# Male Facelift in Brazil Take care of your appearance without losing the features that make you feel like yourself. [Explore my options](https://wa.me/16402248116?text=Hi%21%20I%20came%20from%20the%20male%20facelift%20page%20and%20would%20like%20to%20know%20if%20it%20is%20right%20for%20me.) Explore At a glance ## Male facelift in Londrina, Brazil: at a glance ### What is a male facelift? A male facelift is surgery that treats sagging in the face and neck while preserving masculine features. In my practice, I use the deep plane technique, adapted to thicker skin, the beard, the sideburns, and the hairline. It improves the contour of the jawline and neck, but it does not treat skin discoloration or stop aging. - Candidacy: sagging, health, and expectations, not a fixed age. - Technique: deep plane under total intravenous anesthesia (TIVA) in a hospital; discharge the next morning. - Scars: along the ears and hairline, planned around the beard. - Risks: hematoma is more common in men; I use the hemostatic net. - Recovery: in my practice, patients return to social activities after about two weeks. - Follow-up: visits throughout the first year and 24-hour WhatsApp support; results are not guaranteed. By [Dr. Walter Zamarian Jr.](https://www.walterzamarianjr.com/us/walter-zamarian/) · CRM-PR 17.388 · [RQE 15.688](https://www.walterzamarianjr.com/us/credentials/) Identity ## What bothers you in the mirror, and what do you want to keep? Sometimes it shows up in a photo taken from the side: the neck has lost definition, the jawline is less visible, and you look more tired. Other times, you feel fine but notice a gap between how you feel and the face you see. I want to understand that gap before we talk about surgery. I don’t start from an ideal male face. Some men want a noticeable change; others only want to address what has started to catch their eye. I also ask which features they like about themselves: the shape of the chin, the appearance of the lips, the beard, the look in the eyes. Those answers shape the plan as much as the exam does. My goal is not to make you look like someone else. It is to assess whether I can treat the sagging in a way that fits your anatomy and what matters to you. If your expectations can’t be met, I would rather tell you at the consultation, before you commit to surgery. Planning ## Four details that change the plan ### Skin and neck In my clinical experience, thicker male skin can make neck definition less obvious. I weigh what lies beneath the skin against how well the skin can redrape; I don’t hold up someone else’s neck as a promise. ### Sideburns and beard I aim to preserve the rectangular shape of the sideburn and look at where the hair will sit after repositioning. The beard pattern still has to make sense with the outline of the ears. ### Hair and scars Short hair, a receding hairline, and baldness change how the incisions can be hidden. I examine these areas carefully and show you where the scars will be, without promising they will be invisible. ### Volume and expression We talk about the areas that have lost volume and the ones you don’t want enlarged. Many of the men I see prefer not to have fat grafted into their lips, or ask for a subtle change; I respect that choice. Technique ## How the deep plane approach works in a male facelift A [deep plane facelift](https://www.walterzamarianjr.com/us/face/facelift/) repositions the deeper tissues of the face, so the change doesn’t depend on pulling the skin alone. In men, I start from the same foundation and tailor the treatment to the exam; there is no single recipe based on gender. I look at the sagging along the jawline, facial volume, and how they relate to the neck. When it is indicated, the plan includes [deep neck treatment](https://www.walterzamarianjr.com/us/face/neck-lift/), which in my practice is always combined with the facelift. Whether fat, muscle, or other structures need treatment is decided case by case; it is not a list of mandatory steps. I also explain what surgery cannot fix on its own. Skin texture, discoloration, some expression lines, and features of the underlying bone structure have different causes. A facelift can improve contour without erasing every sign of aging, and recognizing that limit helps you choose surgery for realistic reasons. ### What change would make sense for you? I want to hear your priorities and examine your face, beard, and neck before I propose a plan. [Explore my options](https://wa.me/16402248116?text=Hi%21%20I%20came%20from%20the%20male%20facelift%20page%20and%20would%20like%20to%20know%20if%20it%20is%20right%20for%20me.) Beard ## Can my beard shift after a facelift? The hair pattern can change, because the skin it grows from is repositioned. I want you to know this before surgery: in some men, beard hair ends up in an area behind the ears, and you may need to shave there too. I don’t think it is right to leave that for you to discover during recovery. The shape of the sideburn also deserves attention. Preserving its outline means looking at the hairline and at how much skin needs to be redraped. Front, profile, and three-quarter photos help us see how