Revision Facelift in Londrina: specialized correction and refreshment of a previous rejuvenation
Who should consider revision
- 5-10 years after a successful primary (natural refreshment)
- Dissatisfaction with the primary (undefined jawline, residual laxity, no fat grafting, stretched look, pixie ear)
- Unsightly scars from a lift performed by a non-physician (minimum 1 year after)
What makes revision different from primary
- Navigates through prior scar tissue in the dissection planes
- Same price as the primary (current office policy)
- Often more comfortable recovery than the primary (less bleeding and bruising)
If you have already undergone a facelift and feel the result did not meet your expectations — or that the effects of aging have returned over the years — there is a specialized solution. The revision facelift (also called secondary facelift or rhytidectomy revision) is a specialized surgery that corrects unsatisfactory outcomes or naturally aged results over time.
Over more than twenty years of practice and more than 8,000 plastic surgeries performed, Dr. Walter Zamarian Jr. has treated numerous patients seeking revision of a previous lift. Some were operated by other surgeons and were dissatisfied. Others had an excellent outcome at the time, but time took its toll after ten or fifteen years. In both scenarios, the revision may offer an opportunity to improve facial harmony. Dr. Zamarian is a full member of the Brazilian Society of Plastic Surgery (SBCP) and the American Society of Plastic Surgeons (ASPS).
What sets the revision apart is complexity. Operating on a face that has already undergone surgery demands deep knowledge of altered anatomy, respect for scar tissues, and meticulous planning. Few surgeons feel comfortable performing this procedure. In experienced hands, however, results can be meaningful and, in selected cases, more complete than the first lift.
Why revision facelift is different
When operating a face for the first time, the anatomy is in its natural state. Tissue planes are well defined, retaining ligaments are intact, and vascularization follows its original pattern. In the revision, the scenario changes: there is scar tissue, dissection planes have been altered, and skin may be thinner or compromised.
There is, however, one advantage rarely mentioned: the delay phenomenon. Studies published in Plastic and Reconstructive Surgery show that skin flaps in a second surgery have better vascularization than in the first. The prior surgical insult stimulates the formation of new blood vessels, making tissues more resilient and reducing necrosis risk. This is one reason why, in Dr. Zamarian's experience, complication rates in the revision are comparable to the primary — provided surgery is performed with adequate technique and careful planning.
When revision facelift is indicated: three scenarios
There are three main situations that lead a patient to seek a revision facelift. Each one requires a different approach, and it is essential to understand the full history before planning surgery.
1. Refreshment 5 to 10 years after the primary
A facelift, even the best executed, does not stop aging. It "turns back the clock" by ten to fifteen years, but gravity, bone volume loss, and collagen depletion keep working. After 5 to 10 years of the primary, many patients notice laxity returning: a less defined jawline, deeper nasolabial folds, platysmal bands, and loss of midface firmness.
In those cases, the revision is not a "corrective" surgery — it is a natural refreshment to restore what time has worn out. The patient already had a positive experience with the first procedure and wishes to maintain those benefits for another decade. Surgery tends to be more direct because deep tissues have already been adequately treated.
2. Dissatisfaction with the primary
A more delicate situation. The patient seeks revision because the first facelift did not meet expectations. The most frequent complaints include:
- Lack of jawline or neck definition: the neck was not treated in depth during the first procedure (only superficial liposuction, or platysma not addressed). One of the most frequent reasons patients return.
- Residual laxity: the facelift "dropped" in less than five years or never reached the expected result, generally because a superficial technique was used (SMAS plication or skin-only lift).
- Absence of fat grafting in the primary: many surgeons do not combine fat grafting with the lift, which leaves the face looking "empty" even after traction. Adding autologous fat in the revision restores volume and improves skin quality (adipose-derived stem cells).
- Stretched or artificial appearance: excessive skin tension without proper treatment of deep layers.
- Earlobe deformity (pixie ear): the earlobe was pulled down and lost its natural shape. Can be repositioned in revision.
- Persistent asymmetries or irregular contour not present before the first surgery.
Planning starts with a detailed analysis of what was done previously, understanding the technique used and the anatomical limits that will be found during revision.
3. Unsightly scars from non-physician practitioners
There is a specific category of patient who arrives with a more serious problem: unsightly, widened, or poorly positioned scars resulting from procedures performed by non-physician practitioners (for example, dentists or aestheticians who offered "facelifts" without plastic surgery training). In those cases, the minimum waiting period for revision is shorter: starting 1 year after the previous procedure — enough time for the scar to mature and allow adequate technical reapproach.
