# International Patients — Walter Zamarian Jr., MD

Canonical URL: https://www.walterzamarianjr.com/us/international-patients/
SEO title: International Patients — Plastic Surgery in Brazil | Dr. Zamarian
Last updated: 09/18/2026
Language: en-US
Type: medical travel hub (international patients)
Breadcrumb: [Home](/us/) > International Patients
hreflang: [English (US)](/us/international-patients/index.md) | [English (UK)](/uk/international-patients/index.md)

## Individual surgical quote

I provide an individual surgical quote after medical evaluation, based on the plan indicated for each patient. Consultation and travel expenses are separate.

For a Deep Plane face and neck lift, the quote includes the operation, anesthesia team, facility and routine postoperative visits. Blepharoplasty, brow elevation and lip lift are included within the lifting when indicated. Consultation, flights, accommodation and other travel expenses are separate. The final plan, included items and payment terms are confirmed after individual medical evaluation.

## Executive summary

Medical-travel hub for international patients considering plastic surgery in Londrina, Brazil, with Dr. Walter Zamarian Jr. (CRM-PR 17.388, RQE 15.688). Covers: step-by-step pathway (first consultation paid once — US$ 180, online or in person, with the in-person evaluation free after an online first consultation; surgery at Hospital do Coração — Unidade Bela Suíça, early recovery in Londrina, video follow-up); visa rules (eVisa for US/Canada/Australia since April 2025 via the official portal; UK/EU visa-free up to 90 days); length of stay (Deep Plane facelift: minimum 15 full days in Londrina — 2 before + surgery day + 12 after; release only after in-person assessment; ASPS 7-10 day floor as context; DVT risk); accommodation (no recovery house — hotels near the clinic, companion required); honest accreditation answer (no JCI-accredited hospital listed in Londrina; Anvisa federal regulation; what actually determines safety); protocol for complications after flying home (team-first contact, video assessment, coordination with a local physician, full records shared); Brazil vs Turkey vs Mexico with ISAPS Global Survey 2024 data (Brazil #1 in surgical procedures, #2 in plastic surgeons: 6,497 vs Mexico 1,991 and Türkiye 1,200); operative-time safety culture (CREMESP Resolution 400/2026 — São Paulo state rule barring scheduling of extensive, multiple or combined elective AESTHETIC surgeries expected to reach 6+ hours in a single act, with exceptions restricted to extreme necessity under detailed, well-founded technical justification in the medical record; does not regulate non-aesthetic specialties; regional; unrelated procedures such as rhinoplasty plus facelift planned as separate operations); costs and trip budgeting.

## Accommodation and follow-up support

I do not operate a recovery house. Early recovery takes place in accommodation near the clinic, such as a hotel or Airbnb, with a responsible companion and scheduled postoperative appointments.

My team provides accommodation guidance in Londrina, including hotel or Airbnb options. Accommodation is booked and paid for separately. We can recommend a trusted driver and a companion or caregiver. The driver and companion/caregiver are available to hire separately, at an additional cost.

During your stay in Londrina, you have support with dressing care and frequent in-person follow-up appointments with me. After you return home, we continue online follow-up until one year after your surgery.

The surgical plan and length of stay depend on an in-person assessment and your individual recovery.

## Key facts

- Entry: ordinary tourism rules; eVisa for US/CA/AU citizens since 2025-04-10 (official portal brazil.vfsevisa.com); UK and EU citizens visa-free up to 90 days (as of Aug 2026)
- Stay (Deep Plane facelift): minimum 15 full days in Londrina (2 days before + surgery day + 12 days after); return flight only after in-person assessment; other procedures individualized; ASPS floor >= 7-10 days before flying after facial procedures
- Surgery site: Hospital do Coração — Unidade Bela Suíça, Londrina-PR (private hospital, full surgical center); regulation: Anvisa (federal)
- JCI: no JCI-accredited hospital listed in Londrina (accreditation concentrates in São Paulo/Rio hospitals)
- ISAPS Global Survey (2024 data, published June 2025): Brazil #1 in surgical aesthetic procedures (~2.35M/year), #2 in plastic surgeons (6,497)
- CREMESP Resolution 400/2026 (São Paulo state; dated 2026-05-26, in force since its official publication on 2026-06-25): bars scheduling extensive, multiple or combined elective AESTHETIC surgeries expected to reach >= 6 hours in a single act, except in cases of extreme necessity with a detailed, well-founded technical justification in the medical record; does not regulate non-aesthetic specialties; regional rule, cited honestly
- Consultation: first consultation US$ 180, paid once, online or in person; after an online first consultation, the in-person evaluation in Londrina has no additional cost
- Credentials verifiable: /us/credentials/ (CFM, SBCP, ASPS official sources)