these pieces fit together. If you use your beard to hide part of your neck, tell me how you usually trim it and how you would like to wear it afterward. Scars mature over time, and how visible they become varies. Skin type, tension, aftercare, and individual factors all affect how they heal. At follow-up visits, I check both the scar and whether you are comfortable resuming beard care. When you can go back to a razor or trimmer depends on your healing and on the instructions you receive. Surgery ## Hospital, anesthesia, scars, and how long results last ### Hospital and anesthesia I operate at Hospital do Coração Bela Suíça in Londrina, under total intravenous anesthesia (TIVA). You arrive two hours beforehand, spend about two hours in the recovery room, and are usually discharged the next morning after I examine you. ### Operating time In my hands, a facelift takes about three hours. Deep neck work adds about 50 minutes. If other procedures are combined, I give you the time estimate for your plan at the consultation. ### Scars The incisions run along the ears and the hairline; in front of the ear, the incision is pretragal, placed just ahead of the tragus, as it is for women. The neck may also need an incision under the chin. In men, planning the incisions takes the beard, sideburns, and baldness into account. There will be scars, and they mature over the following months. ### Stitches Stitches are removed in stages, usually at 7, 10, and 14 days. If you are traveling to Londrina for surgery, I ask you to stay at least twelve days afterward, preferably fourteen. As for how long results last, no facelift stops aging. In a [study by Jones and Lo of 50 patients assessed over five and a half years](https://pubmed.ncbi.nlm.nih.gov/23190814/), the jawline correction held, the neck showed partial recurrence, and 76% of patients still looked younger than before surgery. For deep plane facelifts, a [2026 meta-analysis of 10,784 patients](https://pubmed.ncbi.nlm.nih.gov/42576065/) estimated an overall complication rate of 6.6%, with hematoma in 1.8% and temporary facial nerve injury in 1.2%, but the authors call for longer follow-up to measure durability. These are group data, not a prediction for you. I don’t publish surgical fees. Your quote depends on the plan we define at the consultation, for example whether it includes facial fat grafting or a chin implant. Here is how I approach [pricing](https://www.walterzamarianjr.com/us/pricing/). Patient story ## Aguinaldo’s experience Aguinaldo talks about how he noticed the change after surgery. Hearing from a patient can help you think of questions about expectations, recovery, and satisfaction, things that photos alone can’t explain. His account describes his experience; it does not predict yours. As you watch, think about what you would like to ask at your consultation: what change you hope to see in your neck, how much volume you want to keep, and how you plan to organize your recovery. We can go over these priorities with the same care we give the technical details. Aguinaldo Aguinaldo talks about his male facelift (in Portuguese). Bleeding ## Bleeding: why it gets extra attention Clinical studies link being male to a higher rate of hematoma after a facelift. A hematoma is a collection of blood; not every bruise is a hematoma. The distinction matters because severity, the need for treatment, and the criteria used in research all differ. In a [review of 985 male facelifts performed over thirty years](https://pubmed.ncbi.nlm.nih.gov/16327611/), 4.24% of men needed surgical drainage of a hematoma. The rate fell from 8.7% to 3.97% after a strict blood pressure control protocol was introduced, but it stayed above the 1% to 3% range the authors cite for women. One-third of the men with a hematoma had blood pressure above 150/90 mmHg around the time of surgery. I use the [Auersvald hemostatic net](https://www.walterzamarianjr.com/us/face/hemostatic-net/) as part of prevention. In a facelift, I place the net on the neck and in the preauricular and temporal areas: the stitches hold the skin against the underlying tissues. It does not replace control of bleeding during surgery, blood pressure management, a review of your medications, or monitoring after surgery. For patients with high blood pressure, I prescribe clonidine to keep it under control. If I see more bleeding than expected during surgery, I use tranexamic acid; it is not a routine measure. A compression garment is reserved for the roughly 5% to 10% of cases with more swelling after surgery. A 2023 study by Janssen and colleagues compared two cohorts from the same surgeon: hematoma occurred in 0.6% of 304 patients with the net and in 3.9% of 359 patients in the earlier group. It is a retrospective study spanning different time periods and techniques; its numbers are not a personal prediction. [Read the study](https://doi.org/10.1093/asj/sjad097). The original work of the Auersvald brothers is also key to understanding this approach. A series with no observed events does not rule out complications in another patient. That is why I explain the precautions and continue your follow-up even when