Dr. Zamarian accepts revising results from other plastic surgeons and from practitioners in other fields. The decision to perform the revision depends on in-person evaluation: anatomy, skin quality, prior scarring, and technical feasibility of correction. Honesty about what is (and what is not) possible to correct is part of the consultation.
Technique: deep plane + deep neck lift
The revision facelift is performed with the deep plane + deep neck lift combination — a highly advanced approach for selected cases. Deep plane treats the face and superficial neck; deep neck lift addresses the deep structures of the neck (subplatysmal fat, anterior belly of the digastric muscle, submandibular gland when indicated), allowing precise definition of the cervicomental angle and creating changes that classic SMAS plication may not address.
Most previous lifts encountered in revision patients were performed with more superficial techniques: SMAS plication, SMASectomy, or skin-only lifts. In those cases, the deep plane remains virtually untouched, offering the opportunity for substantial correction — the secondary can sometimes address anatomy the primary did not treat.
In the deep plane facelift, dissection occurs below the SMAS, releasing the facial retaining ligaments — zygomatic, masseteric, mandibular, and cervical. This release allows elevation of the entire musculoaponeurotic unit in a vertical vector opposite to gravity.
Navigating through scar tissue from the previous lift
The main technical challenge of the revision is scar tissue in the prior dissection planes. The good news is that in most superficial techniques, scarring occurs in the subcutaneous plane — above the SMAS. When entering the deep plane, tissues that were never manipulated are often found.
When the previous lift was also performed in the deep plane, dissection requires greater care but remains possible. Scar tissue forms identifiable planes that guide dissection. Experience in recognizing and safely navigating those planes is what helps separate a well-planned revision from a higher-risk one.
Specific corrections in revision
Each revision case presents unique challenges. Some of the most common problems corrected include:
- Pixie ear (earlobe deformity): the earlobe is reconstructed by releasing it from traction and repositioning it in its natural anatomical place.
- Widened scars: the old scar is excised and closure is tensionless, with all weight supported by deep tissues.
- Stretched appearance: deep ligaments are released to allow a natural vertical elevation, eliminating excessive lateral traction.
- Contour irregularities: fat grafting is used to smooth depressions and restore lost volume.
The role of fat grafting in revision
If there is one procedure considered frequently important in the revision, it is fat grafting. Patients seeking revision generally present with significant facial volume loss — either from natural aging or from excessive fat removal in the first procedure.
Autologous fat (harvested from the patient's own body) offers three fundamental benefits in revision:
- Volume replacement: fills skeletonized or concave areas such as the temples, cheeks, and deep folds.
- Skin regeneration: stem cells present in fat (ADSCs) release growth factors that improve skin quality, stimulate collagen, and refresh microcirculation.
- Camouflage of irregularities: fat acts as a biologic "cushion" that smooths irregular contours left by the previous surgery.
Fat is used in three different preparations: millifat for deep volume, microfat for intermediate folds, and nanofat (rich in stem cells) for skin regeneration. This layered approach supports harmonic, natural-looking results when indicated.
When volume is the real problem
In many patients dissatisfied with their previous lift, the main problem is not residual laxity but volume loss. The face looks skeletonized, with deep shadows and angular contours that paradoxically appear aged and "operated". In those cases, fat grafting plays a role as important as the lift itself. Combining tissue repositioning with volumization can improve facial harmony. Many revision patients report a more complete correction than they had with the first lift.
The neck in revision facelift: platysmaplasty + deep neck
The neck is often the most neglected area in a first lift. Many patients arrive with a reasonably treated face but with a neck that betrays the age — prominent platysmal bands, residual submental fat, and loss of the cervicomental angle.
In the revision facelift, special attention is given to the neck. Through a discreet submental incision (under the chin), deep structures are accessed for:
- Platysmaplasty: medial platysmal bands that drifted apart with time are approximated, restoring cervical contour.
- Subplatysmal fat removal: deep fat not reached by conventional liposuction is eliminated under direct vision.
- Digastric muscle treatment: when the anterior belly of the digastric contributes to excess volume under the chin, a partial reduction is performed.
- Submandibular gland evaluation: in selected cases, gland ptosis or hypertrophy is addressed to eliminate the bulky lateral appearance of the neck.
