Surgical assessment via video call: the same attention as in the office, in the comfort of your home
I receive patients from all over Brazil and abroad who wish to undergo plastic surgery with me in Londrina, but live hundreds or thousands of kilometres away. For years, these individuals had to organise an entire trip just for an initial conversation. Many postponed their dream of surgery simply due to the logistical difficulty of travelling to my clinic for an initial assessment.
It was with these individuals in mind that I created the online consultation via video call. This is not a quick screening or an informal chat. It is a complete medical consultation, lasting forty minutes, where I assess your concerns, analyse your anatomy through the camera, explain in detail what I can do for you, answer all your questions, and outline a preliminary surgical plan. It is the same dedication I offer in the office, adapted for the digital environment.
Telemedicine in plastic surgery has evolved enormously in recent years. The cameras of current smartphones capture impressive details of the skin, facial and body structures. Combined with my experience of over twenty years and more than eight thousand surgeries performed, this technology allows me to make a surprisingly accurate assessment even from a distance. Naturally, an in-person consultation remains essential before any surgical procedure, but the video call serves as an extraordinarily efficient first step for both.
If you live far from Londrina and are considering plastic surgery with me, this page will explain exactly how the online consultation works, what you need to prepare, how to book, and what to expect at each stage of the process.
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How the online consultation works
The online consultation follows a structured script that I have developed over hundreds of video call appointments. Every minute is utilised with a clear objective, so that you leave the consultation with all the necessary information to make your decision.
The process begins even before the call. When you book the consultation, my team sends a detailed form where you describe your complaints, your medical history, previous surgeries, medications in use, and expectations. I read all this information before our video call, which allows me to start the conversation with context and direction.
On the day of the consultation, you receive a link for the video call via WhatsApp. I use secure and encrypted platforms, ensuring complete privacy for our conversation. Upon entering the call, I start by asking you to position yourself in a well-lit area, preferably with natural light facing your face. The quality of the lighting makes all the difference in my assessment.
In the first few minutes, we discuss your desires and expectations. What exactly bothers you? How long have you been thinking about having surgery? Have you consulted other professionals? Do you have visual references of the result you would like? These questions help me understand not only your anatomy but also your emotional profile and motivations.
Next, I perform a visual assessment. I ask you to move the camera at different angles: front, right profile, left profile, three-quarters, from top to bottom. Depending on the area of interest, I may ask you to perform certain movements or facial expressions. If the subject is bodily, I guide you on how to position yourself so that I can assess adequately.
Based on this assessment, I explain what I observe, which procedures are indicated for your case, what the surgery entails, the recovery time, the risks, and what you can expect as a result. I show examples and explain my technique in terms that anyone can understand.
Finally, I answer all your questions. I am not in a hurry. If the conversation needs a few more minutes, it will have them. My commitment is that you leave the online consultation feeling heard, understood, and completely informed.
Booking: Saturday mornings, exclusively for you
I reserve Saturday mornings exclusively for online consultations. This choice is not by chance. During the week, my schedule is dedicated to surgeries and in-person consultations, which requires total concentration in the operating room and the office. Setting aside a specific period for video call appointments ensures that I will be completely focused on you, without haste, without the next surgery waiting for me.
Saturday mornings also work well for patients. Most are at home, relaxed, without professional commitments that could interrupt the consultation. You can prepare calmly, choose the best room in the house for the video call, adjust the lighting, and ensure that the internet is stable.
To book, simply contact my team via WhatsApp. They will check availability, confirm the time, and send all the preparatory instructions. The process is simple and friendly. I know that many people get nervous before a medical consultation, so my team strives to make this step as welcoming as possible.
The slots are limited because I conduct each online consultation personally, without delegating to other professionals. When you schedule a consultation with me, it is me you will be speaking to. There is no prior screening with a secretary or intermediary service. From the first to the last minute, it is me who is on the other side of the screen.
Duration of the consultation: forty minutes dedicated to your case
Each online consultation lasts forty minutes. I defined this time after noticing that it is the ideal period for a complete and in-depth assessment. Enough time to listen to your complaints, evaluate your anatomy, explain the surgical options, discuss risks and recovery, and answer all questions, without the conversation becoming tiresome or scattered.