early recovery seems uneventful. [Auersvald and Auersvald’s publication](https://pubmed.ncbi.nlm.nih.gov/23949130/). Being male is not the only factor in this risk. In 2026, Vishwanath and colleagues retrospectively compared 34 men with 34 matched women treated by a single surgeon and found no statistically significant difference in hematoma rates. With a sample this small, it does not prove the risks are equal or that bleeding won’t happen; the study helps frame the precautions as a whole, without crediting the outcome to any single measure. [Matched cohort study](https://pubmed.ncbi.nlm.nih.gov/42154486/). Consultation ## At your consultation, the plan starts with your story - Listen and examine I want to know what has changed, what bothers you, and what procedures you have already had. I examine your face, neck, eyelids, hairline, and skin quality. - Review your health Bring a list of your medications, supplements, and any hormone therapy. Blood pressure, smoking, previous surgeries, and medical conditions all need to be part of the evaluation. Don’t stop any treatment on your own. - Set priorities I explain the role of each procedure and what will be left out of the plan. You can ask about anesthesia, the hospital, scars, time off work, and possible complications. The study by Baker, Stefani, and Chiu of 985 male facelifts looked at hematoma prevention over the course of one team’s experience. It reinforces that safety depends on perioperative care as a whole; it does not justify one standard prescription for everyone. [Clinical reference](https://pubmed.ncbi.nlm.nih.gov/16327611/). If you live far away, we can start the conversation online, but the plan has to be confirmed in person. On the [patient journey](https://www.walterzamarianjr.com/us/patient-journey/) page, I explain how we organize the consultation, tests, surgery, and follow-up visits. Combined procedures ## What can be combined with a facelift, and what can be left out ### Eyelids When there is excess skin or under-eye bags, I evaluate you for blepharoplasty. A facelift doesn’t take the place of evaluating the eyes, and whether to combine the two depends on your eye health and your concerns. ### Fat grafting I can discuss restoring volume in selected areas. When it comes to the lips, your preference is especially important. I don’t add lip augmentation just because it shows up in other plans. ### Neck I treat the face and neck as connected areas. Skin thickness and the deep structures limit how much definition we can aim for. ### Chin When chin projection is part of the concern, the evaluation may include chin augmentation with an implant. I don’t perform chin bone surgery (osteotomy); I want that difference to be clear. Recovery ## Plan your recovery before you plan your return to everyday life Recovery has to fit your life. If you work on site, appear on camera, or deal with the public, let me know how visible you need to be. Getting back to light tasks and feeling comfortable at an event are two different things. Swelling, bruising, and altered skin sensation can linger even after you feel ready to go. I routinely follow your progress for one year. Visits are closer together at first, with later checkups to see how the tissues and scars settle. The day of surgery is day zero; I use that reference so the dates on your calendar don’t get mixed up. Full instructions are in your individual plan and on the recovery page. You can usually return to social activities at around two weeks, but I don’t set a guaranteed date. If you are traveling to Londrina, I ask you to arrive two days before surgery and stay at least twelve days afterward, preferably fourteen, depending on how you heal. I clear light exercise at one month and any physical activity, including contact sports, at two months. Travel, stitch removal, and returning to exercise need to be planned together, not dictated by the date on your plane ticket. I notice that some men come to the consultation worried about seeming vain or about not knowing how to handle recovery. You can talk about that. Having someone you trust nearby can help, but the decision is yours. My team guides your preparation and follow-up, and you have 24-hour WhatsApp support from Isanna and me, so you know who to turn to. Risks ## What I don’t want to leave unanswered Besides hematoma, a facelift carries risks of infection, poor scarring, changes in sensation, asymmetry, problems with blood supply to the skin, hair loss near the incisions, and nerve injury that affects facial movement. There are also anesthetic and medical risks. The [ASPS outlines the main risks](https://www.plasticsurgery.org/cosmetic-procedures/facelift/safety); at the consultation, I explain which ones deserve attention in your case. Go to the emergency room right away if you have shortness of breath, chest pain, fainting, or a sudden change in speech, strength, or vision. Don’t wait for a reply on WhatsApp. A painful, swollen calf also needs urgent evaluation. You can review the warning signs the NHS lists for [stroke](https://www.nhs.uk/conditions/stroke/symptoms/) and [blood clots (DVT)](https://www.nhs.uk/conditions/deep-vein-thrombosis-dvt/). Around