Cervical dissection in the revision connects with facial dissection, allowing a continuous elevation of the platysma and SMAS. The goal is a more defined, harmonious neck that matches the facial rejuvenation.
The Auersvald hemostatic net
As in the primary facelift, the hemostatic net developed by Drs. André and Luiz Auersvald is used in every revision. This technique consists of transfixion sutures that eliminate dead space, helping reduce hematoma risk and eliminating the need for drains. The net is removed at 48 hours in a brief office visit with minimal discomfort.
Specific corrections in revision
Pixie ear
One of the most common corrections. The earlobe, pulled down by excessive tension from the previous lift, is released, its insertion reconstructed, and the closure is tensionless with weight supported by deep tissues. The goal is a natural-looking earlobe.
Widened scars
The old scar is excised and replaced by a new, finer one. Because deep plane closure is tensionless, new scars tend to be thinner and more discreet. Quality of healing also depends on individual factors such as genetics and skin type.
Stretched appearance
The stretched look results from excessive tension applied to the skin without proper release of deep retaining ligaments. In revision, those ligaments are released, allowing a natural vertical elevation without lateral traction. The goal is a refreshed face without a pulled look.
Risks and complications of revision facelift
Transparency about risks matters. The revision facelift is technically more complex than the primary, but that does not automatically mean it is more dangerous. With adequate technique and careful planning, complication rates are comparable to the primary.
General risks
- Hematoma: the most common complication in any facelift. The Auersvald hemostatic net helps reduce this risk.
- Infection: rare with appropriate antibiotic prophylaxis and correct post-operative care.
- Unsightly scars: minimized by tensionless closure and excision of previous scars.
Risks specific to revision
- Facial nerve injury: scar tissue may hamper identification of facial nerves. Experience with deep anatomy and meticulous dissection significantly reduce the risk. Over more than two decades of surgery, Dr. Zamarian has no documented case of persistent facial nerve injury — the deep plane keeps the nerve protected in the plane above, even in the presence of prior scar tissue.
- Skin vascular compromise: rare; the "delay phenomenon" (studies in Plastic and Reconstructive Surgery) actually improves flap vascularization in secondary lifts, acting as a protective factor.
- Residual asymmetry: even with meticulous planning, some degree of asymmetry may persist, although significantly less than before the revision.
Recovery: often more comfortable than the primary
Recovery of the revision facelift is very similar to the primary and, in some aspects, comparable or more comfortable: in Dr. Zamarian's experience, selected secondary cases may bleed, swell, and bruise less than the primary — tissue vascularization has already reorganized after the first surgery (delay phenomenon) and subsequent dissection tends to be less traumatic. Fibrosis from the previous procedure may slow residual edema resorption slightly, but the overall experience is typically more comfortable than patients expect.
First 48 hours
You remain with a compressive dressing and the hemostatic net. Swelling and some discomfort are controlled with medication. Keep the head elevated and apply cold compresses as instructed. Office visit at 48 hours for net removal.
Week 1
Swelling peaks between day 2 and day 3 and starts receding progressively. Some patients develop bruising that may extend to the neck by gravity. This is normal and resolves spontaneously in 10-14 days.
Weeks 2-3
In some revision cases, swelling may last slightly longer than in the primary. Scar tissue slows lymphatic drainage, but the effect is temporary and does not necessarily compromise the long-term result. Most patients are presentable for social activities within 2-3 weeks.
Month 1
Progressive return to normal activities. Avoid intense exercise, direct sun exposure, and any facial trauma. Sleep on your back. Most sutures are removed or absorbed in the first or second week.
6 months to 1 year
The result continues to refine over months. Between 6 months and 1 year, the final result is visible. That result will again last for 10 to 15 years, restoring the confidence and harmony you were seeking.
How many facelifts can I have in my life? 2-3 realistically
There is no fixed technical number to the number of facelifts a person can have — Dr. Zamarian once followed an American actress who underwent 17 lifts over her life (exceptional case). In realistic office practice, 2 or 3 facelifts across a life are sufficient to keep a person looking young for many years. The marginal gain of additional surgeries is small and risks increase as skin and tissues accumulate manipulations.
Scheduled maintenance is not recommended (secondary at pre-defined dates). The approach is to wait for the patient to return spontaneously, when laxity starts to bother them again. The indication is clinical, not chronological.