Forty minutes may seem short when written down, but they are quite productive when well conducted. Compare this to most traditional medical consultations, which rarely exceed fifteen or twenty minutes. In the online consultation, as I have already read and analysed your form beforehand, I do not waste time with basic questions that have already been answered. We start directly on what matters.
If your case is particularly complex or involves multiple procedures, I do not worry about slightly exceeding the forty minutes. The priority is that you leave the consultation completely informed. I never shorten a consultation because the clock has struck. If more time is needed, we will have more time.
At the end of the consultation, I summarise everything we discussed: the indicated procedures, what to agree upon in the in-person consultation, which tests will be necessary, and the next steps. This summary is recorded, and you can revisit it whenever you want, which is an advantage of the online consultation over the in-person one: the organisation of information is clearer and more accessible.
How to prepare for the video call
The quality of your online consultation depends largely on your preparation. It is not complicated, but some simple precautions make a huge difference in my ability to assess you adequately.
First, choose the location. Prefer a room with good natural lighting. Avoid dark rooms, bathrooms with yellowish light, or environments where the light comes exclusively from behind you (this creates a silhouette and hinders assessment). Ideally, position yourself facing a window, with natural light directly hitting your face or the area of the body we will assess.
Second, test your camera and internet before the consultation. Make a video call with someone to check if the image is clear and if the connection is stable. Technical problems during the consultation waste precious minutes. If possible, use the rear camera of your phone, which usually has better quality than the front one. Ask someone to hold the device or use a stand.
Third, prepare your questions in advance. Write down everything you want to know. It is common for the anxiety of the consultation to make you forget important questions. A written list solves this problem. Include doubts about technique, recovery, costs, risks, time off work, anything that is relevant to your decision.
Fourth, dress practically. If we are going to assess the facial area, come without makeup, with your hair tied back. If the subject involves the body, such as body procedures, wear clothes that allow easy visibility of the area of interest.
Finally, ensure privacy. Choose a moment when you will not be interrupted by children, family members, or commitments. The consultation is an intimate moment where we will discuss your body and your desires. You deserve to feel comfortable speaking openly.
Camera and lighting: details that make a difference
Your smartphone's camera is my main tool during the online consultation. The cameras on modern phones are extraordinarily good, with resolution that allows for the identification of subtle details of the skin, facial asymmetries, degree of laxity, and tissue quality. But the camera alone cannot work miracles: it needs good lighting to capture these details.
Natural light is unbeatable. Position yourself facing a large window, preferably in the morning when the light is soft and diffused. Avoid direct sunlight, which creates harsh shadows and distorts the perception of structures. If the day is cloudy, even better: the cloud cover acts as a giant natural diffuser, creating perfect homogeneous lighting for medical assessment.
If it is not possible to use natural light, turn on all the lights in the room and position a white lamp directly in front of you, at eye level. Avoid yellow or orange lights, which alter skin colour and hinder the assessment of spots, redness, and skin quality.
During the consultation, I will ask you to move the camera at specific angles. Keep in mind that I will need to see:
Frontal: face front on, looking directly at the camera, without tilting your head.
Right and left profile: turn your head ninety degrees to each side, keeping the camera in the same position.
Three-quarters: turn your head forty-five degrees to each side. This is the angle that reveals asymmetries the most.
From below to above: raise the camera above your head and point it downwards, so that I can see the neck and submandibular area.
Hair back: if we are assessing the temporal area or the ears, I need your hair to be completely tied back.
If the consultation involves bodily areas, the guidelines are similar: clear lighting, stable camera, different angles. My team sends specific instructions according to the procedure of interest when you book the consultation.
Tests I can request in advance
Depending on your case, I may request that you send some tests before the online consultation. This is especially the case when you already have recent tests or when your medical history suggests the need for investigation before we proceed with the surgical discussion.
The most common tests I request in advance include:
Detailed photographs: I ask that you send high-quality photos at standardised angles before the consultation. My team will send the exact instructions on how to take them. These photos allow me to study your case calmly before the video call.
Recent laboratory tests: if you already have a complete blood count, coagulation profile, blood sugar, kidney function or cardiological assessment done in the last six months, please send them before the consultation. This speeds up the entire process.
Reports of previous surgeries: if you have undergone previous plastic surgeries or aesthetic procedures, it is essential that I know exactly what was done. Surgical reports, old photos, and any documentation are extremely helpful.
List of medications: all medications in continuous use, including supplements, vitamins, contraceptives, and herbal remedies. Some of them may interfere with the surgery and need to be adjusted.
