvenating the gaze.
Lower Eyelid: the redistribution or removal of fat bags eliminates the tired eye appearance and softens dark circles.
Scars: on the upper eyelid, the scar is hidden in the natural fold. On the lower eyelid, when an external incision is necessary, it is just below the eyelashes and becomes practically invisible.
Naturalness: the operated eye should look naturally youthful, never rounded or with excessive scleral exposure.
I include both isolated cases of blepharoplasty and cases combined with facelift in the gallery, so that you can compare the results and understand how each procedure contributes to the overall outcome.
How I select and organise the photographs for this gallery
The quality of a before and after gallery directly depends on the quality of the photographic protocol used. Poorly standardised photographs can create false impressions — both positive and negative — and hinder the patient's ability to evaluate the real results of a surgeon. Therefore, I invest significantly in photographic standardisation in my clinic in Londrina.
Each photographic session follows a rigorous protocol that includes:
Controlled Lighting: I use standardised professional lighting, with the same light setup for the before and after photos. This eliminates shadow variations that could mask or exaggerate results.
Fixed Positioning: the patient is always photographed in the same position, at the same distance from the camera and the same angle. I use markings on the floor and visual references to ensure reproducibility.
Neutral Background: all photographs are taken against a standardised light blue background, without elements that could distract attention.
Multiple Angles: each patient is photographed in at least five positions: frontal, right profile, left profile, right three-quarters, and left three-quarters. For rhinoplasties, I add the inferior view.
Neutral Expression: I request that the patient maintains a relaxed and neutral expression in all photos, without smiling or tensing the facial muscles.
Professional Camera and Equipment
The photographs are taken with a high-resolution professional camera, with a lens suitable for medical photography that minimises geometric distortions. I do not use mobile phone cameras for official documentation, although I occasionally take supplementary records with mobile devices during postoperative follow-up.
This level of standardisation may seem excessive, but it is essential. When you compare a before photo with an after photo in this gallery, you can be sure that any difference you notice is a result of the surgery, not lighting tricks or angles.
Selection of the cases presented
For this gallery, I select cases that represent the variety of situations I encounter in clinical practice. I include patients of different ages, skin types, degrees of aging, and combinations of procedures. My goal is not to show only the most spectacular results, but to provide an honest and representative overview of what my surgery can offer.
Combined procedures: when multiple surgeries enhance the result
In my clinical experience, the most transformative results occur when I combine multiple procedures in a single surgical session. This approach is not only more convenient for the patient — who undergoes a single anaesthesia and a single recovery — but often produces results superior to those obtained with isolated surgeries.
In the gallery, you will find various examples of combinations that I frequently perform:
Deep plane facelift with blepharoplasty: the most requested combination. The facelift rejuvenates the middle and lower thirds of the face and the neck, while the blepharoplasty enhances the gaze. The result is a complete and harmonious facial rejuvenation.
Facelift with fat grafting: as I have mentioned, I systematically associate fat grafting with the deep plane facelift. The photos clearly show the improvement in skin texture and luminosity that the graft provides.
Facelift with brow lift: for patients with lateral eyebrow droop, this combination opens the gaze and softens the expression of fatigue or sadness.
Rhinoplasty with mentoplasty: when the chin is short or retracted, isolated rhinoplasty may not achieve the desired facial harmony. Mentoplasty complements the balance of the profile.
Blepharoplasty with facial laser: the laser improves the quality of the periorbital skin, enhancing the result of the blepharoplasty.
When observing the combined cases in the gallery, try to identify the contribution of each procedure to the final result. This will help you understand which surgeries may be relevant to your specific case.
Integrated surgical planning
Each combination of procedures requires meticulous planning. During the consultation, I assess the face as a whole and propose a surgical plan that addresses all areas that would benefit from intervention. This integrated view is essential to achieve harmony — treating only one area of the face and ignoring the others can create aesthetic imbalances that draw more attention than the original signs of ageing.
The ethics of medical photography: why I do not digitally retouch my results
In a world dominated by social media filters, facial editing apps, and image-generating artificial intelligence, honest medical photography has become a rare and precious differentiator. I make a point of publicly declaring: no photograph in this gallery has undergone digital retouching, cosmetic editing, or any type of manipulation that alters the real result of the surgery.
This stance is not just a matter of professional ethics — although that alone would be reason enough. It is a matter of respect for the patient who is considering trusting me with a surgery. If I were to manipulate my photos, I would be creating unrealistic expectations and potentially inducing decisions based on false information. This goes against everything I believe as a doctor and as a human being.
The only edits I make to the photographs are of a technical nature and not cosmetic:
Exposure adjustment: to compensate for small variations in brightness between photo sessions.
Cropping and alignment: to ensure that the before and after photos are on the same scale and position.
Identity protection: when the patient authorises the release of the photos but prefers not to be identified, we apply a band over the eyes or blur identifiable areas.