Is deep plane still a modern surgical facelift technique?
Many patients arrive asking about newer devices, threads, lasers, or branded rejuvenation technologies. The honest answer: deep plane remains one of the main modern surgical facelift techniques. Compared with classic SMAS plication, it addresses deeper retaining ligaments and can provide broader structural correction in selected patients.
What is marketed as "laser facelift", "HIFU facelift", "latest-generation thread lift", or any non-surgical technological variation is not a facelift. They are superficial firmness treatments or temporary support procedures, without structural fixation of the facial retaining ligaments. In the revision, those resources are even less effective — the skin has already undergone surgery and does not respond to superficial technology the way it used to.
When there is a real indication for facial and cervical rejuvenation, the current high-level surgical standard is deep plane + deep neck lift — which is exactly the protocol applied in the revision, including, when indicated, improvement of the width or positioning of previous scars.
Investment: same price as the primary facelift
Despite the greater technical complexity of the revision (navigation through scar tissue, individualized planning, more refined intra-operative decisions), the current office policy is to charge the same price as the primary. This decision reflects the philosophy that a patient returning for revision — often because of inherited complexity from the prior procedure — should not be penalized for inherited complexity.
The procedure value is presented during the in-person consultation, after an individual case analysis. Only the value of the first consultation (R$ 800 / approx. US$ 140) and the follow-up (R$ 400 / approx. US$ 70) are published on the website. USD values are approximate and subject to the daily exchange rate (BRL is the billed currency). Payment terms are discussed individually.
For reference, typical private revision facelift fees in the United States range from roughly USD 20,000 to USD 40,000 depending on the city and surgeon; that comparison is informational and does not correspond to Dr. Zamarian's fees, which are disclosed only after in-person evaluation.
Does insurance or Medicare cover revision facelift?
Revision facelift for aesthetic rejuvenation is not covered by private health insurance, Medicare, or the Brazilian public health system (SUS). Rare situations with a documented functional component (for example, eyelid ptosis obstructing the visual field, when associated with upper blepharoplasty) may open individual review for the functional portion only. This review is performed during the consultation, based on clinical examination and, when applicable, visual-field testing.
Non-surgical maintenance after the facelift
After a facelift — primary or revision — many patients ask what they can do to maintain the result without returning to the operating room. There are useful non-surgical maintenance options that Dr. Zamarian recommends, and there are widely marketed treatments that he does not recommend as surgical substitutes.
What I recommend
- Botulinum toxin: control of expressive musculature (glabella, crow's feet, forehead, platysma when indicated). Periodic application, 4-6-month effect.
- Hyaluronic acid filler (pointwise): small areas of localized volume loss (nasolabial fold, tear trough, lips) in conservative doses. Does not treat laxity.
- Fractional CO2 laser: improves skin quality, texture, and superficial wrinkles. Valuable complement after the lift has fully healed.
What I don't recommend as a surgical substitute
- PDO threads / thread lift: do not create structural fixation; after a lift, the skin is already adequately supported by the deep plane and threads are unnecessary.
- HIFU, Ultherapy, microneedling radiofrequency: produce modest superficial firmness. Do not replace a new facelift when structural laxity returns.
- High-dose injectable biostimulators (poly-L-lactic acid, hydroxyapatite): conservative pointwise doses can be useful; high doses create hard-to-correct irregularities.
The best "maintenance" remains rigorous sun protection, not smoking, weight control, adequate sleep, and daily skin care. No topical or injectable treatment replaces those fundamentals.
Revising a facelift done by another surgeon or non-physician practitioner
Dr. Zamarian accepts revising results from other plastic surgeons and also from practitioners in other fields who performed facial aesthetic procedures — including dentists and other non-physicians. The complaint in these cases is usually unsightly, poorly positioned, or widened scars. Minimum waiting period: 1 year after the previous procedure. MACS lift, PDO threads, mini-facelift, and HIFU done elsewhere are also accepted for revision with deep plane + deep neck lift.
There is usually no ethical or technical impediment to being revised by a surgeon different from the one who performed the primary. What matters is choosing a surgeon with proven experience in secondary facelifts, capable of planning adequately for altered anatomy and prior scarring.