The more information I have before the video call, the more productive our consultation will be. Instead of spending minutes collecting basic data, we can go straight to what really matters: discussing your case in depth, assessing your anatomy, and planning your treatment.
The complete pre-operative tests will be formally requested only after the in-person consultation, when we confirm the surgical planning. But if you already have tests on hand, please do share them. This is especially useful for patients with health conditions that require special attention, such as diabetes, hypertension, or coagulation disorders. Learn more about the complete pre-surgical preparation on our website.
In-person confirmation: one to two days in Londrina
The online consultation is a valuable first step, but I want to be absolutely transparent: no plastic surgery will be performed without a prior in-person consultation. This is a non-negotiable rule in my medical practice, and I will explain why.
No matter how good your mobile phone camera is, there are aspects of the physical evaluation that can only be perceived in person. The palpation of tissues, for example, reveals the thickness and elasticity of the skin in a way that no image can convey. The assessment of the quality of the SMAS in the face, the amount of subcutaneous fat in the abdomen, the firmness of the musculature: all of this requires touch and direct manipulation.
The good news is that, thanks to the online consultation, the in-person consultation becomes much more objective and efficient. When you arrive at my office in Londrina, we already know what we are going to do, we have already discussed the details, and we have already addressed the major doubts. The in-person consultation serves to confirm the planning, conduct a complete physical assessment, take the official photographs, and sign the consent forms.
For patients from outside Londrina, I organise the schedule so that you only need to stay in the city for one to two days before the surgery. On the first day, we conduct the complete in-person consultation. If everything is aligned, the surgery can be performed the very next day or on the next available business day. This minimises your time away from home and reduces costs for accommodation and travel.
My team can assist with recommendations for hotels near the clinic, airport transport, and any logistical needs. Many of my out-of-town patients stay just a few minutes from the office and the hospital, making the entire experience more relaxed and comfortable.
If you want to know more about what this first visit to the office is like, read the page about the first consultation, where I detail everything that happens during the in-person appointment.
No extra cost: the online consultation has the same value as the in-person one
A question I frequently receive is about the cost of the online consultation. Let me be direct: the online consultation has exactly the same value as the in-person consultation. I do not charge anything extra for it being via video call, just as I do not offer a discount for it not being in person. The value is the same because the service is the same: forty minutes of my exclusive attention, complete assessment, and individualised surgical planning.
I understand that paying for an online consultation may cause hesitation in some people. Many are used to "free assessments" offered by clinics that work in volume. My approach is different. I charge for the consultation because I dedicate real time and genuine attention to your case. I do not conduct mass screenings. I do not delegate assessments to other professionals. Each consultation is an investment of my time and expertise, and I believe it has a fair value.
Also, think about the savings that the online consultation represents for you. A patient from São Paulo, Brasília, or Manaus who would need to travel to Londrina just for a first conversation would spend on airfare, accommodation, food, and transport an amount that often exceeds many times the price of the consultation. The video call eliminates this initial cost and allows you to make an informed decision before investing in the trip.
Pre-operative photographs: the official record at the in-person consultation
The photographs you send before the online consultation are essential for the initial assessment, but the official pre-operative photographs are taken exclusively during the in-person consultation, with professional equipment and standardised conditions.
In my office in Londrina, I have a dedicated environment for medical photography. I use a professional camera with a specific lens for clinical photography, a standardised background, and controlled lighting that eliminate variables such as shadows, distorted colours, and inconsistent angles. These photographs follow international protocols for documentation in plastic surgery.
The photos are taken at standardised angles: frontal, right profile, left profile, right three-quarters, left three-quarters, and specific views according to the planned procedure. For facial surgeries, I include shots with hair completely tied back, no makeup, and a neutral expression. For body procedures, the photos follow the same rigour of standardisation.
These photographs serve multiple purposes. First, they are the basis of my final surgical planning. It is on them that I mark anatomical references, draw incision lines, and define traction vectors. Second, they are the official record of the "before" that will allow comparison with the surgical result. Third, with your express consent, they may be used for scientific or educational purposes, always preserving your identity.
The quality of these photographs is incomparably superior to selfies or home photos. Therefore, although the photos you send before the online consultation are very useful for the initial assessment, they do not replace the professional record made at the clinic. This is yet another reason why the in-person consultation is indispensable before surgery.