How to identify retouched photos in other professionals' galleries
Unfortunately, not all professionals follow the same photographic ethics. When evaluating before and after galleries of any surgeon, be alert to signs of manipulation: glaring differences in lighting between before and after, artificial skin smoothing, alteration of body proportions, and inconsistent backgrounds. An honest gallery shows pores, small imperfections, and natural skin variations — because real people have pores, imperfections, and variations.
When I compare my results with what I see on many social media platforms, I understand why some patients arrive with unrealistic expectations. Part of my work in the consultation is precisely to calibrate these expectations, showing real photos and explaining what is and what is not possible to achieve surgically.
The consent process for image use
Every photograph that appears in this gallery has been authorised by the patient through a specific Informed Consent Form for image use. This document details exactly how the photos will be used — whether on the website, in scientific presentations, in educational materials, or on social media — and allows the patient to choose in which contexts they authorise the release.
The consent for image use is completely independent of the consent for surgery. No patient is obliged or pressured to authorise the use of their photographs. Many of my best results do not appear in this gallery simply because the patient preferred to maintain their privacy, and I fully respect that decision.
Privacy and data protection
In compliance with the General Data Protection Law (LGPD), all photographs are stored in a secure digital environment, with restricted access. Data that could identify the patient — such as name, date of birth, or medical record number — are never publicly associated with the images. When necessary, we use anonymisation resources to ensure that the patient's identity remains protected.
The patient can revoke consent at any time. If they request the removal of their photos, I ensure the immediate removal from all channels where the images have been published. This right is guaranteed and respected without question.
Why authorisation matters to you
If you are evaluating surgeons by their results gallery, know that the existence of photos published with informed consent is an indicator of professionalism. Surgeons who publish photos without authorisation or who use images of patients from other doctors are violating fundamental ethical principles. By viewing my gallery, you can be assured that each image is genuine, authorised, and represents a real case from my practice.
Understanding the timelines: when the final result appears
One of the biggest sources of anxiety in the postoperative period is the impatience to see the definitive result. I completely understand this anxiety — after all, you have invested time, money, and faced your fears to undergo surgery. But I need to be honest: results in facial plastic surgery are not instantaneous. Each procedure has its own timeline of evolution, and understanding this is crucial to maintaining calm during recovery.
In my gallery photographs, I always inform the time interval between the before and after photo. These intervals vary according to the procedure:
Deep plane facelift: the result begins to be visible in two weeks, improves progressively over three to six months, and reaches full maturity between six months and a year. The improvement of the skin from the fat graft continues for up to two years.
Blepharoplasty: the result is perceived more quickly, usually in four to six weeks, with the final result in three to six months.
Rhinoplasty: it is the procedure with the slowest evolution. Internal and external swelling can take twelve to eighteen months to resolve completely, especially at the nasal tip and in noses with thick skin.
Otoplasty: result is practically immediate after the removal of the dressing, with refinement over two to three months.
The phases of the postoperative period in photographs
For some cases, I include in the gallery sequential images that document the evolution over time — one week, one month, three months, six months, and one year after surgery. These timelines are especially useful because they allow you to visualise the healing process and understand that initial swelling, temporary stiffness, and transient asymmetries are a normal part of recovery.
When a patient sends me a photo worried about the result in two weeks, I usually respond with photos of other patients at the same period, showing how the evolution is gradual and predictable. This is another important function of the gallery: to serve as a reference of normality during recovery.
Patience as an ally of the result
Facial plastic surgery requires patience. The tissues need time to heal, de-inflame, settle, and mature. Rushing to judge the result in the first few weeks is like evaluating a renovation while the workers are still at work. Trust the process, follow the postoperative guidelines closely, and allow your body to complete its healing work.
Otoplasty and other facial procedures in the gallery
In addition to the procedures already detailed, my gallery includes results from other facial procedures that I regularly perform in my clinic in Londrina, Brazil:
Otoplasty: correcting prominent ears
Otoplasty is a surgery that transforms the self-esteem of children, teenagers, and adults who suffer from protruding ears or other ear deformities. The before and after photos of otoplasty are particularly satisfying because the result is immediate and very evident. The patient leaves the surgery with repositioned ears, and the result remains stable for a lifetime.
In the gallery, I present cases of otoplasty across different age groups. Pay attention to the natural positioning of the ears — the goal is not to glue the ears to the head, but to bring them to a harmonious position while maintaining a natural appearance.
Bichectomy: defining facial contours
The removal of the buccal fat pads is a relatively simple procedure that can have a significant aesthetic impact on selected patients. In the gallery, the bichectomy cases show how the thinning of the middle third of the face creates a contour definition that was impossible to achieve with diets or exercise.
Isolated facial lipofilling
In some patients who do not yet show significant sagging but have already lost facial volume, isolated fat grafting may be sufficient to restore the youthfulness of the face. This procedure is less invasive than a facelift and has a quicker recovery. In the gallery, I compare cases of isolated lipofilling with cases combined with facelift, so you can visualise the difference in indication.