My experience with revision facelift
Graduate of the State University of Londrina (UEL), alumnus of the Ivo Pitanguy Institute in Rio de Janeiro — one of the most prestigious plastic surgery training centers in the world. With Professor Ivo Pitanguy, Dr. Zamarian learned not only surgical techniques but a philosophy of respect for the patient and pursuit of excellence. Full member of SBCP and ASPS, with more than 20 years of practice and more than 8,000 plastic surgeries performed.
The revision facelift demands everything a surgeon can offer: deep anatomical knowledge, experience with different techniques, refined surgical judgment, and the ability to improvise when altered anatomy surprises during the procedure. It is not a surgery for beginners. It requires substantial technical maturity.
Why trust Dr. Zamarian for your revision
I do not claim impossible outcomes. What I offer is honesty, refined technique, and full dedication to the surgical plan. If, during consultation, the doctor perceives that revision will not bring significant benefit, or that risks outweigh potential benefits in the specific case, that is said clearly. Honesty is preferred to creating unrealistic expectations.
Facial nerve safety: over more than two decades performing primary and secondary facelifts, Dr. Zamarian has no documented case of persistent facial nerve injury. In his practice, the risk profile of secondary cases has been comparable to the primary in selected patients — deep plane dissection keeps the nerve protected in the plane above, even when scar tissue is present from the previous surgery.
Why choose a surgeon experienced in revision facelifts
The revision facelift is not a primary facelift performed again. It is a surgery with its own anatomical and aesthetic demands. The surgeon performing it must master:
- Deep plane dissection through fibrotic planes left by the prior lift
- Specific corrections: pixie ear, widened scars, stretched appearance
- Strategic use of fat grafting to restore volume and regenerate skin
- Meticulous handling of deep neck structures (platysma, subplatysmal fat, digastric, submandibular gland)
- Rigorous hemostatic control with the Auersvald hemostatic net
- Honest evaluation of what revision can — and cannot — correct
If you are considering a revision facelift, look for a board-certified plastic surgeon with documented experience in secondary procedures. Online consultations are available for international patients.
Frequently Asked Questions
How long should I wait for a revision facelift after the primary?
It depends on the indication. For scar revision of a primary done by a non-physician practitioner, Dr. Zamarian can operate starting 1 year after the previous procedure — enough time for the scar to mature. For refreshment (when laxity returns after a successful primary), surgery usually happens 5 to 10 years after the primary, when natural aging returns. For cases of technical dissatisfaction with the primary, a minimum of 12 months is required to allow complete tissue maturation and precise evaluation of what needs to be corrected.
What's the difference between primary and revision facelift?
The primary is the patient's first facelift — anatomy is in its natural state. The revision is any facelift performed after a previous primary. Technically, the revision navigates through prior scar tissue, which demands more planning, but can deliver more complete correction when the primary was performed with a superficial technique (SMAS plication or skin-only): the deep plane remains untouched and deep plane + deep neck lift can reveal corrections the primary did not address. Durability and recovery are comparable; recovery tends to be even more comfortable in the secondary (less bleeding, swelling, bruising).
Is revision facelift riskier than the primary?
Not necessarily. Scientific studies show that, with adequate technique, complication rates are comparable to the primary facelift. The "delay phenomenon" improves flap vascularization, and experience navigating scar planes minimizes risks. Dr. Zamarian has no documented case of persistent facial nerve injury over his career. The key is choosing a surgeon with specific experience in revisions.
Can pixie ear deformity be corrected?
Yes — one of the most common corrections in revision facelift. Pixie ear occurs when the skin is sutured under excessive tension, pulling the earlobe down. In revision, the earlobe is released from traction, its insertion is reconstructed, and closure is tensionless with weight supported by deep tissues. The result is a natural-looking earlobe.
Can I have revision with a different surgeon than the primary?
Yes, and it is quite common. Many revision patients were originally operated by other surgeons. There is usually no ethical or technical impediment. What matters is feeling confident and comfortable with the surgeon chosen for revision and that they have proven experience in secondary facelifts.
Do you revise facelifts done by non-physician practitioners (dentists, aestheticians)?
Dr. Zamarian can evaluate revision of facelifts or facial aesthetic procedures performed by non-physician practitioners, including dentists and aestheticians, after an in-person assessment. He also accepts revising results from other plastic surgeons. The main complaint in these cases is usually unsightly, poorly positioned, or widened scars. Minimum waiting period: 1 year after the previous procedure. In-person evaluation defines what can be corrected and what is beyond the technical reach of revision.