the surgical area, increasing pain with rapid swelling, fever, discharge, or a significant change in the skin needs to be checked immediately. Contact the team; if you can’t reach us, seek emergency care. Don’t wait for your next follow-up visit to report that things are getting worse. We also talk about satisfaction and limits. Surgery can’t promise results that last a set length of time, an invisible scar, or a neck like someone else’s. We will follow your result over time. I want you to decide knowing both the change we are aiming for and what recovery will ask of you. Questions ## Your questions deserve a careful answer. Will a male facelift make my face look feminine? I plan the surgery to preserve the features you want to keep. Sideburns, beard, volume, and your preferences about your lips are discussed beforehand. No single detail can guarantee how you will look; it is the plan as a whole that has to respect your identity. Will I need fat grafted into my lips? No. Many of the men I see prefer not to have their lips enlarged. We discuss volume only when there is an indication and the change makes sense to you. Can I have a facelift if I’m going bald? Baldness alone doesn’t decide whether you are a candidate, but it does change how the scars can be hidden. I examine your hairline and explain where the incisions could go and what the limits are. Will I need to shave behind my ears? That can happen when repositioning moves hair-bearing skin to the area behind the ears. I assess your beard pattern and explain this change before surgery. Does the hemostatic net eliminate the risk of bleeding? No. I use the net as part of prevention, along with other measures. It does not replace monitoring, medical management, or a quick response to unexpected swelling. Is there a right age for a male facelift? I look at sagging, health, and expectations, not just age. Two men of the same age may need different advice, including not having surgery at that point. How long do the results of a male facelift last? There is no exact duration, because aging continues. In a study with five and a half years of follow-up, the jawline correction held and the neck showed partial recurrence. Skin, health, weight, and smoking also play a role. If you want to treat sagging but have questions about your appearance, scars, or recovery, bring them with you. We can talk them through clearly, with no pressure to decide. [Explore my options](https://wa.me/16402248116?text=Hi%21%20I%20came%20from%20the%20male%20facelift%20page%20and%20would%20like%20to%20know%20if%20it%20is%20right%20for%20me.) References ## References and authorship By [Dr. Walter Zamarian Jr.](https://www.walterzamarianjr.com/us/walter-zamarian/) · CRM-PR 17.388 · [RQE 15.688](https://www.walterzamarianjr.com/us/credentials/) References reviewed on October 3, 2026. The sources below support the general information on this page. When I describe how I care for patients, I am describing my team’s routine; the guidance for your surgery will be individual. - [Baker DC, Stefani WA, Chiu ES. Reducing the incidence of hematoma requiring surgical evacuation following male rhytidectomy: a 30-year review of 985 cases. Plastic and Reconstructive Surgery, 2005. DOI: 10.1097/01.prs.0000191182.70617.e9.](https://pubmed.ncbi.nlm.nih.gov/16327611/) - [Auersvald A, Auersvald LA. Hemostatic net in rhytidoplasty: an efficient and safe method for preventing hematoma in 405 consecutive patients. Aesthetic Plastic Surgery, 2014. DOI: 10.1007/s00266-013-0202-5.](https://pubmed.ncbi.nlm.nih.gov/23949130/) - [Janssen TJ et al. Hemostatic Net in Facelift Surgery: A 5-Year Single-Surgeon Experience. Aesthetic Surgery Journal, 2023. DOI: 10.1093/asj/sjad097.](https://doi.org/10.1093/asj/sjad097) - [American Society of Plastic Surgeons. Facelift Risks and Safety.](https://www.plasticsurgery.org/cosmetic-procedures/facelift/safety) - [NHS. Symptoms of a stroke.](https://www.nhs.uk/conditions/stroke/symptoms/) - [NHS. DVT (deep vein thrombosis).](https://www.nhs.uk/conditions/deep-vein-thrombosis-dvt/) - [NHS. Pulmonary embolism.](https://www.nhs.uk/conditions/pulmonary-embolism/) - [Vishwanath N et al. Revisiting Hematoma Rates In Male Patients After Facelift Surgery: A Matched Cohort Analysis. Plastic and Reconstructive Surgery, 2026. DOI: 10.1097/PRS.0000000000013209.](https://pubmed.ncbi.nlm.nih.gov/42154486/) - [Jones BM, Lo SJ. How long does a face lift last? Objective and subjective measurements over a 5-year period. Plastic and Reconstructive Surgery, 2012. DOI: 10.1097/PRS.0b013e31826d9f7f.](https://pubmed.ncbi.nlm.nih.gov/23190814/) - [Koroma P et al. Deep Plane Facelifts: A Systematic Review and Meta-Analysis of Outcomes. Aesthetic Plastic Surgery, 2026. DOI: 10.1007/s00266-026-06138-x.](https://pubmed.ncbi.nlm.nih.gov/42576065/) ### Keep exploring - [Deep plane facelift →](https://www.walterzamarianjr.com/us/face/facelift/) - [Hemostatic net →](https://www.walterzamarianjr.com/us/face/hemostatic-net/) - [Patient journey →](https://www.walterzamarianjr.com/us/patient-journey/) [← All facial procedures](https://www.walterzamarianjr.com/us/face/)