Brow lift
The drooping of the eyebrows, especially at the lateral tail, significantly contributes to the appearance of tiredness and sadness. A brow lift can be performed alone or in combination with a facelift and blepharoplasty. The photos demonstrate how a change of just a few millimetres in the position of the eyebrow completely transforms the expression of the gaze.
How to use this gallery to plan your surgery
This gallery is not just for admiration — it is a practical tool that can help you prepare for your consultation and your surgery. Here are some suggestions on how to make the most of it:
Identify cases similar to yours
Look for patients who have facial characteristics similar to yours: approximate age, skin type, degree of aging, face shape. These cases are the best indicators of what you can expect from your own surgery. Remember that each result is unique, but similar cases provide a good reference.
Observe what you like and what you do not like
As you navigate through the gallery, take mental — or literal — notes of the results that please you the most and those that do not match what you envision for yourself. These observations are extremely valuable during the consultation, as they help me understand exactly what you are looking for.
Bring references to the consultation
I encourage my patients to bring images from this gallery — or from other sources — during the consultation. Pointing to a photo and saying "I would like a result similar to this" is much more efficient than trying to describe verbally what you want. Images eliminate ambiguities and align expectations precisely.
Understand the limitations
Just as important as knowing what is possible is understanding what is not. Plastic surgery has biological limits that no technique, no matter how advanced, can overcome. The thickness of your skin, your bone structure, your age, and your healing process are individual factors that influence the result. During the consultation, I will be transparent about what I can and cannot achieve in your specific case.
Do not compare with social media filters
I must emphasise this point: Instagram, TikTok filters, and facial editing apps create images that are biologically impossible to reproduce surgically. If your reference for an ideal result is a filtered selfie, we need to discuss realistic expectations before proceeding. Plastic surgery works with living tissues, not pixels.
My commitment is to deliver the best possible result within the limits of human biology and my technique. And I can say, with over twenty years of experience: the result of a well-indicated and well-executed surgery surpasses, in longevity and naturalness, any digital filter.
Frequently asked questions about the gallery and the results
Are the photos in this gallery of real patients of Dr. Zamarian?
Yes, all photographs are of real patients operated on by me in my clinic in Londrina, Brazil. Each image is authentic, not digitally retouched, and published with the express consent of the patient through a specific Image Use Consent Form.
Why are the "after" photos always at different times?
Because each procedure has its own maturation timeline. The after photos of the facelift are taken between six months and a year after the surgery. In rhinoplasty, I wait at least twelve months. In blepharoplasty, three to six months. I publish the photos only when the result is consolidated, so that the comparison is fair and representative.
Can I achieve a result similar to a patient in the gallery?
Similar results are possible, but identical results are not. Each face is unique, with different anatomy, skin type, healing process, and starting point. The photos serve as a reference and quality indicator, but your result will be individualised and specifically planned for your face.
Why do I not see all of Dr. Zamarian's procedures in the gallery?
Not all patients authorise the use of their images, and I fully respect that decision. Additionally, I periodically update the gallery, prioritising cases that offer educational value and represent the diversity of situations I encounter in clinical practice. If you wish to see results from a specific procedure, I can show additional cases from my private collection during the consultation.
Are the photos edited or filtered?
No. The only edits are of a technical nature: exposure adjustments to compensate for light variations, cropping and alignment for standardisation, and occasionally identity protection when requested by the patient. No cosmetic retouching is applied. Real skin, with its pores and natural variations, is preserved in all images.
How long does it take for the result of a facial plastic surgery to be ready?
It depends on the procedure. The deep plane facelift reaches full result between six months and a year. Blepharoplasty takes between three and six months. Rhinoplasty can take twelve to eighteen months for the definitive result, especially at the nasal tip. Otoplasty has a practically immediate result, with refinement in two to three months.
Can I show a photo from the gallery during the consultation and ask for a similar result?
Yes, and I encourage that. Bringing visual references to the consultation greatly facilitates communication between surgeon and patient. I can assess whether a similar result is feasible for your case and explain which procedures would be necessary to achieve it.
Does the result of a facelift last forever?
The deep plane facelift does not stop the clock of time, but it significantly delays it. The result lasts from ten to fifteen years. After that period, the patient will continue to look younger than they would without surgery, but the progressive natural aging may eventually justify a second procedure.
Why do some patients have more dramatic results than others?
The degree of transformation depends on the starting point. Patients with a higher degree of aging and sagging tend to show more visible results simply because there is more to be corrected. Younger patients with more subtle changes will have proportionally subtler results — but equally significant in terms of prevention and maintenance of facial youth.
How can I book a consultation to discuss the results I desire?
Just get in touch via WhatsApp or phone. My team will schedule an in-person consultation where I will examine your face, discuss your concerns and desires, and present a personalised surgical plan based on your individual anatomy. The consultation is the most important moment of the entire process, and I dedicate all the necessary time to ensure you leave with your questions answered and expectations calibrated.
Book via WhatsApp
If you have made it this far, it is because you are seriously considering facial plastic surgery. The next step is simple: book a consultation with me. My team is ready to assist you, answer your questions, and find the best time for your evaluation.