Do you accept revising MACS lift, PDO threads, or mini-facelift done elsewhere?
Patients who underwent MACS lift, PDO threads, mini-facelift, or minimally invasive support procedures elsewhere can be evaluated for revision, but candidacy depends on anatomy, scarring, and remaining tissue quality. When the complaint is recurrence, asymmetry, or scarring, revision with deep plane + deep neck lift may be considered. Technically it is more complex when there is prior poorly positioned scarring or permanent threads in the skin, and the viable approach is defined only after examination.
How long does revision facelift last?
The result lasts approximately the same period as the primary facelift: 10 to 15 years. Some factors can influence this, such as genetics, skin care, sun protection, and lifestyle habits. Patients who take care of their skin and avoid aging accelerators (smoking, excessive sun exposure) tend to maintain the result longer.
How many facelifts can I have in my life?
There is no fixed technical number — Dr. Zamarian has seen, for example, an American actress who underwent 17 lifts over her life (exceptional case). In realistic office practice, 2 or 3 facelifts across a person's life may be sufficient to maintain facial rejuvenation for many years. Scheduled maintenance at pre-defined dates is not recommended — the indication is clinical, when laxity returns and bothers the patient.
Does revision facelift eliminate scars from the first lift?
In most cases, the old scars can be excised and replaced by new, finer ones. Because deep plane closure is tensionless, new scars tend to be thinner and more discreet. Quality of healing also depends on individual factors such as genetics and skin type.
Is fat grafting necessary in revision facelift?
Not mandatory, but often recommended. Facial volume loss is an important component of aging, and revision patients usually present with more pronounced atrophy. Fat grafting not only restores lost volume but also promotes skin regeneration via adipose-derived stem cells — especially valuable when the primary did not include it.
Is deep plane still a modern facelift technique? Isn't there anything newer in 2025?
Deep plane remains one of the main modern surgical facelift techniques because it treats deeper retaining ligaments rather than only tightening superficial tissues. It is more recent than classic SMAS plication (dominant until the mid-2000s) and can deliver broad structural correction in selected patients. What is marketed as "latest-generation thread lift", "laser facelift", "HIFU facelift", or "radiofrequency lift" are not surgical facelifts: they are superficial firmness treatments or temporary support procedures, without structural fixation. When there is a real indication for facial rejuvenation, a current high-level surgical standard is deep plane + deep neck lift.
How much does revision facelift cost? Is it more expensive than the primary?
Current office policy: same price as the primary facelift, despite the greater technical complexity of the revision. The patient returning for revision — often because of situations caused by a primary done by another professional — is not penalized for inherited complexity. The procedure value is presented during the in-person consultation; only the first consultation (R$ 800 / approx. US$ 140) and the follow-up (R$ 400 / approx. US$ 70) are published on the website. Typical US revision facelift fees range from USD 20,000-40,000 in private practice — informational comparison only, not Dr. Zamarian's fees. Health insurance and Medicare do not cover the aesthetic indication. USD values are approximate and subject to the daily exchange rate.
What non-surgical maintenance can I do after the facelift?
Recommended: botulinum toxin (glabella, crow's feet, forehead, platysma when indicated), hyaluronic acid filler in conservative pointwise doses (nasolabial fold, tear trough), and fractional CO2 laser for skin quality. Not recommended as a surgical substitute: PDO threads, HIFU, Ultherapy, or microneedling radiofrequency — none replaces a new facelift when structural laxity returns.
Can I have filler before deciding on surgical revision?
Yes, and in some cases filler can be a good temporary option. However, filler treats volume, not laxity. If the main problem is sagging skin and descended tissues, filler will not replace surgery. In consultation, each case is evaluated and the best approach is indicated.
Schedule a Consultation
If you are considering a revision of your facelift — whether a refreshment after many years or correction of a result that did not meet expectations — the next step is simple: schedule a consultation with Dr. Walter Zamarian Jr. The team is ready to assist you, answer your questions, and find the best time for your evaluation. Online consultations are available for international patients exploring cosmetic surgery in Brazil.
Learn more about the first consultation, the investment, and the guidelines for pre-surgical preparation and post-operative recovery.
Ready to restore confidence in your rejuvenation? Schedule now.
Dr. Walter Zamarian Jr.
Plastic Surgeon in Brazil
Rua Engenheiro Omar Rupp, 186
Londrina - Brazil
ZIP 86015-360
Brazil
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