It is important for you to know that the photos are stored in a secure system, with restricted access, and are treated as part of your medical record, protected by professional confidentiality and Brazilian data protection legislation.
Digital security and protection of your data
The online consultation involves sharing sensitive medical information, images of your body, and discussions about your health. I take the protection of this data with the same seriousness as I take the safety of a surgery. Every detail is treated with absolute confidentiality.
All video calls are conducted on platforms that use end-to-end encryption. This means that our conversation cannot be intercepted or accessed by third parties during transmission. The platforms I use are the same ones recommended by international medical institutions for telemedicine.
The information you share before, during, and after the consultation, including forms, photographs, and medical documents, is stored in systems that comply with the requirements of the General Data Protection Law (LGPD), the Brazilian legislation that regulates the processing of personal data. Your data is encrypted at rest and in transit, with access restricted exclusively to me and the clinical team directly involved in your care.
I do not share your data with third parties under any circumstances, except when required by court order or when you provide express written consent. Your photos are never published without permission. Your name is never associated with images or clinical cases without your knowledge and formal agreement.
Recordings of online consultations are not made automatically. If for any clinical or educational reason it is useful to record part of the consultation, this will only happen with your explicit and prior consent. In the vast majority of cases, the consultation is not recorded.
You have the right to request, at any time, full access to all your stored data, as well as to request the deletion of information you do not wish to keep. These are rights guaranteed by the LGPD that I fully respect.
Digital security is a pillar of my telemedicine practice. I continuously invest in technology and processes to ensure that your privacy is protected at every step, from scheduling to post-operative care. When you trust me with your health information, you can be assured that it is in responsible hands.
Frequently Asked Questions about the Online Consultation
Does the online consultation replace the in-person consultation?
No. The online consultation is a valuable first step to assess your case, discuss options, and plan the treatment. However, all plastic surgery performed by me requires a prior in-person consultation for a complete physical evaluation, professional photography, and signing of the consent terms. The online consultation complements the in-person one, it does not replace it.
Do I need any special application for the consultation?
No. I use accessible platforms that work directly in your mobile or computer browser, without the need to install special applications. You will receive a link via WhatsApp minutes before the scheduled time. Just click to join the video call.
Can I do the online consultation on my computer?
Yes, but I recommend using a smartphone. The phone's camera is easier to move at the different angles I need to assess. Additionally, most modern smartphones have superior cameras compared to laptop webcams. If you prefer the computer, make sure your webcam has good resolution and that you can move it or yourself easily.
What if my internet drops during the consultation?
No problem. If there is a connection drop, we will reconnect immediately. If the instability persists, we will reschedule the consultation for another time at no additional cost. I recommend testing your internet before the consultation and, if possible, using Wi-Fi instead of mobile data for greater stability.
How far in advance should I book the online consultation?
I recommend booking at least a week in advance. This ensures availability in the Saturday schedule and gives me time to receive and analyse your form and previous photos. During high demand periods, the wait may be two to three weeks.
Can I have someone accompany me during the online consultation?
Absolutely. Many patients prefer to have their spouse, a friend, or a family member present during the consultation. This is perfectly welcome. The person can participate, ask questions, and help take notes. Having a second pair of ears generally enriches the experience.
Is the online consultation valid as a prescription or certificate?
The online consultation is a medical act recognised by the Federal Council of Medicine. I can issue clinical guidelines and request laboratory tests. Prescriptions for controlled medications, however, require specific regulations that we will discuss on a case-by-case basis.
How much does the online consultation cost?
The online consultation has the same value as the in-person consultation. My team will inform you of the updated value at the time of booking via WhatsApp.
Is the online consultation suitable for any type of plastic surgery?
Yes. I conduct online consultations for all the procedures I offer: facial lifting, blepharoplasty, rhinoplasty, intimate surgery, and all others. The online assessment is surprisingly effective for any area of the body, as long as the lighting and camera positioning are appropriate.
What happens after the online consultation?
After the consultation, my team will contact you to organise the next steps: scheduling the in-person consultation, guidance on pre-operative tests, recommendations for accommodation in Londrina (for out-of-town patients), and defining the surgical date. The entire process is coordinated to ensure your experience is smooth and stress-free.
Book via WhatsApp
If you have made it this far, it is because you are seriously considering the online consultation. 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 assessment.
